12 - Thoracic Walls, Lungs, Middle Mediastinum Flashcards
Manubrium – has
clavicular notch for sternoclavicular joint
Body – joins manubrium at
sternal angle (of Louis)
Head – articulates with
2 vertebral bodies & 1 disc
Tubercle – articulates with
1 transverse process
Body – region of greatest curve =
= angle
Costal groove – formed by
intercostal v., a. & n.
Thoracic Wall: Pectoral Region: Breasts are
superficial
Thoracic Wall: Pectoral Region: Composed of
secretory glands & superficial fascia
Thoracic Wall: Pectoral Region: Internal thoracic a. & v.
– 2nd to 4th intercostal space
Thoracic Wall: Pectoral Region: Lymphatics – drain to
parasternal nodes & axillary nodes
Thoracic Wall: Pectoral Region: Lat. & ant. nn. of 4th to
6th intercostal nn. carry cutaneous (GS) innervation.
Thoracic Wall: Pectoral Region: Region of
m. attachment between UL & anterior chest
Thoracic Wall: Pectoral Region: Composed of
Pectoralis major & minor muscles
Thoracic Wall: Pectoral Region: Pectoralis major
–divided into clavicular & sternocostal heads
Thoracic Wall: Pectoral Region: Pectoralis minor –
enveloped in clavipectoral fascia
Intercostal Muscles
external
internal
innermost
Intercostal Vein, Artery, & Nerve
in
costal groove along inferior border of rib (ICS superiorly)
Collateral nerve, artery & vein
another intercostal structure
Pleura
Serous secreting membranes that reduce friction
Parietal pleura
covers thoracic walls
very sensitive to pain
-intercostal and phrenic nerves
Visceral pleura
covers lungs
NOT sensitive
no sensory n. supply
Note: both pleural layers are continuous at the
root of the lung
Clinical Notes: Pleural cavities: potential cavities can
can become actual
Clinical Notes: Pleural cavities: potential cavities can
pathological fluid =
effusion; may fill space