Torso

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The human male torso

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Torso is an anatomical term for the central part of the many animal bodies (including that of the human) from which extend the neck and limbs. It is sometimes referred to as the trunk. The torso includes the thorax and abdomen.

Anatomy

Major organs

Most critical organs are housed within the torso. In the upper chest, the heart and lungs are protected by the rib cage, and the abdomen contains the majority of organs responsible for digestion: the liver, which respectively produces bile necessary for digestion; the large and small intestines, which extract nutrients from food; the anus, from which fecal wastes are excreted; the rectum, which stores feces; the gallbladder, which stores and concentrates bile and produces chyme; the ureters, which passes urine to the bladder; the bladder, which stores urine; and the urethra, which excretes urine and passes sperm through the seminal vesicles. Finally, the pelvic region houses both the male and female reproductive organs.

Major muscle groups

The torso also harbours many of the main muscle groups of the body, including the:

Innervation

The organs and muscles etc. are innervated by various nerves, mainly originating from thoracic vertebral segments. For instance, the cutaneous innervation is provided by:

v • d • e Human anatomical features
Head	Skull · Forehead · Eye · Ear · Nose · Mouth · Tongue · Teeth · Jaw · Face · Cheek · Chin
Neck	Throat · Adam's apple
Torso	Shoulders · Spine · Breast · Chest · Ribcage · Abdomen · Navel Sex organs (Clitoris · Vagina · Penis · Scrotum · Testicle) – Hip · Anus · Buttocks
Limbs	Arm · Elbow · Forearm · Wrist · Hand · Finger (Thumb · Index · Middle · Ring · Little) · Leg · Lap · Thigh · Knee · Calf · Heel · Ankle · Foot · Toe (Hallux)
Skin	Hair

v • d • e Bones of torso
Sternum	Suprasternal notch, Manubrium, Sternal angle, Body of sternum, Xiphisternal joint, Xiphoid process
Rib	specific ribs (1, 2, 9, 10, 11, 12, false - 8-12, floating - 11-12) - parts (Angle, Tubercle, Costal groove, Neck, Head)
General vertebral structures	body of vertebra, vertebral arch (pedicle, lamina, vertebral notch), foramina (vertebral, intervertebral), processes (transverse, articular / zygapophysis, spinous)
Cervical vertebrae	C1 (anterior arch, posterior arch, lateral mass), C2 (dens), C3, C4, C5, C6, C7 anterior tubercle, posterior tubercle, foramen transversarium
Thoracic vertebrae	T1, T2, T3, T4, T5, T6, T7, T8, T9, T10, T11, T12 costal facets (superior, inferior, transverse)
Lumbar vertebrae	accessory process, mammillary process, L5
Sacrum	pelvic surface (anterior sacral foramina), dorsal surface (posterior sacral foramina, median sacral crest, medial sacral crest, lateral sacral crest), lateral surface (sacral tuberosity), base, sacral hiatus - presacral space - sacral promontory - sacral canal - ala of sacrum - sacrovertebral angle

v • d • e Joints and ligaments of torso
Vertebral column	articulations of vertebral bodies: anterior longitudinal ligament - posterior longitudinal ligament - intervertebral disc (annulus fibrosus, nucleus pulposus) articulations of vertebral arches : ligamenta flava - supraspinous ligament (nuchal ligament) - interspinal ligament - intertransverse ligament zygapophysial joint
Costovertebral	articulation of head of rib: radiate ligament - interarticular ligament costotransverse
Sternocostal	interarticular sternocostal ligament - radiate sternocostal ligaments - costoxiphoid ligaments interchondral, costochondral
Pelvis	articulation of the vertebral column with the pelvis: iliolumbar ligament sacroiliac: anterior sacroiliac ligament - posterior sacroiliac ligament - interosseous sacroiliac ligament ligaments connecting the sacrum and ischium: sacrotuberous ligament - sacrospinous ligament sacrococcygeal symphysis: anterior sacrococcygeal ligament - posterior sacrococcygeal ligament pubic symphysis: superior pubic ligament - inferior pubic ligament

