Osteology, Arthrology, and Myology of the Thorax Flashcards

1
Q

What type of joint is the xiphisternal joint?

What is conncected?

A

synchondrosis

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2
Q

What does the costochondral joint connect?

What type of joint is it?

A

ribs and costal cartilages

synchondrosis

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3
Q

What is the function of the external intercostal muscles?

A

elevates ribs

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4
Q

What is a thoroscopy?

A

insertion of a thoroscope into the pleural cavity through a small incision for visualizing and biopsying

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5
Q

What are the contents of the superior thoracic aperture?

A

trachea
esophagus
nerves and vessels that supply and drain Head, neck, and UE

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6
Q

What type of joints are the costovertebral joints?

What are the ligaments to know?

A

synovial planar
radiate L
intraarticular L
articular capsule

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7
Q

Which ribs are typical?

A

3-9

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8
Q

What type of joints are sternocostal joints 2-7?

What are the ligaments to know?

A

synovial planar
anterior radiate sternocostal L
posterior radiate sternocostal L

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9
Q

What is the action of the subcostal muscles?

A

probably act as the internal intercostal M = depress ribs

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10
Q

What/where are ribs most commonly fractured?

A

middle ribs at weakest pt just anterior to costal angle

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11
Q

What costal notches are on the body of the sternum?

A

half of the 2nd, 3rd-6th, half of the 7th

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12
Q

How many costal notches are there total?

A

7

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13
Q

Which ribs are floating?

A

11 and 12

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14
Q

what does the superior costotransverse L connect?

A

neck of rib to transverse process on vertebral segment superiorly

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15
Q

What type of joint is the manubriosternal joint?

What is connected?

A

symphysis

sternal angle to 2nd costal notch

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16
Q

What are the boundaries of the inferior thoracic aperture?

A

T12 vertebral segment
11th and 12th ribs
7th-10th costal cartilages
xiphisternal joint

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17
Q

Which ribs have a head and tubercle?

A

3rd through 9th (typical ribs)

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18
Q

What does a radiate L connect?

A

head of a rib to the vertebral body

19
Q

What is the landmark to know on the second rib?

A

tuberosity of serratus anterior M.

20
Q

What is interesting about the way ribs 8-10 articulate with the sternum?

A

their costal cartilage articulates w/ costal cartilage one segment superior, which then articulates w/ sternum

21
Q

Besides the head, what are the other 3 landmarks to know on the first rib?

A

scalene tubercle
groove for subclavian A (posterior)
groove for subclavian V (anterior, remember you have to rip it out to see the artery)

22
Q

What type of joint is the first sternocostal joint?

What is it btw

A

synchondrosis

btw 1st costal cartilage and sternum

23
Q

How many facets are on the head of a typical rib?

A

2 = inferior and superior articular facets

24
Q

Which ribs are true/vertebrocostal?

A

1st-7th

25
Q

Which ribs are atypical?

A

1, 2, 10-12

26
Q

What n innervates the internal thoracic wall muscles?

A

Intercostal N

27
Q

What are supernumerary ribs?

A

extra ribs in either cervical or lumbar region

cervical ribs can produce neural and circulatory problems

28
Q

What does the lateral costotransverse L connect?

A

tubercle of the rib to transverse process

29
Q

What type of joints are the interchondral joints?

A

6-9 costal cartilages = planar synovial

btw 9/10 = fibrous joint

30
Q

Which ribs are false?

What does this mean?

A

8-10

attach from vertebra to costal cartilage immediately superior to that vetebral segment

31
Q

What costal notches are on the manubrium?

A

1st and half of the 2nd

32
Q

What does an intraarticular L connect?

A

head of rib to the intervertebral disc

33
Q

What is the purpose of a thoracentisis?

Where do you insert it?

A

purpose is to obtain fluid sample or drain fluid from pleural cavity
insert needle btw ribs inferior to intercostal neurovasc bundle and superior to collateral branches

34
Q

What is the action of the transverse thoracic Ms?

Where are they?

A

depress ribs

posterior surface of lower part of sternal body and xiphoid process to internal surface of 2-6 costal cartilages

35
Q

What does a dislocation of a rib refer to?

A separation?

A

dislocation at sternocostal joint

separation = at costochondral joint

36
Q

What is the function of the internal intercostal muscles?

A
depress ribs
(innermost intercostal muscles probably have same function)
37
Q

What costal notch is on the ziphoid process?

A

half of the 7th

38
Q

What are the contents of the inferior thoracic aperture?

A

esophagus
trachea
inferior vena cava
aorta

39
Q

What is the purpose of a chest tube?

Where do you insert it?

A

to remove large amounts of air, fluid, blood, or pus from pleural cavity
usually btw 5th or 6th intercostal space

40
Q

Where is the articular capsule of a costovertebral joint strongest?

A

anteriorly (as the radiate L)

41
Q

What type of joints are costotransverse joints?

What do they connect?

A

synovial planar

tubercle of rib to transverse process of vertebrae

42
Q

What n innervates the intercostal muscles?

A

intercostal N

43
Q

What is the difference btw a synchondrosis and a symphysis in general?

A

a synchondrosis has hyaline cartilage

symphysis has fibrocartilage (vertebra)

44
Q

What are the boundaries of the superior thoracic aperture?

A

T1 vertebral segment, paired 1st ribs and superior manubrium