thorax Flashcards

1
Q

thoracic cage

A

bony framework of the chest

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2
Q

structure of the thoracic cage

A

thoracic vertebrae posteriorly (12), ribs laterally, sternum, and costal cartilages anteriorly

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3
Q

function of the thoracic cage

A

a bony cage that protects the thoracic viscera, supports the shoulder girdle and upper limb, provides attachments for upper limb muscles
-houses the intercostal muscles that elevate and depress the thorax during respiration

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4
Q

thorax key elemtns

A

-barrel shape
-somite development
-vasculature and innervation

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5
Q

axial skeleton

A

forms the long axis of the body
supports the head, neck, and trunk, protects the brain, spinal cord and thoracic regions

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6
Q

axial skeleton 3 main regions

A

skull
vertebral column
and thoracic cage

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7
Q

what are the vertebral regions (5 regions)

A

-cervical: 7 vertebrae of the trunk
-thoracic: 12 vertebrae of thorax
-lumbar: 5 vertebrae of lower back
-sacrum: 5 fused vertebral segments; articulate with hip bones
-coccyx: 4 fused segments

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8
Q

vertebrae
-vertebral body

A

hold weight

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9
Q

vertebrae
-vertebral arch

A

(dorsal); muscle and ligament attachment

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10
Q

vertebrae
-vertebral foramen

A

location of the spinal cord

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11
Q

vertebrae
pedicle and lamina:

A

bony rami; connect processes to vertebral body

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12
Q

vertebrae
spinus process and transverse process (2 transverse)

A

allow connections to other vertebra and muscles

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13
Q

vertebrae
intervertebral foramen

A

where spinal nerve rami exit

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14
Q

sternum

A

anteriorly located
-has 3 sections: manubrium, body, xiphoid processd

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15
Q

sternum:
manubrium

A

superior section
-articulates with the medial ends of the clavicles and ribs 1 and 2

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16
Q

sternum
body

A

middle portion
sides are notched at articulations for the costal cartilages of ribs 2-7

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17
Q

sternum
xiphoid process

A

inferior end of sternum
plate of hyaline cartilage
fully ossifies around age 40

18
Q

three anatomical landmarks of sternum

A

-jugular notch: suprasternal notch, location of jugular veins
-sternal angle: lies anterior to arch of aorta, marks the start and end of aortic arch. anterior to corina (bifurcation of trachea). corresponds to IV disc between T4 and T5 vertebra, marks inferior boundary of superior mediastinum- gives volume
-xiphisternal joint: deep to this joint, heart lines on the diaphragm.

19
Q

how many ribs are present

A

24 total, 12 pairs on each side

20
Q

true ribs

A

superior 7 pairs; attach directly to the sternum by coastal cartilage

21
Q

floating ribs

A

inferior 5 pairs (8-12); attach to the sternum either indirectly or not at all

22
Q

floating ribs

A

ribs 11-12; have no anterior attachments, embedded in the muscles of the lateral body wall

23
Q

head of rib

A

articulates with the vertebral bodies by two facets

24
Q

tubercule

A

articulates with the transverse process of the thoracic vertebra of the same number

25
Q

shaft

A

bulk of the rib

26
Q

costal groove

A

located on the inferior border, houses the intercostal nerve and vessels

27
Q

synovial joints with ribs

A

there are two synovial joints at each rib articulation, gives ability to elevate and depress ribs

28
Q

intercostal space

A

separate ribs and are occupied by muscles, vessels, and nerves

29
Q

thoracic apertures

A

openings
thoracic inlet and thoracic outlet

30
Q

thoracic inlet

A

passage of trachea, esophagus vessels, and nerves. thoracic cavity communicates with the neck and upper limb.
-narrow, provides major blood supply to the head and limb (superior)

31
Q

boundaries of thoracic inlet

A

-posterior: T1 vertebra
-lateral: 1st ribs and costal cartilages
-anterior: superior border of manubrium

32
Q

thoracic outlet

A

more spacious than thoracic inlet; allows passage of IVC , esophagus and aorta, inferior and wider. diaphragm is located within

33
Q

boundaries of thoracic outlet

A

-posterior: T12 vertebra
-lateral: 11th and 12th ribs and cartilages, costal margin
-anterior: xiphersternal joint

34
Q

intercostal space

A

separate the ribs, remnants of somites.
-occupied by muscles blood vessels and nerves. they travel in the costal groove on the inferior surface of a rib, between the internal and innermost intercostal muscles

35
Q

innervation of thoracic body wall

A

ventral rami (intercostal nerves); innervate lateral ato anterior

36
Q

arterial supply of the thoracic body wall

A

carry oxygenated blood to the body, wrap around from the dorsal side to the anterioir side
1. anteriorly via the internal thoracic and anterior intercostal arteries off the subclavian arteries
2. subclavian artery
3. posterior intercostal and subcostal arteries via the thoracic aorta

37
Q

-inferior vena cava:

A

offset to the right side of the thorax, drains into the right side of the heart. on thh back wall

38
Q

right side venous drainage of thorax

A

-intercostal veins drain into the azygos vein which joins the superior vena cava

39
Q

left side venous drainage of the thorax

A

intercostal vein drain into the accessory hemiazygos and hemiazygos veins that drain into the azygous vein which drains into the SVC
-hemiazygos veins cross over vertebral body, underneath the aorta to reach azygous veins

40
Q

nerves of the thorax

A

12 pairs of thoracic spinal nerves
-anterior rami of T1-T11L form intercostal nerves on right and left sides
-anterior rami of T12 nerves: subcostal nerves
posterior rami of thoracic spinal nerves: supply the bones, joints, deep back muscles, and skin of the back and thoracic region

41
Q

diaphragm

A

the most important muscle of respiration
-flattens as it contracts, increases the volume of thoracic cavity
-runs in a transverse direction

42
Q
A