v • d • e List of muscles of torso
BACK	splenius (capitis, cervicis) - erector spinae (iliocostalis, longissimus, spinalis) - latissimus dorsi transversospinales: (semispinalis dorsi, semispinalis cervicis, semispinalis capitis, multifidus, rotatores) - interspinales - intertransversarii
SUBOCCIPITAL	rectus capitis posterior (major, minor) - obliquus capitis (inferior, superior)
CHEST	intercostales (external, internal, innermost) - subcostales - transversus thoracis - levatores costarum - serratus posterior (inferior, superior) - diaphragm
ABDOMEN	anterior/lateral wall: obliques (external, internal) - transversus abdominis - rectus abdominis - pyramidalis posterior wall: quadratus lumborum - psoas major/psoas minor - iliacus cremaster
PELVIS/FLOOR	levator ani (iliococcygeus, pubococcygeus, puborectalis) - coccygeus
PERINEUM	anal triangle: sphincter ani (externus, internus) superficial perineal pouch (superficial transverse perineal, bulbospongiosus, ischiocavernosus) deep perineal pouch (deep transverse perineal, sphincter urethrae membranaceae)

v • d • e Anatomy of torso, cardiovascular system: heart
Structures	atria (interatrial septum, musculi pectinati) • ventricles (interventricular septum, trabeculae carneae, chordae tendinae, papillary muscle) • valves • cusps
Regions	base • apex • grooves (coronary/atrioventricular, interatrial, anterior interventricula, posterior interventricular) • surfaces (sternocostal, diaphragmatic) • borders (right, left)
Right heart	(vena cavae, coronary sinus) → right atrium (auricle, fossa ovalis, limbus of fossa ovalis, crista terminalis, valve of the inferior vena cava, valve of the coronary sinus) → tricuspid valve → right ventricle (conus arteriosus, moderator band/septomarginal trabecula) → pulmonary valve → (pulmonary artery and pulmonary circulation)
Left heart	(pulmonary veins) → left atrium (auricle) → mitral valve → left ventricle → aortic valve (aortic sinus) → (aorta and systemic circulation)
Layers	pericardium: fibrous pericardium • serous pericardium (pericardial cavity, epicardium/visceral layer) • pericardial sinus myocardium • endocardium • cardiac skeleton (fibrous trigone, fibrous rings)
Conduction system	Cardiac pacemaker • SA node • AV node• bundle of His • Purkinje fibers

v • d • e Anatomy of torso, respiratory system: Lungs and related structures
lungs	right • left • lingula • apex • base • root • cardiac notch • cardiac impression • hilum • borders (anterior, posterior, inferior) • surfaces (costal, mediastinal, diaphragmatic) • fissures (oblique, horizontal)
conducting zone	trachea (tracheal rings, carina) • bronchi • main bronchus (right, left) • lobar/secondary bronchi (eparterial bronchus) • segmental/tertiary bronchi (bronchopulmonary segment) • bronchiole • terminal bronchiole
respiratory zone	respiratory bronchiole • alveolar duct • alveolus • alveolar-capillary barrier
pleurae	parietal pleura (cervical, costal, mediastinal, diaphragmatic) • visceral pleura • pulmonary ligament • recesses (costomediastinal, costodiaphragmatic) • pleural cavity

v • d • e

Arteries of torso - abdomen

AA:
Anterior

celiac	left gastric splenic: pancreatic branches (arteria pancreatica magna) – short gastric – left gastro-omental common hepatic: proper hepatic (cystic), right gastric, gastroduodenal (right gastro-omental, superior pancreaticoduodenal)
SMA	inferior pancreaticoduodenal – intestinal – ileocolic (appendicular) – right colic – middle colic
IMA	left colic – sigmoid – superior rectal – marginal

AA:
Posterior

visceral: middle suprarenal – renal (inferior suprarenal) – testicular/ovarian
parietal: inferior phrenic (superior suprarenal) – lumbar – median sacral
terminal: common iliac (IIA, EIA)

IIA:
Anterior

umbilical (superior vesical, to ductus deferens) – inferior vesical – middle rectal – uterine (azygos of the vagina) – vaginal – obturator (anterior branch, posterior branch) – internal pudendal (inferior rectal, perineal, artery of the urethral bulb, urethral, deep artery of the penis, dorsal artery of the penis) – inferior gluteal (accompanying of ischiadic nerve, crucial anastomosis)

