Osteology of the thorax - articulated thoracic skeleton, sternum and thoracic cage (dave's notes) Flashcards

1
Q

What angle do the ribs slope at?

A

45’, extending out progressively lateral

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2
Q

Describe the anterior ends of the ribs

A

These fall progressively short of the midline, supplemented for by longer costal cartilages.

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3
Q

What makes up the sternum?

A

Main body, manubrium and xiphoid process

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4
Q

What is the joint between the manubrium and main body?

A

A secondary cartilaginous joint which rarely ossifies. NB a demifacet on the 2nd costal cartilage.

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5
Q

What does the xiphoid process represent?

A

The unossified lower end of the body. May ossify later in life.

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6
Q

Describe the ossification of the sternum.

A

Variable primary centres of ossification that appear in the 5th foetal month in 4-5 row. These fuse by 25 whats???

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7
Q

List the muscular attachments to the thoracic cage

A
Pectoralis major
Serratus anterior
Pectoralis minor
External oblique
Rectus abdominus
Internal oblique
Transversus abdominus
Serratus posterior
Scalene muscles
Quadratus lumborum
Lat dorsi
The diaphragm
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8
Q

The costal artilages are higher than the vertebrae. At what level is the jugular notch? The sternal angle? The lower border of the sternum?

A

T3
T4
T8

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9
Q

What is the thoracic attachment of pectoralis major?

A

The upper 6 costal cartilages

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10
Q

What is the thoracic attachment of serratus anterior?

A

The upper 8 ribs

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11
Q

What is the thoracic attachment of pectoralis minor?

A

Ribs 3-5

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12
Q

What is the thoracic attachment of external oblique?

A

From the anterior angles of the lower 8 ribs, interdigitating with lat dorsi below serratus anterior to the lower four

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13
Q

What is the thoracic attachment of rectus abdominus?

A

To the anterior surface of the 5th to 7th costal cartilages

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14
Q

What is the thoracic attachment of internal oblique?

A

The lower borders of the last 6 costal cartilges

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15
Q

What is the thoracic attachment of transversus abdominus?

A

Transversus abdominus and the diaphragm interdigitate on the inner surface of the lower 6 ribs

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16
Q

What is the thoracic attachment of serratus posterior?

A

Attached just lateral to the posterior angles (2-5 and 9-12)