By Blandine Calais-Germain

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This increases mobility. The bodies of the vertebrae are large, and shaped like a lima bean. They are concave posteriorly. The transverse processes are long and have distinct tubercles on the end for muscle attachment. LUMBAR VERTEBRAE 55 The articular processes project The superior articular processes above and below the vertebral body, of the vertebrae have a concave with a narrow cylindrical form. part in-between: They point medially the isthmus. (and slightly backward). The inferior articular processes have a convex cylindrical form.

The anterior border has a number of depressions and protuberances, especially: the anterior superior iliac spine, the most forward part of the iliac crest, the anterior inferior iliac spine, the pubic tubercle. 46 THE TRUNK Seen from a three-quarter posterior view, we find the posterior border of the hip bone, which shows various protuberances and depressions, notably: posterior superior iliac spine posterior inferior iliac spine greater sciatic notch ischial spine lesser schiatic notch ischial tuberosity (bent part of the ischium).

30 THE TRUNK Landmarks Some visible and palpable landmarks of the trunk are shown below. [ FRONT VIEW ] LANDMARKS [ SIDE VIEW ] [ BACK VIEW ] 31 32 THE TRUNK Movements of the trunk Thanks to the mobility of the vertebral column, the trunk can move in several directions, as seen on pages 8-10. • anteriorly (flexion) • posteriorly (extension) • laterally (lateral flexion or sidebending) • on its own axis (rotation) Range of movement varies depending on vertebral level due to several factors: • shape of the vertebrae • thickness of intervertebral discs (the thicker the disc, the greater the mobility) • the thoracic vertebrae articulate with ribs, which limit their mobility (see p.

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