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Thoracic Wall
&
Thoracic cavity
Prepared & Delivered
By
Dr Anita Rani
6th Jan 2015
Thorax
• Region of the trunk between neck and
abdomen
• Skin
• Superficial fascia
• Deep Fascia
• Muscles
• Thoracic cage or wall
• Thoracic cavity
Thoracic Cage
• Sternum:
Manubrium
Body
Xiphoid Process
• 12 pair of Ribs
1-7 : vertebrosternal
8-10 : vertebrochondral
11-12 : vertebral ( floating )
• 12 Thoracic vertebrae
Thoracic Cage
Thoracic Cage
Extant of thorax
Thoracic Inlet & Outlet
Role of thoracic cage in protecting
abdominal viscera
1. Joints between vertebrae and Ribs
Body of vertebra & Head of Rib
Costovertebral Joint :
synovial type
Transverse process & tubercle of Rib
Costotransverse joint :
synovial type
******************************************
Movements: Elevation & Depression of ribs
Joints of thoracic cage
Costovertebral
&
Costotransverse joints
Identify the joints
 Joint between Rib & costal cartilage
. Costochondral joint :
. Primary cartilagenous
 Joints in between 7th, 8th, 9th & 10th costal
cartilages
. Interchondral joint:
. Plane synovial
 Joints between costal cartilages & Sternum
. First :Synchondrosis
. Rest:2nd -7th : plane synovial joint
Joints of thoracic cage
Joint between manubrium and body of
sternum
Manubriosternal joint :
Secondary cartilagenous ( Symphysis)
[Synostosis in elderly]
Joint in between body of sternum & xiphoid
process
Xiphisternal joint :
Primary cartilagenous (Synchondrosis)
Intervertebral Joints
Sternoclavicular Joint
Joints of thoracic cage
Movements
Thoracic wall
Extrinsic Muscles
Thoracic Wall
Extrinsic Muscles
Thoracic Wall
Extrinsic Muscles
• 3 Layers
• External Intercostal
• Internal intercostal
• Transversus thoracic
• Intercostalis intimii
• Sternocostalis
• Subcostalis
Intercostal Muscles
Anterior thoracic wall
(seen from behind)
Arterial supply of thoracic wall
Arterial supply of thoracic wall
Venous drainage of thoracic wall
Venous drainage of thoracic wall
Thoracic cavity
Thoracic cavity
after removing anterior thoracic wall
Thoracic cavity
cross section
• Upper end of the
thorax which is
continuous with the
neck
• Anterior: upper
border of manubrium
sternum
• Posterior: superior
surface of body of
first thoracic vertebra
• Lateral: first ribs
Thoracic inlet
Suprapleural membrane
Sibsons Fascia
Cervicothoracic diaphragm
Suprapleural membrane
Structures passing through Inlet
Large artery:
Brachiocephalic
Left common
carotid
Left subclavian
Structures passing through Inlet
Veins:
Right and left
brachiocephalic
veins
Structure passing
through Inlet
Viscera:
Trachea
Oesophagus
Apices of lungs &
pleura
Remains of the
thymus
Thoracic Inlet
Contents
Structure passing
through Inlet
Nerves:
Phrenic
vagus
Sympathetic
trunk
First Intercostal
Left Recurrent
Laryngeal
Structure passing
through Inlet
Muscles:
Sternohyoid
Sternothyroid
Longus colli
Thoracic Outlet
Vertebral Levels

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