Abdominal external oblique muscle
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The abdominal external oblique muscle (also external oblique muscle, or exterior oblique) is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen.
|Abdominal external oblique muscle|
|Insertion||Xiphoid process, outer lip of the iliac crest, pubic crest, pubic tubercle, linea alba, inguinal ligament, anterior superior iliac spine (ASIS)|
|Nerve||Thoracoabdominal nerves (T7-11) and subcostal nerve (T12)|
|Actions||Flexion of the torso and contralateral rotation of torso|
|Latin||Musculus obliquus externus abdominis|
|Anatomical terms of muscle|
The external oblique is situated on the lateral and anterior parts of the abdomen. It is broad, thin, and irregularly quadrilateral, its muscular portion occupying the side, its aponeurosis the anterior wall of the abdomen. In most humans (especially females), the oblique is not visible, due to subcutaneous fat deposits and the small size of the muscle.
It arises from eight fleshy digitations, each from the external surfaces and inferior borders of the fifth to twelfth ribs (lower eight ribs). These digitations are arranged in an oblique line which runs inferiorly and anteriorly, with the upper digitations being attached close to the cartilages of the corresponding ribs, the lowest to the apex of the cartilage of the last rib, the intermediate ones to the ribs at some distance from their cartilages.
The five superior serrations increase in size from above downward, and are received between corresponding processes of the serratus anterior muscle; the three lower ones diminish in size from above downward and receive between them corresponding processes from the latissimus dorsi. From these attachments the fleshy fibers proceed in various directions. Its posterior fibers from the ribs to the iliac crest form a free posterior border.
Those from the lowest ribs pass nearly vertically downward, and are inserted into the anterior half of the outer lip of the iliac crest; the middle and upper fibers, directed downward (inferiorly) and forward (anteriorly), become aponeurotic at approximately the midclavicular line and form the anterior layer of the rectus sheath. This aponeurosis formed from fibres from either side of the external oblique decussates at the linea alba.
The external oblique muscle is supplied by ventral branches of the lower six thoracoabdominal nerves and the subcostal nerve on each side.
The cranial portion of the muscle is supplied by the lower intercostal arteries, whereas the caudal portion is supplied by a branches of either the deep circumflex iliac artery or the iliolumbar artery.
The external oblique functions to pull the chest downwards and compress the abdominal cavity, which increases the intra-abdominal pressure as in a valsalva maneuver. It also performs ipsilateral (same side) side-bending and contralateral (opposite side) rotation. So the right external oblique would side bend to the right and rotate to the left. The internal oblique muscle functions similarly except it rotates ipsilaterally.
Society and cultureEdit
The oblique strain is a common baseball injury, particularly in pitchers. In both batters and pitchers it can affect the contralateral (leading) side external oblique, or the trailing internal oblique.
- Leblanc, Eric; Frumovitz, Michael (2018-01-01), Ramirez, Pedro T.; Frumovitz, Michael; Abu-Rustum, Nadeem R. (eds.), "Chapter 8 - Surgical Staging for Treatment Planning", Principles of Gynecologic Oncology Surgery, Elsevier, pp. 116–126, doi:10.1016/b978-0-323-42878-1.00008-0, ISBN 978-0-323-42878-1, retrieved 2020-11-23
- Conte, SA; Thompson, MM; Marks, MA; Dines, JS (March 2012). "Abdominal muscle strains in professional baseball: 1991-2010". The American Journal of Sports Medicine. 40 (3): 650–6. doi:10.1177/0363546511433030. PMID 22268233. S2CID 29014372.