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Thorax
Thorax
72
Medical
Graduate
08/31/2010

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Term
What vertebrae does the dome of the diaphragm extend to?
Definition
T7
Term
superior thoracic aperture
Definition
AKA Thoracic inlet

superior opening of the thoracic cage. Bordered post. by vertebra T1, laterally by 1st pair of ribs and their costal cartilages, and ant. by the superior border of the manubrium.

Allows communication between the thoracic cavity and the neck, head, and upper extremities.
Term
Inferior thoracic aperture
Definition
AKA thoracic outlet

Bordered by T12 (post.), ribs 11 and 12 (posterolaterally), costal cartilages of ribs 7-10 (laterally, forms costal margin), and the xiphisternal joint (ant. - between sternum and xyphoid process).
Term
Costal arch
Definition
AKA Costal margins

costal cartilage of ribs 7-10.
Term
Infrasternal angle
Definition
angle between the merger of the two costal arches at the xyphisternal joint.
Term
Mediastinum
Definition
In middle of thoracic cavity between the vertebral column (post) to sternum (ant).

Two parts: superior mediastinum and inferior mediastinum
Term
Superior mediastinum
Definition
above the heart and sternal angle.
Term
Inferior mediastinum
Definition
Below the sternal angle to the bottom of diaphragm.

Three parts: anterior, middle, and posterior mediastinum.
Term
Anterior mediastinum
Definition
between pericardium and sternum
Term
Middle mediastinum
Definition
heart, pericardium, and phrenic leash.
Term
Posterior mediastinum
Definition
Between pericardium and vertebral column. Occupied by esophagus, descending aorta, body wall veins, thoracic duct, and vagus nerves.
Term
# of ribs
Definition
12 pairs
Term
True ribs
Definition
Ribs 1-7. AKA costae verae. Connect to sternum either directly or through its own costal cartilage.
Term
False ribs
Definition
AKA costae spuriae. Ribs 8-10. Attach to costal arch (or margin).
Term
Floating ribs
Definition
Ribs 11-12. Costal cartilages of these ribs do not attach to the sternum at all.
Term
Rib head
Definition
AKA caput. 2 facets. Articulates with the same level vertebrae.
Term
Rib crest
Definition
Rib bone between the two facets of the head of the rib. Articulates with the intervertebral disc.
Term
Rib neck
Definition
Between the rib head and the tubercle.
Term
Costal tubercle
Definition
Just distal to rib neck. Smooth part has articular surface for transverse process of the vertebra while the lateral portion is for atriculation with the costotransverse ligament.
Term
Costal angle
Definition
Lateral limit of erector spinae mm. Anterolateral turn of ribs.
Term
Costal sulcus
Definition
groove on lower inner margin for intercostal n. and posterior intercostal vessels. AKA costal groove.
Term
Anterior Antebrachium muscles that originate below the medial eqicondyle
Definition
FDP and PQ
Term
Posterior Antebrachium that attach above or below the lateral epicondyle.
Definition
Above: BR, ECRL
Below: EI, EPL, APL, EPB
Term
1st rib. What it attaches to (and with what). Another name for it. What is the scalene tubercle?
Definition
Single capital facet attaches to the body of T1 (but not C7). AKA costa prima. Scalene tubercle is attachment site for anterior scalene muscle and separates sulcus for the subclavian v and a.
Term
2nd rib. Another name and its distinguishing feature.
Definition
Costa secunda. Distinguished by tuberosity for serratus anterior muscle.
Term
Where do ribs 10-12 articulate to the vertebrae?
Definition
Each rib articulates to one vertebrae at the pedicle.
Term
Distinguishing feature of ribs 11 and 12.
Definition
short. w/o neck or tubercle.
Term
Costal cartilage. How does the size of the costal cartilage change along the rib cage? What type of joints are the interchondral joints of ribs 6-9?
Definition
CC increases in length from rib 1-7, then decreases. The interchondral joints (joints between costal cartilage and the costal margin) are plain synovial joints.
Term
What is an intercostal space? How many are there on each side? Where is the intercostal space the widest? narrowest? When can the size of the intercostal space vary?
Definition
Space between consecutive ribs. 11 on each side. Widest anterolaterally, narrowest where the costal cartilages attach to the sternum or costal margin. Widen with inspiration.
Term
manubrium
Definition
trapezoidal bone of the sternum, most superior component of the sternum.
Term
jugular notch. Another name and location.
Definition
AKA suprasternal notch. notch in superior surface of manubrium. anterior to jugular venous arch and trachea.
Term
clavicular notches
Definition
immediately lateral to the jugular notch. where the clavicle attaches.
Term
Sternal angle
Definition
AKA angle of Louis. Angle made by the joining of the manubrium and the body of the sternum (manubriosternal synchondrosis). At T4-5 level. Atriculates with the costa secundum.
Term
Body of sternum
Definition
formed from 4 sternebrae. lateral border for costal notches.
Term
xiphoid process
Definition
at T10 level. serves as the costal notch for the seventh rib. xiphisternal joint indicates inferior limit of mediastinum.
Term
sternal foramen
Definition
incomplete fusion of the fetal sternal plates.
Term
which way do the ribs move to increase the intrathoracic volume?
Definition
up
Term
What vertebral level is fixed during breathing.
Definition
T7
Term
At what angle do you have the highest intrathoracic volume?
Definition
90 degrees
Term
three levels of costal muscles. what is their main function (what happens when they contract?)
Definition
external intercostal mm, internal intercostal mm, innermost intercostal mm.
Term
subcostal mm
Definition
similar to internal intercostal mm, but pass over 1 or 2 ribs.
Term
transversus thoracis mm
Definition
inner anterior chest wall; pins down internal thoracic vessels to chest wall.
Term
levator costarum mm
Definition
deep to long back muscles (on post. surface). elevates ribs.
Term
pectoralis fascia
Definition
fascia covering the pec major mm; also forms bed of the breast.
Term
clavipectoral fascia
Definition
goes from clavicle and covers pec minor; in between pec major and minor.
Term
endothoracic fascia
Definition
lines the internal surface of the thoracic cage.
Term
intercostal nerve
Definition
comes off anterior rami of spinal nerves. Runs along intercostal sulcus between ribs. At mid axial line, branches off into a lateral cutaneous branch and an anterior cutaneous branch. T1-T11.
Term
Collateral branch
Definition
branch off the intercostal n. branches off in intercostal sulcus to run along the superior border of the lower rib. Supplies intercostal muscles and parietal pleura.
Term
lateral cutaneous branch
Definition
branch off the intercostal n at the mid axillary line. Pierces internal and external intercostal muscles; divides into anterior and posterior branches. Supplies skin of lateral thoracic and abdominal walls.
Term
anterior cutaneous branch
Definition
branch of the intercostal n. at the mid axillary line. pierces the muscles and membranes of the intercostal space just lateral to the sternum. breaks into the medial and lateral branches. Supply skin on the anterior aspect of the thorax and abdomen.
Term
muscular branch
Definition
branch of the intercoastal n. feeds the intercostal, subcostal, etc. muscles.
Term
For what intercostal nn is the normal scheme appropriate?
Definition
Intercostal nn 3-6
Term
Distinguishing features of intercostal n 1
Definition
courses on the internal surface of the first rib instead of along the inferior margin in the costal grooves.

