Linea semilunaris

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Linea semilunaris
Gray392.png
The obliquus externus abdominis. (Linea semilunaris labeled vertically at center, at border between brown and gray.)
Rectus abdominis.png
Linea semilunares are at lateral borders of rectus abdominis.
Identifiers
TA98 A04.5.01.025
TA2 2380
FMA 19929
Anatomical terminology

The linea semilunaris (also semilunar line or Spigelian line) is a curved tendinous intersection found on either side of the rectus abdominis muscle.

Contents

Structure

The linea semilunaris corresponds with the lateral border of the rectus abdominis muscle. [1] [2] It extends from the cartilage of the ninth rib to the pubic tubercle.[ citation needed ] It is formed by the aponeurosis of the internal oblique at its line of division to enclose the rectus. This is reinforced anteriorly by the external oblique, and posteriorly by the transversus abdominis above the arcuate line. [1]

Clinical significance

A hernia through the linea semilunaris is called a Spigelian hernia. [3] [4] This usually occurs at the meeting point of the linea semilunaris with the arcuate line and the lateral border of the rectus abdominis muscle. [3]

Related Research Articles

Abdominal muscles cover the anterior and lateral abdominal region and meet at the anterior midline. These muscles of the anterolateral abdominal wall can be divided into four groups: the external obliques, the internal obliques, the transversus abdominis, and the rectus abdominis.

<span class="mw-page-title-main">Rectus abdominis muscle</span> Paired straight muscle

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.

<span class="mw-page-title-main">Transverse abdominal muscle</span> Muscle of the abdominal area

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.

<span class="mw-page-title-main">Pyramidalis muscle</span> Small triangular muscle in the abdomen

The pyramidalis muscle is a small triangular muscle, anterior to the rectus abdominis muscle, and contained in the rectus sheath.

<span class="mw-page-title-main">Abdominal external oblique muscle</span> Skeletal muscle in the abdomen

The abdominal external oblique muscle is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen.

<span class="mw-page-title-main">Psoas minor muscle</span> Long, slender skeletal muscle located anterior to the psoas major muscle

The psoas minor muscle is a long, slender skeletal muscle. When present, it is located anterior to the psoas major muscle.

<span class="mw-page-title-main">Intercostal nerves</span> Nerves in the thorax and abdomen

The intercostal nerves are part of the somatic nervous system, and arise from the anterior rami of the thoracic spinal nerves from T1 to T11. The intercostal nerves are distributed chiefly to the thoracic pleura and abdominal peritoneum, and differ from the anterior rami of the other spinal nerves in that each pursues an independent course without plexus formation.

<span class="mw-page-title-main">Abdomen</span> Part of the body between the chest and pelvis

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.

<span class="mw-page-title-main">Inguinal triangle</span> Region of the abdominal wall in humans

In human anatomy, the inguinal triangle is a region of the abdominal wall. It is also known by the eponym Hesselbach's triangle, after Franz Kaspar Hesselbach.

<span class="mw-page-title-main">Inferior epigastric artery</span> Blood vessel

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.

<span class="mw-page-title-main">Superior epigastric artery</span> Blood vessel

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.

<span class="mw-page-title-main">Abdominal wall</span> Boundary of abdominal cavity

In anatomy, the abdominal wall represents the boundaries of the abdominal cavity. The abdominal wall is split into the anterolateral and posterior walls.

<span class="mw-page-title-main">Femoral nerve</span> Long nerve down the thigh and inner leg

The femoral nerve is a nerve in the thigh that supplies skin on the upper thigh and inner leg, and the muscles that extend the knee. It is the largest branch of the lumbar plexus.

<span class="mw-page-title-main">Iliohypogastric nerve</span>

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.

<span class="mw-page-title-main">Conjoint tendon</span> Medial part of the posterior wall of the inguinal canal

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.

<span class="mw-page-title-main">Pelvic brim</span>

The pelvic brim is the edge of the pelvic inlet. It is an approximately Mickey Mouse head-shaped line passing through the prominence of the sacrum, the arcuate and pectineal lines, and the upper margin of the pubic symphysis.

<span class="mw-page-title-main">Arcuate line of rectus sheath</span> Line of demarcation in the human abdomen

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.

<span class="mw-page-title-main">Rectus sheath</span> Laminas around abdominal muscles

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.

<span class="mw-page-title-main">Diastasis recti</span> Medical condition

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.

References

  1. 1 2 Reuben, Brian; Vargo, Daniel; Massey, Marga F. (2009-01-01), Evans, Stephen R. T. (ed.), "Chapter 55 - Component Separation for Complex Abdominal Wall Reconstruction and Recurrent Ventral Hernia Repair", Surgical Pitfalls, Philadelphia: W.B. Saunders, pp. 545–569, doi:10.1016/b978-141602951-9.50069-4, ISBN   978-1-4160-2951-9 , retrieved 2021-01-26
  2. Ahmed, Abdul (2017-01-01), Brennan, Peter A.; Schliephake, Henning; Ghali, G. E.; Cascarini, Luke (eds.), "37 - Common Free Vascularized Flaps: The Rectus Abdominis", Maxillofacial Surgery (Third Edition), Churchill Livingstone, pp. 533–542, ISBN   978-0-7020-6056-4 , retrieved 2021-01-26
  3. 1 2 Weber, Thomas R. (2010-01-01), Holcomb, George Whitfield; Murphy, J. Patrick; Ostlie, Daniel J. (eds.), "chapter 49 - UMBILICAL AND OTHER ABDOMINAL WALL HERNIAS", Ashcraft's Pediatric Surgery (Fifth Edition), Philadelphia: W.B. Saunders, pp. 637–640, ISBN   978-1-4160-6127-4 , retrieved 2021-01-26
  4. Pegoli, Walter; Drugas, George T. (2007-01-01), Garfunkel, Lynn C.; Kaczorowski, Jeffrey M.; Christy, Cynthia (eds.), "Hernias, Abdominal Wall", Pediatric Clinical Advisor (Second Edition), Philadelphia: Mosby, pp. 264–265, ISBN   978-0-323-03506-4 , retrieved 2021-01-26