Podcast
Questions and Answers
What type of joint is the manubriosternal joint?
What type of joint is the manubriosternal joint?
Which ribs are considered typical ribs?
Which ribs are considered typical ribs?
What is the primary movement at the xiphisternal joint?
What is the primary movement at the xiphisternal joint?
Which ligament is associated with the manubriosternal joint?
Which ligament is associated with the manubriosternal joint?
Signup and view all the answers
What structures articulate with the superior margin of the xiphoid process?
What structures articulate with the superior margin of the xiphoid process?
Signup and view all the answers
How many articular facets does the first rib have?
How many articular facets does the first rib have?
Signup and view all the answers
Which of the following describes the 11th and 12th ribs?
Which of the following describes the 11th and 12th ribs?
Signup and view all the answers
What is the blood supply to the intercostal nerves?
What is the blood supply to the intercostal nerves?
Signup and view all the answers
Which of the following bony structures is not part of the rib cage?
Which of the following bony structures is not part of the rib cage?
Signup and view all the answers
What type of joint is the 1st sternocostal joint classified as?
What type of joint is the 1st sternocostal joint classified as?
Signup and view all the answers
What is the primary function of the true ribs?
What is the primary function of the true ribs?
Signup and view all the answers
Which ribs are considered floating ribs?
Which ribs are considered floating ribs?
Signup and view all the answers
How are the false ribs attached in the anterior part of the body?
How are the false ribs attached in the anterior part of the body?
Signup and view all the answers
Which component is part of the mechanics of breathing?
Which component is part of the mechanics of breathing?
Signup and view all the answers
What structure does the costal cartilage of the first rib attach to?
What structure does the costal cartilage of the first rib attach to?
Signup and view all the answers
What is a characteristic of the synovial joints found in the thoracic cage?
What is a characteristic of the synovial joints found in the thoracic cage?
Signup and view all the answers
What is the origin of the quadratus lumborum?
What is the origin of the quadratus lumborum?
Signup and view all the answers
Which nerve innervates the serratus anterior muscle?
Which nerve innervates the serratus anterior muscle?
Signup and view all the answers
What is a primary function of the quadratus lumborum?
What is a primary function of the quadratus lumborum?
Signup and view all the answers
Which artery is primarily associated with the blood supply of the quadratus lumborum?
Which artery is primarily associated with the blood supply of the quadratus lumborum?
Signup and view all the answers
Which part of the serratus anterior inserts onto the scapula?
Which part of the serratus anterior inserts onto the scapula?
Signup and view all the answers
Which of the following best describes the function of the serratus anterior muscle?
Which of the following best describes the function of the serratus anterior muscle?
Signup and view all the answers
What is the origin of the superior part of the serratus anterior?
What is the origin of the superior part of the serratus anterior?
Signup and view all the answers
What is a key mnemonic to remember the innervation of the serratus anterior?
What is a key mnemonic to remember the innervation of the serratus anterior?
Signup and view all the answers
What primarily facilitates the mechanics of breathing?
What primarily facilitates the mechanics of breathing?
Signup and view all the answers
During which type of breathing do the external intercostals and diaphragm contract?
During which type of breathing do the external intercostals and diaphragm contract?
Signup and view all the answers
What is the effect on thoracic pressure during inhalation?
What is the effect on thoracic pressure during inhalation?
Signup and view all the answers
What type of movement do the lower ribs primarily engage in during quiet breathing?
What type of movement do the lower ribs primarily engage in during quiet breathing?
Signup and view all the answers
What happens to the diaphragm during passive expiration?
What happens to the diaphragm during passive expiration?
Signup and view all the answers
Which muscles are primarily used during forced expiration?
Which muscles are primarily used during forced expiration?
Signup and view all the answers
What is true about the nature of breathing at rest?
What is true about the nature of breathing at rest?
Signup and view all the answers
Which pressure gradient does air move down during inhalation?
Which pressure gradient does air move down during inhalation?
Signup and view all the answers
What is the primary function of the suprapleural membrane?
What is the primary function of the suprapleural membrane?
Signup and view all the answers
What is the primary function of the descending part of the muscle described?
What is the primary function of the descending part of the muscle described?
Signup and view all the answers
Which of the following conditions can lead to Thoracic Outlet Syndrome?
Which of the following conditions can lead to Thoracic Outlet Syndrome?
Signup and view all the answers
What is the main blood supply to the superior thyroid artery?