has no lateral or anterior cutaneous branches.
Term
Distinguishing features of intercostal n 2
Definition
course on internal surface of the second rib instead of along the inferior margin in costal grooves.

gives off large lateral cutaneous branch, the intercostobrachial nerve. this nerve enters the axilla and arm. supplies the skin and subcutaneous tissue of axilla. Communicates with the medial brachial cutaneous nerve.
Term
Distinguishing feature of intercostal n 3
Definition
can give rise to large lateral cutaneous branch called intercostobrachial nerve (like 2nd)
Term
Distinguishing feature of intercostal nn 7-11
Definition
after giving rise to the lateral cutaneous branch, crosses costal margin posteriorly to supply abdominal skin and muscles. Now called thoracoabdominal nn.
Term
thoracoabdominal nn
Definition
branches of the intercostal nn 7-11 after at the mid axillary line. supplies the abdominal skin and muscles. called by this name after it crosses the costal margin.
Term
the intercostal nerve below rib 11
Definition
subcostal nerve
Term
Sources of blood supply in 3rd - 6th intercostal spaces
Definition
aorta (post) and internal thoracic artery (ant)
Term
Sources of blood supply to 1st and 2nd intercostal spaces
Definition
supreme intercostal artery (post) and internal thoracic artery (ant)
Term
Sources of blood supply for 7th - 9th intercostal spaces
Definition
aorta (post) and musculophrenic artery (ant)
Term
Sources of blood supply for 9th - 11th intercostal spaces
Definition
aorta (post). no anterior blood supply.
Term
posterior intercostal aa.
Definition
comes off aorta or supreme intercostal artery, depending on the intercostal space. supplies the posterior and lateral surfaces and muscles. has a dorsal branch as well as one that runs along the interior intercostal space.

only source of blood supply to 9th - 11th intercostal spaces.
Term
collateral branch of posterior intercostal aa
Definition
runs on the superior border of the lower rib of the intercostal space and supplies that rib.
Term
lateral cutaneous branch (a)
Definition
branch off posterior intercostal a. supplies the skin and subcutaneous tissue on the lateral surfaces of the intercostal spaces.
Term
anterior intercostal a
Definition
branch of the internal thoracic or musculophrenic a, depending on which intercostal space. Supplies blood to the internal side of the anterior intercostal space.
Term
perforating cutaneous branches (a)
Definition
branch off internal thoracic or musculophrenic, depending on which intercostal space. supplies the skin and subcutaneous tissue of the anterior intercostal surface.
Term
nerves that innervate the diaphragm
Definition
C3,4,5 keeps the diaphragm alive!
Term
three parts of the diaphragm and what they connect to
Definition
sternal part (connects to xiphoid process)

costal part (attaches to ribs or costal cartilage 7-12)

lumbar part (attaches to L1-3)
Term
level of the aortic hiatus of the diaphragm
Definition
T12
Term
level of the esophageal hiatus of the diaphragm
Definition
T10
Term
level of the foramen for the inferior vena cava of the diaphragm
Definition
T8
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