THE THORACIC WALL.

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Presentation transcript:

THE THORACIC WALL

Southwest College of Naturopathic Medicine MAMMARY GLAND MODIFIED SWEAT GLAND ACTUALLY SEVERAL GLANDS LACTIFEROUS DUCT SUSPENSORY (COOPER'S) LIG. 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine MAMMARY GLAND (Cont.) AXILLARY TAIL VASCULAR SUPPLY TO THE BREAST INTERNAL THORACIC A. LATERAL THORACIC A. 2/2/2019 Southwest College of Naturopathic Medicine

LYMPHATIC DRAINAGE OF BREAST LATERAL PECTORAL MEDIAL PARASTERNAL CONTRALATERAL BREAST AXILLARY TAIL PECTORAL & LATERAL 2/2/2019 Southwest College of Naturopathic Medicine

BONES

Southwest College of Naturopathic Medicine THORACIC VERTEBRAE TYPICAL VERTEBRA DEMIFACETS ON BODY ARTICULAR FACET ON TRANSVERSE PROCESS 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine STERNUM PARTS MANUBRIUM BODY XIPHOID PROCESS ARTICULATIONS MANUBRIUM CLAVICLE BODY STERNAL ANGLE RIBS 3-7 XIPHOID 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine MUSCLES OF THE STERNUM STERNOCLEIDO-MASTOID STERNOTHYROID STERNOHYOID PECTORALIS MAJOR NOT SHOWN: DIAPHRAGM STERNALIS (OFTEN ABSENT) FUNCTIONAL ANATOMY 2/2/2019 Southwest College of Naturopathic Medicine

RIBS

Southwest College of Naturopathic Medicine SHAPE HEAD NECK TUBERCLE ANGLE BODY COSTAL GROOVE COSTAL CARTILAGE 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine TRUE VS. FALSE RIBS TRUE FALSE FLOATING 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine ARTICULATIONS HEAD AT DEMIFACETS BETWEEN VERTEBRAE TUBERCLE AT TRANSVERSE PROCESS DISTAL END AT THE STERNUM 1-10 ONLY 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine SCALENE MUSCLES ANTERIOR MIDDLE SPACE FOR PASSAGE OF AXILLARY ARTERY & BRACHIAL PLEXUS POSTERIOR FUNCTIONAL ANATOMY 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine CLAVICLE STERNAL EXTREMITY ACROMIAL EXTREMITY 2/2/2019 Southwest College of Naturopathic Medicine

THORACIC INLET & OUTLET THORACIC OUTLET 2/2/2019 Southwest College of Naturopathic Medicine

STRUCTURES OF THE UPPER LIMB PECTORALIS MAJOR PECTORALIS MINOR M. & L. PECTORAL NN SUBCLAVIUS CLAVIPECTORAL FASCIA FUNCTIONAL ANATOMY 2/2/2019 Southwest College of Naturopathic Medicine

STRUCTURES OF THE UPPER LIMB SERRATUS ANTERIOR AXILLARY ARTERY AND VEIN BRACHIAL PLEXUS FUNCTIONAL ANATOMY 2/2/2019 Southwest College of Naturopathic Medicine

OUTLINE OF PECTORALIS MINOR AXILLARY ARTERY: DIVIDED INTO 3 PARTS BY PECTORALIS MINOR MUSCLE 1ST 2ND 3RD OUTLINE OF PECTORALIS MINOR 2/2/2019 Southwest College of Naturopathic Medicine

SUBCLAVIAN ARTERY AND VEIN ARTERY IS DIVIDED INTO THREE PARTS BY THE ANTERIOR SCALENE MUSCLE 2ND 1ST 3RD 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine FIRST PART PROX. TO ANT. SCALENE VERTEBRAL A. INT. THORACIC A. THYROCERVICAL TR. SUPERFICIAL CERVICAL A. LEFT SIDE: COSTOCERVICAL TRUNK 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine SECOND PART POSTERIOR TO ANTERIOR SCALENE ON THE RIGHT SIDE ONLY: COSTOCERVICAL TRUNK 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine THIRD PART DISTAL TO ANTERIOR SCALENE DORSAL SCAPULAR ARTERY (67% OF CADAVERS) 2/2/2019 Southwest College of Naturopathic Medicine

THE INTERCOSTAL SPACE

Southwest College of Naturopathic Medicine INTERCOSTAL MUSCLES EXTERNAL INTERCOSTAL MEMBRANE INTERNAL INTERCOSTAL INNERMOST INTERCOSTAL 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine NEUROVASCULAR SPACE BETWEEN INTERNAL & INNERMOST INTERCOSTAL MUSCLES/MEMBRANE 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine NEUROVASCULAR SPACE CONTENTS SUP. VEIN ARTERY NERVE CONTENTS INF. COLLATERAL BRANCHES OF NERVE, ARTERY AND VEIN 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine INTERCOSTAL ARTERIES PAIRED BRANCHES OF DESCENDING THORACIC AORTA DESCENDING THORACIC AORTA BEGINS AT T4, SO UPPER 2 INTERCOSTAL ARTERIES BRANCH FROM SUPREME INTERCOSTAL ARTERY 2/2/2019 Southwest College of Naturopathic Medicine

INTERNAL THORACIC ARTERY PROVIDES COLLATERAL ROUTE TO INTERCOSTAL ARTERIES TERMINATES BY DIVIDING INTO (BIFURCATING): SUPERIOR EPIGASTRIC ARTERY ANASTOMOSES WITH INFERIOR EPIGASTRIC MUSCULO-PHRENIC ARTERY 2/2/2019 Southwest College of Naturopathic Medicine

VENOUS DRAINAGE OF INTERCOSTAL SPACES AZYGOS HEMIAZYGOS ACCESSORY HEMIAZYGOS HIDDEN ON ILLUSTRATION BY STERNUM SUPREME INTERCOSTAL VEINS NOT VISIBLE INTERNAL THORACIC VEINS 2/2/2019 Southwest College of Naturopathic Medicine

DEEP MUSCLES OF THE THORAX DEEP TO THE INNERMOST INTERCOSTAL AND SUPERFICIAL TO ENDOTHORACIC FASCIA SUBCOSTAL (ON POSTERIOR BODY WALL) TRANSVERSE THORACIS FUNCTIONAL ANATOMY 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine PARIETAL PLEURA PLEURA: A SEROUS SAC THAT SURROUNDS EACH LUNG PARIETAL PLEURA IS PART OF THE SAC APPLIED TO BODY WALL VISCERAL PLEURA IS ON THE SURFACE OF THE LUNG (NOT SHOWN) 2/2/2019 Southwest College of Naturopathic Medicine

Southwest College of Naturopathic Medicine ENDOTHORACIC FASCIA AREOLAR CT SEPARATING THE PARIETAL PLEURA FROM THE THORACIC WALL CLEAVAGE PLANE 2/2/2019 Southwest College of Naturopathic Medicine