IIA:
Posterior

iliolumbar – lateral sacral – superior gluteal

EIA

inferior epigastric (cremasteric) – deep circumflex iliac

v • d • e Veins of the torso
Coronary	coronary sinus (great cardiac, left marginal, small cardiac, middle cardiac, posterior of the left ventricle, oblique of the left atrium) • anterior cardiac (right marginal) • pulmonary
Thorax/ SVC	brachiocephalic: inferior thyroid - thymic - internal thoracic (anterior intercostal, superior epigastric) - left superior intercostal - supreme - vertebral - internal jugular - subclavian (axillary: lateral thoracic, thoracoepigastric) - pericardiacophrenic azygos: right superior intercostal - bronchial - intercostal/posterior intercostal 5-11 - accessory hemiazygos/hemiazygos - superior phrenic
Vertebral column	vertebral venous plexuses (external, internal) • spinal (posterior, anterior) • basivertebral • intervertebral
Abdomen/ IVC	to IVC on right and left: renal - hepatic - lumbar to IVC on right, renal vein on left: inferior phrenic - suprarenal - ovarian/testicular (pampiniform plexus) to azygos system: ascending lumbar (subcostal)
Pelvis/common iliac	external iliac: inferior epigastric - deep circumflex iliac vein internal iliac: inferior gluteal - superior gluteal - median sacral vein - lateral sacral - obturator - internal pudendal (inferior rectal) - vesical venous plexus - prostatic venous plexus - deep of penis - vaginal venous plexus - uterine venous plexus - middle rectal - hemorrhoidal
Portal system/ portal vein	splenic: short gastric - left gastroepiploic - pancreatic - inferior mesenteric (superior rectal, left colic) superior mesenteric: right gastroepiploic - pancreaticoduodenal - middle colic - right colic - ileocolic (appendicular) direct (cystic, left gastric, right gastric, paraumbilical)
fetal	ductus venosus • umbilical

v • d • e

Nerves of lower limbs and lower torso: the lumbosacral plexus (L1-Co)

lumbar plexus (L1-L4)

iliohypogastric: lateral cutaneous branch - anterior cutaneous branch

ilioinguinal: anterior scrotal ♂/labial ♀

genitofemoral: femoral branch/lumboinguinal - genital branch

lateral cutaneous of thigh: patellar

obturator: anterior (cutaneous) - posterior - accessory

femoral: anterior cutaneous branches - saphenous (infrapatellar, medial crural cutaneous)

sacral plexus (L4-S4)

sciatic

common fibular: lateral sural cutaneous (sural communicating branch) - deep fibular (lateral terminal branch, medial terminal branch, dorsal digital) - superficial fibular (medial dorsal cutaneous, intermediate dorsal cutaneous, dorsal digital)

tibial: medial sural cutaneous - medial calcaneal - medial plantar (common plantar digital nerves, proper plantar digital) - lateral plantar (deep branch, superficial branch, common plantar digital, proper plantar digital)

sural: lateral dorsal cutaneous - lateral calcaneal

other

muscular: superior gluteal/inferior gluteal - lateral rotator group (to quadratus femoris, to obturator internus, to the piriformis)
cutaneous: posterior cutaneous of thigh (inferior cluneal, perineal branches) - perforating cutaneous

coccygeal plexus (S4-Co)

pudendal: inferior anal - perineal (deep, posterior scrotal ♂/labial ♀) - dorsal of the penis ♂/clitoris ♀
anococcygeal

cutaneous innervation of the lower limbs

v • d • e

Anatomy of torso (primarily): the spinal cord

Spinal nerve

Dorsal (Root, Ganglion, Ramus) • Ventral (Root, Ramus) • Sympathetic trunk • rami communicantes (Gray, White)

Gray matter/Rexed laminae

Posterior horn (Posteromarginal nucleus, Column of Clarke, Substantia gelatinosa of Rolando, Nucleus proprius)

Lateral horn/Anterior horn (Intermediolateral nucleus)

Central canal/Substantia gelatinosa centralis - Gray commissure

White matter

somatic/ascending (blue)	Posterior/PCML: touch: Gracilis • Cuneatus Lateral: proprioception: Spinocerebellar (Dorsal, Ventral) • pain/temp: Spinothalamic (Lateral, Anterior) • Posterolateral (Lissauer) • Spinotectal
motor/descending (red)	Lateral: Corticospinal (Lateral) • Ep (Rubrospinal, Olivospinal) Anterior: Corticospinal (Anterior) • Ep (Vestibulospinal, Reticulospinal, Tectospinal)

Layers

Epidural space • Dura mater • Subdural space • Arachnoid mater • Subarachnoid space • Pia mater

Other structures

Denticulate ligaments • Conus medullaris • Cauda equina • Filum terminale • Cervical enlargement • Lumbar enlargement

