The Bony Thorax: Sternum, Clavicle and Ribs
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Questions and Answers

What does the bony thorax protect?

The heart and lungs

What is another name for the jugular notch?

  • Xiphoid process
  • Suprasternal notch (correct)
  • Clavicle
  • Manubrium

The xiphoid process is a large, upper projection of the sternum.

False (B)

Which bone connects the sternum to the scapula?

<p>Clavicle</p> Signup and view all the answers

Which ribs are directly attached to the sternum from each side?

<p>True ribs (1-7)</p> Signup and view all the answers

Which ribs have no anterior attachment and are vulnerable to fractures?

<p>Floating ribs (11-12)</p> Signup and view all the answers

Thoracic spine vertebrae do not have attachment points for rib connection.

<p>False (B)</p> Signup and view all the answers

What are the three functions of the chest muscles?

<p>Breathing, movement, and protection</p> Signup and view all the answers

What is the function of the pectoralis major?

<p>Responsible for arm adduction, flexion, and medial rotation</p> Signup and view all the answers

Which intercostal muscles aid in inspiration?

<p>External intercostals</p> Signup and view all the answers

Which intercostal muscles aid in forced expiration?

<p>Internal intercostals</p> Signup and view all the answers

What is the primary muscle of respiration?

<p>Diaphragm</p> Signup and view all the answers

Which nerve innervates the diaphragm?

<p>Phrenic nerve (C3-C5)</p> Signup and view all the answers

What action does contraction of the diaphragm cause?

<p>Inspiration</p> Signup and view all the answers

What action does relaxation of the diaphragm cause?

<p>Expiration</p> Signup and view all the answers

Which muscle protracts the scapula and aids in forced breathing?

<p>Serratus anterior</p> Signup and view all the answers

Which muscles elevate the first two ribs during inspiration?

<p>Scalene muscles</p> Signup and view all the answers

Which muscle raises the sternum in deep breathing?

<p>Sternocleidomastoid</p> Signup and view all the answers

What does the thoracic cavity house?

<p>Lungs, heart, major vessels, and lymphatic structures</p> Signup and view all the answers

Which pleura covers the lungs?

<p>Visceral pleura</p> Signup and view all the answers

Which pleura lines the chest wall?

<p>Parietal pleura</p> Signup and view all the answers

What is the space between pleural layers containing pleural fluid called?

<p>Pleural cavity</p> Signup and view all the answers

What is the term for excess fluid in the pleural cavity?

<p>Pleural effusion</p> Signup and view all the answers

Which nerve controls the diaphragm?

<p>Phrenic nerve (C3-C5)</p> Signup and view all the answers

Which nerve provides parasympathetic control of the heart, lungs, and digestive tract?

<p>Vagus nerve (CN X)</p> Signup and view all the answers

Which nerves provide sensory and motor supply to the chest wall?

<p>Intercostal nerves (T1-T11)</p> Signup and view all the answers

Which nerve mediates the fight-or-flight response?

<p>Sympathetic trunk</p> Signup and view all the answers

Which duct drains lymph from most of the body into the left subclavian vein?

<p>Thoracic duct</p> Signup and view all the answers

Which duct drains the right upper body?

<p>Right lymphatic duct</p> Signup and view all the answers

Which lymph nodes drain the lungs?

<p>Hilar lymph nodes</p> Signup and view all the answers

Which lymph nodes drain the thoracic organs?

<p>Mediastinal lymph nodes</p> Signup and view all the answers

Name two boarders of the breast location.

<p>Anterior to pectoralis major and minor, Extends from ribs 2-6, Lies between the sternum and midaxillary line</p> Signup and view all the answers

What are the structural components of the breast?

<p>Mammary gland, nipple, areola (pigmented area)</p> Signup and view all the answers

Where does lymphatic drainage from the breast primarily occur?

<p>Axillary lymph nodes</p> Signup and view all the answers

Flashcards

Manubrium

The upper part of the sternum, which articulates with the clavicles and first two ribs.

Sternum Body

The central portion of the sternum, connecting to ribs 2-7 via costal cartilage.

Xiphoid Process

Small, lower projection of the sternum; an important landmark for CPR.

Clavicle (Collarbone)

Connects the sternum to the scapula.

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True Ribs

Ribs 1-7, directly attached to the sternum.

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False Ribs

Ribs 8-10, indirectly attached to the sternum via cartilage.

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Floating Ribs

Ribs 11-12, with no anterior attachment.

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Thoracic Spine

Vertebrae in the thoracic region that have attachment points for ribs.

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Pectoralis Major

Responsible for arm adduction, flexion, and medial rotation.

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Pectoralis Minor

Muscle that stabilizes the scapula.

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External Intercostals

Aid in inspiration by elevating the ribs.

