Quadratus lumborum muscle
Updates to Article Attributes
Body
was changed:
The quadratus lumborum muscle is an irregular quadrilateral muscle that forms part of the posterior abdominal wall.
Summary
- location:
- dorsal abdominal wall
- medial half of inferior margins of 12th ribs and upper four lumbar transverse processes
- blood supply:
- branches of the lumbar arteries
- other smaller arterial branches, as described below
- innervation:
- ventral rami of the 12th thoracic nerve
- L1-L4 spinal nerves
- relations: thick, irregular, quadrilateral-shaped muscle sheet that lies in the posterior abdominal wall
Gross anatomy
Attachments
- insertion: iliolumbar ligament and internal rim of iliac crest
- action: extension and lateral flexion of vertebral column; fixes 12th rib during inspiration to stabilise the diaphragm
Relations
The muscle is a thick, irregular, quadrilateral-shaped muscle sheet that lies in the posterior abdominal wall.
Anterior relations:
- colon
- kidney
- psoas muscle (major and minor)
- diaphragm
- subcostal, ilioinguinal and iliohypogastric nerves
Blood supply
The quadratus lumborum muscleis supplied by:
- branches of the lumbar arteries
- the arteria lumbalis ima
- the lumbar branch of the iliolumbar artery
- branches of the subcostal artery
Nerve supply
- ventral rami of the 12th thoracic nerve
- L1-L4 spinal nerves
Action
Multiple actions, including:
- muscle of inspiration
- fixation of the last rib
- stabilisation of lower attachments of the diaphragm
- proposed to provide a base for controlled diaphragmatic relaxation to facilitate precise adjustments required for speech and singing 1
- when one muscle contracts, lateral flexion of vertebral column
- when both sides contract, extends the lumbar spine
Variant anatomy
The number and extent of attachments to the last rib vary.
Related pathology
Implications in unilateral lower back pain.
May be enlarged in fast-bowl cricket players who injure their L4 pars interarticularis 3.
-</ul><h5>Variant anatomy</h5><p>The number and extent of attachments to the last rib vary.</p><h5>Related pathology</h5><p>Implications in unilateral <a href="/articles/lower-back-pain">lower back pain</a>.</p><p>May be enlarged in fast-bowl cricket players who injure their L4 pars interarticularis <sup>3</sup>.</p>- +</ul><h4>Variant anatomy</h4><p>The number and extent of attachments to the last rib vary.</p><h4>Related pathology</h4><p>Implications in unilateral <a href="/articles/lower-back-pain">lower back pain</a>.</p><p>May be enlarged in fast-bowl cricket players who injure their L4 pars interarticularis <sup>3</sup>.</p>
Systems changed:
- Musculoskeletal