What is the main blood supply to the superior thyroid artery?
Signup and view all the answers
Which spinal nerves are involved in the motor/sensory supply of this muscle?
Which spinal nerves are involved in the motor/sensory supply of this muscle?
Signup and view all the answers
What is one of the functions of the anterior scalene muscle?
What is one of the functions of the anterior scalene muscle?
Signup and view all the answers
What action does unilateral contraction of this muscle perform at the cervical spine?
What action does unilateral contraction of this muscle perform at the cervical spine?
Signup and view all the answers
Where does the posterior scalene muscle insert?
Where does the posterior scalene muscle insert?
Signup and view all the answers
Which joint is involved in the elevation of the clavicle?
Which joint is involved in the elevation of the clavicle?
Signup and view all the answers
What is the function of the transverse part of the muscle?
What is the function of the transverse part of the muscle?
Signup and view all the answers
Which part of the trapezius muscle originates from the superior nuchal line?
Which part of the trapezius muscle originates from the superior nuchal line?
Signup and view all the answers
What is the innervation of the pectoralis major muscle?
What is the innervation of the pectoralis major muscle?
Signup and view all the answers
Which arteries provide blood supply to the descending part of the muscle?
Which arteries provide blood supply to the descending part of the muscle?
Signup and view all the answers
What is the primary function of the scalene muscles?
What is the primary function of the scalene muscles?
Signup and view all the answers
What joint is responsible for lateral flexion of the head and neck?
What joint is responsible for lateral flexion of the head and neck?
Signup and view all the answers
Which structure passes through the thoracic outlet?
Which structure passes through the thoracic outlet?
Signup and view all the answers
Which action does NOT occur during bilateral contraction of the muscle?
Which action does NOT occur during bilateral contraction of the muscle?
Signup and view all the answers
What is the origin of the pectoralis minor muscle?
What is the origin of the pectoralis minor muscle?
Signup and view all the answers
Which part of the muscle draws the scapula inferomedially?
Which part of the muscle draws the scapula inferomedially?
Signup and view all the answers
What is a function of the scapulothoracic joint?
What is a function of the scapulothoracic joint?
Signup and view all the answers
Which skeletal feature is associated with the attachment of the anterior scalene muscle?
Which skeletal feature is associated with the attachment of the anterior scalene muscle?
Signup and view all the answers
What muscle primarily assists in head/neck extension when contracted bilaterally?
What muscle primarily assists in head/neck extension when contracted bilaterally?
Signup and view all the answers
Which artery supplies blood to the trapezius muscle?
Which artery supplies blood to the trapezius muscle?
Signup and view all the answers
What is the main action of the ascending part of the trapezius muscle?
What is the main action of the ascending part of the trapezius muscle?
Signup and view all the answers
Flashcards
Thoracic cage
Thoracic cage
The bony structure that forms the cage-like structure of the chest, protecting the vital organs inside.
True Ribs
True Ribs
The seven ribs that directly attach to the sternum (breastbone) via costal cartilage.
False Ribs
False Ribs
Ribs 8-10, they indirectly attach to the sternum via costal cartilage, but join to the rib above.
