vertebral column, ribs & sternum
DESCRIPTION
VERTEBRAL COLUMN, RIBS & STERNUM . by Isabella Kung. 10. February.2014 Monday. Kaan Yücel M.D., Ph.D. VERTEBRAL COLUMN. Vertebrae + intervertebtal (IV) discs Spine Omurga Main part of the axial skeleton. VERTEBRAL COLUMN. - PowerPoint PPT PresentationTRANSCRIPT
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VERTEBRAL COLUMN, RIBS & STERNUM
Kaan Yücel M.D., Ph.D. 10. February.2014 Monday
by Isabella Kung
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Vertebrae + intervertebtal (IV) discs Spine
Omurga
Main part of the axial skeleton
VERTEBRAL COLUMN
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VERTEBRAL COLUMNfrom the cranium (skull) to the apex
of the coccyx¼ formed by the intervertebral (IV) discs.
IV discs separate and bind the vertebrae together.
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VERTEBRAL COLUMN
Protects the spinal cord and spinal nerves.
Supports the weight of the body superior to the level of the pelvis.
Provides a partly rigid and flexible axis for the body and an extended base on which the head is placed and pivots.
Plays an important role in posture and locomotion (the movement from one place to another).
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VERTEBRAE33 vertebrae arranged in 5 regions
7 cervical12 thoracic5 lumbar5 sacral4 coccygeal
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Structures of the vertebraeA typical vertebra consists of
A Vertebral body A Vertebral arch 7 processes
1 2
3-4
5-67
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Posterior to the vertebral body Consists of two (right and left) pedicles & laminae.
VERTEBRAL ARCH
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vertebral arch + posterior surface of the vertebral body
walls of vertebral foramen
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Succession of vertebral foramina in the articulated vertebral column
forms vertebral canal (spinal canal)
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The superior and inferior vertebral notches of adjacent vertebrae and the IV discs form intervertebral foramina
Intervertebral foraminaSpinal (posterior root) ganglia are located Spinal nerves emerge from the vertebral column with their accompanying vessels through these foramina.
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Regional Characteristics of Vertebrae
vertebrae having foramina in their transverse processes are cervical vertebrae
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articular facets orientation in each region differentMovement needed
articular facets of thoracic vertebrae nearly vertical, define an arc centered in the IV disc this arrangement permits rotation and lateral flexion of the vertebral column in this region.
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Regional variations in size and shape of the vertebral canal accommodate the varying thickness of the spinal
cord.
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CERVICAL VERTEBRAE
skeleton of the neck between the cranium & thoracic vertebrae
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1) Smallest of the 24 movable vertebrae
2) Relatively larger intervertebral discsdiscs are thin, but relative to their small size; thick.
FEATURES TYPICAL FOR CERVICAL VERTEBRAE
3) Greatest range & variety of movement of all the vertebral regions
4) foramen transversarium in the transverse process
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Vertebrae C3-C7 typical cervical vertebrae
Large vertebral foraminarestricted rotation
superolateral margin uncus of the body uncinate process
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C7- vertebra prominensA long spinous process
Most prominent spinous process in 70% of people
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No body No spinous processWidest of the cervical vertebrae
The kidney-shaped, concave superior articular surfaces of the lateral masses articulate with occipital condyles.
Atlas (C1)
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strongest of the cervical vertebrae
C1, carrying the cranium,» rotates on C2 (e.g., when a person turns the head to indicate “no”).
Axis (C2)
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The distinguishing feature blunt tooth-like dens
Lies anterior to the spinal cord.
Serves as the pivot about which the rotation of the head occurs.
Axis (C2)
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THORACIC VERTEBRAEThe thoracic skeleton includes:
12 pairs of ribs and associated costal cartilages 12 thoracic vertebrae and the intervertebral discs between themSternum
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FEATURES TYPICAL FOR THORACIC VERTEBRAE
articulation with ribs.
1) Bilateral costal demifacets on the vertebral bodiesfor articulation with heads of ribs
2) Costal facets on the transverse processes for articulation with tubercles of ribs
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FEATURES TYPICAL FOR THORACIC VERTEBRAE
articulation with ribs.
3) Articular processes of thoracic vertebrae extend vertically with paired, nearly coronally oriented articular facets define an arc.
greatest degree of rotation is permitted here!
