The Chest Wall, Breast and Thoracic Cavity Flashcards
List the 7 major components of the bony thorax.
1 - Manubrium.
2 - Sternum.
3 - Xiphoid process.
4 - Costal cartilages.
5 - Clavicles.
6 - Ribs.
7 - Thoracic vertebrae.
List the boundaries of the thorax.
- Superiorly: Thoracic inlet.
- Inferiorly: Thoracic diaphragm.
- Antero-latero-posteriorly: Ribs.
- Posteriorly: Thoracic vertebrae and scapulae.
How many ribs are there?
12.
Which ribs are have no cartilaginous connection to the manubrium or sternum?
What is the name given to these ribs?
- Ribs 11 and 12.
- Floating ribs.
At which vertebral level is the manubriosternal joint?
T4/5.
At which vertebral level is the xiphisternal joint?
- T9.
What are the other names for the manubriosternal joint?
List 3 important anatomical structures that occur at this level.
- The sternal angle / angle of Louis.
1 - It overlies the aortic arch on the left and the superior vena cava on the right.
2 - It marks the bifurcation of the trachea.
3 - The second pair of costal cartilages.
Which of the ribs are true ribs?
Ribs 1-7.
Define false ribs, and explain why the false ribs of the body are false.
- Ribs that do not connect directly to the sternum (ribs 8-12).
- The upper three false ribs connect to the costal cartilages of the ribs just above them. The last two false ribs are floating ribs.
List the margins of the thoracic inlet.
- The body of the first thoracic vertebra.
- The first ribs and their cartilages.
- The manubrium of the sternum.
What types of joints are found in ribs 1-7?
- Rib 1 has a fibrous joint.
- Ribs 2-7 have gliding synovial joints.
Where does the first rib articulate anteriorly?
On the superolateral surfaces of the manubrium.
Where do ribs 2-7 articulate anteriorly?
- Rib 2 articulates at the manubriosternal joint.
- Ribs 3-6 articulate with the lateral surfaces of the body of the sternum.
- Rib 7 articulates at the xiphisternal joint.
Describe the posterior joints formed by ribs.
- Each rib has two articulations with two vertebrae on each side of the vertebral column.
- One articulation is made the inferior surface of the superior vertebra, and another articulation is made at the superior surface of the inferior vertebra.
- The rib therefore traverses the discs between the bodies of the vertebrae.
What is the median septum?
A membrane that separates the lungs.
List the 6 major structures contained within the thorax.
1 - Lungs.
2 - Great vessels.
3 - The heart.
4 - Mediastinum.
5 - The trachea.
6 - The oesophagus.
Which dermatome covers the nipples?
T4.
Which dermatomes cover the area between the nipples and the umbilicus?
T5-T9.
Which dermatome covers the umbilicus?
T10.
Which dermatomes cover the area between the umbilicus and the genitalia?
T11 and T12.