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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2019/06/01 16:02:16」(JST)

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The thoracolumbar fascia (lumbodorsal fascia or thoracodorsal fascia) is a deep investing membrane throughout most of the posterior thorax and abdomen although it is a thin fibrous lamina in the thoracic region. Above, it is continuous with a similar investing layer on the back of the neck—the nuchal fascia.

It is formed of longitudinal and transverse fibers that bridge the aponeuroses of internal oblique and transversalis, costal angles and iliac crest laterally, to the vertebral column and sacrum medially. In doing so, they cover the paravertebral muscles.

It is made up of three layers, anterior, middle, and posterior. The anterior and middle layers insert onto the transverse processes of the vertebral column while the posterior layer inserts onto the tips of the spinous processes, hence it is indirectly continuous with the interspinous ligaments.

The anterior layer is the thinnest and the posterior layer is the thickest. Two spaces are formed between these three layers of the fascia.

Psoas major lies anterior to the anterior layer, with the anterior fascia of this muscle being continuous with the vertebral body and thus the anterior longitudinal ligament.
Between the anterior and middle layer lies the quadratus lumborum muscle.
The erector spinae muscles and the transversospinales muscles are then enclosed between the middle and posterior layers.
Various superficial muscle layers on the posterior thorax and abdomen then arise from the posterior layer. These primarily include latissimus dorsi and serratus posterior inferior.

Thoracolumbar fascia

References

This article incorporates text in the public domain from page 397 of the 20th edition of Gray's Anatomy (1918)

External links

Atlas image: back_muscles38 at the University of Michigan Health System - "Thoracolumbar Fascia, Dissection, Posterior View"
Atlas image: back_muscles41 at the University of Michigan Health System - "Trunk, Transverse MRI Showing Lamellae of the Thoracolumbar Fascia"

UpToDate Contents

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…area. The sartorius is a weak hip flexor and assists with external rotation of the thigh. The tensor fascia lata muscle lies just superior and anterior to the hip and attaches to the iliotibial band . Muscles …
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…colon is removed, the abdominal compartment syndrome usually resolves, and the patient abdominal fascia can be closed. By contrast, colonic preservation using diverting loop ileostomy/colonic lavage would …
3. 経腟メッシュ手術に使用する合成メッシュ：骨盤内手術後のメッシュの露出と骨盤痛のマネージメントtransvaginal synthetic mesh management of exposure and pain following pelvic surgery [show details]
…the following risks and benefits: Repeat mesh insertion versus alternate materials (eg, autologous fascia) Retropubic midurethral sling versus transobturator midurethral sling; Retropubic slings versus …
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…excision). It is essential to note that wide excision need not be the destructive "en bloc deep to the fascia" technique used in managing extensive soft tissue infection or malignancy. Tissue should be removed…
5. Minor dermatologic proceduresminor dermatologic procedures [show details]
…manual pressure as described above. However, lipomas may be adherent to surrounding tissues, such as fascia, muscle, or bone, and may underlie other tissues, such as muscle. Some lipomas are also multilobulated…

English Journal

Does "Aksu approach" make erector spinae plane block technique easier?

Cesur S, Yayik AM, Öztürk F, Ahiskalioğlu A.
Journal of clinical anesthesia. 2019 08;55()142-143.
PMID 30658330

Use of trunk muscle training and neuromuscular electrical stimulation to reduce pain and disability in an older adult with chronic low back pain: A case report.

Pugliese JM, Sions JM, Velasco TO, Hicks GE.
Physiotherapy theory and practice. 2019 Aug;35(8)797-804.
Among older adults, low back pain (LBP) is common, costly, and disabling. Trunk muscle training (TMT) and neuromuscular electrical stimulation (NMES) have both been found to be effective in reducing LBP, but studies among older adults have been limited. An 83-year-old female with left-sided chronic
PMID 29617180

Lower Trapezius Tendon Transfer for Massive Irreparable Rotator Cuff Tears.

Stoll LE, Codding JL.
The Orthopedic clinics of North America. 2019 Jul;50(3)375-382.
The treatment of the massive irreparable rotator cuff tear poses a challenging problem. Tendon transfers offer a solution for irreparable posterosuperior rotator cuff tears. The lower trapezius tendon transfer with incorporation of an Achilles tendon allograft has emerged as an effective way to rest
PMID 31084840

Japanese Journal

体幹筋乾燥標本作製法

小田島梧郎
昭和医学会雑誌 30(3), 117-125, 1970
… Erste präpariert man Musculus, Fascia, Ligamentum. … recti abdominis und Fascia thoracolumbalis usw. …
NAID 130001820513

「胸腰筋膜」

Thoracolumbar fascia
	Diagram of a transverse section of the posterior abdominal wall, to show the disposition of the lumbodorsal fascia.
	Superficial muscles of the back. The thoracolumbar fascia is the gray area at bottom center.
Details
Identifiers
Latin	fascia thoracolumbalis, fascia lumbodorsalis
TA	A04.3.02.501
FMA	25072
	Anatomical terminology [edit on Wikidata]

　　[★]

英: thoracolumbar fascia (N)
ラ: fascia thoracolumbalis

固有背筋を前後から包む筋膜
腰部の胸腰筋膜は特に腰背筋膜と呼ばれる
N.167は胸腰筋膜とは言わない気がするが ← N.の間違い？

匿名

検索

案内

案内

fascia thoracolumbalis