Thorax and Larynx Flashcards
What are the “typical ribs”
ribs 3-9
What attaches/passes near to rib 1
➔ articulates w/ T1, manubrium ➔ anterior scalene m. (scalene tubercle) ➔ middle scalene m. ➔ subclavian v anterior to: scalene tub., ant. scalene m., subclavian a. (in groove) ➔ posterior: inf. trunk of brachial plexus
what attaches to rib 2
tuberosity for serratus ant. m. articulates w/ sternal angle (where manubrium and body meet)
What are all of the lines of the thorax (7)
- Anterior Medial Line (AML) 2. Midclavicular Line 3. Anterior Axillary Line 4. Midaxillary Line (MAL) 5. Posterior Axillary Line 6. Scapular Lines 7. Posterior Median Line (PML)
What’s special about rib 10?
articulates w/ T10 only
what’s special about rib 11 and 12
That are floating ribs so there are no ant. bony articulations only articulate w/ 1 vertebra no neck/tubercle
what is the Costal Margins (borders)?
a) continuous border formed by costal cartilages ribs 7-10
b) form costal arch (or synonymous with)
c) infrasternal angle (aka subcostal angle) @xiphoid
What are the Demifacet details?
➔ T1: only IDF ➔ T2-T9: SDF articulate w/ corresponding rib ➔ T1- T8: IDF articulate w/ next rib down (T9 doesn’t need inf. facet) ➔ T10-T12: only 1 demifacet ea.
What kind of joint in the sternal angle?
secondary cartilaginous jt fibrocartilaginous disc
what are the boundaries of the superior and inferior thoracic apertures?
- Superior Thoracic Aperture bounded by: T1, 1st ribs, manubrium
- Inferior Thoracic Aperture T12, 11th/12th ribs, costal margins, xiphisternal jt diaphragm
Tell me about Interchondral joints
a) btwn costal cartilages of ribs (6-7), (7-8), (8-9), (9-10) b) (6-7), (7-8), (8-9): synovial planar jts c) (9-10): fibrous
Tell me about the sterncostal joints
1st joint is a primary cartilaginous joint 2-7 synovial plane joint
what are the accessory muscles of respiration
(1) SCM (sternocleidomastoid) (2) Pec. Minor/ Major (3) Serratus Ant. (4) Ant., Mid., Post. Scalene mm. (5) Quadratus Lumborum
what are the primary respiratory muscles?
(1) SPS- Serratus Posterior Superior (Netter 177) (2) SPI- Serratus Posterior Inferior (3) LC- Levatorum Costarum (4) IC- Intercostal mm (Netter 179) (a) external V in front, A in back (b) internal A in front, V in back (c) innermost A in front, V in back (5) TT- Transversus Thoracis (6) SC- Subcostal mm
what are the 3 dermatome landmarks?
a) T4 - Nipple b) T10 - umbilicus c) L1 - inguinal region