Pyramidalis muscle
Citation, DOI, disclosures and article data
At the time the article was created Balaji Vasu had no recorded disclosures.
View Balaji Vasu's current disclosuresAt the time the article was last revised Craig Hacking had no recorded disclosures.
View Craig Hacking's current disclosures- Pyrimidalis
The pyrimidalis muscle is a small paired triangular muscle of the lower anterior abdominal wall that is rudimentary and variably present in humans.
On this page:
Summary
- origin: pubic symphysis and pubic crest
- insertion: linea alba at the midway point between umbilicus and pubis
- innervation: ventral T12 spinal nerve (variable)
- action: uncertain; thought to tense the linea alba
Gross anatomy
The pyramidalis muscle has its origin from the bony pelvis, where it is attached to the pubic symphysis and pubic crest. The fibers run superiorly and medially to insert into the linea alba at a point midway between umbilicus and pubis.
It lies within the rectus sheath, anterior to the rectus abdominis muscle.
Innervation
The nerve supply to the muscle is from ventral part of T12 spinal segment although this has been reported as being quite variable 3.
Variant anatomy
- absent in ~20% of cases (reported range of absence is 10-70%) 3
- may be present only unilaterally
References
- 1. Gillenwater JY, Grayhack JT, Howards SS et-al. Adult and pediatric urology. Lippincott Williams & Wilkins. ISBN:0781732204. Read it at Google Books - Find it at Amazon
- 2. Greenfield's Surgery: Scientific Principles & Practice. Lippincott Williams & Wilkins. ISBN:1605473553. Read it at Google Books - Find it at Amazon
- 3. Lovering RM, Anderson LD. Architecture and fiber type of the pyramidalis muscle. Anat Sci Int. 2008;83 (4): 294-7. doi:10.1111/j.1447-073X.2007.00226.x - Free text at pubmed - Pubmed citation
Incoming Links
Related articles: Anatomy: Abdominopelvic
- skeleton of the abdomen and pelvis
- muscles of the abdomen and pelvis
- spaces of the abdomen and pelvis
- anterior abdominal wall
- posterior abdominal wall
- abdominal cavity
- pelvic cavity
- perineum
- abdominal and pelvic viscera
- gastrointestinal tract
- spleen
- hepatobiliary system
-
endocrine system
-
adrenal gland
- adrenal vessels
- chromaffin cells
- variants
- pancreas
- organs of Zuckerkandl
-
adrenal gland
-
urinary system
-
kidney
- renal pelvis
- renal sinus
- avascular plane of Brodel
-
variants
- number
- fusion
- location
- shape
- ureter
- urinary bladder
- urethra
- embryology
-
kidney
- male reproductive system
-
female reproductive system
- vulva
- vagina
- uterus
- adnexa
- Fallopian tubes
- ovaries
- broad ligament (mnemonic)
- variant anatomy
- embryology
- blood supply of the abdomen and pelvis
- arteries
-
abdominal aorta
- inferior phrenic artery
- celiac artery
- superior mesenteric artery
- middle suprarenal artery
- renal artery (variant anatomy)
- gonadal artery (ovarian artery | testicular artery)
- inferior mesenteric artery
- lumbar arteries
- median sacral artery
-
common iliac artery
- external iliac artery
-
internal iliac artery (mnemonic)
- anterior division
- umbilical artery
- superior vesical artery
- obturator artery
- vaginal artery
- inferior vesical artery
- uterine artery
- middle rectal artery
-
internal pudendal artery
- inferior rectal artery
-
perineal artery
- posterior scrotal artery
- transverse perineal artery
- artery to the bulb
- deep artery of the penis/clitoris
- dorsal artery of the penis/clitoris
- inferior gluteal artery
- posterior division (mnemonic)
- variant anatomy
- anterior division
-
abdominal aorta
- portal venous system
- veins
- anastomoses
- arterioarterial anastomoses
- portal-systemic venous collateral pathways
- watershed areas
- arteries
- lymphatics
- innervation of the abdomen and pelvis
- thoracic splanchnic nerves
- lumbar plexus
-
sacral plexus
- lumbosacral trunk
- sciatic nerve
- superior gluteal nerve
- inferior gluteal nerve
- nerve to piriformis
- perforating cutaneous nerve
- posterior femoral cutaneous nerve
- parasympathetic pelvic splanchnic nerves
- pudendal nerve
- nerve to quadratus femoris and inferior gemellus muscles
- nerve to internal obturator and superior gemellus muscles
- autonomic ganglia and plexuses