Lecture 11: Thoracic Wall & Lungs Flashcards
Superficial to deep layers of the thorax
- Skin
- Superficial Fasica
- Muscles of upper limb
- Intercostal muscles
- Endothoracic Fasica
- Parietal pleura
- Thoracic cavity
Describe the transversus thoracic
Same “depth” as the innermost intercostals BUT is found on the anterior thoracic wall
Where do you find the transversus thoracis (I/O)
Sternum to 2nd-6th costal cartilages
What is the innervation of the thoracic wall?
Anterior rami of T1-T11 intercostal nerves
What is another name for the subcostal nerve?
T12
T/F: T12 innervates the thoracic wall
False - This is the subcostal nerve and it innervated the abdominal wall
What do you find in the intercostal space?
Intercostal VAN
The _______ branches of the intercostal vessels run in the costal groove, while the ________ branches run superior to the rib.
Main; collateral
Intercostal vessels supply blood to the…
thoracic wall
There are _____ anterior intercostal vessels
9
There are ____ posterior intercostal vessels
11
The anterior and posterior intercostal vessels do what?
Anastomose - form a vessel ‘arc’
Where do anterior and posterior intercostal vessels originate?
Aorta - descending aorta
Internal thoracic arteries are branches of ____________
subclavian artery
Where do you find internal thoracic arteries?
Along lateral side of sternum
What are the branches of the internal thoracic artery?
Anterior intercostal arteries (1st 6)
Musculophrenic artery (7th-9th anterior intercostal)
Superior epigastric artery (continuation of internal thoracic)
Superior epigastric artery anastomoses with…
Inferior epigastric artery
Posterior intercostal arteries
1 and 2 from supreme intercostal artery
Where do the branches of posterior intercostal arteries 3-11 come from?
Descending thoracic aorta
What are the veins of the thoracic wall?
Anterior intercostal veins –> internal thoracic vein
Posterior intercostal veins - describe them
Right: Azygos
Left: Hemiazygos
What are the boundaries of the thorax?
Superior thoracic aperture
diaphragm
sternum/costal cartilages
Thoracic vertebral bodies
What is the thorax divided into?
Central mediastinum and lateral pleural cavities