Bones and Joints of the Thoracic Wall Flashcards

1
Q

What does the thoracic wall enclose?

A

Left and right pleural cavities containing the lungs

Mediastinum

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2
Q

What is the mediastinum?

A

Middle structure containing the heart within the pericardial cavity.

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3
Q

What is the name given to the middle structure containing the heart within the pericardial cavity?

A

Mediastinum.

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4
Q

How are the thoracic wall cavities described?

A

Closed sacs.

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5
Q

What is the function of the thoracic wall?

A

To protect the contents of the sac, yet permit the movements associated with respiration.

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6
Q

What is the thoracic wall comprised of anteriorly?

A

Sternum.

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7
Q

What is the thoracic wall comprised of posteriorly?

A

Vertebrae T1-T12.

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8
Q

What is the thoracic wall comprised of laterally?

A

Ribs 1-12.

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9
Q

What are noticeable points of the sternum?

A

Manubrium
Sternal body
Xiphoid process
Jugular notch

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10
Q

What bones articulate at the superolateral angle of the manubrium?

A

Clavicle bones.

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11
Q

What is the joint between the sternum and clavicle called?

A

Sternoclavicular joint.

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12
Q

What does the sternoclavicular joint do?

A

Articulates the manubrium of the sternum with the clavicles.

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13
Q

What type of joint is the sternoclavicularl joint?

A

Synovial.

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14
Q

What is the name given to the median notch formed by the superior border of the manubrium?

A

Jugular notch.

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15
Q

What is the jugular notch?

A

Median notch formed by the superior border of the manubrium.

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16
Q

Where is the Xiphoid process located?

A

Tip of the sternum in the inferior T9-T10 region.

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17
Q

What is the sternomanubrial joint?

A

The articulation between the sternal body and the manubrium.

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18
Q

What is the articulation between the sternal body and the manubrium called?

A

Sternomanubrial joint.

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19
Q

What facets articulationse the sternal body and manubrium?

A

Facets for the 2nd costal cartilage.

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20
Q

What type of joint is sternomanubrial joint?

A

Symphysis.

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21
Q

What is the sternal angle often used for?

A

Location of cardiopulmonary positions in auscultation.

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22
Q

What can be identified on a normal rib?

A
Head
Neck
Tubercle
Rounded superior border
Sharp inferior borders
Costal sulcus/groove
23
Q

What ribs are true ribs?

A

Ribs 1-7.

24
Q

What are true ribs described as?

A

Vertebrosternal.

25
Q

What ribs are false ribs?

A

Ribs 8-12.

26
Q

What are false ribs described as?

A

Vertebrochondral.

27
Q

What are the floating ribs?

A

Ribs 11-12.

28
Q

What are the floating ribs described as?

A

Vertebral ribs.

29
Q

What are the vertebral ribs?

A

Floating ribs.

30
Q

What are the vertebrochondral ribs?

A

False ribs.

31
Q

What are the vertebrosternal ribs?

A

True ribs.

32
Q

What rib is atypical?

A

First rib.

33
Q

How is the first rib described?

A

Short, wide and flat articulating with only a single vertebra.

34
Q

Why is the first rib atypical?

A

Only articulates with a single vertebra.

35
Q

What vertebra does the first rib articulate with?

A

T1.

36
Q

What can be additionally seen in the first rib?

A

Scalene tubercle
Subclavian artery groove
Subclavian vein groove

37
Q

What is the scalene tubercle?

A

Tubercle for attachment of the anterior scalene muscle of the neck, an accessory respiratory muscle.

38
Q

What tubercle is for the attachment of the anterior scalene muscle of the neck?

A

Scalene tubercle.

39
Q

What is the anterior scalene muscle of the neck used for?

A

Accessory respiratory muscle.

40
Q

What grooves are present in the first rib?

A

Grooves for the subclavian artery and subclavian vein.

41
Q

What groove on the first rib is posterior to scalene tubercle?

A

Groove for the subclavian vein.

42
Q

What vessels act as the chief blood supply to and from the upper limb and pass from the neck to the axilla between the clavicle and first rib?

A

Subclavian artery and vein.

43
Q

What develops in approximately 0.5% of the population?

A

Additional cervical rib from the transverse process of the C7 vertebrae.

44
Q

What can the development of an additional cervical rib result in?

A

Compression of the lower trunk of the brachial plexus
Paraesthesia of the medial side of the upper limb
Wasting of the small muscles in the hand

45
Q

What can be seen in a typical thoracic vertebra?

A
Body
Demi-facets on body
Vertebral foramen
Intervertebtal foramen
Pedicle
Lamina
Transverse process
Articular facet
Spinous process
46
Q

How are thoracic vertebrae distinguished?

A

Long, broad spinous process

Spinous process is sloped downwards and is non-bifid

47
Q

How is the spinous process of thoracic vertebrae different from others?

A

Long
Broad
Sloped downwards
Non-bifid (doesn’t fork)

48
Q

What do the pedicles and laminae form in thoracic vertebrae?

A

Neural (vertebral) arch enclosing the spinal cord.

49
Q

What structure in thoracic vertebrae encloses the spinal cord?

A

Neural (vertebral) arch.

50
Q

What structures of the thoracic vertebrae form the neural/vertebral arch?

A

Laminae

Pedicles

51
Q

What vertebral bodies does a typical rib articulate with?

A

Vertebral body of the same number as rib
The vertebral body of the one immediately above
(e.g. Rib 2 = T2 and T1)

52
Q

What is the most common chest injury?

A

Rib fractures.

53
Q

What ribs are most commonly fractured and why?

A

Ribs 5-10 ad they are relatively more exposed and fixed.