Thorax Flashcards

1
Q

Transversus thoracis

A

Posterior surface of the lower sternum

Internal surfaces of costal cartilages 2-6

Intercostal n

Weakly depresses the ribs

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2
Q

Sternocleidomastoid

A

Lateral surface of mastoid process of temporal bone and lateral 1/2 of superior nucal line

Sternal head: anterior surface of manubrium of sternum

Clavicular head: medial 1/3 of clavicle

Spinal accessory n CN XI

Unilaterally tilts the head to the same side, contralateral rotation
Bilateral: extends neck at atlantooccipital joint
Extends superior cervical
Flexes inferior cervical vertebrae
Assists in pump handle movement for deep respiration

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3
Q

Mylohyoid

A

Mylohyoid line of mandible

Mylohyoid raphe and body of hyoid

Nerve to mylohyoid, a branch of inferior alveolar n
CN V3 mandibular n

Elevates hyoid, floor of mouth, tongue during swallowing

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4
Q

Geniohyoid

A

Inferior mental spine of mandible

Body of hyoid

Hypoglossal n (CN XII)

Pulls hyoid anterosuperiorly, shortens floor of mouth, widens pharynx

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5
Q

Stylohyoid

A

Styloid process of temporal bone

Body of hyoid

Stylohyoid branch of facial n (CN VII)

Elevates and retracts hyoid

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6
Q

Digastric

A

Anterior belly: digastric fossa of mandible
Posterior belly: mastoid notch of temporal bone

Intermediate tendon to body and greater horn of hyoid

Ant belly: CN V3
Post belly: CN VII

Elevates hyoid during deglutition, depresses mandible against resistance

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7
Q

Sternohyoid

A

Manubrium and medial end of clavicle

Body of hyoid

Cervical anterior rami

Depresses hyoid after deglutition

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8
Q

Omohyoid

A

Superior border of scapula

Inferior border of hyoid

Cervical anterior rami

Depresses and retracts hyoid
Attaches to intermediate tendon/ sling

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9
Q

Sternothyroid

A

Posterior surface of manubrium

Oblique line of thyroid cartilage

CAR

depresses hyoid and larynx

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10
Q

Thyrohyoid

A

Oblique line of thyroid cartilage

Inferior border of body and greater horn of hyoid

CN XII hypoglossal n

Depresses hyoid and elevates larynx

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11
Q

Scalenes

A

Anterior C3-C6 transverse process
Middle C5-C7 transverse
Attach to the first rib

CAR

Bilateral cervical flexion

Unilateral: ipsilateral cervical sidebending, contralateral rotation

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12
Q

Carotid sheath

A

CVI

Common carotid artery (medial)

Vagus n

Internal jugular vein (lateral)

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13
Q

Psoas mj

A

Transverse processes of lumbar vertebrae- sides of bodies and IVD of T12-S1

Lesser trochanter of the femur

Lumbar plexus anterior branches of n L2-L4

Acting inferiorly with iliacus, flexes thigh

Acting superiorly, flexes vertebral column laterally to balance trunk

When sitting, acts inferiorly w iliacus to flex trunk

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14
Q

Iliacus

A

Superior 2/3 of iliac fossa, ala of sacrum, anterior sacroiliac ligaments

Lesser trochanter of femur, and shaft inferior to it and psoas mj tendon

Femoral n L2-L4

Flexes thigh, stabilizes hip joint, acts w psoas mj

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15
Q

Quadratus lumborum

A

Medial 1/2 of inferior border of 12th rib & tips of lumbar transverse processes

Iliolumbar ligament and internal lip of iliac crest

Anterior branches of T12&L1-L4 n

Extends and laterally flexes vertebral column
Fixes 12th rib during inspiration

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16
Q

External oblique

A

External surfaces of 5th-12th ribs

Linea alba, pubic tubercle, anterior 1/2 of iliac crest

Thoracoabdominal n
Subcostal n

Compress and support abdominal viscera

Flex and rotate trunk

17
Q

Internal oblique

A

Thoracolumbar fascia, anterior 2/3 of iliac crest, connective tissue deep to inguinal ligament

Inferior borders of 10th-12th ribs, linea alba, pubis

Thoracoabdominal n
Subcostal n
First lumbar n

Compress and support abdominal viscera
Flex and rotate trunk

18
Q

Transversus abdominis

A

Internal surfaces of 7th-12th costal cartilages, thoracolumbar fascia, iliac crest, inguinal ligament

Linea alba with aponeurosis of internal oblique, pubic crest, pubis

Thoracoabdominal n
Subcostal n
First lumbar n

Compress and support abdominal viscera

19
Q

Rectus abdominis

A

Pubic symphysis and pubic crest

Xiphoid process and 5th-7th costal cartilages

Thoracoabdominal and subcostal n

Flexes trunk (lumbar vertebrae)
Compresses abdominal viscera 
Stabilizes and controls tilt of pelvis (antilordosis)
20
Q

External intercostal

A

Inferior border of ribs

Superior border of ribs below

Intercostal n

Elevate ribs during forced inspiration

21
Q

Internal intercostal

A

Superior border of ribs

Inferior border of rib above

Intercostal n

Forced respiration, interosseous part depresses ribs, interchondral part elevates ribs

22
Q

Serratus anterior

A

External surfaces of lateral parts of ribs 1-8

Anterior surface of the medial border of the scapula

Long thoracic n

Protracts the scapula and holds it against the thoracic wall

Rotates the scapula superiorly

23
Q

Subclavius

A

Junction of 1st rib and it’s costal cartilage

Interior surface of middle 1/3 of clavicle

N to subclavius

Anchors and depresses clavicle

24
Q

Pectoralis major

A

Clavicular head: anterior surface of medial 1/2 of clavicle

Sternocostal head: anterior surface of sternum, superior 6 costal cartilages, aponeurosis of external oblique

Lateral lip of the intertubercular groove of the humerus
Crest of the greater tubercle

Lateral and medial pectoral n

Adducts and medically rotates the shoulder joint
Draws the scapula anteriorly and inferiorly
Clavicular head flexes shoulder joint and sternocostal extends from a flexed position

25
Diaphragm
Back of the sternum, inside of costal arch, around to the tip of the 12th rib Phrenic n When contracting, whole muscle and central tendon moves down, expanding lungs as causing us to breathe
26
Anterior triangle
Midline of neck anteriorly SCM posteriorly Contains Supra and infrahyoid muscles
27
Posterior triangle
SCM anteriorly Upper trapezius posteriorly Clavicle inferiorly ``` Spinal accessory n Branches of cervical plexus Roots and trunks of racial plexus Phrenic n Subclavian artery Inferior belly of omohyoid All 3 scalenes Levator scapula Splenius cervicis capitus ```
28
Pectoralis minor
3rd-5th ribs near costal cartilages Coracoid process of scapula Medial pectoral n Stabilizes scapula by drawing it inferiorly and anteriorly against thoracic wall Downward rotation of scapula