Arcuate line of rectus sheath
Template:Short description Template:Redirect-distinguish Script error: No such module "Unsubst". Script error: No such module "Infobox".Template:Template otherTemplate:Main other The arcuate line of rectus sheath (the arcuate line or the semicircular line of Douglas) is a line of demarcation[1] corresponding to the free inferior margin of the posterior layer of the rectus sheath[2] inferior to which only the anterior layer of the rectus sheath is present[3] and the rectus abdominis muscle is therefore in direct contact with the transversalis fascia.[1] The arcuate line is concave inferior-wards.[2]
The arcuate line is visible upon the inner surface of the abdominal wall.[1] The arcuate line may be a well-defined,[1][2] or may be represented by a gradual waning of the aponeurotic fibres with concomitant increasing prominence of the transversalis fascia.[2] The arcuate line occurs about midway between the umbilicus and pubic symphysis,[3] however, this varies from person to person.Script error: No such module "Unsubst".
The inferior epigastric artery and vein pass across the arcuate line to enter the rectus sheath.[2]
Anatomy
Superior to the arcuate line, the internal oblique muscle aponeurosis splits to envelop the rectus abdominis muscle both anteriorly and posteriorly. The anterior layer is derived from the external oblique aponeurosis and the anterior lamina of the internal oblique aponeurosis.[4] The posterior layer is made up of the posterior lamina of the internal oblique aponeurosis and the transversus abdominis aponeurosis.[1]
Inferior to the arcuate line, the aponeuroses of the external oblique muscle, the internal oblique muscle, and the transversus abdominis muscle merge and pass superficial to the rectus abdominis muscle.[4] Therefore, inferior to the arcuate line, the rectus abdominis rests directly on the transversalis fascia.[1]
Clinical significance
Spigelian hernias and, exceedingly rarely, arcuate line hernias may occur inferior to the arcuate line.Script error: No such module "Unsubst".
The arcuate line must be incised at its lateral-most point in order to enter the space of Retzius and space of Bogros from within the rectus sheath during surgery during retrorectus repair and transversus abdominis release.Script error: No such module "Unsubst".
History
The arcuate line is also known as the linea semicircularis, and the semicircular line of Douglas.[5]
References
External links
- Anatomy photo:35:13-0101 at the SUNY Downstate Medical Center - "Anterior Abdominal Wall: The Posterior Wall of the Rectus Sheath"
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- rectussheath at The Anatomy Lesson by Wesley Norman (Georgetown University)
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- Atlas image: abdo_wall61 at the University of Michigan Health System - "Anterior Abdominal Wall, Lower Part, Posterior View"