Anatomy Flashcards
What structures enter through the thoracic inlet (superior thoracic aperture)?
- Trachea
- Esophagus
- Vessels
- Nerves
What binds the superior thoracic aperture?
- Posteriorly: The T1 vertebra
- Laterally: The first pair of ribs and their costal cartilages
- Anteriorly: The superior boarder of the manubrium
What binds the inferior thoracic aperture?
- Posteriorly: T12 vertebra
- Posterolaterally: 11th and 12th pairs of ribs
- Anteriolaterally: Joined costal cartilages of ribs 7-10 forming the costal margin
- Anteriorly: by the xiphisternal joint
What are the three different types of ribs?
- True (vertibrosternal) ribs: (1st-7th ribs) attach directly to the sternum anteriorly through their own costal cartilages
- False (vertebrochondral) ribs: (8th-10th ribs) have cartilages on their anterior ends that are joined to the cartilages of the rib superior to them; thus their connection to the sternum is indirect
- Floating (free) ribs: (11th-12th (sometimes 10th)) have rudimentary cartilages on their anterior ends that do not connect even indirectly with the sternum; instead they end in posterior abdomen musculature
What type of joint is the intervertable joint?
symphysis (secondary cartilaginous joint)
What are the articulations of the intervertable joint?
Adjacent veritable bodies bound together by intervertable disks
What type of joint is the costal veritable joints of the head of ribs?
Synovial plane joint
What are the articulations of the costal veritable joints of the head of ribs?
Head of each rib with superior demifacet or costal facet of corresponding veritable body and inferior demifacet or costal facet of veritable body superior to it
What are the ligament attached to the costal veritable joints of the head of ribs?
The radiate and intra-articular ligaments of the head of rib
What type of joint is the costotransverse joint?
Synovial plane joint
What are the articulations of the costotransverse joint?
Articulation of tubercle of rib with transverse process of corresponding vertebra
What are the ligaments of the costotransverse joint?
Lateral and superior costotransverse
What type of joint is the sternocostal joints?
1st: primary cartilaginous joint
2nd-7th: synovial plane joints
What are the Ligaments of the sternocostal joints?
Anterior and posterior radiate sternocostal
What are the articulations of the sternocostal joints?
Articulation of the 1st costal cartilages with manubrium of sternum. Articulation of 2nd-7th pairs of costal cartilages with sternum
What type of joint is the sternoclavicular joint?
Saddle synovial joint
What are the articulations of the sternoclavicular joint?
Sternal end of clavicle with manubrium and first costal cartilage
What are the ligaments of the sternoclavicular joint?
Anterior and posterior sternoclavicular ligaments; costoclavicular ligament
What type of joint is the interchondral joints?
Synovial plane joints
What are the articulations of the interchondral joints?
Articulations between the costal cartilages 6th-7th, 7th-8th and 8th-9th ribs
What are the ligaments of the interchondral joints?
Interchondral ligaments
What type of joint is the manbriosternal joint?
secondary cartilaginous joint
What are the articulations of the manbriosternal joint?
Articulation between manubrium and sternum
What are the ligaments of the manbriosternal joint?
Interchondral ligaments
What type of joint is the xiphesternal joint?
Primary cartilaginous
What are the articulations of the xiphisternal joint?
Articulations between xiphoid process and body of sternum
What are the ligaments of the xiphesternal joint?
Interchondral ligaments
What is the veritable level of the sternum?
T5-9
What is the veritable level of the xiphoid process?
T10
Where does the lymph nodes on the left side drain to?
The thoracic duct which drains into the left brachiophalic vein
Where do the lymph nodes on the right side drain to?
Right lymphatic duct which drains into the right brachiophalic vein
What are the peripheral attachments of the diaphragm?
- Lumbar vertebrae and arcuate ligaments
- Costal cartilages 7-12
- Xiphoid process
What are the medial attachments of the diaphragm
central tendon
Where are the nerve roots of the phrenic nerve?
Anterior rami of C3-4 (mainly) and C5. It is both motor and sensory
At what veritable level is the caval opening?
T8
What is the caval opening?
It transmits the inferior vena cava and the right phrenic nerve
At what veritable level is the esophageal hiatus?
T10
What does the esophageal hiatus transmit?
the oesophogus and both Vegus nerves
What veritable level is the aortic hiatus?
T12
What does the aortic hiatus transmit?
Aorta, the azygos vein, the hemiazygous vein and the thoracic duct
Where is the larynx found?
C3-C6
What innervates the larynx?
Branches of the vegus nerve
What makes up the larynx?
- Hyoid (C2/3)
- Throhyoid membrane (C4)
- Laryngeal prominance (C5)
- Cricoid cartilage and start of trachea (C6)
What makes up the lung Hilum?
- Bronchi
- Pulmonary artery
- Superior pulmonary vein
- Inferior pulmonary vein
At what rib level does the horizontal fissure happen?
follows the 4th rib anteriorly
At what level does the oblique fissure happen
Begins at spine of T3 and then follows 6th rib abteriorly
At what veritable level is the sternomanubrial joint found?
T4/5
What ribs are the typical ribs?
3-9
Describe a typical rib
- Rounded superior boarder
- Sharp inferior boarder
- Head articulates with same numbered vertebra plus vertebra above
- Neck
- tubercular which articulates with the transverse process of the spine
- Angle
- Costal sulcus/ groove with intercostal veins, arteries and nerves lying in the veins
- Pit for costal cartilage
- Attachments ribs/ costal cartilages
Describe the first rib
- Short, wide and flat
- articulates with only T1
- Scalene tubercle: for attachments of the anterior to the scalene muscle of the neck, an accessory respiratory muscle
- Groove for subclavian artery (posterior to scalene tubercle)
- Groove for subclavian vein (anterior to scalene tubercle)
Describe a typical thoracic vertebra
- Body: kidney shaped and intermediate sized
- Demi-facets on body: articulate with the head of the rib
- Vertebral foramen: the spinal chord and the dura, arachnoid and pia meninges pass through this
- Intervertable notch: occupied by spinal nerves
- Pedicle
- Lamina
- Transverse process
- Articular facets on the tip of the transverse process: articulate the tubercle of a rib
- Spinous process: long, slender, non-biffed and goes downwards
What is the name of the superficial muscle found in the intercostal space and what is the orientation of its fibres?
- External intercostal muscle
- Inferiormedial
What is the name of the Intermediate muscle found in the intercostal space and what is the orientation of its fibres?
- Internal intercostal muscle
- Inferiorposterial
What is the name of the deep muscle found in the intercostal space and what is the orientation of its fibres?
- Innermost intercostal muscle
- Inferiorposterial
Between which two intercostal muscles is the neurovascular bundle located?
The internal and the innermost intercostal muscles
From superior to inferior, which structures comprise the neurovascular bundle?
- Intercostal vein
- Intercostal artery
- Intercostal nerve
What is a dermatome?
An area of skin that is innervated by a single spinal nerve
What is the dermatome of the sternal angle
T2
On the trunk the dermatomes go from C4 to T2, what happens to the others?
C5-T1 are in the upper limbs
What dermatomes innervate the nipple area?
T4
What dermatomes innervate the umbilical area?
T10
What dermatomes innervate the groin area?
L1