Archive image from page 1294 of Cunningham's Text-book of anatomy (1914). Cunningham's Text-book of anatomy cunninghamstextb00cunn Year: 1914 ( Area for cms of § diaphragm ipl St Area for psoas major Area for psoas major' Area for transversus abdominis tendon Area for - quadratus lumborum Fig. 982.—The Posterior Aspect of the Kidneys. Same specimen as Fig. 981. The dotted lines mark out the areas in contact with the various muscles forming the posterior abdominal wall. a. Depression corresponding to the transverse process of the first lumbar vertebra. b. Depression corresponding to the tra


Archive image from page 1294 of Cunningham's Text-book of anatomy (1914). Cunningham's Text-book of anatomy cunninghamstextb00cunn Year: 1914 ( Area for cms of § diaphragm ipl St Area for psoas major Area for psoas major' Area for transversus abdominis tendon Area for - quadratus lumborum Fig. 982.—The Posterior Aspect of the Kidneys. Same specimen as Fig. 981. The dotted lines mark out the areas in contact with the various muscles forming the posterior abdominal wall. a. Depression corresponding to the transverse process of the first lumbar vertebra. b. Depression corresponding to the transverse process of the second lumbar vertebra. c. Depression corresponding to the twelfth rib. ship of the pleural cavity to the kidney is of great importance in connexion with surgical operations performed through a lumbar incision. The portions of the diaphragm to which the kidney is applied are the crus and the parts arising from the last rib and lumbo-costal arches. The posterior relationships of the kidney are well seen in Fig. 981. In addition to these surfaces, or 'facets,' for the muscles with which it is in contact, the posterior aspect or outer border of .the kidney often shows a groove for the last rib, another for the lateral lumbo-costal arch, and two or three depressions for the tips of the transverse processes of the upper two or three lumbar vertebras. In some cases also faint narrow grooves are to be seen for the nerves which pass downwards and laterally between the kidney and quadratus lumborum—namely, the last thoracic nerve and the ilio-hypogastric and ilio-inguinal nerves. It is probable that some at least of the depressions on the posterior aspect of the kidney are produced after death, and are caused by the weight of the other abdominal organs pressing the kidney backwards against the more resisting structures of the abdominal wall, at a time when the muscles behind the kidney have become flaccid. When much fat is present the posterior aspect of the


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