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thoracic and anterior abdominal wall
anatomy
41
Medical
Graduate
10/04/2009

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Term
The skeleton of anterior thoracic wall consists of?
Definition
sternum, ribs and their costal cartilages
Term
sternm (breastbone) consists of
Definition
manubrium, body and xiphoid process
Term
the manubrium is anterior to what vertebrae?
Definition
T3-4
Term
what part of the sternum is used to collect bone marrow?
Definition
body
Term
the xiphoid process is at the level of what vertebrae?
Definition
T10
Term
what is the sternal angle
Definition
the manubriosternl joint which is b/n the manubrium and body, it indicates the level of the 2nd costal cartilages.
Term
the sternal angle indicates the level of what IV disc? and is useful in counting what?
Definition
4, ribs
Term
the xiphisternal joint, indicates the level of what?
Definition
diaphragm and therefore inferior limit of the thoracic cavity anteriorly.
Term
how many true ribs are there?
Definition
7 pairs with costal cartilage articulating with the sternum.
Term
How many pairs of false ribs?
Definition
5, ribs 8-10 have costal cartilage the articulate with costal cartilage above.
Term
how many floating ribs?
Definition
2, 11 & 12 end in the musculature of the abdominal wall;
Term
typical ribs, 3-9, have what features?
Definition
head, neck, tubercle, shaft.
Term
what does the head of a typical rib articulate with?
Definition
the bodies of 2 vertebrae and the intervening IV disc.
Term
the facet on of the tubercle of a typical rib is for what?
Definition
articulation with the transevese process of the lower of the 2 vertebrae with which the head articulates.
Term
what is important about the shaft of a typical rib?
Definition
it abruptly changes its curvature and twists at the posteriolateral angle; inferiorly has a costal groove for intercostal vessels & nerves
Term
what are intercostal spaces?
Definition
intervals b/n adjacent ribs
Term
what are the intercostal spaces filled with?
Definition
3 layers of intercostal muscles-external, internal, and intermost and interxostal vessels and nerves.
Term
External intercostal muscle run in what direction? and how is it completed to the sternum?
Definition
obliquely downward and forward. are present i nthe intersoctal space to costochondral junction anteriorly. layer is completed to the sternum by the trnsparent external intercostal membrane.
Term
what are the middle layer of intercostal muscles?
Definition
internal intercostal muscles
Term
how are the internal intercostal muscles oriented?
Definition
perpendicular to the external intercostl muscles, running obliquely superiomedially.
Term
In what direction do the internal intercostal muscles extend to the sterrnum? and what are they visible through?
Definition
extend to the sternum anteriorly and are visable through the external intercostal membranes.
Term
what direction do the innermost intercostal muscles run and what are they considered?
Definition
they have the same fiber orientation as the internal intercostal muscles and are considered the deep part of the internal intercostal muscles.
Term
the innermost intercostal layer are considered discontinuous and membranous areas separate these components, what are the 3 parts?
Definition
laterally- innermost intercostal muscles. posteriorly- subcostal muscles. anteriorly-transversus thoracis muscles.
Term
what separates the internal intercostal layer from the innermost?
Definition
nerves and vessels
Term
what are the functions of the intercostal muscles?
Definition
debated, but at very least they prevent the intercostal spaces from buldging out during expiration (when there is positive/increased intrathoracic pressure) and being sucked inward during insppiration (when there is negative/decreased intra-thoracic pressure) They also maintain the spacing of the ribs
Term
Intercostal nerves are from what spinal nerves?
Definition
anterior rami of spinal nerves T1-11
Term
what do the intercostal nerves supply?
Definition
motor innervation to the intercostal muscles and provide cutaneous innervtion to the anterior and lateral body wall
Term
what spinal nerve is the subcostal nerve from?
Definition
the anterior rami of T12, below the 12th rib.
Term
where do the anterior cutaneous branches of intercostal nerves emerge into superficial fascia?
Definition
just lateral to the sternum
Term
where do the cutaneious branches of intercostal nerves pierce the intercostal and serratus anterior muscles at?
Definition
the midaxillary line.
Term
where is the abdomen and what does it consist of?
Definition
it's the region of the trunk b/n the thorax and pelvis. It consists of a musculr abdominal wall and the vertebral column enclosing a large abdominal cavity.
Term
what is the upper part of the abdominal cavity enclosed by? why?
Definition
due to the dome-shaped diaphragm, convex superiorly, the upper part of the abdominal cavity is enclosed by the lower thoracic skeleton
Term
what is the lower part of the abdominal cavity enclosed by?
Definition
the hip bones.
Term
what is the order of structures in the costal groove of the superior rib from above down?
Definition
(VAN) intercostal vein, artery, nerve
Term
where at the intercostal arteries from posteriorly?
Definition
they are posterior intercostal arteries from the thoracic aorta, except for intercostal spaces 1-2, which come from a branch of the bubclavian artery.
Term
where are the intercostal arteries from anteriorly?
Definition
they are anterior intercostal arteries to intercostal spaces 1-6 from the internal throracic arteries and to spaces 1-10 from the musculophrenic branches of the internal thoracic arteries.
Term
the abdominal cavity is bounded by what?
Definition
inferiorly bounded by the wing of the ilium on each side, and muscles of the anterior abdominal wall attach to the iliac crests laterally and the pubic bones anteriorly.
Term
where is the abdominal wall?
Definition
b/n the rib cage and hip bone.
Term
what is the abdominal wall formed by?
Definition
3 layers of muscle corresponding the those in the intercostal spaces of the thorax.
Term
the most superfical layer of abdominal wall muscles is what?
Definition
external oblique
Term
the external oblique has a flat tendon called what? what's it extend to and help form?
Definition
external oblique aponeurosis extends to the midline and helps to form the anterior layer of the sheath for the rectus abdominus muscles.
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