Anatomy of the thorax and upper limbs Flashcards
What do the ribs attach to?
The sternum
Different name for collarbone?
Clavicle
What separates the thorax and abdomen?
The diaphragm
What is the notch at the top of the sternum called?
The jugular notch
What is the movement of the ribcage essential for?
Respiration
The lungs move with the ribcage
How is the heart kept in its exact anatomical position and still able to beat with least possible resistance?
Pericardium (envelope of the heart)
What is the cartilage that connects the ribs to the sternum called?
Costal cartilage
How many pairs of ribs?
12
Which ribs do not have cartilage?
11th and 12th ribs
Which ribs articulate independently with the sternum?
The first 7
Which ribs are called false ribs?
8, 9 and 10
The ones that articulate indirectly with the sternum
Which are the fluctuate ribs?
11 and 12
Where do the vein and arteries that pass above the first rib go?
To the upper limbs
What are three serous membranes of the thorax called?
Pericardium
Pleuras
Peritoneum
What is the upper part of the sternum called?
Manubrium
hat is the middle part of the sternum called?
Body
What is the small bottom part of the sternum called?
Xiphoid process (sword)
What is the bump/angle/connection between the manubrium and body of sternum called?
Sternal angle/ angle of Luis
4 parts of the mediastinum
Superior
Middle
Anterior
Posterior
Where does the inferior mediastinum start?
Middle of T4
Which lung is smaller?
Left
What part of the pleural cavities is not filled during normal, non-forced inspiration called?
Costa-diaphragmatic pleural cavities
What is the main artery in the thorax?
The aorta
What is the posterior most organ in the mediastinum?
The aorta
What is the area below the clavicular called?
Infraclavicular fossa
What rib do you hit when going from the angle of Luis?
The second rib
Which rib is at the apex of the heart?
5th
Which is the shortest rib?
1st
Which is the longest rib?
9th or 10th (they generate most transverse expansion)
How does length of the rib effect the volume when inhaling?
The shorter the rib the less difference in volume
Which ribs are flat?
1st and 2nd
Why are the first and second rib flat?
Muscle attachement from muscles from the neck
Vessels needing to pass above flat surface
What is the point called where the rib bends?
The Rib/costal angle
Are the costal angles vertically aligned?
No
How does the shape of the ribs change going down?
The more lateral the costal angle and the more anteriorly oblique they are oriented
Which direction do the ribs expand when being raised?
Transverse and anterior-posterior increase of diameter
Linear movement made into 3d volume increasing
How is the vertical diameter increased during respiration?
The diaphragm is decreased
What is the 11th and 12th called?
The floating rib
How many joints between rib and transverse process of the vertebrae
2 joints (places they articulate)
Where do the heads of the ribs articulate? (except the first and last)
In between 2 vertebrae (ex 2nd rib between T1 and T2)
Which thoracic muscles do what?
External inspiration
Internal expiration
What are the 3 holes in the diaphragm?
Aortic hiatus
Caval opening
Esophagel hiatus
What happens to the oesophagus during respiration?
It is squeezed by the diaphragm which helps keep the acid from the stomach away from the oesophagus
Where is the neuro intercostal bundle located in relations to the rib?
Below/inferior
How are the bones in the forarm located?
Radius is lateral
Ulnar is medial
What is the shape of the scapula?
Triangular and flat
What keeps the scapula in place?
Muscle
What is working when lifting your arm more than 140 degrees?
The scapula, before that it is the glenoid cavity
What articulates in the acromioclavicular joint?
Calvicle and scapula
What bones form the shoulder gear?
Scapula
Clavicle
Humerus
Only real joint of scapula
Acromioclavicular
What is the scapula thoracic joint?
Soft tissue located between bones
What bone has the glenoid cavity?
The scapula
Where does the scapula articulate with the humerus?
Glenohumeral joint
Why do we use muscles for stability more than ligaments
Ligament are inactive/passive which gives less mobility
Why do ligaments provide less stability?
They are inactive/passive
What kind of joint is the sternoclavicular joint?
A saddle joint
Why does a small angle make a big movement of the clavicle?
Because is it a long bone
Why can the glenoid cavity surface area be so much smaller than the head of the humerus?
Because the two surfaces are always in contact during movement, rotation and translation
Names of the necks of the humerus
Anatomical neck of the humerus
Surgical neck (area where bone is cut by surgeon)
Which is the only “real” neck of the humerus?
Surgical neck
Where is the greater tubercle of the humerus in relation to the lesser
Lateral
What does the greater tubercle “touch” (synovial membrane in between) when the arm is abducted around 110c?
Acromioclavicular joint
What does the greater tubercle touching the acromioclavicular joint make the end of?
End of pure glenoid humerjoint movement
What are the 3 glenohumeral ligament?
Inferior, middle and superior
Which are the thicker part of the glenohumeral joint cavity?
Superior, middle and inferior ligaments
What does coracoid mean (coracoid process)?
Beak of crow
Why is the coracoid process important?
Ligament of scapula attach (coracoacromial ligament) which forms roof of glenohumeral joint
Why is there a ligament between the coracoid process and the rest of the scapula?
To complete the roof of the glenohumeral joint
Where do the extrinsic muscles attach?
In the limb and somewhere else (like spine)
Where do the intrinsic muscles attach?
Only within the limb
What is the most superficial muscle on the shoulder?
Deltoid
What kind of muscle is the pectorals major?
Extrinsic
Superficial
What will the anterior and posterior and lateral part of the deltoid do?
Ant and pos: mostly rotate
Lat: abducting
What are the biceps of the arm called?
Biceps brachii
What does bicep mean?
That it has two heads (short and long head)
Where does the short head of the bicep attach?
The coracoid process
Which head of the bicep has a tendon?
The long head
What does the synovial sheet allow the tendon of the long head of the bicep to do?
Allows tendon to slide while muscle is working
Where does the tendon of the long head of the bicep attach?
Supra glenoid tubercle
Where are intratriccular synovial joints?
Inside the capsule and synovial membrane
Is the long head of the bicep intratricular?
NO
What is the long head of the bicep?
Intracapsular extrasynoval (because the tendon is below the capsule but external of the synovial fluid)
How many heads does the tricep have?
3
Lateral
Medial
Long
What does the tricep do?
Extends elbow
Where does the long head of the tricep attach?
To the scapula
Where does the medial and lateral head of the tricep attach?
Posterior aspect of the humerus