The external oblique muscle is one of the muscles that forms the anterior abdominal wall. Its free inferior border forms the inguinal ligament, and its aponeurotic part contributes to the anterior wall of the inguinal canal.
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Summary
origin: outer surface of the shaft of the lower eight ribs 3
insertion: upper aponeurotic fibers to the whole length of the linea alba and extends to the pubic crest and the pectineal line; lower fleshy fibers to the outer lip of the anterior end of the iliac crest
innervation: segmental supply by lower six thoracic nerves and the subcostal nerve
action: contributes in forming the anterior abdominal wall and the action is along with the other abdominal wall muscles
Gross anatomy
The external oblique muscle arises from the outer surface of the middle of the shaft of the lower eight ribs as fleshy fibers. At its origin upper four slips and lower four slips interdigitate with the serratus anterior and the latissimus dorsi muscles respectively. The muscle gradually becomes aponeurotic, which inserts into the whole length of the linea alba with extension onto the pubic crest and the pectineal line. Lower fleshy fibers attach to the outer lip of the anterior two thirds of the iliac crest. Muscle fibers are directed obliquely downwards and medially.
The muscle has some important features:
inferior free border between the anterior superior iliac spine and the pubic tubercle is thickened and rolls inwards to form the inguinal ligament
posterior fleshy free border forms the anterior boundary of the lumbar triangle (of Petit) 1
upper part of the aponeurotic layer crosses over the rectus abdominis muscle contributes to forming the anterior layer of the rectus sheath
lower part of the aponeurotic layer forms the medial half of the anterior wall of the inguinal canal; medial attachment provides a V-shaped gap (superficial inguinal ring) in order to provide passage of the spermatic cord / round ligament
Arterial supply
The upper part of the muscle is supplied by the lower intercostal arteries, and the lower part is by the deep circumflex iliac artery branches.
Venous drainage
Venous drainage follows the arterial supply.
Innervation
Terminal branches of the lower five intercostal nerves (T7-T11), and the subcostal nerve.
Action
Along with other abdominal wall muscles, the external oblique muscle flexes the trunk, assists expiration by depressing the ribs, and assists to maintain intra-abdominal pressure in evacuation of luminal contents and supports intra-abdominal viscera.
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