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Anatly

Diaphragm: origin, insertion, nerve supply and action

Also called: thoracic diaphragm

Quick answer

The diaphragm is the dome-shaped muscle separating the chest from the abdomen and is the main muscle of breathing. It arises from the sternum, lower six ribs and lumbar vertebrae and converges on a central tendon. The phrenic nerve (C3-C5) supplies it. Contraction flattens the dome and draws air into the lungs.

Key facts

OriginSternal part: back of the xiphoid process. Costal part: inner surfaces of the lower six ribs. Lumbar part: lumbar vertebrae by the crura and arcuate ligaments.
InsertionCentral tendon of the diaphragm.
InnervationPhrenic nerve (C3-C5) for motor and most sensation.
Blood supplyPericardiacophrenic, musculophrenic and inferior phrenic arteries.
ActionMain muscle of inspiration: contraction lowers the central tendon and increases thoracic volume.
3D model of the diaphragm shown with nearby bones

3D model: BodyParts3D (CC BY 4.0), adult male reference anatomy. Highlighted structure shown with nearby bones for context.

About the diaphragm

Three large openings transmit structures between thorax and abdomen: the vena caval opening at T8, the esophageal hiatus at T10 and the aortic hiatus at T12.

Clinical relevance

Frequently asked questions

Which nerve supplies the diaphragm?

The phrenic nerve, arising from C3, C4 and C5 ("C3, 4, 5 keeps the diaphragm alive").

What passes through the diaphragm?

The inferior vena cava (T8), esophagus and vagus nerves (T10) and the aorta, thoracic duct and azygos vein (T12).

Test yourself

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