What are the 3 parts of the sternum?
Manubrium, body, xiphoid process
What is the sternal angle?
Ridge between manubrium and body of sternum; marks T4/T5 and rib 2 attachment; also called angle of Louis
What are true ribs?
Ribs 1-7; vertebrosternal ribs whose costal cartilages attach directly to sternum
What are false ribs?
Ribs 8-10; vertebrochondral ribs whose cartilage connects to costal cartilage superior to it
What are floating ribs?
Ribs 11-12; no sternal connection, blend with abdominal musculature
Which ribs are typical and what are their features?
Ribs 3-9; have head (2 facets), neck, tubercle, body with costal angle and costal groove
What is the VAN order in intercostal spaces?
Vein, Artery, Nerve from superior to inferior in costal groove
Why is VAN clinically important?
Insert needles/chest tubes above rib to avoid neurovascular bundle in costal groove below
What are the 3 apertures of the diaphragm?
Caval opening (IVC, T8), Esophageal hiatus (esophagus/vagus, T10), Aortic hiatus (aorta/thoracic duct, T12)
What innervates the diaphragm?
Phrenic nerve (C3, 4, 5 keeps the diaphragm alive)
What provides blood supply to the diaphragm?
Superior/inferior phrenic arteries, musculophrenic arteries, pericardiacophrenic arteries
What muscles elevate ribs during inspiration?
External intercostals, diaphragm (main muscle)
What muscles depress ribs during expiration?
Internal intercostals, innermost intercostals (forced expiration)
Where do anterior intercostal arteries come from?
Internal thoracic artery and musculophrenic artery
Where do posterior intercostal arteries come from?
Thoracic aorta (spaces 3-11); supreme intercostal artery (spaces 1-2)
What are the 7 structures in the right atrium?
Sinus venarum, fossa ovalis, valve of coronary sinus, right auricle, pectinate muscle, crista terminalis, tricuspid valve
What is the fossa ovalis?
Remnant of foramen ovale; thumbprint depression in interatrial septum
What is the crista terminalis?
Ridge separating pectinate muscle from smooth sinus venarum; important for conduction
What are the structures in the right ventricle?
Chordae tendineae, papillary muscles (3), trabeculae carneae, septomarginal trabecula, conus arteriosus, pulmonary valve
What is the septomarginal trabecula?
Moderator band; spans from interventricular septum to anterior papillary muscle; carries conduction signals to RV
What are the 3 papillary muscles in RV?
Anterior, septal, posterior
How many cusps does the tricuspid valve have?
3 leaflets
What structures are in the left ventricle?
Bicuspid/mitral valve, 2 papillary muscles (anterior/posterior), chordae tendineae, trabeculae carneae, aortic valve
How many cusps does the mitral valve have?
2 leaflets