RT Book, Section
A1 Wiener, Daniel C.
A1 Jaklitsch, Michael T.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105846982
T1 Incision, Resection, and Replacement of the Diaphragm
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105846982
RD 2024/09/09
AB The  fan-shaped  muscle  of  the  diaphragm  arises  from  the  internal  circumference  of  the  thorax,  with  attachments  to  the  sternum,  the  lower  six  or  seven  ribs,  and  the  lumbar  vertebral  bodies.  The  muscle  fibers  also  attach  posteriorly  to  the  aponeurotic  arch  of  the  ligamentum  arcuatum  externum,  which  overrides  the  psoas  and  quadratus  lumborum  muscles  (Fig.  149-1).  Laterally,  the  fibers  of  the  diaphragm  interdigitate  with  slips  from  the  transversalis  muscle  of  the  abdomen  to  originate  from  the  ribs.1  The  right  crus  is  larger  and  longer  than  the  left  and  arises  from  the  bodies  of  the  upper  three  or  four  lumbar  vertebrae.  The  left  crus  arises  from  the  upper  two  lumbar  vertebral  bodies.