1. THE THORACIC WALL

2. Southwest College of Naturopathic Medicine
MAMMARY GLAND
MODIFIED SWEAT GLAND
ACTUALLY SEVERAL GLANDS
LACTIFEROUS DUCT
SUSPENSORY (COOPER'S) LIG.
4/9/2019
Southwest College of Naturopathic Medicine

3. Southwest College of Naturopathic Medicine
MAMMARY GLAND (Cont.)
AXILLARY TAIL
VASCULAR SUPPLY TO THE BREAST
INTERNAL THORACIC A.
LATERAL THORACIC A.
4/9/2019
Southwest College of Naturopathic Medicine

4. LYMPHATIC DRAINAGE OF BREAST
LATERAL
PECTORAL
MEDIAL
PARASTERNAL
CONTRALATERAL BREAST
AXILLARY TAIL
PECTORAL & LATERAL
4/9/2019
Southwest College of Naturopathic Medicine

5. BONES

6. Southwest College of Naturopathic Medicine
THORACIC VERTEBRAE
TYPICAL VERTEBRA
DEMIFACETS ON BODY
ARTICULAR FACET ON TRANSVERSE PROCESS
4/9/2019
Southwest College of Naturopathic Medicine

7. Southwest College of Naturopathic Medicine
STERNUM
PARTS
MANUBRIUM
BODY
XIPHOID PROCESS
ARTICULATIONS
MANUBRIUM
CLAVICLE
BODY
STERNAL ANGLE
RIBS 3-7
XIPHOID
4/9/2019
Southwest College of Naturopathic Medicine

8. Southwest College of Naturopathic Medicine
MUSCLES OF THE STERNUM
STERNOCLEIDO-MASTOID
STERNOTHYROID
STERNOHYOID
PECTORALIS MAJOR
NOT SHOWN:
DIAPHRAGM
STERNALIS (OFTEN ABSENT)
FUNCTIONAL ANATOMY
4/9/2019
Southwest College of Naturopathic Medicine

9. RIBS

10. Southwest College of Naturopathic Medicine
SHAPE
HEAD
NECK
TUBERCLE
ANGLE
BODY
COSTAL GROOVE
COSTAL CARTILAGE
4/9/2019
Southwest College of Naturopathic Medicine

11. Southwest College of Naturopathic Medicine
TRUE VS. FALSE RIBS
TRUE
1-7 > STERNUM
FALSE
8-10 > superior
adjacent rib
FLOATING
11-12
4/9/2019
Southwest College of Naturopathic Medicine

12. Southwest College of Naturopathic Medicine
ARTICULATIONS
HEAD AT DEMIFACETS
BETWEEN VERTEBRAE
TUBERCLE AT TRANSVERSE PROCESS
DISTAL END AT THE STERNUM
1-10 ONLY
4/9/2019
Southwest College of Naturopathic Medicine

13. Southwest College of Naturopathic Medicine
SCALENE MUSCLES
ANTERIOR
MIDDLE
SPACE FOR PASSAGE OF AXILLARY ARTERY & BRACHIAL PLEXUS
POSTERIOR
FUNCTIONAL ANATOMY
4/9/2019
Southwest College of Naturopathic Medicine

14. Southwest College of Naturopathic Medicine
CERVICAL RIB
Arises from C7 vertebra
Narrows space between SCALENES
Disrupts: AXILLARY ARTERY & BRACHIAL PLEXUS
Can cause: Circulatory insufficiency, muscle weakness & sensation abnormalities
4/9/2019
Southwest College of Naturopathic Medicine

15. Southwest College of Naturopathic Medicine
CLAVICLE
STERNAL EXTREMITY
ACROMIAL EXTREMITY
4/9/2019
Southwest College of Naturopathic Medicine

16. THORACIC INLET & OUTLET
THORACIC OUTLET
DIAPHRAGM
LEVEL OF 5th/6th RIB
4/9/2019
Southwest College of Naturopathic Medicine

