Thoracic Wall Flashcards

1
Q

Why is the thoracic cavity smaller than the external aspect of the chest?

A

Because the thoracic diaphragm (floor of the thoracic cavity) is invaginated inferiorly by the vicera of the abdominal cavity, the thoracic wall protect more abdominal vicera than thoracic viscera.

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2
Q

Curved, flat bones that form most of the thoracic cage [Identify]

A

Ribs

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3
Q

How many pairs of ribs make up the thoracic cage?

A

12

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4
Q

What are three types of ribs, based on their attachment?

A

True (vertebrocostal), False (vertebrocondral), Floating (vertebral , free)

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5
Q

What are the two types of ribs based on rib anatomy?

A

Typical, atypical

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6
Q

Which ribs are vertebrocostal?

A

1st to 7th

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7
Q

Where do true ribs attach?

A

Vertebra, posteriorly,

Sternum anteriorly through their costal cartilage

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8
Q

Which ribs are vertebrochondral?

A

8, 9, and usually 10

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9
Q

Where do false ribs attach?

A

Vertebra, posteriorly,

Costal cartilage of rib superior to them, anteriorly

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10
Q

Which ribs are free?

A

11, 12, and sometimes 10

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11
Q

Where do floating ribs attach?

A

Vertebra, posteriorly

End in posterior abdominal musculature

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12
Q

Which ribs are typical?

A

3rd to 9th

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13
Q

The head of a typical rib has two facets for attachment to where?

A

One attaches to corresponding vertebra, the other for vertebra superior to it

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14
Q

Fourth rib’s head facets attaches to T5 and T4. True or false? If false, explain.

A

False.

It attaches to the corresponding vertebra, T4, and to vertebra superior to it, T3.

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15
Q

The neck of the rib connects its head and body. True or false? If false, explain.

A

True

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16
Q

A typical rib has a tubercle with two parts at the junction of the neck and body. Where do these attach?

A

The articular tubercle attaches to the transverse process of of the vertebra,
the non-articular part to the costotransverse ligament.

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17
Q

What is the costal angle?

A

The part where the ribs turn anterolaterally

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18
Q

The body of a typical rib has a costal groove on the internal surface for which structures?

A

Intercostal nerve and vessels

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19
Q

Which are atypical ribs?

A

1st, 2nd, 11th, 12th

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20
Q

The broadest, shortest, most shaply curved rib [Identify]

A

1st

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21
Q

Why does the first rib have only one facet on its head?

A

It only needs facet for attachment to corresponding vertebra, since there’s no vertebra superior to it

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22
Q

Which muscle attaches to the scalene tubercle of the first rib?

A

Anterior scalene muscle

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23
Q

Which is the main atypical feature of the second rib?

A

Tuberosity for serratus anterior

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24
Q

Which ribs have only one facet on their head?

A

1st, 10th to 12th

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25
Q

Which ribs have no neck?

A

11th, 12th

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26
Q

Which ribs attach only to one vertebra?

A

1st, 10th to 12th

27
Q

Which costal cartilages make up the costal margin?

A

8th to 10th

28
Q

How are intercostal spaces named?

A

They are named after the the rib at their superior border.

29
Q

The intercostal space between the 7th and 8th rib is called what?

A

7th intercostal space

30
Q

Between which ribs is the 10th intercostal space?

A

10th and 11th

31
Q

How many intercostal spaces are there?

A

11

32
Q

What is the space below the 12th rib called?

A

Subcostal space

33
Q

The intercostal spaces widen with inspiration. True or false? If false, explain.

A

True

34
Q

What is the nerve of the 12th vertebra called?

A

Subcostal nerve

35
Q

How many pairs of thoracic spinal nerves are there?

A

12 pairs

36
Q

How many intercostal nerves are there?

A

11

37
Q

Branch of thoracic spinal nerve that gives rise to the intercostal nerves [Identify]

A

Anterior rami of the thoracic spinal nerves

38
Q

Two classifications of intercostal nerves [Identify]

A

Typical and atypical intercostal nerves

39
Q

Two first divisions of T1 [Identify]

A

1st intercostal nerve and contribution to brachial plexus

40
Q

The first intercostal nerve does not give an anterior cutaneous branch. True or false? If false, explain.

A

True

41
Q

Atypical intercostal nerves [Identify]

A

1st, 2nd, (sometimes 3rd), 7th-11th

42
Q

Typical intercostal nerves [Identify]

A

3rd to 6th

43
Q

Instead of running along the inferior margin in the costal grooves, the 1st and 2nd intercostal nerves pass where?

A

Internal surface of ribs

44
Q

What forms the intercostobrachial nerve?

A

Lateral cutaneous branch of the 2nd intercostal nerve

45
Q

Structure the intercostobrachial nerve inntervates [Identify]

A

Skin and subcutaneous layer of thoracic wall

46
Q

The intercostobrachial nerve, with which nerve, innervates the medial and posterior portion of the arm?

A

Medial brachial cutaneous nerve

47
Q

The 7th to 11th intercostal nerves form which innervation of the thorax and abdomen?

A

Thoracoabdominal nerves

48
Q

Branch that connects the intercostal nerves to its ipsilateral sympathetic trunk

A

Rami communicantes

49
Q

What does the white rami communicantes connect?

A

Anterior ramus of the intercostal nerve to the ipsilateral sympathetic trunk

50
Q

What does the gray rami communicantes connect?

A

Sympathetic trunk to anterior ramus of the intercostal nerve

51
Q

White rami communicantes are postsynaptic fibers. True or false? If false, explain.

A

False.

They are presynaptic fibers.

52
Q

Gray rami communicantes are presynaptic fibers. True or false? If false, explain.

A

True.

They are postsynaptic fibers.

53
Q

Branches of a typical intercostal nerve [Identify]

A

Rami communicantes, collateral branches, anterior cutaneous branches, lateral cutaneous branches, muscular branches

54
Q

Branches of the lateral cutaneous branch of the intercostal nerve

A

Anterior branch, posterior branch

55
Q

Branches of the anterior cutaneous branch of the intercostal nerve

A

Medial branch, lateral branch

56
Q

Lateral cutaneous branch arises near the mid axillary line. True or false? If false, explain.

A

True

57
Q

At the angle of the ribs, the typical intercostal nerve runs between the external intercostal and inner intercostal muscles. True or false? If false, explain.

A

False.

It runs between the inner intercostal and innermost intercostal muscles.

58
Q

The intercostal nerve lies inferior to the intercostal artery which lies inferior to the intercostal vein. True or false? If false, explain.

A

True

59
Q

At the angle of the ribs, the typical intercostal nerve branches into which two?

A

Lateral cutaneous branch, anterior cutaneous branch

60
Q

The muscular branches supply the intercostal nerve, subcostal transverse thoracis, levatores costarum, and serratus anterior muscles. True or false? If false, explain.

A

False.

They supply the serratus posterior instead of the serratus anterior muscle.

61
Q

What does the lateral cutaneous branch of the intercostal nerve innervate?

A

Skin on the lateral thoracic and abdominal wall

62
Q

What does the anterior cutaneous branch of the intercostal nerve innervate?

A

Skin on the anterior aspect of thoracis and abdominal walls

63
Q

Branches of the intercostal nerve that descend to course along superior margin of lower rib [Identify]

A

Collateral branches

64
Q

The collateral branches of the intercostal nerve help supply which structures?

A

The intercostal muscles, parietal pleura