Intercostal structures Flashcards

1
Q

What makes up the thoracic wall?

A

Skin
Superficial fascia (anterior and lateral cutaneous branches of intercostal nerves)
Deep fascia
Muscle

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2
Q

What are the three instrinsic muscles of the thorax?

A

Pectoralis major
Pectoralis minor
Serratus anterior

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3
Q

What is the intercostal space?

A

It is the space between two ribs

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4
Q

What does each space contain?

A

Intercostal muscles
Intercostal neurovascular bundle
Lymphatics

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5
Q

What is the most superficial intercostal muscle of the thorax?

A

External intercostal muscle

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6
Q

What is the origin of the external intercostal muscle?`

A

From the lower border of the ribs above

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7
Q

What is the insertion of the external intercostal muscles?

A

Upper border of rib below

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8
Q

Where is the external intercostal muscle located?

A

Extends from the rib tubercle behind the costo-chondral junction in front

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9
Q

What is the external intercostal muscle replaced with anteriorly?

A

External intercostal membrane

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10
Q

What layer is the internal intercostal muscle?

A

Intermediate layer

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11
Q

What direction does the fibres of the internal intercostal muscle run?

A

Fibres directed downward and backward

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12
Q

Where is the internal intercostal muscle located?

A

Extends from the sternum in front to the angle of the rib behind

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13
Q

What is the internal intercostal muscle replaced by posteriorly?

A

Internal intercostal membrane

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14
Q

What are the three intrinsic muscles?

A

External intercostal
Internal intercostal
Innermost intercostal

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15
Q

What does the intercostal nerves supply?

A

Muscles of the ribs, anterolateral thorax and abdominal wall

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16
Q

What are the intercostal nerves?

A

Anterior rami of spinal nerves T1-T11 because they travel in the intercostal spaces between adjacent ribs

17
Q

What is the nerve T12 called and why?

A

Subcostal nerve because it arises below the ribs

18
Q

Do the intercostal nerves form plexuses?

A

No with the exception of T1

19
Q

What does T1 intercostal nerve do?

A

Brachial plexus

20
Q

What does T2 intercostal nerve do?

A

Innervates the intercostal muscles of the second intercostal space and is sensory for the axilla and medial surface of the arm

21
Q

What does T3-T6 intercostal nerve do?

A

Innervate the intercostal muscles and are sensory for the anterior chest wall

22
Q

What does T7-T12 intercostal nevre innervate?

A

the intercostal muscles, the abdominal muscles and the overlying skin.

23
Q

What is present in the intercostal space?

A

Intercostal nerve
Intercostal artery
Intercostal vein

24
Q

What are the arteries of the thoracic wall?

A

Thoracic aorta
Subclavian artery
Axillary artery

25
What are the arteries of the thoracic wall?
Thoracic aorta Subclavian artery Axillary artery
26
What does the thoracic aorta divide into?
Posterior intercostal and subcostal arteries
27
What does the subclavian arteries divide into?
Internal thoracic and supreme intercostal arteries
28
What does the axillary and superior artery divide into?
Superior and lateral thoracic arteries
29
What are the two intercostal arteries?
Anterior intercostal arteries | Posterior intercostal arteries
30
Where do the upper 6 pairs of arteries arise from?
The internal thoracic artery
31
Where do the 7th, 8th, 9th pairs of arteries arise from?
Musculophrenic artery
32
What is the origin of the internal thoracic artery?
First part of the subcalvian artery
33
Where does the internal thoracic artery terminate?
Opposite the sixth intercostal space by dividing into superior epigastric and musculophrenic arteries
34
Where does the venous drainage occur?
Parallel to the pattern of arterial supply
35
What is the venous drainage made up of?
Intercostal veins Azgous vein or into internal thoracic veins Brachiocephalic veins
36
What forms the internal thoracic vein?
Formed by the union of the two venae comitantes of the internal thoracic artery behind the third costal cartilage
37
What path does the internal thoracic vein take?
It ascends close to the artery to terminate in the corresponding innominate vein