Anatomy of thoracic cage Flashcards

1
Q

The 4 key components of anatomy of thoracic cage

A

Vertebrae, intervertebral discs, ribs, costal cartilages

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2
Q

Function of thoracic cage

A

Protect viscera, large area for muscle attachment, pectoral girdle for pec major, arm attached via sternoclavicular joint

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3
Q

How many pairs of ribs

A

12

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4
Q

True Ribs; number and features

A

1-7. Rib, CC, Sternum

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5
Q

False ribs; number and features

A

8-10. Rib, CC, CC joined together

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6
Q

Floating ribs; number and features

A

11-12. No CC

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7
Q

Typical rib; numbers

A

3-9

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8
Q

Atypical ribs: numbers

A

1,2,10,11,12

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9
Q

Features of a typical rib

A

Head with 2 facets, neck, tubercle with one facet, shaft, costal cartilage, costal groove for intercostal vein, artery and nerve

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10
Q

Features of an atypical rib

A

Head with one facet, neck, tubercle with one facet, shaft, costal groove for intercostal vein, artery and nerve

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11
Q

Features of thoracic vertebrae

A

Heart shaped body with 2 demifacets, 2 transverse processes with one facet on each, inferior-pointing spinous process, spinal canal

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12
Q

Name the joints of the thoracic wall.

A

Intervertebral, costovertebral, costotransverse, interchondral, costochondral, sternocostal, sternoclavicular

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13
Q

Features of Pectoralis Major

A

Origin/proximal attachment: clavicle, sternum, costal cartilages. Insertion/distal attachment: humerus. Function: adduction and medial rotation of humerus; adduction, flexion and internal rotation of shoulder joint. Innervation: Medial and lateral pectoral nerves.

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14
Q

Features of pectoralis minor

A

Origin/proximal attachment: 3rd-5th rib. Insertion/distal attachment: coracoid process of scapula. Function: Stabilises scapula; draws scapula inferiorly, anteriorly and medially; elevates ribs during exercise and excessive breathing. Innervation: Lateral Pectoral nerve.

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15
Q

Name the types of intercostal muscles, and their directions and features

A

External (anterior inferior), internal (posterior, inferior), innermost intercostal muscles. Supplied by intercostal artery, vein and nerve.

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16
Q

How are the intercostal muscles involved in breathing?

A

External crosses over internal intercostal muscles so can lift ribs during inspiration and crush during expiration

17
Q

Serratus Anterior

A

Origin/proximal attachment: 1st-8th rib, sometimes 9th. Insertion/proximal attachment: medial border of scapula. Function: protract scapula, holds scapula flat against thoracic cage. Innervation: Long thoracic nerve.

18
Q

Arterial supply of thoracic cage

A

Segmental arterial blood supply. Aorta heads down in front of vertebrae and at each vertebral level branches into a posterior intercostal artery in costal groove. Subclavian artery branches into anterior intercostal artery in costal grooves at each vertebral level. These arteries are right behind the sternum.