Thoracic Wall Anatomy Quiz

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Questions and Answers

What distinguishes true ribs from false ribs?

  • False ribs have no connection to the sternum. (correct)
  • True ribs attach to the sternum via costal cartilages. (correct)
  • False ribs are only 6 in number.
  • True ribs attach to the vertebrae directly.

Which ribs are classified as atypical?

  • Ribs 1, 2, 10, 11, and 12 (correct)
  • Ribs 5, 6, 7, and 8
  • Ribs 3, 4, 5, and 6
  • Ribs 8, 9, 10, and 11

What structure is attached to the transverse process of the vertebra?

  • The body of the vertebra
  • The neck of the rib (correct)
  • The head of the rib
  • The costal groove

How are the movements of the upper ribs characterized?

<p>Pump handle movement that increases antero-posterior diameter (A)</p> Signup and view all the answers

Which ligament runs from the head of the rib to the body of the vertebra above?

<p>Triradiate ligament (C)</p> Signup and view all the answers

Which of the following descriptions about typical ribs is incorrect?

<p>Typical ribs can rock from side to side on a flat surface. (B)</p> Signup and view all the answers

What do the costal grooves on ribs accommodate?

<p>Blood vessels and nerves (B)</p> Signup and view all the answers

What is a characteristic of atypical ribs compared to typical ribs?

<p>Atypical ribs rock from side to side on a flat surface. (A)</p> Signup and view all the answers

Which part of the rib articulates with the transverse process of the vertebra?

<p>Tubercle (D)</p> Signup and view all the answers

What type of joint is found between the manubrium and the body of the sternum?

<p>Secondary cartilaginous joint (A)</p> Signup and view all the answers

Which ribs are classified as floating ribs and do not articulate with the sternum?

<p>Eleventh and Twelfth Ribs (A)</p> Signup and view all the answers

What is the primary function of the external intercostal muscles?

<p>Elevate the ribs during inspiration (D)</p> Signup and view all the answers

The xiphoid process is characterized as which of the following?

<p>The pointed inferior portion of the sternum (C)</p> Signup and view all the answers

How do the fibers of the internal intercostal muscles orient compared to those of the external intercostal muscles?

<p>Run superiorly and laterally (B)</p> Signup and view all the answers

Which statement correctly describes the costal margin formed by ribs?

<p>It does not articulate with the sternum. (B)</p> Signup and view all the answers

What distinguishes the innermost intercostal muscles in terms of structure?

<p>They cover the intercostal vessels. (B)</p> Signup and view all the answers

Which abdominal component is represented by the suprasternal notch?

<p>The highest point of the sternum (B)</p> Signup and view all the answers

Which rib articulates through a primary cartilaginous joint with the sternum?

<p>First Rib (C)</p> Signup and view all the answers

What distinguishes typical ribs from atypical ribs?

<p>Typical ribs lie flat and stable on a surface. (D)</p> Signup and view all the answers

Which ribs are classified as false ribs?

<p>Ribs 8-10 (B)</p> Signup and view all the answers

What type of movement do the upper ribs (1-6) primarily exhibit?

<p>Pump handle movement (B)</p> Signup and view all the answers

Which ligament runs from the neck of the rib to the transverse process of the vertebra above?

<p>Superior costotransverse ligament (C)</p> Signup and view all the answers

What is the anatomical feature that allows the rib head to articulate with the vertebra?

<p>Demifacet (C)</p> Signup and view all the answers

Which of the following ribs is classified as a floating rib?

<p>12th rib (A)</p> Signup and view all the answers

What is the primary feature of atypical ribs that affects their stability?

<p>They possess a helical shape. (C)</p> Signup and view all the answers

The costal groove is located on which part of the rib?

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

Which muscles are primarily responsible for the movement of the ribs during respiration?

<p>External intercostal muscles (C)</p> Signup and view all the answers

How do typical ribs articulate with the vertebral bodies?

<p>Via an articular facet (A)</p> Signup and view all the answers

What is the primary function of the external intercostal muscles during respiration?

<p>Elevating the ribs to assist with inspiration (B)</p> Signup and view all the answers

Which anatomical structure marks the division between the superior and inferior mediastinum?

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

Which type of joint is formed between the second costal cartilage and the sternum?

