The Spine 83
External Oblique Abdominal Muscle
(Obliquus Externus Abdominis)
As its name suggests, the external oblique (L. obliquus,
slanting, deviation from the vertical or the horizontal) is the
more superficial of the oblique muscles and runs diagonally
downward from its lateral attachments toward its more medial
attachments. The line of pull of the fibers of this paired muscle
can be pictured as forming the letter “V” on the front of the
abdomen, with each oblique forming one side of the “V.” It’s
a thin and flat but relatively expansive muscle, covering the
abdomen from the rectus abdominis to the latissimus dorsi
(figure 3.13). Due to its lateral location and its diagonal line
of pull, the external oblique tends to produce spinal lateral
flexion to the same side or rotation to the opposite side. With
rotation of the spine with the pelvis stationary, it pulls the
lateral side of the rib cage downward and medially toward the
midline of the trunk such as in twisting the torso. However,
when the right and left external obliques contract together
(bilateral contraction), they produce spinal flexion and the
same type of movements as the rectus abdominis. With their
curved position around the side of the abdomen, these muscles
are also effectively positioned to help flatten the abdomen,
depress the lower rib cage, and maintain appropriate postural positioning of the torso and the pelvis.
Palpation: Curl up about 20° as just described for palpating the rectus abdominis, and then rotate
toward the left. You can palpate the contraction of the right external oblique by placing your fingertips
below the ribs and about 4 inches (10 centimeters) lateral to the navel (umbilicus).
FIGURE 3.13 The external oblique abdomi-
nal muscle (lateral view).
Attachments and Primary Actions of External Oblique Abdominal Muscle
Muscle Lateral attachment(s) Medial attachment(s) Primary action(s)
External oblique
(o-BLEEK)
Anterolateral aspect of lower
8 ribs
Anterior crest of ilium, crest of
pubis, and linea alba
Spinal flexion
Spinal lateral flexion (same)
Spinal rotation (opposite)
Attachments and Primary Actions of Internal Oblique Abdominal Muscle
Muscle Lateral attachment(s) Medial attachment(s) Primary action(s)
Internal oblique
(o-BLEEK)
Thoracolumbar fascia, anterior
2/3 of iliac crest, lateral
inguinal ligament
Ribs 9-12, cartilages of ribs
7-9, and linea alba
Spinal flexion
Spinal lateral flexion (same)
Spinal rotation (same)
Internal Oblique Abdominal Muscle (Obliquus Internus Abdominis)
As indicated by its name, the internal oblique is situated more deeply beneath the external oblique.
Like the external oblique it is a very flat muscle, and it forms the intermediate layer of the abdomi-
nal muscles. Its upper fibers run diagonally upward in a medial direction from its more lateral lower
attachments at approximately a 90° angle to the external oblique muscles as seen in figure 3.14 (its
lower fibers run more horizontally). When the internal oblique contracts it can produce lateral flexion
to the same side and rotation to the same side such as with side-bending, off-center facings, or spi-
raling movements of the torso in dance. With rotation with the pelvis stationary, it pulls the medial