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32!
ABDOMEN Paroi abdominale postéro-latérale
m.grand dorsal Fonction : adducteur rotateur interne, retropulseur du bras.
Premier plan musculaire
m.oblique externe triangle lombaire T7
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Ceci a pour implication, quʼen présence de rétractions musculaires, la posture nʼest pas à réaliser de manière excessive car il y a un risque de distension permanente et donc une perte dʼefficacité (Goubel et Van Hoecke)
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71!
ABDOMEN Paroi abdominale postéro-latérale
m. intertransversaires Troisième plan musculaire
Les muscles spinaux et le Transverse (non mentionné)
Lig. lombo-costal : le récessus pleural est au-dessus
m. multifides Les muscles longs :
m. ilio-costal m. longissimus
Fonction : érecteur du rachis, orientateur rachis / bassin
m. inter-épineux
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– =,&6(<*/,&+3()9(n.,&,2&4+1-.&.(+01/&
75!
m.grand dorsal Fonction : adducteur rotateur interne, retropulseur du bras.
Premier plan musculaire
m.oblique externe triangle lombaire T7
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81!
plan postérieur ilio-transversaire plan antérieur
costo-transversaire plan moyen costo-iliaque - constitué de 3 plans croisés - rôle de « hauban » rapprochant la 12èmecôte de la crête iliaque.
- innervation : 12èmenerf intercostal, branche antérieure du nerf lombaire
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83!
ABDOMEN Paroi abdominale postéro-latérale
9ème côte Deuxième plan musculaire
m. dentelé postéro-inférieur Fonction : abaisseur des côtes, expirateur
quadrilatère lombaire m.oblique interne T11
L3
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87!
ABDOMEN Paroi abdominale postéro-latérale
Cinquième plan musculaire : le psoas
m. psoas Fonction : fléchisseur de hanche
m.petit psoas inconstant (50%)
petit trochanter Des pathologies se développant dans le
psoas (hématome +++) peuvent être à lʼorigine de paralysie par compression du plexus lombaire
- comprend 2 plans : - antérieur (corporéal)
- postérieur (transversaire) entre lesquels chemine le plexus lombaire - est recouvert par le fascia iliaca fibreux et inextensible
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! La branche postérieure de C2 innervent le grand oblique, le splénius capitis, le petit et le grand complexus et le trapèze
Le trajet du nerf : trois portions et deux coudes.
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ELEVATION ELEVATEUR TRAPEZE SUP ERIEUR
RHOMBOIDE
ABAISSEMENT pesanteur +++
TRAPEZE INF ERIEUR PETIT PECTORAL ABDUCTION DENTELE ANTERIEUR
PETIT PECTORAL
ADDUCTION TRAPEZE
RHOMBOIDE ROT LATERAL E TRAPEZE SUP+INF
DENTELE ANTERIEUR Faisceau Inférieur TRAPEZE MOYEN et DENTELE ANTERIEUR Faisceau Sup. stabilisent le centre de rotation
ROT MEDIALE ELEVATEUR RHOMBOIDE TRAPEZE MOYEN et DENTELE ANTERIEUR Faisceau Supérieur stabilise le
centre de rotation
g$&
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