<p>Synovial joint with the body of the sternum (A)</p> Signup and view all the answers

How do the fibers of the internal intercostal muscles run?

<p>Superiorly and laterally from rib below to rib above (A)</p> Signup and view all the answers

What characterizes the innermost intercostal muscles compared to external and internal intercostals?

<p>They span across two ribs instead of one (C)</p> Signup and view all the answers

Which ribs do not articulate with the sternum or other ribs?

<p>Eleventh and twelfth ribs (B)</p> Signup and view all the answers

What movement primarily occurs at the lower ribs during breathing?

<p>Gliding movement and rib rotation (C)</p> Signup and view all the answers

Which component is not a part of the sternum?

<p>Costal Margin (C)</p> Signup and view all the answers

What is the role of the external intercostal muscles in forced inhalation?

<p>They assist in expanding the thoracic cavity (C)</p> Signup and view all the answers

Which feature differentiates the true ribs from the false ribs?

<p>True ribs directly articulate with the sternum (B)</p> Signup and view all the answers

What joint type is formed between the first costal cartilage and the sternum?

<p>Primary cartilaginous joint (C)</p> Signup and view all the answers

Which part of the sternum is the widest and articulates with the clavicles?

<p>Manubrium (C)</p> Signup and view all the answers

Which intercostal muscle primarily assists with forced expiration?

<p>Internal intercostal muscles (C)</p> Signup and view all the answers

What limits the movement of the manubriosternal joint?

<p>Limited movement due to its cartilaginous nature (D)</p> Signup and view all the answers

Which ribs form the costal margin and do not articulate with the sternum?

<p>Eighth to Tenth ribs (D)</p> Signup and view all the answers

Which statement correctly describes the fiber direction of the external intercostal muscles?

<p>Run inferiorly and medially (C)</p> Signup and view all the answers

What anatomical feature marks the division between the superior and inferior mediastinum?

<p>Manubriosternal joint (A)</p> Signup and view all the answers

Which characteristic is true of the innermost intercostal muscles?

<p>Span two ribs (C)</p> Signup and view all the answers

What type of joint exists between the second costal cartilage and the body of the sternum?

<p>Synovial joint (C)</p> Signup and view all the answers

Which intercostal muscles run between adjacent ribs and are involved in inspiration?

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

What is the primary characteristic that distinguishes typical ribs from atypical ribs?

<p>Typical ribs lie flat and stable on a surface. (D)</p> Signup and view all the answers

The costal groove on a rib is primarily located along which border?

<p>Inferior border (C)</p> Signup and view all the answers

Which ligament connects the neck of the rib to the transverse process of the vertebra above?

<p>Superior costotransverse ligament (A)</p> Signup and view all the answers

What type of movement characterizes the pump handle movement of the upper ribs?

<p>Up-and-down movement and rotation (C)</p> Signup and view all the answers

Which ribs are classified as floating ribs?

<p>Ribs 11-12 (B)</p> Signup and view all the answers

What is the main stability feature of atypical ribs compared to typical ribs?

<p>Helical shape (A)</p> Signup and view all the answers

Which type of joint is primarily represented by the articulation between the rib head and the vertebra?

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

Which ribs are classified as true ribs?

<p>Ribs 1-7 (D)</p> Signup and view all the answers

What is the role of the costovertebral joints in rib movement?

<p>They provide flexibility and movement. (C)</p> Signup and view all the answers

Which of the following statements is true regarding atypical ribs?

<p>They are less stable than typical ribs. (A)</p> Signup and view all the answers

What type of joint exists between the manubrium and the body of the sternum?

<p>Secondary cartilaginous joint (C)</p> Signup and view all the answers

Which intercostal muscle's fiber direction is aligned to run superiorly and laterally?

<p>Internal intercostal muscles (A)</p> Signup and view all the answers

Which ribs articulate through synovial joints with both the manubrium and the body of the sternum?

<p>First and Second Costal Cartilages (B)</p> Signup and view all the answers

What anatomical feature does the xiphoid process primarily represent?

<p>Attachment point for the diaphragm (D)</p> Signup and view all the answers

What distinguishes the eleventh and twelfth ribs compared to other ribs?

<p>They do not articulate with the sternum or other ribs (A)</p> Signup and view all the answers

What is a key functional difference between the external and internal intercostal muscles?

