Thorax Lec Flashcards
3 compartments of the thorax
mediastinum (contains heart)
R and L pulmonary cavities
Spinal level of spine of scapula (root) and inferior angle
T3
T7
True, false and floating ribs
true - 1-7
false 8-10
floating 11, 12
Know where the rib tubercle and articular facets are
articular facet is part of the tubercle and its where it articulates with the vertebrae
Describe the articulations of the costovertebral and costotransverse joint
costovertebral - head of rib (crest) with demi facets of vertebral body
costotransverse - transverse process of vertebrae with rib tubercle
rib 7 with vertebrae 6 and 7
Describe the movement of the costotransverse joint in the mid-thoracic vs lower thoracic spine
mid thoracic - rotation
lower thoracic 0 glides
Know the location of the jugular notch and sternal angle
sternal angle - manubriosternal joint
Where are the sternal costal joints
first 7 ribs, synovial
What name change occurs at the first rib?
Subclavian artery and vein to axillary artery and vein
What muscles connects with the diaphragm
Quadratus Lumborum and Psoas Major
Diaphragm innervation
phrenic C3 C4 C5
keep you alive!
Attachments of the diaphragm
xiphoid process
costal margin of the thoracic wall
ribs 11 and 12
posterior abdominal wall ligaments
lumbar vertebrae
inserts on itself via central tendon
What three structures pass through the diaphragm and at what vertebral level?
Which is most posterior?
IVC T8
Esophagus and vagus nerve T10
Aorta and thoracic duct T12
I 8 10 eggs at 12
Posterior to anterior is Aorta, Esophagus, IVC
The sternal angle splits the mediastinum into superior and inferior portions at spinal level ____
T4/T5 disc
i45
What level does the aorta bifurcate into R and L common iliac arteries?
L3/L4
How many intercostal spaces are there? What is in each space?
11
(12 ribs, 1st space starts under 1st rib)
Intercostal vein, artery and nerve
Movement of rubs from lateral view and anterior view
lateral - pendulum (smaller movement)
anterior - bucket handle
review scapulohumeral rhythm
60 from ST joint
120 from GHJ
160 total
dont forget clavicle
Movement of the rib cage changes when breathing is ____
forced
What region is the thoracic spine most mobile? How many DOF does the thoracic spine have?
upper thoracic is most mobile but in general thoracic has all DoF
What aspects of the thoracic spine limits movements?
Long SP limits spinal extension
TP limit side bending
Facets oriented in frontal plane (stop signs) - allow more rotation and side bending over flex/ext
How many intercostal muscles are there and how are they innervated?
3
external, internal and innermost
Intercostal nerve T1-T11, segmentally
Action of external, internal and innermost intercostal muscles
external - draw ribs superiorly to explain rib cage during inhalation
internal - draw ribs inferiorly, decreasing space of thoracic cavity (exhalation)
innermost - assist internal muscles
What is the action/function of serratus posterior (superior and inferior)
forced breathing