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Thorax and Abdomen
Introduction
36
Anatomy
Undergraduate 4
02/27/2013

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Term
Thorxam outline
Definition
From case of neck (thoracic inlet) to diaphragm muscle
-protects heart and lungs
-site for attachment of muscles for:
upper limb
back
respiration
Term
abdomen
Definition
-from diaphragm muscle to pelvic inlet
contains major viscera of digestive sstem
-no bondy structure; musculature holds viscera in place
Term
superior thoracic boarder
Definition
thoracic inlet or superior thoracic aperture
-kidney-shaped opening formed by Ti vertebra, qst pair ribs and superior margin of manubrium
--- formed by:
apex of lungs
common carotid artery
internal jugaular vein
subclavian artery and vein
esophagus and trachea
brachial plexus (C8 and T1)
Term
Inferior thoracic boarder
Definition
wide opening formed by T12 vertebra, 12th pair ribs, and costal arch
Term
Anterior thoracic boarder
Definition
sternum, rubs, and costal cartilages
Term
posterior thoracic boarder
Definition
thoracic vertebrae and ribs
Term
Thorax bones
Definition
12 thoracic vertebrae
sternum
12 ribs and thier costal cartialges
Term
sternum
Definition
manubrium- top of sternum
body
xiphoid process- bottom of sternum
jugular notch- notch on top of manubrium
sternal angle- btw manubrium and body
Term
12 ribs and their costal cartilages
Definition
1-7= true ribs
8-10= false fibs
11 nad 12 are floating ribs
the coatal margin and costal arch are the same thing and are the bottom of the ribs inferiorly
Term
ribs
Definition
review ribs for the head/crest of head, neck/crest of nec & tubercle, body/ costal angle & costal groove
Term
thoax joints-2 posterior joints
Definition
costoverterbral and costotransverse
Term
costovertebral- 2 ligaments- joint btw the head of the rib and the body of the vertebrae
Definition
interosseous ligament-attaches the crest of head to vertebrae
radiate (stellate) ligament- radiates around the costovertebral joint
Term
costotransverse- joint btw the transverse process and the tubercle of the same vertebrae/rib (3 ligaments)
Definition
superior CT ligament- attaches superior transverse process to inferior rib
Ct Proper or posterior- attaches neck of ribs to adjacent transverse process via anterior surface
Lateral Ct Lig - btw tip of transverse process to tubercal of rib
Term
costotransverse joint movements
Definition
1-7 slides M-L across joint surface because it attaches to the sternum----> bucket movement
8-10 roll A-> across joint surface
Term
Anterior joints
Definition
2 rib-sternum joints
costochondral- rib:cc
condrosternal (or sternocostal)- cc:sternum
2 intrasternal joints
manubriosternal-symphysis
xiphisternal- synchondrosis
Term
Thoracic wall is coveredf by muscles that belong to upper limb or vertebral colum
Definition
pectoral muscles
serratus anterior
trapezius
latissimus dorsi
erector spinae
Term
thoracic muscles concerned exclusively with respiration
Definition
diaphragm
intercostals
serratus posterior
levator costarum
Term
Intercostal muscles
Definition
external
internal
innermost ( composed of innermost (lateral), transversus thoracis (anterior), subcostals (posterior))
Term
external intercostals
Definition
runs infromedially
mostly posterior
Term
internal intercostals
Definition
runs superomedially
mostly anterior
Term
innermost layer of the intercostals
Definition
composed of:
innermost (lateral)
tranversus thoracis (anterior)
subcostals (posterior)
Term
Serratus posterior
Definition
both an inferior and superior group of muscles
superior elevates ribs and inferior depresses ribs
superior attaches to ribs 3,4,5,6
inferior attaches to ribs 9, 10, 11, 12
Term
levator costarum
Definition
attaches to all ribs
o's at transverus process of the same vertebrae that it inserts onto
elevates ribs
Term
Thorax fascia from superficial to deep
Definition
skin
superficial fascia
deep facia
thoracolumbar fascia
endothoracic fascia
parietal pleura
visceral pleura
Term
superficial fascia in thorax
Definition
breast is part of fascia here
Term
endothoracic fascia
Definition
lines thorax
Term
parietal pleura --> pleural cavity <-- viceral pleura
Definition
pleural cavity is fluid filled and functions to reduce friction
visceral pleura specifically protects the lungs fromt he pleural cavity/lines lungs
Term
suprapleural membrane
Definition
the thickening of endothoracic fascia at the apex of the lungs
--- this can protrude out of the thoracic inlet
Term
Nerve supply of the thorax
Definition
intercostal nerves and subcostal neres
Term
thorax never and blood supply
Definition
nerves and blood vessels run between each pair of ibs and under the last rib in the costal groove in VAN order
Term
Intercostal nerves
Definition
1-5,gives off cutaneous
7-12 after innverating intercostals, then oblique of abdomen, do cutaneous
Term
subcostal nerve
Definition
underneath 12th rib
Term
Arteries of thoax
Definition
1st 2 intercostal spaces:
supreme IC A
superior thoracic A
remaining spaces from paired anterior and posterior sources:
anterior IC
posterior IC (9 of them) and subcostal (1 of it)
Term
Thorax Veins
Definition
Superior Vena cava --> hemiazygous or azygos --> posterior intercostal
Brachiocephalic trunk ---> idk,,,,,, look this up ... what about the inferior vena cava???
Term
Lyphatics
Definition
Axillary- axila- armpit--> drains superficial thorax
Parasternal-->drains deep anterior thorax
Intercostal--> drains deep posteior thorax
Term
VAN
Definition
vein, artery, nerve... this order superior to inferior of the vessels that are tucked into the costal groove
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