Lecture 34 - bony thorax and thoracic wall Flashcards
line coursing down medial portion of sternum
midsternal line
line coursing down anterior thorax, which forms a perpendicular relationship with the midpoint of the clavicle
midclavicular line
line down midaxillary region
midaxillary line
line coursing down anterior and posterior axillary folds
anterior and posterior axillary lines
a line down either side of the posterior thorax just lateral to the transverse processes of the thoracic vertebrae
paravertebral line
boundaries of the thorax
12 pairs of ribs with intercostal spaces and costal cartilages, sternum, 12 thoracic vertebrae, superior thoracic inlet, inferior thoracic inlet
3 parts of the sternum
manubrium, body, xiphoid process
parts of manubrium
suprasternal notch, clavicular notches, notch/facet for first rib
the body of the sternum articulates with the manubrium at the
sternal angle of louis (manubriosternal joint)
the body of the sternum accommodates the costal cartilage of the
2nd rib
the body of the sternum has articular facets that accommodate the costal cartilages of
ribs 3-6 (rib 7 is a demifacet arrangement)
the xiphoid process articulates with the body of the sternum at the
xiphisternal joint
true ribs & meaning
ribs 1-7
attach directly to sternum
false ribs & meaning
ribs 8-10
attach to rib 7
floating ribs
ribs 11-12
typical ribs
ribs 3-9
what do typical ribs have
head, neck tubercle (with articular facet), angle, shaft with costal groove
atypical ribs
1, 2, 10-12
1st rib differences
no costal groove, no angle
2nd rib differences
flattened, angle is closer
10th rib differences
no articular facet on the tubercle
11 and 12th rib differences
no tubercle, 12th has no costal groove
joints formed by the heads of the ribs with the vertebral body demifacets; synovial (gliding) joints
vertebrocostal joints
joints formed by the articulation of the tubercular facet on the rib with the corresponding vertebral transverse process; synovial (gliding) joints
transversocostal joints
articulations between the ribs and the sternum; cartilaginous (minimal movement)
sternocostal (chondrosternal) joints
the intercostal nerves supply the
intercostal muscles
lie below the 12th ribs, help supply innervation to the abdominal mx
2 subcostal nerves
pairs of posterior intercostal arteries
11
the lower 9 pairs of posterior intercostal arteries arise from the
thoracic aorta (the lower 5 are from musculophrenic br.)
the upper 2 arteries arise from the
costocervical trunk (br. of subclavian artery)
the posterior intercostal arteries form anastomoses with
anterior intercostal arteries
intercostal muscles
external intercostal muscles, internal intercostal muscles, and innermost intercostals
function of external intercostals
inspiration
function of internal and innermost intercostals
forced exhalation
external intercostals attach to the ___ via the ___
sternum, external intercostal membrane
internal intercostals attach to the ___ via the ___
vertebrae, internal intercostal membrane
begins as transverse thoracic and continues to spine as innermost intercostal membrane
innermost intercostals