Thorax and Breathing Flashcards
work of respiration
- requires muscular effort
- lungs do not contain muscles and therefore cannot move on their own - therefore require assistance
mechanisms of respiration
- the thoracic rib cage acts as a mechanical pump for the lungs
- lungs must stick to the walls of the thoracic cavity
- muscles acting on the ribs and bony thorax drive the pump
breathing apparatus
- pulmonary apparatus - lungs and airways
- chest wall - rib cage wall, abdominal wall, diaphragm and abdominal content
- pulmonary - chest wall unit
the rib cage
- rib cage is connected to thoracic vertebrae - T1 -12 which is important bc twelve ribs attach from those vertebrae
- also costal cartillages, sternum (manubrium, body of the sternum, xiphoid process/ xiphisternum), two clavicles
structures of the rib cage - superior thoracic apeture
- space connecting thoracic cavity to head, neck, and upper limb
- made by border of T1, rib 1 and the manubrium of the sternum
- passes through the space of - carotid arteries, jugular veins, phrenic nerve, vagus nerve, trachea and oesaphagus
structure of rib cage - inferior thoracic opening
- space connecting thoracic cavity to abdominopelvic cavity
- made by costal margin - 12th rib and T12
passes through - oesophagus, descending aorta, vena cava, phrenic nerves
structure of the rib
- twelves pairs of ribs
- ribs elevate and depress - hinged on the posterior vertebral column at costovertebral joints
- 1-10 attatch to the the sternum anteriorly via a costal cartillage
- a typical rib articulates posteriorly w a costal facet on the transverse process of its own thoracic vertebra and the body of the vertebra above
- rib bones articular wuth costal cartilages
- costal cartillages articulate with the sternum (rins 1-10) - directly (1-7) and indirectly (8-10)
costosternal joints
cartiliginous joints, slightly mobile but allow twisting and bending
difference bw costosternal joints and costovertebral joints
- costosternal joints - cartiliginous joints, slightly mobile but allow twisting and bending
different to - costovertebral joints - these are synovial joints which - highly flexible and allow for greater hinging to take place on that posterior side
types of ribs
- ribs 1-7 = -these ribs directly attach from rib to our costal cartillage then to the sternum
- false ribs - connect to sternum hw they join up together
- floating ribs still attach posteriorly to our vertebrae but do not attach to the sternum
rib movements
- costovertebral joints - elevation and depression of ribs occur
- bine shape will remain firm and strong - extends anterior posterior dimension
> true ribs lift up (pump handle movements) - sternum moves anteriorly and increases the anteroposterior volume
> false rib lift upwards ( bucket handle movements) - ribs move superiorly and laterally - increases lateral volume - elevation and depression of all ribs act to expand and depress the rib
muscles of the the thorax: thoracic diaphragm
- lie bw thoracic + abdominal cavities -primary muscle of inspiration
- attaches to the inferior border of the rib cage, xiphoid process, vertebral column and central tendon
- thoracic cavity is an upwardly domed shape = contraction of the muscular diaphragm causes diaphragm to flatten / lower > pulled down within the thoracic cavity
- upward shape to flatten - flattening is for inspiration and increase size of thoracic cavity
innervated by general somatic efferent neurons in phrenic nerve - fron CN 3-5- needed for inspiration to keep us alive
muscles of thorax: intercostal muscle
lie between pairs of adjacent ribs - two main sets of muscles which have been supplied by the intercostal nerves
what are external intercostal muscles used for
inspiration
external intercostal muscles- explain inspiration
- attach from rib below to rib above - R12-1 = 11 pairs
- fibers run in a hand in pocket orientation
- fibers begin near vertebral column and end at angle of rib - fascia
towards sternal aspects - elevate ribs - increase size of thoracic cavity
what are internal intercostal muscles used for?
expiration