diaphragm muscle
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Function
- it is the main muscle of inspiration in normal individuals
Structure
- continuous sheet of muscle & tendon, normally broken uponly by major structures (i.e. esophagus, inferior vena cava, aorta) passing from thorax to abdomen
Innervation
- motor:
- phrenic nerves (C3-C5)
- right & left halves innervated by right & left phrenic nerves
- sensory
Pathology
pain from the diaphragm may radiate to the shoulder
Physiology
- normal expiratory to inspiratory excursion of the diaphragm is 5-7 cm.
- diaphragm muscle only partially effective in supine or sitting position[3] diaphragm muscle flattens with aging & becomes less efficient[3]
More general terms
More specific terms
- crura of diaphragm (crus)
- diaphragmatic surface of (lung/liver/spleen/heart)
- hemidiaphragm
- lumbocostal triangle of diaphragm (vertebrocostal trigone or triangle, Bochdalek gap)
- muscular part of diaphragm
- sternocostal triangle of diaphragm (sternocostal foramen)
Additional terms
Component of
Components
- central tendon of diaphragm (trefoil tendon)
- median arcuate ligament
- esophageal hiatus (aperture or opening)
- pleuroperitoneal hiatus (Bochdalek foramen)
- aortic hiatus/foramen/aperture/opening
- vena caval foramen (caval opening of diaphragm, caval foramen)
References
- ↑ Harrison's Principles of Internal Medicine, 12th ed. Wilson et al (eds), McGraw-Hill Inc. NY, 1991, pg 1115-16
- ↑ Mayo Internal Medicine Board Review, 1998-99, Prakash UBS (ed) Lippincott-Raven, Philadelphia, 1998, pg 722
- ↑ 3.0 3.1 3.2 Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019