2. Thoracic Cavity Flashcards
Look and Label Planes
Sagittal
Coronal
Transverse (axial)
Axial Skeleton
Skull (cranium + mandible) Vertebrae Ribs Sternum Sacrum Coccyx
Appendicular Skeleton
Upper extremities (w/ shoulder girdle)
Lower extremities (w/ hip bones)
Thoracic Skelton (components)
12 T vertebrae/IV discs
12 pairs of ribs
Costal cartilages
Sternum
Thoracic Skeleton (function)
Protect viscera
Attachment site for musculature
Look and Label Vertebrae
Vertebral body
Transverse process
Spinous process
Costal facets
Look and Label Ribs
Head Tubercle Angle Body Costal groove
Rib 1
Short, fat, weird
Grooves on superior surface for subclavian artery and vein
Rib 11, 12
Shorter
No tubercle
Not much angle
Costal Cartilage
Hyaline cartilage
Elastic!
Sternocostal Joint
Sternum + Ribs
Mostly synovial
Costal Margin
Inferior border along ribs 7-10
Rib Classification
1-7: true
8-10: false
11-12: floating
Sternum
Manubrium
Body
Xiphoid Process
Jugular (suprasternal) notch
Sternoclavicular joints
Sternal Angle
Manubrium + body
Around: rib 2; T4,T5
Sternum: Body
Articulates w/ costal cartilage of ribs 2-7
Sternum: Xiphoid Process
T10 level
Variable form
Xiphisternal Joint
Xiphoid process + body of sternum
Muscles of Thoracic Wall
Pectoralis Major
Pectoralis Minor
Serratus Anterior
Intercostal Muscles
External (posteroinferior), Internal (anteroinferior), Innermost (anteroinferior)
Stabilize intercostal spaces during respiration
Intercostal Neurovascular Bundle
VAN: vein, artery, nerve
Protected by costal groove
Between internal and innermost
Collateral Branch
bundle that branches off main Intercostal
sits bt internal and innermost on top of inferior rib
Intercostal Nerves
Ventral ramus from T1-T11 spinal nerves
Subcostal Nerve
Ventral ramus from T1-T11 spinal nerves
Fibers of Intercostal Nerves
Somatic Motor: skeletal muscle (intercostal muscles)
Somatic Sensory: skin of thoracic wall (pain, temp, touch) and joints, muscles, tendons (proprioception)
Sympathetic: sweat glands, arrector pili, blood vessels in skin
Intercostal Nerve Block
2 injections in intercostal space (avoiding neurovascular bundle)
Maybe 2 more on outer ribs
Blood Supply: Arteries
Thoracic aorta
Internal thoracic arteries
Thoracic Aorta
Posterior, unpaired
Branches into posterior intercostal arteries
Internal Thoracic Arteries
Anterior, paired
Branch into anterior intercostal arteries (2 per intercostal space)
Arterial Anastomosis
posterior intercostal a. and anterior intercostal a. are the same tubey (WHOA)
Body’s backup plan in case something goes wrong
Posterior Intercostal Veins Drainage
Posterior intercostal veins - azygos system - superior vena cava - oxygen poor blood to heart
Anterior Intercostal Veins Drainage
Anterior intercostal veins - internal thoracic veins - brachiocephalic veins - superior vena cava - oxygen poor blood to heart
You need a flash card for the neuro pathway of the intercostal nerves
Lateral Pectoral Nerve (innervation)
Pectoralis major
Medial Pectoral Nerve (innervation)
Pectoralis Major
and
Pectoralis Minor
Long Thoracic Nerve (innervation)
Serratus Anterior