Anterior median fissure • Posterior median sulcus

Anterior white commissure

v • d • e Lymphatics of torso
Chest	Right lymphatic duct - Thoracic duct (spans diaphragm) Bronchomediastinal trunk (Tracheobronchial, Parasternal) - Intercostal
Abdomen	Cisterna chyli Lumbar trunk - lumbar/paraaortic: Retroaortic - Lateral aortic - iliac: Common (External, Internal, Sacral) Intestinal trunk - preaortic: Celiac (Gastric, Hepatic, Splenic) - Superior mesenteric (Mesenteric, Ileocolic, Mesocolic) - Inferior mesenteric (Pararectal)

v • d • e Anatomy of torso, digestive system: Gastrointestinal tract
Upper GI: to stomach	Mouth • Pharynx (nasopharynx, oropharynx, hypopharynx) • Esophagus • Crop
Upper GI: stomach	rugae - gastric pits - cardia/gland - fundus/gland - pylorus/gland - pyloric antrum - pyloric canal - greater curvature - lesser curvature - angular incisure
Lower GI: intestines	Small intestine: Duodenum (Suspensory muscle, Major duodenal papilla, Minor duodenal papilla) • Duodenojejunal flexure • Jejunum • Ileum • continuous (intestinal villus, crypts of Lieberkühn, circular folds) Junction: Vermiform appendix • Ileocecal valve Large intestine: Cecum • Colon (ascending colon, hepatic flexure, transverse colon, splenic flexure, descending colon, sigmoid colon) • continuous (taenia coli, haustra, epiploic appendix)
Lower GI: termination	Rectum: Houston valve • rectal ampulla • pectinate line Anal canal: anal valves • anal sinuses • anal columns • Hilton's white line Anus: Sphincter ani internus muscle • Sphincter ani externus muscle
Lower GI: lymph	GALT: Peyer's patches (M cells)

v • d • e Anatomy of torso, digestive system: Digestive glands
Liver	by region: Left lobe (Caudate lobe, Quadrate lobe) • Right lobe • Transverse fissure of liver by function: Fibrous capsule of Glisson • Hepatocyte • Space of Disse • Space of Mall • Kupffer cell • Liver sinusoid • Ito cell • Hepatic lobule bile ducts: Bile canaliculus • Canals of Hering • Interlobular bile ducts • Intrahepatic bile ducts • Left and Right hepatic ducts • Common hepatic duct
Gallbladder	by region: Body • Fundus • Neck ducts: Cystic duct
Pancreas	by region: Tail • Body • Head • Uncinate process by function: Islets of Langerhans • Exocrine pancreas ducts: Pancreatic duct • Accessory pancreatic duct
Common	Common bile duct • Hepatopancreatic ampulla • Sphincter of Oddi

v • d • e General anatomy of torso
Thorax/ Thoracic cavity	Mediastinum (Superior, Anterior, Middle, Posterior) • Superior thoracic aperture • Inferior thoracic aperture • Triangle of auscultation • Intercostal space • Thoracic plane • Thoracic wall/Thoracic cage - fascia (Pectoral fascia, Clavipectoral fascia, Thoracolumbar fascia) • Chest • Midsternal line
Thoracic diaphragm	openings (Caval opening, Esophageal hiatus, Aortic hiatus, Foramina of Morgagni) • Central tendon • Crus of diaphragm • arcuate ligaments (Lateral, Medial, Median)
Abdomen/ Abdominal cavity	Retroperitoneum • Paracolic gutters • Hepatobiliary triangle anterior abdominal wall (Arcuate line, Linea alba, Tendinous intersection, Linea semilunaris, McBurney's point, Traube's space, Inguinal triangle) • Inguinal canal (Deep inguinal ring, Superficial inguinal ring, Intercrural fibers, Crura of superficial inguinal ring) • Lumbar triangle • regions (Epigastrium, Hypochondrium, Umbilical region, Latus, Hypogastrium, Inguinal region) • planes (Transpyloric plane, Intertubercular plane, Midclavicular line) fascia (Fascia of Camper, Fascia of Scarpa, Transversalis fascia, Renal fascia, Rectus sheath)
Pelvis/ Pelvic cavity	Pelvic floor • Retropubic space fascia (Pelvic fascia, Superior fascia of diaphragm of pelvis, Inferior fascia of diaphragm of pelvis, Fascia of the Obturator internus, Tendinous arch, Iliac fascia, Iliopectineal fascia)
Perineum	Anal triangle (Ischioanal fossa, Pudendal canal, Anococcygeal raphe) Urogenital triangle (Superficial perineal pouch, Deep perineal pouch) Perineal body fascia (Dartos/fascia of perineum/superficial perineal fascia/Fascia of Colles, Perineal membrane/"Inferior fascia of UGD", "Superior fascia of UGD")