Thoracic Wall Flashcards
Function of ribcage
protect vital organs; needs movement to breathe
Level of suprasternal notch
vertebral level T2-T3
Sternal angle (of Louis)
Vertebral level T4-T5
Manubriosternal joint
costal cartilage of 2nd rib
Xiphoid process
Vertebral level of T9-T10
ossifies at about 40 years of age
Sternum
flat bone, levels T5-T9
Root of spine of scapula
vertebral level T4, palpate at spine of T3
Inferior angle of scapula
vertebral level T8, overlies Rib 7 and points to rib 8
Midclavicular line
1/2 way through clavicle
Anterior axillary line
vertical line dropped at lateral border of pectoralis major
Mid-axillary line
vertical line through middle of axillary fossa, down middle of armpit to illiac crest
Posterior axillary line
vertical line dropped at lateral border of latissimus dorsi
Scapular line
vertical line through inferior angle of scapula
Midsternal line
vertical line cuts body in half down sternum
Thoracic Inlet (Superior thoracic aperture) consists of
Body of T1, 1st pair of ribs and cartilages, and superior end of manubrium (suprasternal notch)
Thoracic Outlet syndrome
things get pinched between first rib and clavicle (arteries, nerves, veins)
Thoracic Outlet (inferior thoracic aperture) consists of
Xiphisternal joint, 12th ribs and costochondral junction, closed by thoracic diaphragm
Sternal region of thoracic cavity (median anterior wall) consists of
Sternum (manubrium, body, xiphoid process), Clavicular and chondral attachments to sternum
Costovertebral joint
connects head of rib and vertebral body at and above its level
Costotransverse
Tubercle of rib and transverse process of vertebra - at same level
True Ribs
connected to vertebrae and sternum; 1st to 7th pair
False ribs
Don’t directly attach to sternum; 8th to 12th pair
Floating ribs - 11th & 12th
Rib head
attaches to vertebral body
2 facets - demifacets articulate with vertebral body at level and one above
Rib Tubercle
part of rib that articulates with transverse processes at transverse costal facet