Muscles of Trunk Flashcards
THE BREAST - BLOOD SUPPLY
LATERALLY:
- Thoraco-acromial
- Lateral thoracic
- Subscapular arteries
MEDIALLY:
- Internal thoracic artery branches
- 2nd to 4th Intercostal arteries via branches
THE BREAST - VENOUS DRAINAGE
Axillary
Internal thoracic
Intercostal veins
THE BREAST - INNERVATION
Anterior and Lateral Branches Intercostal Nerves T4-T6
Superiorly by Cutaneous Branches of Cervical Plexus C1-C4
THE BREAST - LYMPHATIC DRAINAGE
75% Axillary Nodes
25% Parasternal Nodes
EXTERNAL INTERCOSTAL (Origin)
Inferomedially…
INSPIRATION!!
Inferior margin ribs
EXTERNAL INTERCOSTAL (Insertion)
INSPIRATION!!
Superior margin ribs below
EXTERNAL INTERCOSTAL (Action)
INSPIRATION!!
Elevate ribs during forced inspiration
EXTERNAL INTERCOSTAL (Innervation)
INSPIRATION!!
Anterior Rami T1- T11
INTERNAL INTERCOSTAL (Origin)
Superomedially…
EXPIRATION!!
Superior margin ribs below
INTERNAL INTERCOSTAL (Insertion)
EXPIRATION!!
Inferior lateral edge of costal groove above
INTERNAL INTERCOSTAL (Action)
EXPIRATION!!
Depresses ribs during forced expiration
INTERNAL INTERCOSTAL (Innervation)
EXPIRATION!!
Anterior Rami T1- T11
INNERMOST INTERCOSTAL (Origin)
Superomedially…
Deep surface ribs below
INNERMOST INTERCOSTAL (Insertion)
Medial edge costal grooves
INNERMOST INTERCOSTAL (Action)
Depress ribs during forced expiration
INNERMOST INTERCOSTAL (Innervation)
Anterior Rami T1-T11
SUBCOSTALES
Internal surface of 1 rib to internal surface of 3 ribs below
Acts to depress ribs
TRANSVERSUS THORACIS (Origin)
Posterior aspect Xiphoid Process
Inferior aspect Sternum
Adjacent costal cartilages lower true ribs
TRANSVERSUS THORACIS (Insertion)
Lower border Costal Cartilages Rib 3-6
TRANSVERSUS THORACIS (Action)
Depresses costal cartilages
TRANSVERSUS THORACIS (Innervation)
Anterior Rami T1-T11
DIAPHRAGM - PERIPHERAL ORIGIN POINTS
Separates Thoracic cavity from Abdominal cavity
- Xiphoid Process of Sternum
- Costal Margin
- Ribs 11 and 12
- Ligaments across Posterior Abdominal Wall
- Vertebrae of Lumbar Region
Fibres converge to join Central Tendon
DIAPHRAGM -CRURA
Right Crus: L1-L3
Left Crus: L1-L2
~Crura Connected by tendinous arch = Median Arcuate Ligament
~L1/L2 and Transverse Process L1, Lateral to crura= Medial Arcuate Ligament
~L1 and Rib 12, covers Quadratus Lumborum = Lateral Arcuate Ligament
DIAPHRAGM - STRUCTURES PASSING THROUGH
AORTIC HIATUS - LEVEL T12
- Thoracic duct
- Azygos vein
- Median arcuate ligament
OESOPHAGEAL HIATUS - LEVEL T10
- Anterior/ Posterior vagal trunks
CAVAL OPENING - LEVEL T8
- Inferior Vena Cava
- Right Phrenic Nerve
DIAPHRAGM - DOMES
Dome appearance left and right side
Left dome= 5th intercostal space
Right dome= Rib 5
DIAPHRAGM - BLOOD SUPPLY
SUPERIOR surface:
~ Pericardiophrenic
~ Musculophrenic
~ Superior phrenic
INFERIOR surface:
~ Inferior phrenic