The Ribcage, Sternum, and Upper Cervical Ligaments (quiz 3/exam 2) Flashcards
Region of trunk between the neck and abdomen housing major organs of _______________ and _________________
respiration, blood circulation
What part(s) of the thorax are the site of formation of blood cells in adults and contain red bone marrow?
the manubrium of the sternum and the ribs
The thorax allows passage between….
compartments
What does the pleura and pleural cavity contain?
lungs
What does the mediastinum contain?
heart and great vessels
What is included in the thoracic cavity?
-pleura and pleural cavities containing the lungs
-mediastinum containing the heart and great vessels
What is another name for superior thoracic aperture?
thoracic inlet
If there is an impinged nerve at the superior thoracic aperture/thoracic inlet, then it is called….
thoracic outlet syndrome (this is where anatomy and clinical info do not agree!)
The superior thoracic aperture/thoracic inlet is bound anteriorly by what?
sternal manubrium and costal cartilages of 1st rib
The superior thoracic aperture/thoracic inlet is bound posteriorly by what?
T1
The superior thoracic aperture/thoracic inlet is bound laterally by what?
1st rib
The superior thoracic aperture/thoracic inlet transmits the trachea, esophagus, aortic arch and branches, superior vena cava, and….
several nerves and blood vessels to and from the neck
What is the other name for inferior thoracic aperture?
thoracic outlet
The inferior thoracic aperture/thoracic outlet is bounded anteriorly by what?
xiphysternal joint and costal margins (7-10)
The inferior thoracic aperture/thoracic outlet is bounded posteriorly by what?
T12
The inferior thoracic aperture/thoracic outlet is bounded laterally by what?
12th rib
The inferior thoracic aperture/thoracic outlet contains the ____________ and transmits esophagus, aorta, and inferior vena cava, nerves and blood vessels to and from the abdomen
diaphragm
What segments of the thoracic spine connects to the ribs directly?
T1-T7
What vertebral segment is in line with the arch of the aorta?
T4 (brachial plexus trunk is found here including the subclavian and common carotid artery)
How many ribs are there in total?
24
Where is the infrasternal (subcostal) angle found?
think vertebral segment
T9
Where is the xiphoid process found?
think vertebral segment
T10
What are the 3 parts of the sternum?
-manubrium (looks like roman shield)
-body
-xiphoid process
How many pairs of ribs are there?
12 pairs of ribs
How many ribs contain costal cartilage?
rib 1-10 (11/12 do not)
What are the 3 functions of the ribcage?
-protect viscera
-assist breathing
-assist body movement
The manubrium is found from T___ to T____
T1 to T4
What is another name for the manubrium?
manubrium sterni
What is the widest, thickest part of the sternum?
the manubrium
The jugular notch/suprasternal notch and clavicular notches are found on what part of the sternum?
manubrium (jugular is center top, clavicular is on L/R top
The clavicular notches form what type of joint with the clavicles and sternum?
synovial saddle joint
What part of the sternum can you find the costal notch for rib 1?
manubrium
What is another name for the body of the sternum?
corpus sterni
Where is the body of the sternum located?
think vertebral level
T5-T9
The body of the sternum has costal notches for which ribs?
ribs 2-7
The transverse lines of fusion/transverse ridges of the body of the sternum are formed from how many sternebrae? Where does fusion begin?
formed from 4 sternebrae
fusion starts inferiorly and continues superiorly
fusion occurs between puberty and 25 y/o
What is another name for the xiphoid process?
processus xiphoideus
When does the xiphoid process ossify into the sternum body?
by age 40
What angle is found at the xiphoid process?
infrasternal angle/subcostal angle (found at T9)
The manubriosternal joint is found between the….
manubrium and the body of the sternum
What type of synovial joint is manubriosternal?
saddle (biaxial)
Is the manubriosternal joint primary or secondary cartilaginous?
SYMPHYSIS, secondary cartilaginous (this means its fibrocartilage)
What joint makes up the sternal angle at T4-5, and marks the transverse thoracic plane?
manubriosternal joint
T/F: the manubriosternal joint is amphiarthrotic but can ossify early
true
Is the xiphisternal joint primary or secondary cartilaginous?
primary synchondrosis that will turn to synostoses, which is primary cartilaginous (meaning hyaline cartilage)
Which joint is synarthrotic and anchors the rectus abdominis?
xiphisternal joint
Which joint is found at the infrasternal angle?
xiphisternal joint
What are the 4 ligaments of the anterior ribcage?
1) costoclavicular ligament
2) sternoclavicular ligament
3) interclavicular ligament
4) radiate sternocostal ligament
Which ligament is found between rib 1 and the clavicle and keeps the clavicle in place?
costoclavicular ligament
Which ligament is found between the sternum and the clavicle in a joint capsule?
sternoclavicular ligament
Which ligament is between the L/R clavicles, runs over the jugular notch of the sternum, and keeps the clavicles in place?
interclavicular ligament
Which ligament joins ribs 1-7 and sternum together and has a modified joint capsule from ribs 2-7 (planar)?
radiate sternocostal ligament
note: its called radiate bc all the fibers turn in different directions “radiate outward”
Is the first rib a synovial joint with the sternum?
NO, its a secondary synchondrosis with hyaline cartilage (primary cartilaginous) joint that remains as cartilage
What joint is found between the sternum and rib 1 at the manubrium?
sternocostal joint
-its a secondary synchondrosis, primary cartilaginous joint
-remains as synchondrosis/hyaline cartilage to allow movement
What joint is a modified planar joint from ribs 2-7 and is amphiarthrotic (slightly moveable)?
sternocostal joint
Is the costochondrial joint primary or secondary cartilaginous?
primary synchondrosis, primary cartilaginous (hyaline, slowly becomes bone)
Which joint unites the sternal end of the rib with the costal cartilage and is synarthrotic (immoveable)?
costochondrial joint
Which joint unites the cartilage of ribs 6 and 7, 7 and 8, 8 and 9, and 9 and 10?
interchondral joint
Which joint is a synovial plane joint with ribs from 6-7, 7-8, and 8-9?
interchondral joint
Which joint is a fibrous joint from ribs 9-10?
interchondral joint
Which joint is synovial and unites facet/demifacets on the head of the rib with facets/demifacets on bodies of adjacent vertebrae at IVD?
costovertebral joint (found from T1-T12)
Which joint is synovial planar and unites the facet on the tubercle of the rib with the facet on the vertebral transverse process?
costotransverse joint
Ribs attach to the transverse process of the same thoracic vertebra at their…
same number/level
ex: rib 1 to TP1, rib 2 to TP2, and this continues down to T10
note: rib 11/12 do not have neck and do not articulate T11/12
Which rib marks the border of the thorax and abdomen?
rib 12
What are the atypical ribs?
ribs 1, 2, 10, 11, and 12
Who do the atypical ribs (ribs 1, 2, 10, 11, and 12) articulate with?
only one vertebra
Which ribs are typical ribs?
3-9
What do the typical ribs (3-9) articulate with?
between the vertebrae (on 2 vertebrae)
Is vertebra T1 typical or atypical?
atypical
Vertebra T1 is an atypical vertebrae. How does it connect to the ribs?
pair of superior costal facets for rib 1
pair of inferior costal demifacets for rib 2
Are vertebrae T2-T8 typical or atypical?
typical
Vertebrae T2-T8 are typical vertebrae. How do they connect to the ribs?
pair of superior and inferior costal demifacets on the bodies for rib 2-8