<p>Internal intercostals are active in forced expiration (A)</p> Signup and view all the answers

Which feature limits the movement of the manubriosternal joint?

<p>Hyaline cartilage covering the joint surfaces (B)</p> Signup and view all the answers

Which ribs are classified as false ribs?

<p>Eighth to Tenth Ribs (B)</p> Signup and view all the answers

Which of the following is primarily responsible for increasing the transverse diameter of the thoracic cavity during breathing?

<p>Bucket handle movement of the lower ribs (D)</p> Signup and view all the answers

How do the fiber orientations of the external intercostal muscles differ from those of the internal intercostal muscles?

<p>External run inferiorly and medially; internal run superiorly and laterally (C)</p> Signup and view all the answers

Which ligament connects the head of a rib to ensure stability between the rib and vertebra above?

<p>Superior costotransverse ligament (B)</p> Signup and view all the answers

What primary anatomical difference allows atypical ribs to be less stable than typical ribs?

<p>Helical shape of the rib (A)</p> Signup and view all the answers

How do the upper ribs (1-6) primarily increase the thoracic cavity volume during respiration?

<p>By pivoting at the costo-transverse joints (A)</p> Signup and view all the answers

Which part of the rib articulates with the demifacet on the vertebra?

<p>Head (C)</p> Signup and view all the answers

What movement characterizes the rib's pump handle action during upper rib respiration?

<p>Rotational movement (C)</p> Signup and view all the answers

What anatomical feature is primarily associated with the typical ribs' stability on a flat surface?

<p>Flat and stable lying (A)</p> Signup and view all the answers

Which ribs explicitly do not have any anterior connection to the sternum?

<p>Floating ribs (C)</p> Signup and view all the answers

What structure is located along the inferior border of the rib and plays a role in neurovascular protection?

<p>Costal groove (C)</p> Signup and view all the answers

Which of the following correctly describes the rib's attachment at the transverse process of the vertebra?

<p>Articular part of the tubercle (A)</p> Signup and view all the answers

What is the anatomical consequence of the helical shape of atypical ribs during motion?

<p>Unstable rocking motion (B)</p> Signup and view all the answers

Flashcards

True Ribs

Ribs 1-7 that directly connect to the sternum via costal cartilage.

False Ribs

Ribs 8-10 that don't connect directly to the sternum but attach to the costal margin.

Floating Ribs

Ribs 11-12 with no anterior connection to the sternum or costal margin.

Typical Ribs

Ribs 3-9 with a head, tubercle, neck, and shaft.

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Atypical Ribs

Ribs 1, 2, 10, 11, and 12 that have variations in their structure.

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Typical rib head

The rounded portion of typical ribs that articulates with the vertebra.

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Tubercle (Rib)

Structure on a rib's neck that articulates with the transverse process of the vertebra.

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Pump Handle Movement

Up-and-down and rotational movement of the upper ribs (1-6), increasing the chest's anteroposterior diameter.

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Bucket Handle Movement of Ribs

The movement of the lower ribs (7-12) during breathing, characterized by gliding and rotation, increasing the transverse diameter of the thoracic cavity.

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Sternum Structure

The sternum is divided into the manubrium, body, and xiphoid process.

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Manubrium

The uppermost part of the sternum, articulating with the clavicles and the first two costal cartilages.

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Costal Cartilages (2-7)

Cartilages connecting ribs 2-7 to the sternum, forming joints.

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Synovial Joints

Joints where bones are separated by a fluid filled space, allowing more movement than other types.

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Intercostal Muscles

Muscles between the ribs that aid in breathing.

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External Intercostal Muscles

Intercostal muscles that help with inhalation.

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Internal Intercostal Muscles

Intercostal muscles that help with exhalation.

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Innermost Intercostal Muscles

Support forced exhalation, composed of Transversus thoracis and Subcostalis muscles.

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Floating Ribs

Ribs 11 and 12 that do not attach to the sternum.

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Costovertebral Joints

Joints between the ribs and vertebrae allowing some movement.

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True Ribs

Ribs 1-7 that connect directly to the sternum via cartilage.

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False Ribs

Ribs 8-10 that attach to the costal margin (not directly to the sternum).

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Floating Ribs

Ribs 11 and 12, unconnected to the sternum or costal margin.

