Thorax (1) Flashcards
Borders of the Thoracic Cage
superiorly: neck Inferiorly: diaphragm Laterally: ribs and intercostal spaces Posteriorly: vertebral column Anteriorly: Sternum and costal cartilage
Functions of the Thoracic Cage
- protect heart and lungs
2. Provide attachment point for muscles of the thorax, upper extremities, abdomen and back
What are the 3 parts of the sternum?
- manubrium
- body
- xiphoid process
What are the two joints/junctions of the sternum
- manubriosternal
2. Xiphisternal
Parts of the vertebrae
spinous process, transverse process, body, facets
True Ribs
Attach directly to sternum, ribs 1-7
False ribs
ribs that attach to sternum via costal cartilage. ribs 8-10
Floating ribs
no connection to sternum or other structures anteriorly. Rib pairs 11 and 12
Parts of the ribs
head, neck, tubercle, angle, shaft, costal groove.
How are ribs named?
after the vertebrae they are attached to
costotransverse joint
Where the smooth articular surface of the tubercle of the rib (transverse costal facet) articulates with the transverse process of the same numbered vertebra
Movements at the costotransverse joints in ribs 1-7
rotate, increasing the anteroposterior diameter of the thorax.
Movements at the costotransverse joints in the 8-10 ribs?
glide, increasing the transverse diameter of the upper abdomen
Joints of ribs 11 and 12
none
costovertebral joint
where the vertebrae and boney part of the rib meet
interchondral joint
between 2 pieces of cartilage
costochondral joint
between cartilage in sternum and bone of rib
sternocostal joint
where the cartilage of the rib meets the sternum
What three muscles of respiration connect the ribs?
external intercostal, internal intercostal, and innermost intercostal
innermost intercostal muscle
lined internally by the endothoracic fascia, which is lined by the parietal pleura.
Intercostal nerves and blood vessels
superior to inferior: Vein, Artery, Nerve.
run between the intermediate and deepest layers of the muscles.
Where do the intercostal vein, artery, and nerve sit?
in the costal groove of the rib, between the innermost and internal intercostal muscles
at what angle do the external and internal intercostal muscles cross each other?
90 degrees
All muscles of the thoracic cage
external intercostal muscles internal intercostal muscles innermost intercostal muscles transverse thoracis subcostales levatores costarum serratus posterior inferior serratus posterior superior
All involved with breathing
innervation and action: external intercostal
innervation: intercostal nerve
Action: elevate ribs
innervation and action: internal intercostal
innervation: intercostal nerve
action: depress ribs
innervation and action: innermost intercostal
innervation: intercostal nerve
action: elevate ribs
innervation and action: transversus thoracis
innervation: intercostal nerve
action: depress ribs
innervation and action: subcostales
innervation: intercostal nerve
action: depress ribs
able to differentiate between this and intercostal muscles because this muscle skips ribs, not attached to each individual rib. well developed only in the lower part of the thorax
innervation and action: Levatores Costarum
innervation: Posterior rami of C8-T11 nerves
action: elevate ribs
innervation and action: Serratus posterior superior
innervation: second to fifth intercostal nerves
action: depress ribs
innervation and action: serratus posterior inferior
innervation: anterior rami of T9-T12 nerves
actions: depress ribs
Blood supply to thoracic wall anteriorly
subclavian artery to internal thoracic artery to intercostal artery or its branch, the musculophrenic artery
Blood supply to thoracic wall posteriorly
intercostal arteries are branches of the aorta. Branches right off of dorsal aorta
Intercostal nerves
anterior rami of spinal nerves T1-T11, the anterior rams of T12 is the subcostal nerve
Venous drainage in the thorax posteriorly
Azygos vein and hemiazygos vein
Venous drainage of the thorax anteriorly
internal thoracic and musulophrenic veins
Muscles of inspiration
diaphragm, intercostal muscles, sternocleidomastoid, anterior/middle/posterior scalenes
Muscles of passive expiration
recoil from lung elasticity
Muscles of active expiration
internal intercostals and abdominal muscles (rectus abdominus, internal oblique, external oblique, and transversus abdominus
Mediastinum
heart cavity
pleural cavities
visceral, parietal
visceral pleura
thin membrane covering the lungs. directly on organ
Parietal pleura
inner surface of the chest wall. Directly on chest wall
parietal pleura divisions
costal, diaphragmatic, mediastinal, and cervical parts
Where do the visceral and parietal linings meet?
root of lung
Where is the inferior reflection of parietal pleura?
8th costochondral junction in the midclavicualr line and at the 10th rib in the midaxiallry line
apex of lungs
at the level of the neck of the 1st rib
Inferior border of the lungs
6th rib in the left midclavicular line and the 8th rib at the lateral aspect of the bony thorax at the midaxillary line
right lung
larger and heavier, shorter and wider. superior, middle, and inferior lobes
left lung
superior and inferior lobes separated by the oblique fissure
Root of the lung
made up of bronchi, pulmonary artery and veins, lymoh vessels, bronchial vessesl, and nerves. Surrounded by a tubular sheath of pleura, which joins the mediastinal parietal pleura to the visceral pleura
Bronchopulmonary segment
contains all of the important structures of piulmonary system, points like a pyramid. anatomical, functional, surgical units of the lungs
Main characteristics of the bronchopulmonary segment
- subdivision of a lung lobe
- pyramid shape, apex toward lung root
- surrounded by CT
- segmental bronchus, segmental artery, lymph vessels, and autonomic nerves
- segmented vein lies in the CT between the adjacent bronchopulmonary segments
- diseased segment can be removes surgically
bronchioles
the smallest bronchi divide and give rise to these. possess no cartilage in their walls and are lined with columnar ciliated epithelium to brush out debris
pulmonary plexus
receives sympathetic contributions from the right and left sympathetic trunks and parasympathetic contributions from the right and left vagus nerve.
trachealis muscle
autonomic, constricts when you cough
bronchodilation and vasoconstriction
sympathetic
bronchoconstriction, vasodilation, and increased glandular secretion
parasympathetic