Central tendon of diaphragm

Central tendon of diaphragm

Infobox Anatomy
Latin = centrum tendineum diaphragmatis
GraySubject = 117
GrayPage = 406

Caption = The diaphragm. Under surface. (Central tendon visible as large white central arch.)

Caption2 = The thoracic aspect of the diaphragm of a newly born child in which the communication between the peritoneum and pleura has not been closed on the left side; the position of the opening is marked on the right side by the spinocostal hiatus.
System =
Precursor = septum transversum
MeshName =
MeshNumber =
DorlandsPre = c_20
DorlandsSuf = 12227367
The central tendon of the diaphragm is a thin but strong aponeurosis situated near the center of the vault formed by the muscle, but somewhat closer to the front than to the back of the thorax, so that the posterior muscular fibers are longer.

It is situated immediately below the pericardium( fibrous part ), with which it is partially blended.

The caval opening( T8 ) passes through the central tendon.


It is shaped somewhat like a trefoil leaf, consisting of three divisions or leaflets separated from one another by slight indentations.

The right leaflet is the largest, the middle, directed toward the xiphoid process, the next in size, and the left the smallest.

In structure the tendon is composed of several planes of fibers, which intersect one another at various angles and unite into straight or curved bundles—an arrangement which gives it additional strength.

Action during respiration

During respiration the diaphragm contracts causing the central tendon to be drawn inferiorly which partially flattens the domes. The result is an enlargement of thoracic cavity and reduction in intra-thoracic pressure. Physiologically this means that air enters the lungs and venous return to the heart is enhanced. During inspiration the central tendon retains its shape due to its tendonous nature and prevents constriction of the inferior vena cava or aorta, however the oesophagus is surrounded by muscle at the oesophageal hiatus and is constricted.

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