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Linea alba | |
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![]() Diagram of the rectus sheath. | |
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Details | |
Identifiers | |
Latin | linea alba |
TA98 | A04.5.01.022 |
TA2 | 2377 |
FMA | 11336 |
Anatomical terminology |
The linea alba (Latin : white line) is a strong fibrous midline structure [1] of the anterior abdominal wall [2] situated between the two recti abdominis muscles (one on either side). The umbilicus (navel) is a defect in the linea alba through which foetal umbilical vessels pass before birth. [1] The linea alba is formed by the union of aponeuroses (of the muscles of the anterior abdominal wall [2] ) that collectively make up the rectus sheath. The linea alba attaches to the xiphoid process superiorly, and to the pubic symphysis inferiorly. It is narrow inferiorly where the two recti abdominis muscles are in contact with each other posterior to it, and broadens superior-ward from just inferior to the umbilicus. [1]
The name means white line as it is composed mostly of collagen connective tissue, which has a white appearance.[ citation needed ]
In sufficiently muscular individuals, its presence can be seen on the skin, forming the depression between the left and right halves of a "six pack".[ citation needed ]
The linea alba stabilizes the anterior abdominal wall, as it balances contractile forces from the muscles attached to it. [2]
An abnormal widening of the linea alba is known as diastasis recti.
During pregnancy, the linea alba usually darkens due to hormonal changes whereupon it becomes known as the linea nigra. The linea nigra sometimes also occurs in either sex outside the context of pregnancy.
A median incision through the linea alba is a common surgical approach for abdominal surgery. This is because it consists of mostly connective tissue, and does not contain any primary nerves or blood vessels.[ citation needed ]
The rectus abdominis muscle, also known as the "abdominal muscle" or simply the "abs", is a pair of segmented skeletal muscle on the ventral aspect of a person's abdomen. The paired muscle is separated at the midline by a band of dense connective tissue called the linea alba, and the connective tissue defining each lateral margin of the rectus abdominus is the linea semilunaris. The muscle extends from the pubic symphysis, pubic crest and pubic tubercle inferiorly, to the xiphoid process and costal cartilages of the 5th–7th ribs superiorly.
The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral abdominal wall, deep to the internal oblique muscle. It is thought by most fitness instructors to be a significant component of the core.
The pyramidalis muscle is a small triangular muscle, anterior to the rectus abdominis muscle, and contained in the rectus sheath.
The abdominal external oblique muscle is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen.
The abdomen is the part of the body between the thorax (chest) and pelvis, in humans and in other vertebrates. The abdomen is the front part of the abdominal segment of the torso. The area occupied by the abdomen is called the abdominal cavity. In arthropods, it is the posterior tagma of the body; it follows the thorax or cephalothorax.
In human anatomy, the inferior epigastric artery is an artery that arises from the external iliac artery. It is accompanied by the inferior epigastric vein; inferiorly, these two inferior epigastric vessels together travel within the lateral umbilical fold The inferior epigastric artery then traverses the arcuate line of rectus sheath to enter the rectus sheath, then anastomoses with the superior epigastric artery within the rectus sheath.
In human anatomy, the superior epigastric artery is a terminal branch of the internal thoracic artery that provides arterial supply to the abdominal wall, and upper rectus abdominis muscle. It enters the rectus sheath to descend upon the inner surface of the rectus abdominis muscle. It ends by anastomosing with the inferior epigastric artery.
The iliohypogastric nerve is a nerve that originates from the lumbar plexus that supplies sensation to skin over the lateral gluteal and hypogastric regions and motor to the internal oblique muscles and transverse abdominal muscles.
The conjoint tendon is a sheath of connective tissue formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle, joining the muscle to the pelvis. It forms the medial part of the posterior wall of the inguinal canal.
The transversalis fascia is the fascial lining of the anterolateral abdominal wall situated between the inner surface of the transverse abdominal muscle, and the preperitoneal fascia. It is directly continuous with the iliac fascia, the internal spermatic fascia, and pelvic fascia.
The fascia of Camper is a thick superficial layer of the anterior abdominal wall.
The arcuate line of rectus sheath is a line of demarcation corresponding to the free inferior margin of the posterior layer of the rectus sheath inferior to which only the anterior layer of the rectus sheath is present and the rectus abdominis muscle is therefore in direct contact with the transversalis fascia. The arcuate line is concave inferior-wards.
The linea semilunaris is a curved tendinous intersection found on either side of the rectus abdominis muscle.
The rectus sheath is a tough fibrous compartment formed by the aponeuroses of the transverse abdominal muscle, and the internal and external oblique muscles. It contains the rectus abdominis and pyramidalis muscles, as well as vessels and nerves.
The anterior divisions of the seventh, eighth, ninth, tenth, and eleventh thoracic intercostal nerves are continued anteriorly from the intercostal spaces into the abdominal wall; hence they are named thoraco-abdominal nerves.
The rectus abdominis muscle is crossed by three fibrous bands called the tendinous intersections or tendinous inscriptions. One is usually situated at the level of the umbilicus, one at the extremity of the xiphoid process, and the third about midway between the two.
The aponeurosis of the abdominal external oblique muscle is a thin but strong membranous structure, the fibers of which are directed downward and medially.
Diastasis recti, or rectus abdominis diastasis, is defined as a gap of about 2.7 cm or greater between the two sides of the rectus abdominis muscle. The distance between the right and left rectus abdominis muscles is created by the stretching of the linea alba, a connective collagen sheath created by the aponeurosis insertions of the transverse abdominis, internal oblique, and external oblique. This condition has no associated morbidity or mortality. Physical therapy is often required to repair this separation and surgery is an option for more severe cases. Standard exercise rarely results in complete healing of the separated muscles.
In surgery, a surgical incision is a cut made through the skin and soft tissue to facilitate an operation or procedure. Often, multiple incisions are possible for an operation. In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions.
The umbilical ring is a dense fibrous ring surrounding the umbilicus at birth. At about the sixth week of embryological development, the midgut herniates through the umbilical ring; six weeks later it returns to the abdominal cavity and rotates around the superior mesenteric artery.