Quadratus Lumborum: Difference between revisions

No edit summary
No edit summary
Line 1: Line 1:
<div class="editorbox">
<div class="editorbox">
'''Original Editor '''- Your name will be added here if you created the original content for this page.
'''Original Editor '''- Vanessa Rhule


'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}  
Line 8: Line 8:
The word quadratus comes from the Latin word "quadrus" meaning “square” while Lumborum comes from the Latin word "lumbus" for “loin.”  
The word quadratus comes from the Latin word "quadrus" meaning “square” while Lumborum comes from the Latin word "lumbus" for “loin.”  


A thick, irregular, quadrilateral-shaped muscle sheet that lies in the posterior abdominal wall.
A thick, irregular, quadrilateral-shaped muscle sheet that lies in the posterior abdominal wall.  


== Anatomy  ==
== Anatomy  ==


=== Origin<ref name="anatomy expert">Anatomyexpert.com. AnatomyEXPERT: Quadratus lumborum - Structure Detail [Internet]. 2015 [cited 15 August 2015]. Available from: http://www.anatomyexpert.com/app/structure/5307/</ref> ===
=== Origin<ref name="anatomy expert">Anatomyexpert.com. AnatomyEXPERT: Quadratus lumborum - Structure Detail [Internet]. 2015 [cited 15 August 2015]. Available from: http://www.anatomyexpert.com/app/structure/5307/</ref> ===


Posterior Iliac Crest  
Posterior Iliac Crest  
Line 20: Line 20:
Medial half of 12th rib and transverse processes of lumbar vertebrae  
Medial half of 12th rib and transverse processes of lumbar vertebrae  


<br>


 
[[Image:Quadratus-lumborum-muscle-fibers.jpg|500x300px]]  
[[Image:Quadratus-lumborum-muscle-fibers.jpg|500x300px]]


=== Nerve Supply<ref name="anatomy expert" />  ===
=== Nerve Supply<ref name="anatomy expert" />  ===
Line 28: Line 28:
Subcostal nerve (T12)<br>Iliohypogastric and&nbsp;Ilioinguinal nerve (both from L1) <br>Branches from the ventral rami (L2 and L3)  
Subcostal nerve (T12)<br>Iliohypogastric and&nbsp;Ilioinguinal nerve (both from L1) <br>Branches from the ventral rami (L2 and L3)  


=== Blood Supply<ref name="radiopaedia">Jarvis M. Quadratus lumborum | Radiology Reference Article | Radiopaedia.org [Internet]. Radiopaedia.org. 2015 [cited 15 August 2015]. Available from: http://radiopaedia.org/articles/quadratus-lumborum</ref> ===
=== Blood Supply<ref name="radiopaedia">Jarvis M. Quadratus lumborum | Radiology Reference Article | Radiopaedia.org [Internet]. Radiopaedia.org. 2015 [cited 15 August 2015]. Available from: http://radiopaedia.org/articles/quadratus-lumborum</ref> ===


Branches of the subcostal artery<br>Branches of the lumbar arteries<br>The lumbar branch of the iliolumbar artery<br>The arteria lumbalis ima from the median sacral artery.  
Branches of the subcostal artery<br>Branches of the lumbar arteries<br>The lumbar branch of the iliolumbar artery<br>The arteria lumbalis ima from the median sacral artery.  
Line 50: Line 50:
== Trigger Point Referral Pattern  ==
== Trigger Point Referral Pattern  ==


[[Image:Quadratus_lumborum_trigger_points_referred_pain-1024x768.jpg|500x300px]]
[[Image:Quadratus lumborum trigger points referred pain-1024x768.jpg|500x300px]]  
 
[[Image:Quadratus-lumborum-trigger-point-interactions.jpg|500x300px]]


[[Image:Quadratus-lumborum-trigger-point-interactions.jpg|500x300px]]


<br>


== Techniques  ==
== Techniques  ==
Line 60: Line 60:
=== Palpation  ===
=== Palpation  ===


{{#ev:youtube|VsW896n71HU}}
{{#ev:youtube|VsW896n71HU}}  


=== Length Tension Testing  ===
=== Length Tension Testing  ===

Revision as of 19:39, 15 August 2015

Description[edit | edit source]

The word quadratus comes from the Latin word "quadrus" meaning “square” while Lumborum comes from the Latin word "lumbus" for “loin.”

A thick, irregular, quadrilateral-shaped muscle sheet that lies in the posterior abdominal wall.

Anatomy[edit | edit source]

Origin[1][edit | edit source]

Posterior Iliac Crest

Insertion[1][edit | edit source]

Medial half of 12th rib and transverse processes of lumbar vertebrae


Quadratus-lumborum-muscle-fibers.jpg

Nerve Supply[1][edit | edit source]

Subcostal nerve (T12)
Iliohypogastric and Ilioinguinal nerve (both from L1)
Branches from the ventral rami (L2 and L3)

Blood Supply[2][edit | edit source]

Branches of the subcostal artery
Branches of the lumbar arteries
The lumbar branch of the iliolumbar artery
The arteria lumbalis ima from the median sacral artery.

Function[edit | edit source]

Actions[2][edit | edit source]

Quadratus Lumborum fixes the12th rib to stabilise diaphragm attachments during inspiration

Lateral flexes the vertebral column

Extends lumbar vertebrae

Functional contributions[edit | edit source]

The primary antagonist to each Quadratus Lumborum muscle is the Quadratus Lumborum muscle on the other side of the body.[3]

The muscle group is considered a postural muscle group.

Trigger Point Referral Pattern[edit | edit source]

Quadratus lumborum trigger points referred pain-1024x768.jpg

Quadratus-lumborum-trigger-point-interactions.jpg


Techniques[edit | edit source]

Palpation[edit | edit source]

Length Tension Testing[edit | edit source]

Treatment[edit | edit source]

Recent Related Research (from Pubmed)[edit | edit source]

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

Resources[edit | edit source]

References[edit | edit source]

References will automatically be added here, see adding references tutorial.

  1. 1.0 1.1 1.2 Anatomyexpert.com. AnatomyEXPERT: Quadratus lumborum - Structure Detail [Internet]. 2015 [cited 15 August 2015]. Available from: http://www.anatomyexpert.com/app/structure/5307/
  2. 2.0 2.1 Jarvis M. Quadratus lumborum | Radiology Reference Article | Radiopaedia.org [Internet]. Radiopaedia.org. 2015 [cited 15 August 2015]. Available from: http://radiopaedia.org/articles/quadratus-lumborum
  3. Perry D. Quadratus Lumborum Trigger Points: Masters of Low Back Pain | TriggerPointTherapist.com [Internet]. Triggerpointtherapist.com. 2011 [cited 15 August 2015]. Available from: http://www.triggerpointtherapist.com/blog/quadratus-lumborum-trigger-points/ql-trigger-points-masters-low-back-pain/