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The Diaphragm
The Diaphragm
Is a muscular-tendinous
structure used in respiration
www.biodigital.com
The Diaphragm
It is dome-shaped and separates the
Thoracic and Abdominal Cavity
Is a muscular-tendinous
structure used in respiration
www.biodigital.com
The Diaphragm
It is dome-shaped and separates the
Thoracic and Abdominal Cavity
Is a muscular-tendinous
structure used in respiration
It’s muscle fibres arise from the
inner surface of the inferior aperture of
the Thoracic Cage
www.biodigital.com
Quadratus
Lumborum
Psoas Major
L2
L3
L4
Inferior view of Diaphragm
Quadratus
Lumborum
Psoas Major
L2
L3
L4
The muscle fibres arise from
Inferior view of Diaphragm
Lateral
Arcuate
Ligament
Quadratus
Lumborum
Psoas Major
L2
L3
L4
The muscle fibres arise from
Lateral Arcuate Ligament
Inferior view of Diaphragm
Lateral
Arcuate
Ligament
Quadratus
Lumborum
Psoas Major
Medial
Arcuate
Ligament
L2
L3
L4
The muscle fibres arise from
Lateral Arcuate Ligament
Medial Arcuate Ligament
Inferior view of Diaphragm
Lateral
Arcuate
Ligament
Quadratus
Lumborum
Psoas Major
Medial
Arcuate
Ligament
L2
L3
L4
The muscle fibres arise from
Lateral Arcuate Ligament
Medial Arcuate Ligament
Lumbar Vertebral Bodies:
Inferior view of Diaphragm
Lateral
Arcuate
Ligament
Quadratus
Lumborum
Psoas Major
Medial
Arcuate
Ligament
L2
L3
L4 Left Crus
Right Crus
The muscle fibres arise from
Lateral Arcuate Ligament
Medial Arcuate Ligament
Lumber Vertebral Bodies:
• Left Crus - L2, L3
• Right Crus - L2, L3, L4
Inferior view of Diaphragm
Lateral
Arcuate
Ligament
Quadratus
Lumborum
Psoas Major
Medial
Arcuate
Ligament
L2
L3
L4 Left Crus
Right Crus
Peripheral
muscle fibres
converge into the
Central Tendon
Inferior view of Diaphragm
Antero-posterior view
Plain chest radiograph
Antero-posterior view
Plain chest radiograph
Diaphragm appears as a
“double dome”
Antero-posterior view
Plain chest radiograph
Diaphragm appears as a
“double dome”
Central diaphragm is
indented by the
Fibrous Pericardium
Three Openings of the Diaphragm
Inferior view of Diaphragm
Three Openings of the Diaphragm
Aortic Hiatus
Transmits Descending
Thoracic Aorta
Inferior view of Diaphragm
Three Openings of the Diaphragm
Aortic Hiatus
Transmits Descending
Thoracic Aorta
Venal Caval Hiatus
Transmits Inferior
Vena Cava
Inferior view of Diaphragm
Three Openings of the Diaphragm
Aortic Hiatus
Transmits Descending
Thoracic Aorta
Venal Caval Hiatus
Transmits Inferior
Vena Cava
Oesophageal Hiatus
Transmits Oesophagus
Inferior view of Diaphragm
Vertebral Level of Diaphragm Hiatus
Vertebral Level of Diaphragm Hiatus
Aorta
12th Thoracic vertebral body
Aorta
12th Thoracic vertebral body
Oesophageal Hiatus
10th Thoracic vertebral body
Vertebral Level of Diaphragm Hiatus
Aorta
12th Thoracic vertebral body
Vena Caval Hiatus
9th Thoracic vertebral body
Oesophageal Hiatus
10th Thoracic vertebral body
Vertebral Level of Diaphragm Hiatus
The Phrenic Nerve innervates the Diaphragm
Left Phrenic NerveRight Phrenic Nerve
www.biodigital.com
The Phrenic Nerve innervates the Diaphragm
Left Phrenic NerveRight Phrenic Nerve
Cervical Plexus
Originates from the Cervical Plexus and runs
down the neck behind the carotid sheath
www.biodigital.com
The Phrenic Nerve innervates the Diaphragm
Left Phrenic NerveRight Phrenic Nerve
Cervical Plexus
Originates from the Cervical Plexus and runs
down the neck behind the carotid sheath
Superior Mediastinum
Enters Thoracic Cavity in the
Superior Mediastinum
www.biodigital.com
The Phrenic Nerve innervates the Diaphragm
Left Phrenic NerveRight Phrenic Nerve
Cervical Plexus
Originates from the Cervical Plexus and runs
down the neck behind the carotid sheath
Superior Mediastinum
Enters Thoracic Cavity in the
Superior Mediastinum
Inferior Mediastinum
Crosses the Mediastinum to the
Diaphragm and supplies
all the diaphragmatic fibres on that side
www.biodigital.com
The Phrenic Nerve innervates the Diaphragm
Left Phrenic NerveRight Phrenic Nerve
Cervical Plexus
Sensory Phrenic Nerve
fibres are distributed in the
Mediastinum
www.biodigital.com
Cervical Root Value of Phrenic Nerve
C3
C4
C5
www.biodigital.com
Cervical Root Value of Phrenic Nerve
C3
C4
C5
C-3, 4, 5 keeps the Diaphragm alive
www.biodigital.com

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