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G16 Thoracic Wall
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Published
11/02/2024
Where are costal hemifacets found on thoracic vertebrae? What articulates with them?
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11/02/2024
Where are costal facets found on thoracic vertebrae? What articulates with them?
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Flexion and lateral flexion of the thoracic spine are limited by {{c1::attachments to the rib cage}}
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Thoracic z-joints lie primarily in the {{c1::coronal}} plane, which allows {{c1::rotation}}. Thoracic IV discs are {{c1::relatively thin}} compared to…
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What bones form the thoracic skeleton?
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What does the head of the rib articulate with?
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Where is the tubercle of the rib located? What does it articulate with?
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The body of the rib is the thin, flattened portion. It is most curved at the {{c1::angle}} of the rib. Along the inferior margin of the body is the {{…
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Costochondral junction
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What are the atypical ribs?
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Why is Rib 1 atypical?
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Why are Ribs 10-12 atypical?
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What are the 3 classes of ribs?
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True ribs
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False Ribs
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Floating Ribs
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The sternum consists of what 3 bones?
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Sternal Angle: what is it and where is it located? At what vertebral level?
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Costal notches of the sternum
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What are the two costovertebral joints?
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Joint of the head of the rib forms b/w the {{c1::heads of the ribs}} and {{c1::hemifacets}} on bodies of the same-numbered and superior adjacent thora…
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The {{c1::costotransverse joint}} forms between the rib tubercle and the transverse costal facet of the transverse process of the same-numbered verteb…
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Sternocostal joints are formed b/w the {{c1::medial ends of the costal cartilages 1-7}} and the {{c1::sternum}}
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The first sternocostal joint is a {{c1::synchondrosis}}; joints 2-7 are {{c1::synovial plane}} joints
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Costochondral joints
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Interchondral joints
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Manubriosternal joint
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Xiphisternal joint
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synchondrosis
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Why is the chest wall less flexible and more prone to fracture in older people?
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{{c1::Superior Thoracic Aperture}}- the superior boundary of the thoracic cavity formed by the {{c2::T1 vertebra, first ribs and the manubrium}}- tran…
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What is the Inferior Thoracic Aperture formed by?
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The {{c1::inferior thoracic aperture}} forms the attachments for the muscular {{c2::thoracoabdominal diaphragm}} which separates the thoracic and abdo…
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What are intercostal spaces, and what do they contain?
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11/02/2024
Intercostal spaces are numbered sequentially {{c1::superior}} to {{c1::inferior}} beginning with the first intercostal space between {{c1::ribs 1 and …
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Inferior to rib 12 is the {{c1::subcostal space}}
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What actions do the intercostal muscles cause?
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External intercostal muscles: location, fiber orientation, and action
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Internal intercostal muscles: location, fiber orientation, and action
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Innermost intercostal muscles: location, fiber orientation, and action
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Subcostal muscle: origin, insertion, and action
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Transversus thoracis muscle: origin, insertion, and action
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Intercostal Nerves and Subcostal Nerve are the:
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Describe the pathway that the intercostal nerves follow:
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What are the two main branches of the intercostal nerves, and where do they split?
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After giving rise to their lateral cutaneous branches, the intercostal nn. 7-11 and the subcostal n. {{c1::enter and supply the abdominal wall}}
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Which nerves supply the abdominal wall muscles?
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Intercostal arteries: Each intercostal space is supplied by anastomosing branches from the {{c1::thoracic aorta}} and {{c1::internal thoracic artery}}
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Posterior intercostal aa. enter intercostal spaces {{c1::lateral}} to the {{c1::vertebral column}}. Lateral cutaneous a. branches (off the posterior i…
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What do the posterior intercostal arteries branch from?
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Internal thoracic artery branches from the {{c1::subclavian artery}}
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Internal thoracic artery descends lateral to the {{c1::sternum}} b/w the {{c1::transversus thoracis muscles}} and the anterior thoracic wall
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Anterior intercostal aa. arise directly from the {{c1::internal thoracic a.}} and course posteriorly to anastomose with the corresponding {{c1::poster…
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Anterior perforating branches arise from the internal thoracic artery and emerge {{c1::lateral to the sternum}} and contribute to the vasculature of t…
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11/02/2024
What does the internal thoracic artery do at the 6th costal cartilage?
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Where are the intercostal veins located?
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Venous blood from the thoracic wall drains to the superior vena cava via the {{c1::internal thoracic vein}} and the {{c1::azygos venous system}}
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Why are procedures that require penetration of an intercostal space typically performed along the superior margin of the low rib?
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Describe the three coordinated movements between the thoracic wall and the thoracoabdominal diaphragm that increase intrathoracic dimensions (vol…
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11/02/2024
How does Quiet Inspiration occur?
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11/02/2024
How does Quiet Expiration occur?
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11/02/2024
Which muscles assist in Active (forced) inspiration respiration?
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Which muscles assist in Active (forced) Expiration?
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the axillary lymph nodes are organized into {{c1::5}} groups:{{c1::pectoralsubscapularhumeralcentralapical}}
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the {{c1::pectoral}} lymph nodes are located on the medial wall of the axilla adjacent to the pectoralis minor m. it drains lymph from {{c1::brea…
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the {{c1::subscapular}} nodes lie near the subscapular vesselsthey drain lymph from the {{c1::posterior thoracic wall}} and {{c1::scapular region}}
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the {{c1::humeral}} nodes are located on the lateral wall of the axilla adjacent to the axillary veinthey receive lymph from {{c1::the upper limb}}
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the {{c1::central}} lymph nodes are located deep to the pectoralalis minor m.they collect lymph from the {{c1::humeral}}, {{c1::subscapular}}, and {{c…
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the {{c1::apical}} nodes are located at the apex of the axillareceive lymph from {{c1::the other axillary nodes}} and those accompanying {{c1::cephali…
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{{c1::Bed of the breast}} – on the surface of the pectoral fascia, extends from rib 2-6 and thelateral border of the sternum to the midaxillary line
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Retromammary space – potential space between pectoral fascia and breast tissue allowing {{c1::movement of breast}}
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{{c1::Axillary process}} – extension of mammary gland into the axilla that may enlarge during the menstrual cycle
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{{c1::Suspensory ligaments}} – attachments between the mammary glands and the dermis of the skin
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{{c1::Lactiferous ducts}} – independently drain the lobules of the mammary gland onto the nipple via a lactiferous sinus
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{{c1::Lobules of mammary gland}} – functional portion of gland that contains milk
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the breast receives arterial supply from perforating branches of the {{c1::internal thoracic}}, {{c1::lateral thoracic}}, {{c1::thoraco-acromial}}, an…
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the breasts are innervated by the {{c1::anterior}} & {{c1::lateral}} cutaneous branches of the 4th–6th {{c1::intercostal}} nn
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