Floating ribs
Floating ribs
Signup and view all the flashcards
Sternal Angle
Sternal Angle
Signup and view all the flashcards
Synovial Joints
Synovial Joints
Signup and view all the flashcards
Primary Cartilaginous Joints
Primary Cartilaginous Joints
Signup and view all the flashcards
Sternocostal joints
Sternocostal joints
Signup and view all the flashcards
Manubriosternal Joint
Manubriosternal Joint
Signup and view all the flashcards
Manubriosternal Joint: Type
Manubriosternal Joint: Type
Signup and view all the flashcards
Xiphisternal Joint
Xiphisternal Joint
Signup and view all the flashcards
Xiphisternal Joint: Type
Xiphisternal Joint: Type
Signup and view all the flashcards
Typical Ribs (Ribs 3-10)
Typical Ribs (Ribs 3-10)
Signup and view all the flashcards
Atypical Ribs: First Rib
Atypical Ribs: First Rib
Signup and view all the flashcards
Atypical Ribs: Second Rib
Atypical Ribs: Second Rib
Signup and view all the flashcards
Atypical Ribs: Eleventh and Twelfth Ribs
Atypical Ribs: Eleventh and Twelfth Ribs
Signup and view all the flashcards
Pectoralis Minor
Pectoralis Minor
Signup and view all the flashcards
Unilateral contraction of the Pectoralis Minor
Unilateral contraction of the Pectoralis Minor
Signup and view all the flashcards
Bilateral contraction of the Pectoralis Minor
Bilateral contraction of the Pectoralis Minor
Signup and view all the flashcards
Superior fibers of the Pectoralis Minor
Superior fibers of the Pectoralis Minor
Signup and view all the flashcards
Transverse fibers of the Pectoralis Minor
Transverse fibers of the Pectoralis Minor
Signup and view all the flashcards
Inferior fibers of the Pectoralis Minor
Inferior fibers of the Pectoralis Minor
Signup and view all the flashcards
Nerve supply of the Pectoralis Minor
Nerve supply of the Pectoralis Minor
Signup and view all the flashcards
Stabilizing function of the Pectoralis Minor
Stabilizing function of the Pectoralis Minor
Signup and view all the flashcards
Role of Pectoralis Minor in breathing
Role of Pectoralis Minor in breathing
Signup and view all the flashcards
Importance of Pectoralis Minor in shoulder girdle movement
Importance of Pectoralis Minor in shoulder girdle movement
Signup and view all the flashcards
What is the function of the serratus anterior muscle?
What is the function of the serratus anterior muscle?
Signup and view all the flashcards
What is the function of the quadratus lumborum muscle?
What is the function of the quadratus lumborum muscle?
Signup and view all the flashcards
Where does the quadratus lumborum muscle originate and insert?
Where does the quadratus lumborum muscle originate and insert?
Signup and view all the flashcards
What innervates the serratus anterior muscle?
What innervates the serratus anterior muscle?
Signup and view all the flashcards
What is the innervation of the quadratus lumborum?
What is the innervation of the quadratus lumborum?
Signup and view all the flashcards
What is the primary role of the serratus anterior in scapular movements?
What is the primary role of the serratus anterior in scapular movements?
Signup and view all the flashcards
What are the functions of the quadratus lumborum when contracted unilaterally and bilaterally?
What are the functions of the quadratus lumborum when contracted unilaterally and bilaterally?
Signup and view all the flashcards
What is the blood supply for the serratus anterior?
What is the blood supply for the serratus anterior?
Signup and view all the flashcards
Thoracic Cavity
Thoracic Cavity
Signup and view all the flashcards
Thoracic Outlet
Thoracic Outlet
Signup and view all the flashcards
Suprapleural Membrane
Suprapleural Membrane
Signup and view all the flashcards
Thoracic Outlet Syndrome (TOS)
Thoracic Outlet Syndrome (TOS)
Signup and view all the flashcards
Endothoracic Fascia
Endothoracic Fascia
Signup and view all the flashcards
Trapezius
Trapezius
Signup and view all the flashcards
Descending Part of Trapezius
Descending Part of Trapezius
Signup and view all the flashcards
Transverse Part of Trapezius
Transverse Part of Trapezius
Signup and view all the flashcards
Ascending Part of Trapezius
Ascending Part of Trapezius
Signup and view all the flashcards
Scalene Muscles
Scalene Muscles
Signup and view all the flashcards
Anterior Scalene
Anterior Scalene
Signup and view all the flashcards
Middle Scalene
Middle Scalene
Signup and view all the flashcards
Posterior Scalene
Posterior Scalene
Signup and view all the flashcards
What is the physiology of inhalation?
What is the physiology of inhalation?
Signup and view all the flashcards
What occurs during exhalation?
What occurs during exhalation?
Signup and view all the flashcards
What is the primary force driving air into and out of the lungs?
What is the primary force driving air into and out of the lungs?
Signup and view all the flashcards
What is the role of the diaphragm in breathing?
What is the role of the diaphragm in breathing?
Signup and view all the flashcards
How do intercostal muscles contribute to breathing?
How do intercostal muscles contribute to breathing?
Signup and view all the flashcards
How does breathing change during forceful exhalation?
How does breathing change during forceful exhalation?
Signup and view all the flashcards
Describe the two types of rib movement during breathing.
Describe the two types of rib movement during breathing.
Signup and view all the flashcards
What are the differences between quiet and forced breathing?
What are the differences between quiet and forced breathing?