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Internal Intercostals

Aid in forced expiration by depressing the ribs.

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Diaphragm

Primary muscle of respiration; innervated by the phrenic nerve (C3-C5).

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Serratus Anterior

Protracts the scapula; aids in forced breathing.

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Scalene Muscles

Elevate the first two ribs during forceful inspiration

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Sternocleidomastoid

Raises the sternum in deep breathing.

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Visceral Pleura

Covers the lungs.

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Parietal Pleura

Lines the chest wall.

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Pleural Cavity

Space between pleural layers containing pleural fluid.

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Phrenic Nerve

Controls the diaphragm.

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Vagus Nerve (CN X)

Parasympathetic control of heart, lungs, digestive tract.

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Intercostal Nerves

Sensory & motor supply to chest wall.

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Thoracic Duct

Drains lymph from most of the body into the left subclavian vein.

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Right Lymphatic Duct

Drains the right upper body.

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Hilar Lymph Nodes

Drain the lungs.

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Mediastinal Lymph Nodes

Drain the thoracic organs.

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Axillary Lymph Nodes

Most important for breast cancer spread (75%).

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Pleural Effusion

Excess fluid in the pleural cavity.

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Visceral Pleura

Covers the lungs.

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Sympathetic Trunk

Fight-or-flight response.

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Study Notes

  • The bony thorax protects the heart and lungs and serves as an attachment point for thoracic muscles.

Sternum (Breastbone)

  • The manubrium is the upper part, which articulates with the clavicles and the first two ribs, and features the jugular (suprasternal) notch.
  • The body is the central portion, connecting to ribs 2-7 via costal cartilage.
  • The xiphoid process is a small, lower projection and an important landmark for CPR.

Clavicle (Collarbone)

  • Connects the sternum to the scapula
  • Fractures are common, especially in falls.

Ribs

  • True ribs (1-7) are directly attached to the sternum from each side.
  • False ribs (8-10) are indirectly attached to the sternum via cartilage from each side.
  • Floating ribs (11-12) have no anterior attachment and are vulnerable to fractures.

Thoracic Spine Vertebrae (T1-T12)

  • Have attachment points for rib connection
  • They provide support for the thoracic cavity.

Muscles of the Chest Wall

  • Chest muscles are involved in breathing, movement, and protection.

Pectoral Muscles

  • Pectoralis major: Responsible for arm adduction, flexion, and medial rotation.
  • Pectoralis minor: Stabilizes the scapula.

Intercostal Muscles (Between the Ribs)

  • External intercostals aid in inspiration by elevating ribs.
  • Internal intercostals aid in forced expiration by depressing ribs.
  • Innermost intercostals assist internal intercostals in expiration.

Diaphragm

  • Primary muscle of respiration.
  • Innervated by the phrenic nerve (C3-C5). "C3, 4, 5 keeps the diaphragm alive!"
  • During contraction (inspiration), it flattens downward.
  • During relaxation (expiration), it moves upward.

Accessory Muscles of Respiration

  • Used in deep or forceful breathing
  • Serratus anterior protracts the scapula and aids in forced breathing.
  • Scalene muscles elevate the first two ribs during inspiration.
  • Sternocleidomastoid raises the sternum in deep breathing.

Thoracic Cavity & Spaces

  • The thoracic cavity houses the lungs, heart, major vessels, and lymphatic structures.

Pleura & Pleural Cavity

  • Visceral pleura covers the lungs.
  • Parietal pleura lines the chest wall.
  • The pleural cavity: the space between pleural layers, contains pleural fluid that reduces friction.
  • Pleural effusion is excess fluid in the pleural cavity.

Nerves of the Thorax

  • Phrenic nerve (C3-C5) controls the diaphragm.
  • Vagus nerve (CN X = cranial nerve 10) provides parasympathetic control of the heart, lungs, and digestive tract.
  • Intercostal nerves (T1-T11) provide sensory and motor supply to the chest wall.
  • Sympathetic trunk enables the fight-or-flight response.

Lymphatic System

  • Thoracic duct drains lymph from most of the body into the left subclavian vein.
  • Right lymphatic duct drains the right upper body.
  • Hilar lymph nodes drain the lungs.
  • Mediastinal lymph nodes drain the thoracic organs.

Breast Location & Relations

  • Anterior to pectoralis major & minor.
  • Extends from ribs 2-6.
  • Lies between the sternum and midaxillary line.
  • Structural components include the mammary gland, nipple, and areola (pigmented area).
  • Lymphatic drainage (breast cancer spread): axillary lymph nodes (most important - 75%).

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Description

Overview of the bony thorax, including the sternum, clavicle, ribs, and thoracic spine vertebrae. The bony thorax protects the heart and lungs and serves as an attachment point for thoracic muscles. Different types of ribs are also discussed.

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