17. STRUCTURES OF THE UPPER LIMB
PECTORALIS MAJOR
PECTORALIS MINOR
M. & L. PECTORAL NN
SUBCLAVIUS
CLAVIPECTORAL FASCIA
FUNCTIONAL ANATOMY
4/9/2019
Southwest College of Naturopathic Medicine

18. STRUCTURES OF THE UPPER LIMB
SERRATUS ANTERIOR
AXILLARY ARTERY AND VEIN
BRACHIAL PLEXUS
FUNCTIONAL ANATOMY
4/9/2019
Southwest College of Naturopathic Medicine

19. SUBCLAVIAN ARTERY AND VEIN
ARTERY IS DIVIDED INTO THREE PARTS BY THE ANTERIOR SCALENE MUSCLE
2ND
1ST
3RD
4/9/2019
Southwest College of Naturopathic Medicine

20. 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
4/9/2019
Southwest College of Naturopathic Medicine

21. Southwest College of Naturopathic Medicine
SECOND PART
POSTERIOR TO ANTERIOR SCALENE
ON THE RIGHT SIDE ONLY: COSTOCERVICAL TRUNK
4/9/2019
Southwest College of Naturopathic Medicine

22. Southwest College of Naturopathic Medicine
THIRD PART
DISTAL TO ANTERIOR SCALENE
DORSAL SCAPULAR ARTERY (67% OF CADAVERS)
4/9/2019
Southwest College of Naturopathic Medicine

23. THE INTERCOSTAL SPACE

24. Southwest College of Naturopathic Medicine
INTERCOSTAL MUSCLES
EXTERNAL INTERCOSTAL
MEMBRANE
INTERNAL INTERCOSTAL
INNERMOST INTERCOSTAL
4/9/2019
Southwest College of Naturopathic Medicine

25. Southwest College of Naturopathic Medicine
NEUROVASCULAR SPACE
BETWEEN INTERNAL & INNERMOST INTERCOSTAL MUSCLES/MEMBRANE
4/9/2019
Southwest College of Naturopathic Medicine

26. Southwest College of Naturopathic Medicine
NEUROVASCULAR SPACE
CONTENTS SUP.
VEIN
ARTERY
NERVE
CONTENTS INF.
COLLATERAL BRANCHES OF NERVE, ARTERY AND VEIN
4/9/2019
Southwest College of Naturopathic Medicine

27. 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
4/9/2019
Southwest College of Naturopathic Medicine

28. INTERNAL THORACIC ARTERY
PROVIDES COLLATERAL ROUTE TO INTERCOSTAL ARTERIES
TERMINATES BY DIVIDING INTO (BIFURCATING):
SUPERIOR EPIGASTRIC ARTERY
ANASTOMOSES WITH INFERIOR EPIGASTRIC
MUSCULO-PHRENIC ARTERY
4/9/2019
Southwest College of Naturopathic Medicine

29. VENOUS DRAINAGE OF INTERCOSTAL SPACES
AZYGOS
HEMIAZYGOS
ACCESSORY HEMIAZYGOS
HIDDEN ON ILLUSTRATION BY STERNUM
SUPREME INTERCOSTAL VEINS
NOT VISIBLE
INTERNAL THORACIC VEINS
4/9/2019
Southwest College of Naturopathic Medicine

30. DEEP MUSCLES OF THE THORAX
DEEP TO THE INNERMOST INTERCOSTAL AND SUPERFICIAL TO ENDOTHORACIC FASCIA
SUBCOSTAL (ON POSTERIOR BODY WALL)
TRANSVERSE THORACIS
FUNCTIONAL ANATOMY
4/9/2019
Southwest College of Naturopathic Medicine

31. 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)
4/9/2019
Southwest College of Naturopathic Medicine

32. Southwest College of Naturopathic Medicine
ENDOTHORACIC FASCIA
AREOLAR CT SEPARATING THE PARIETAL PLEURA FROM THE THORACIC WALL
CLEAVAGE PLANE
4/9/2019
Southwest College of Naturopathic Medicine