Signup and view all the flashcards
Study Notes
Anatomy of the Chest Wall
- The chest wall has 10 layers
- It includes epidermis, dermis, superficial and deep fascia
- It contains skeletal muscles (e.g., internal & external intercostals)
- Ribs, sternum, and spine are part of the bony structure
- Endothoracic fascia and parietal pleura are also components
- The structure of the rib cage includes the thoracic spine (T1-T12), clavicle, ribs (true, false, and floating), costal cartilage, sternum (manubrium, body, xiphoid process)
Learning Objectives
- Students will learn to identify the bony structures of the chest wall.
- Students will learn to identify the muscular and soft tissue structures of the chest wall.
- Students will learn to identify the nervous system involved in breathing.
- Students will learn to understand and explain the mechanics of breathing including inspiration, expiration and control of breathing.
- Students will learn the relevance to physiotherapy
Thoracic Cage
- Clavicle: The first costal cartilage attaches to the manubrium
- The second costal cartilage attaches to the sternal angle.
- True Ribs (1-7): Attach directly to the sternum via costochondral joints
- False Ribs (8-10): Attach indirectly to the sternum via costal cartilage and interchondral joints.
- Floating ribs (11-12): These ribs do not attach to the sternum but attach posteriorly by the costal cartilage.
- The sternum has three parts: manubrium, body, xiphoid process
- These bones form the rib cage and protect vital organs
Thoracic Spine (T2-T9)
- Each thoracic vertebra has a vertebral body, spinous process, and two articular processes
- Unique features like superior costal facets and inferior costal facets are also found.
Thoracic Spine (T10-T12)
- These thoracic vertebrae have varying structural elements differentiating them from typical T2-T9 thoracic vertebrae including only a single pair of costal facets
- T10, T11 and T12 will have varying features to other thoracic vertebrae
Ribs (Ribs 3-10)
- Typical ribs have two articular facets (superior and inferior demifacets) and a tubercle that articulates with the transverse process of the corresponding vertebra
- The ribs are attached to the thoracic vertebra via costovertebral joints and facet joints
Types of Breathing
- Quiet/Tidal breathing
- Forced breathing (exercise breathing)
Muscles of Respiration
- Inspiration at rest: intercostal muscles, diaphragm
- Inspiration during distress/exercise: scalene, sternocleidomastoid, pectoralis major, pectoralis minor, serratus anterior, trapezius, iliocostalis lumborum, quadratus lumborum, latissimus dorsi, Erector spinae
- Expiration at rest: relaxation of intercostal muscles and diaphragm
- Expiration during distress/exercise: rectus abdominis, external oblique, internal oblique, and transversus abdominis.
Accessory Muscles of the Shoulder Girdle
- Trapezius: important for drawing the scapula superomedially/medially and inferomedially
- Serratus anterior: crucial for drawing the scapula anterolaterally
- Pectoralis minor plays a role in drawing the scapula anteroinferiorly, anchoring the scapula on the thoracic wall, and scapularis rotation.
Accessory Muscles of the Neck & Upper Back
- Scalenes (anterior, middle, and posterior): elevate the ribs and assist with respiration.
- Sternocleidomastoid: primarily involved in neck movements
- Iliocostalis: involved in back extension, lateral flexion.
- Quadratus lumborum: needed for back extension, lateral flexion
Vascular Supply to the Chest Wall
- Thoracic wall receives blood from the posterior intercostal arteries (from the thoracic aorta), anterior intercostal arteries (from the internal thoracic arteries), pericardiaphrenic branches, and diaphragm.
Neurology of the Chest Wall
- Sensory innervation via the intercostal nerves, which extend from the anterior rami of spinal nerves T1-T12.
- Motor innervation via the anterior rami of spinal nerves T1-T11, also a segment of nerves originating in the cervical spine that directly innervate the diaphragm via the phrenic nerve.
- These nerves, along with other associated nerves provide innervation to the intercostal muscles, and parietal pleura.
The Lymphatic System
- The lymphatic system drains excess tissue fluid (lymph) from the body tissues, and filters blood from foreign particles
- Lymphatic vessels and nodes are located both superficially and deep throughout the body
- The lymphatic system of the chest wall drains to the axillary nodes (anterior and posterior chest wall), parasternal nodes (medially).
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
Test your knowledge on the anatomy of the thoracic cage, including its joints, ribs, and their functions. This quiz covers essential concepts like joint classification, rib types, and their attachments. Perfect for students of anatomy or medical professionals wanting a refresher.