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Typical Rib Structure

Ribs 3-9 characterized by a head with two facets, a tubercle at the neck-shaft juncture, and a costal groove.

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Atypical Ribs

Ribs 1, 2, 10, 11, and 12; differ structurally from typical ribs.

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Rib Head

Rounded portion of a rib that articulates with the vertebral body.

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Rib Tubercle

Structure on the neck of ribs that connects to the vertebrae.

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Pump Handle Movement

Up-and-down & rotational movement of upper ribs (1-6), increasing chest diameter.

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Costal Groove

Groove along the inferior border of a rib, containing nerves and blood vessels.

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Costovertebral Joint

Joint between ribs and vertebrae.

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Rib 1-Shape

Rib #1 has a flattened shape and a single facet.

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Bucket Handle Movement (Lower Ribs)

The movement of lower ribs (7-12) during breathing, causing gliding and rotation to increase the transverse diameter of the chest cavity.

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Sternum Structure

The sternum is composed of the manubrium, body, and xiphoid process.

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Manubrium

The upper part of the sternum, connecting to the clavicles and first two ribs.

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Costal Cartilages (2-7)

Cartilages connecting ribs 2-7 to the sternum, offering flexibility.

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Intercostal Muscles

Muscles situated between the ribs assisting in breathing.

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External Intercostals

Intercostal muscles that help expand the chest during inhalation.

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Internal Intercostals

Intercostal muscles aiding forced exhalation.

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Floating Ribs (11 & 12)

Ribs that do not connect to the sternum or other ribs.

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Synovial Joints

Joints with a fluid-filled space allowing more movement than other types.

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Costovertebral Joints

Joints between ribs & vertebrae, allowing some movement.

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Bucket Handle Movement

Movement of ribs 7-12 during breathing, increasing the transverse diameter of the thoracic cavity.

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Sternum Anatomy

The sternum is composed of the manubrium, body, and xiphoid process.

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Manubrium Function

Upper part of the sternum, articulates with clavicles and first two ribs.

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Costal Cartilages (2-7)

Cartilages connecting ribs 2-7 to the sternum.

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Intercostal Muscles

Muscles between ribs helping with breathing.

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External Intercostals

Intercostal muscles aiding inhalation.

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Internal Intercostals

Intercostal muscles helping with forced exhalation.

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Floating Ribs

Ribs 11 and 12; not connected to the sternum or other ribs.

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Synovial Joints

Joints with a fluid-filled space allowing more movement.

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Costovertebral Joints

Joints between ribs and vertebrae permitting some movement.

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Primary Cartilaginous Joint

A joint where bones are directly connected by cartilage.

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Sternoclavicular Joint

Synovial joint between the sternum and the clavicle.

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True Ribs

Ribs 1-7 that directly connect to the sternum via cartilage.

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False Ribs

Ribs 8-10 that attach to the costal margin; indirectly attached.

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Floating Ribs

Ribs 11-12 that have no anterior connection.

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Typical Ribs

Ribs 3-9 with a head, tubercle, neck, and shaft.

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Atypical Ribs

Ribs 1, 2, 10, 11, and 12—varied in structure.

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Rib Head

Rounded portion of ribs that connects to the spine.

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Rib Tubercle

Structure on the rib's neck, connecting to the vertebra.

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Pump Handle Movement

Up-and-down & rotational movement of upper ribs increasing chest diameter.

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Costal Groove

Groove on inferior rib border housing nerves and vessels.

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Costovertebral Joint

Joint between the ribs and vertebrae, enabling some movement.

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Rib 1 Structure

Flattened shape, single facet.

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Bucket Handle Movement (Lower Ribs)

Gliding and rotational movement of lower ribs, enlarging chest side to side.

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True Ribs

Ribs 1-7 that connect directly to the sternum via cartilage.

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False Ribs

Ribs 8-10 that do not directly connect to the sternum, but to the costal margin.

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Floating Ribs

Ribs 11-12 that do not connect to the sternum or the costal cartilage.

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Typical Ribs

Ribs 3-9 with a head, neck, tubercle, and shaft, and costal groove.

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Atypical Ribs

Ribs 1, 2, 10, 11, and 12 have unique and variable structures.

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Rib Head

The rounded portion of a rib that connects to the vertebrae.

