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Questions and Answers
Which anatomical landmark is considered the midpoint in locating the mammary line?
Which anatomical landmark is considered the midpoint in locating the mammary line?
- The jugular notch
- The suprasternal notch
- The sternal angle
- The midpoint of the clavicle (correct)
What is the primary function of the mammary line in surgical reference?
What is the primary function of the mammary line in surgical reference?
- To mark the location of the sternum
- To provide a reference for surgery in the axillary area (correct)
- To divide the abdomen into quadrants
- To identify the midline of the body
What does the mammary line specifically divide on the chest wall?
What does the mammary line specifically divide on the chest wall?
- The thoracic cavity into upper and lower sections
- The chest wall into two unequal halves (correct)
- The abdominal wall into two equal sections
- The left lung from the right lung
Which structure is referred to as the broadest part of the sternum?
Which structure is referred to as the broadest part of the sternum?
How many notches are present in the manubrium of the sternum?
How many notches are present in the manubrium of the sternum?
What is unique about the 11th and 12th ribs in terms of their anatomical features?
What is unique about the 11th and 12th ribs in terms of their anatomical features?
Which arteries are primarily responsible for supplying the intercostal spaces?
Which arteries are primarily responsible for supplying the intercostal spaces?
During which action does the intercostal space become wider?
During which action does the intercostal space become wider?
What structures pass through the aortic hiatus at T12?
What structures pass through the aortic hiatus at T12?
Which nerve is responsible for innervating the diaphragm?
Which nerve is responsible for innervating the diaphragm?
What is the location of the intercostal neurovascular structure in relation to the subcostalis muscle?
What is the location of the intercostal neurovascular structure in relation to the subcostalis muscle?
Which muscle is the innermost intercostal muscle separated from by intercostal nerves and vessels?
Which muscle is the innermost intercostal muscle separated from by intercostal nerves and vessels?
Which statement about the innermost intercostal muscle is true?
Which statement about the innermost intercostal muscle is true?
What is a characteristic of the innermost intercostal muscle?
What is a characteristic of the innermost intercostal muscle?
How does the innermost intercostal muscle relate to the internal intercostal muscle?
How does the innermost intercostal muscle relate to the internal intercostal muscle?
What structure is likely to be absent if the intercostal vessels are visible in the thoracic cavity?
What structure is likely to be absent if the intercostal vessels are visible in the thoracic cavity?
Where does the sternocostalis muscle originate?
Where does the sternocostalis muscle originate?
What artery supplies the anterior thoracic wall and branches from the internal thoracic artery?
What artery supplies the anterior thoracic wall and branches from the internal thoracic artery?
What happens to the subclavian artery at the seventh rib?
What happens to the subclavian artery at the seventh rib?
What is drained by the anterior intercostal vein?
What is drained by the anterior intercostal vein?
Which muscle is considered the most constant in the inner surface of the anterior thoracic wall?
Which muscle is considered the most constant in the inner surface of the anterior thoracic wall?
Which artery is the first to supply the thoracic wall?
Which artery is the first to supply the thoracic wall?
What structure is covered by the sternocostalis muscle?
What structure is covered by the sternocostalis muscle?
What anatomical landmark lies in the same horizontal plane as the lower border of the body of the second thoracic vertebra (T2)?
What anatomical landmark lies in the same horizontal plane as the lower border of the body of the second thoracic vertebra (T2)?
Which ribs directly connect to the sternum through cartilage?
Which ribs directly connect to the sternum through cartilage?
At which level is the sternal angle corresponding to the second costal cartilage found?
At which level is the sternal angle corresponding to the second costal cartilage found?
Which ribs are referred to as floating ribs?
Which ribs are referred to as floating ribs?
What is the name of the process that is the smallest and diamond-shaped structure at the lower part of the sternum?
What is the name of the process that is the smallest and diamond-shaped structure at the lower part of the sternum?
Which of these ribs are categorized as vertebrochondral ribs?
Which of these ribs are categorized as vertebrochondral ribs?
What distinguishes the true ribs from the false ribs?
What distinguishes the true ribs from the false ribs?
How many sternebrae comprise the body of the sternum?
How many sternebrae comprise the body of the sternum?
Which type of ribs are the longest in the human body?
Which type of ribs are the longest in the human body?
Which region of the body is defined as the area between the neck and the abdomen?
Which region of the body is defined as the area between the neck and the abdomen?
Study Notes
Mammary Line
- Extends from the axilla to the pelvis on both sides
- Divides the chest wall into two unequal halves
- Reference point for surgery in the axillary area
- Midpoint of the clavicle serves as a reference point
Bony Thorax
- Region of the body between the neck and abdomen
- Thorax:
- Jugular notch is in the same horizontal plane as the lower border of the body of the second thoracic vertebra (T2)
- Sternal angle corresponds to the second costal cartilage, is at the level opposite the intervertebral disc between the fourth and fifth thoracic vertebrae, used to count the ribs
Sternum
- Manubrium:
- Broadest part of the sternum
- Three notches:
- Two clavicular notches
- One suprasternal (jugular notch)
- Sternal angle:
- Also known as Angle of Louis or Ludwig
- Point of attachment for the 2nd rib
- Where the manubrium and body of the sternum meet
- Body of the Sternum:
- Consists of four sternebrae
- Xiphoid process:
- Smallest, diamond-shaped part of the sternum
Ribs
- True ribs (Vertebrosternal ribs):
- First 7 pairs of ribs
- Connect directly to the sternum via cartilage
- False ribs (Vertebrochondral):
- 8th-10th ribs
- Cartilages join the cartilage of the 7th rib before attaching to the sternum
- Vertebral ribs:
- 11th and 12th ribs (floating ribs)
- Do not attach to the sternum
Superior Thoracic Aperture
- Foramina:
- Aortic Hiatus (T12):
- Aorta
- Thoracic duct
- Azygos vein
- Esophageal Hiatus (T10):
- Right and Left vagus nerves
- Esophageal branches of the left gastric artery
- Inferior Vena Cava Hiatus (T8):
- IVC
- Right phrenic nerve
- Lymphatic vessel
- Aortic Hiatus (T12):
Typical Ribs
- Upper 9 intercostal spaces are closed by costal cartilage
- Widest intercostal space is in the 3rd intercostal area
- Intercostal space is wider during inspiration
Intercostal Spaces
- External Intercostal Muscle:
- Located superficial to the subcostalis muscle
- Attaches to the thoracic vertebra
- Innermost Intercostal Muscle:
- Passes from ribs to ribs
- Separated from the internal intercostal muscle by the intercostal nerve and vessels
- May be incomplete or absent in some people
Transverse Thoracic Muscle
- Located on the inner surface of the anterior thoracic wall
- Arises from the sternum and inserts at the rib above it
- 7th rib is the longest rib
Blood Vessels
- Anterior Intercostal Arteries:
- First artery supplying the thoracic wall
- Branches of the internal thoracic artery, which is a branch of the subclavian artery
- Posterior Intercostal Arteries:
- Second artery supplying the thoracic wall
Venous Drainage
- Posterior Intercostal Vein:
- Drains to the anterior intercostal vein, which drains to the internal thoracic vein or the upper 6th anterior intercostal vein.
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Description
This quiz covers important anatomical features of the thorax, including the mammary line, bony structure, and sternum details. It focuses on reference points used in surgeries and anatomical landmarks essential for understanding human anatomy. Test your knowledge on these critical components!
