Anatomy Of Thoracic Wall Flashcards

0
Q

How many ribs are there?

A

12

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1
Q

What is included in the thoracic wall?

A

Thoracic cage
Muscles between ribs
Skin
Muscles which cover anterolateral wall

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2
Q

Which ribs are true ribs? What does this mean?

A

Ribs 1-7

Connected by costal cartilages to the sternum

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3
Q

Which ribs are false ribs? What does this mean?

A

Ribs 8-10

Connected to the cartilage of the rib above them

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4
Q

Which ribs are floating ribs? What does this mean?

A

Ribs 11 and 12

They end free in abdominal muscle

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5
Q

Which ribs are typical ribs?

A

3-9

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6
Q

Structure of typical ribs?

A

Head has two articular facets separated by a crest
The neck connects the head of the rib with the body
The tubercle is the at the junction of the neck and body.
The body/shaft has a concave surface with a costal groove

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7
Q

Function of the articular facets on the head of a true rib?

A

One facet articulates with the vertebra

The other articulates with the vertebra superior

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8
Q

What is the function of the tubercle on a typical rib?

A

Articulates with the transverse process of the vertebra

Attachment for costotransverse ligament

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9
Q

What is the function of the intercostal groove

A

Provides protection for the intercostal nerve and vessels

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10
Q

Which ribs are atypical?

A

1, 2, 10, 11, 12

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11
Q

What makes the first rib atypical?

A

Very short and board and curved

Has one facet

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12
Q

What makes the second rib atypical?

A

Poorly marked costal groove

Tuberosity for serratus anterior

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13
Q

What makes ribs 10, 11 and 12 atypical?

A

One facet on the head and articulate with a single vertebra

11 and 12 have no tubercle or neck because they are floating

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14
Q

What articulates at the costotransverse joint?

A

Tubercle of rib and transverse costal facet of corresponding vertebra

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15
Q

What articulates at the costovertebral joint?

A

Where head of rib articulates with superior costal facet of the corresponding vertebra and inferior costal facet of the vertebra above
So two for each rib

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16
Q

Name the three parts of the sternum

A

Manubrium
Body
Xiphoid process

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17
Q

Features of the manubrium?

A

Concave
Depression - jugular notch
Fossa lined with cartilage which articulate with clavicle
Facet for articulation with costal cartilage of first rib
Demifacet for second rib

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18
Q

Features of the body of the sternum?

A

Flat and elongated

Lateral edges have many facets

19
Q

Which ribs does the body of the sternum articulate with?

A

3-6

Has demifacets for articulation with ribs 2 and 7

20
Q

Features of the xiphoid process?

A

Smallest part of the sternum
Located at T10
Largely cartilaginous - ossified in later life
Articulates with cc of 7th rib

21
Q

Name the intercostal muscles

A

External intercostals
Internal intercostals
Innermost intercostals

22
Q

How many pairs of external intercostals are there?

A

11

23
Q

What are the external intercostals continuous with?

A

The external oblique

24
Q

Innervation of the intercostal muscles?

A

Intercostal nerves

25
Q

Action of the external intercostals?

A

Increase volume of thoracic cage during forced inspiration

26
Q

What direction do the external intercostals run?

A

Inferoanteriorly

27
Q

What direction do the internal intercostals run?

A

Inferoposteriorly

28
Q

Action of the internal intercostals?

A

Decrease volume of the thoracic cage during forced expiration

29
Q

What are the innermost ICs and internal ICs separated by?

A

The intercostal neurovascular bundle

30
Q

Action of the innermost intercostals?

A

Decrease volume of thoracic cage during forced expiration

31
Q

Where do the transverse thoracic muscles attach?

A

Originate from lower manubrium and xyphoid process

Attach to costal cartilages of ribs 2-6

32
Q

Innervation of transverse thoracics?

A

Intercostal nerve

33
Q

Action of the transverse thoracic muscles?

A

Pull ribs down providing a weak expiratory function

34
Q

Functions of diaphragm?

A

Separates thoracic cavity from the abdominal

Alters volume of thoracic cavity and lungs

35
Q

Attachments of the diaphragm?

A

Lumbar vertebrae and arcuate ligaments (L1-3)
Costal cartilages of ribs 7-12
Xiphoid process of the sternum
Central tendon fuses sign inferior surface of fibrous pericardium

36
Q

Actions of diaphragm?

A

Inspiration - contracts and flattens, increasing vertical diameter of the thoracic cavity
Expiration - diaphragm relaxes and turns to its dome shape

37
Q

Innervation of the diaphragm?

A
Phrenic nerve (left and right)
C3, 4, 5
38
Q

Arterial supply of the diaphragm?

A

Inferior phrenic arteries
They arise from the abdominal aorta

Superior phrenic, pericardiacophrenic and musculophrenic arteries

39
Q

Venous drainage of the diaphragm?

A

Inferior phrenic vein
Superior phrenic vein
Pericardiacophrenic vein
Musculophrenic vein

40
Q

Movements of the ribcage?

A

Upper ribs move in a pump-handle movement to increase anterior-posterior diameter of the thorax

Lower ribs move in a bucket handle movement - increases lateral diameter of the thorax

41
Q

What are the three major arteries supplying the thoracic wall?

A

Thoracic aorta
Subclavian artery
Axillary artery

42
Q

In the neurovascular bundle, what is the order of structures from top to bottom?

A

Vein
Artery
Nerve

43
Q

Where do most of the posterior intercostal veins drain into?

A

Azygous/hemiazygous venous system to the superior vena cava

44
Q

Where do the two anterior and one posterior intercostal arteries arose from?

A

Posterior - aorta

Anterior - internal thoracic arteries

45
Q

Where does the internal thoracic artery arise from?

A

Subclavian

46
Q

Roots of the intercostal nerves?

A

Anterior rami of T1-T12