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Rib Tubercle

Structure on the neck of a rib that articulates with the transverse process of a vertebra.

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Pump Handle Movement

Movement of ribs 1-6 where they rotate and move up and down, increasing the anteroposterior diameter of the thoracic cavity.

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Bucket Handle Movement

Movement of lower ribs (7-12) during breathing, increasing the transverse diameter of the thoracic cavity.

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Costal Groove

Groove on the inferior border of a rib that houses nerves and blood vessels.

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Costovertebral Joint

Joints between the ribs and the vertebrae.

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Rib 1 Structure

Rib 1 is flattened and has a single facet.

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Bucket Handle Movement

The movement of lower ribs (7-12) during breathing, increasing the transverse diameter of the thoracic cavity primarily through gliding and rotation.

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Sternum Structure

The sternum is composed of three parts: manubrium, body, and xiphoid process.

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Manubrium

The uppermost part of the sternum that articulates with the clavicles and the first two costal cartilages.

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Costal Cartilages (2-7)

Cartilages connecting ribs 2-7 to the sternum.

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Intercostal Muscles

Muscles situated between ribs that aid in breathing.

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External Intercostals

Intercostal muscles that help during inhalation (taking air in).

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Internal Intercostals

Intercostal muscles that help with forced exhalation (pushing air out).

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Floating Ribs

Ribs 11 and 12 that do not connect to the sternum or other ribs.

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Primary Cartilaginous Joint

A joint where bones are directly connected by cartilage without a joint cavity.

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Synovial Joints

Joints characterized by a fluid-filled space between articulating bones, enabling more movement compared to other joint types.

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Study Notes

Thoracic Wall Anatomy

  • The thoracic wall is composed of 12 thoracic vertebrae, 12 pairs of ribs, and the sternum.

  • Ribs are categorized as:

    • True ribs (1-7): Attach directly to the sternum via costal cartilages.
    • False ribs (8-10): Attach to the costal margin.
    • Floating ribs (11-12): Have no anterior connection.
  • The scapula sits on the posterior wall, covering ribs 2-7, attached by muscles.

  • Typical ribs (3-9) have:

    • A head with two facets.
    • A tubercle with articular and non-articular parts.
    • A costal groove along the inferior border.
    • The rib head articulates with its own and the vertebra above.
    • The tubercle articulates with the transverse process.
    • The head's facet connects to a demifacet.
  • Atypical ribs (1, 2, 10-12) are less stable due to shape, rocking from side to side.

  • Typical ribs are flat and stable, atypical ribs are unstable and rock.

  • Rib Movements:

    • Upper ribs (1-6) ("pump handle"): Rotate and move up and down, increasing the antero-posterior diameter of the thoracic cavity.
    • Lower ribs (7-12) ("bucket handle"): Glide and rotate, increasing the transverse diameter.
  • Sternum Anatomy:

    • Divided into: manubrium, body, and xiphoid process.
    • Manubrium: Widest part, articulates with clavicles and first two costal cartilages.
    • Body: Articulates with costal cartilages 2-7.
    • Xiphoid process: Pointed inferior portion.
  • Sternum Joints:

    • Manubriosternal and xiphisternal joints are secondary cartilaginous (symphyses), with limited movement.
    • Sternoclavicular joints are synovial.
    • First costal cartilage is a primary cartilaginous joint, connecting directly to the manubrium.
    • Second costal cartilage articulates with the manubrium and body through synovial joints.
    • Third to seventh costal cartilages each form a synovial joint with the sternum body.
    • Eighth to tenth ribs do not articulate with the sternum.
    • Eleventh and twelfth ribs are floating (no sternum articulation).
    • Ligaments include triradiate and superior costotransverse.

Intercostal Muscles

  • Three sets:
    • External intercostals: Run inferiorly and medially, elevate ribs for inspiration.
    • Internal intercostals: Run superiorly and laterally, depress ribs for forced expiration.
    • Innermost intercostals: (transversus thoracis and subcostalis) also assist in forced expiration.
  • All intercostal muscles lie between adjacent ribs (11 pairs of each).
  • External and internal intercostal fibers' directions are perpendicular.
  • Clinical note: In-drawing between ribs (recessions) may indicate respiratory distress (especially in children).

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