Anterior Thoracic Wall Flashcards

1
Q

True ribs

A

1 through 7

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2
Q

False ribs

A

8, 9, 10

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3
Q

represents the boundary between the neck and thorax

A

thoracic outlet

bounded by T1, rib 1, and manubrium

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4
Q

Inferior Thoracic Aperture bounded by

A

body of T12, costal margin, xiphisternal joint

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5
Q

Sternum- parts and ossification centers

A

Manubrium, Body, Xiphoid Process

6 separate ossification centers, most fuse around age 25

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6
Q

Sternal Angle- name and type of joint

A

Manubriosternal Joint: symphysis

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7
Q

what does Symphysis mean when talking about ribs

A

secondary cartilaginous joint; bones united by fibrocartilage

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8
Q

Synchondrosis means what when talking about ribs

A

primary cartilaginous joint; bones united by hyaline cartilage – usually temporary and then converts to bone

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9
Q

Sternal angle landmark: T4-T5 intervertebral disc what is here

A
attachment of 2nd rib:
	2nd intercostal space
	bifurcation of trachea
	boundary between inferior and superior mediastinum
	SVC enters pericardium
	superior border of pulmonary trunk
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10
Q

what is at the level of t3 t4

A

SVC
aortic arch
trachea
esophagus

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11
Q

what is at the level of t6 t7

A
pulmonary trunk
ascending aorta
descending aorta
right/left pulmonary artery
right/left main bronchus
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12
Q

physical features of a typical rib

A
Head and neck
Tubercle
Body and angle
Costal cartilage
Costal groove
Facets for articulation with vertebrae
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13
Q

Facets on the head of the rib articulate with the body of

A

corresponding vertebra, and the body of the vertebra above.

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14
Q

A facet on the tubercle of the rib articulates with the

A

tip of corresponding transverse process.

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15
Q

The intercostal space has muscles. name them superficial to deep

A

External Intercostal Muscles
Internal Intercostal Muscles
Innermost Intercostal Muscles

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16
Q

where do the External intercostals muscles end?

A

at the costochondral junction (go from vertebrae to costochondral junction)

17
Q

External intercostals ________ ribs during forced inspiration

A

elevate

18
Q

Interchondral (anterior, medial) portions _________ the ribs during forced expiration

A

elevate

19
Q

Internal intercostal muscles are incomplete where

A

posteriorly, where they are replaced by the internal intercostal membrane

20
Q

The innermost intercostals are membranous where

A

both anteriorly and posteriorly.

21
Q

nuerovasculature in the ribs run through what space

A

space between internal and innermost muscles

22
Q

Anterior intercostal arteries are branches of the

A

internal thoracic segmentally and musculophrenic arteries when the internal thoracic splits

23
Q

dermatome at the level of the nipple

A

T4

24
Q

dermatome at the level of the belly button

A

T10

25
Q

What are the floating rib(s)

A

11 and 12