Anal sphincter

Changed by Aaron Wong, 1 Jan 2015

Updates to Article Attributes

Body was changed:

Anal sphincters can be categorised by internal and external anal sphincters

Gross anatomy

Internal anal sphincter

  • continuation of inner rectal muscle
  • thickened, circular muscle fibres, up to 5mm thick
  • composed of visceral muscle

External anal sphincter

  • composed of skeletal muscle
  • classically categorised into deep, superficial (middle), and subcutaneous parts

Deep part

  • circular muscle fibres
  • blends with puborectalis part of levator ani (posteriorly and laterally)
  • the aforementioned region is called the anorectal ring, and is palpable on rectal examination

Superficial part

  • elliptical muscle fibres
  • attaches from the the tip of the coccyx posteriorly to the perineal body anteriorly
  • only part of the sphincter with bony attachment

Subcutaneous part

  • circular muscle fibres
  • lower ends curve inwards, lying below the end of the internal sphincter, the intersphincteric groove that results is palpable on examination
  • -<li>classically categorised into deep, superficial (middle), and subcutaneous parts</li>
  • +<li>classically categorised into deep, superficial, and subcutaneous parts</li>

References changed:

  • 1. McMINN. Lasts Anatomy Regional and Applied. CHURCHILL LIVINGSTONE. (2003) ISBN:B0084AQDG8. <a href="http://books.google.com/books?vid=ISBNB0084AQDG8">Read it at Google Books</a> - <a href="http://www.amazon.com/gp/product/B0084AQDG8">Find it at Amazon</a><span class="ref_v3"></span>

Sections changed:

  • Anatomy

Systems changed:

  • Musculoskeletal
  • Gastrointestinal

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