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4) Heart-shaped bodies
5) Long, inferiorly slanting spinous processes
FEATURES TYPICAL FOR THORACIC VERTEBRAE
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T1 1 COMPLETE SUP. COSTAL FACET
T10 (T9) 1 COMPLETE SUP. COSTAL FACET NO INF. COSTAL DEMIFACET
T11-12 1 COMPLETE COSTAL FACET NO INF. COSTAL DEMIFACET NO COSTAL FACET ON
TRANSVERSE PROCESS
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LUMBAR VERTEBRAEin the lower back between the
thorax and sacrum
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1) massive bodies2) transverse processes project posterosuperiorly as well as laterally.3) mammillary processes & accessory processes
FEATURES TYPICAL FOR LUMBAR VERTEBRAE
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Wedged-shaped Usually composed of 5 fused sacral vertebrae in adults. Located between the hip bones Sacral canal
continuation of the vertebral canal in the sacrum.
L. sacredSACRUM
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On the pelvic and posterior surfaces of the sacrum four pairs of sacral foramina
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Anterior projecting edge of the body of the S1 vertebra Sacral promontory (L. mountain ridge)
important obstetrical landmark
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The superior part of the lateral surface of the sacrum auricular surface
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tailbone;kuyruksokumu
A small triangular bone Formed by fusion of 4 rudimentary coccygeal vertebrae. Co1 may remain separate from the fused group. Rudimentary articular processes @ post. surface
COCCYX
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Last 3 coccygeal vertebrae often fuse during middle lifeforming a beak-like coccyx
Aging- A single bone!
Muscular attachment!
No contribution to support of the body weight in standing!
Coccydynia
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Curvatures in the Vertebral Column 1. The neck or
cervical spine, curves gently inward (lordosis)2. The mid back, or thoracic spine, curved outward (kyphosis)3. The low back, or lumbar spine, also curves inward (lordosis)4. Pelvic (Sacral) curvature
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RIBS, COSTAL CARTILAGES, AND INTERCOSTAL SPACES
Ribs (L. costae) are curved, flat bones that form most of the thoracic cage.
Remarkably light in weight yet highly resilient.
Each rib has a spongy interior containing bone marrow (hematopoietic tissue), which forms blood cells.
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There are three types of ribs that can be classified as typical or atypical
True (vertebrocostal) ribs (1st-7th ribs): They attach directly to the sternum through their own costal cartilages.False (vertebrochondral) ribs (8th, 9th, and usually 10th ribs): Their cartilages are connected to the cartilage of the rib above them; thus their connection with the sternum is indirect.Floating (vertebral, free) ribs (11th, 12th, and sometimes 10th ribs): The rudimentary cartilages of these ribs do not connect even indirectly with the sternum; instead they end in the posterior abdominal musculature.
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Typical ribs (3rd-9th) have the following components:
Head: wedge-shaped and has two facets, separated by the crest of the head; one facet for articulation with the numerically corresponding vertebra and one facet for the vertebra superior to it.
Neck: connects the head of the rib with the body at the level of the tubercle.
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Tubercle: located at the junction of the neck and bodyarticulates with the corresponding transverse process of the vertebra
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Body (shaft): thin, flat, and curved, most markedly at the costal angle where the rib turns anterolaterally.
The angle also demarcates the lateral limit of attachment of the deep back muscles to the ribs.
The concave internal surface of the body has a costal groove paralleling the inferior border of the rib, which provides some protection for the intercostal nerve and vessels.
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Atypical ribs (1st, 2nd, and 10th-12th) are dissimilar:
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Costal cartilages Prolong the ribs anteriorly Contribute to the elasticity of the thoracic wallProvide a flexible attachment for their anterior ends (tips).
The cartilages increase in length through the first 7 and then gradually decrease.
.
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Intercostal spaces Separate the ribs and their costal cartilages from one another. Named according to the rib forming the superior border of the space.
4th intercostal space lies between ribs 4 and 5.
11 intercostal spaces and 11 intercostal nerves intercostal muscles and membranes, and two sets (main and collateral) of intercostal blood vessels and nerves
identified by the same number assigned to the space.
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STERNUM
Flat, elongated bone Forms the middle of the anterior part of the thoracic cage. Affords protection for mediastinal viscera in general and much of the heart in particular.
G. sternon, chest
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STERNUMG. sternon, chest
1) Manubrium2) Body3) Xiphoid process
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sternal angleThe manubrium and body of the sternum in slightly different planes
manubriosternal joint sternal angle (of Louis)
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Jugular (suprasternal)notch:T2 vertebra in male, T4 in female Sternal angle (of Louis) T4-T5 vertebra• The border between superior and inferior mediastinum• Overlies the tracheal bifurcation and aortic arch • Useful for counting intercostal spaces (2nd ribs articulate here).
Surface Anatomy: Key Landmarks
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Sternal angle (of Louis) Th 4 –Th5 vertebra• The border between superior and inferior mediastinum• Overlies the tracheal bifurcation and aortic arch • Useful for counting intercostal spaces (2nd ribs articulate here).
Surface Anatomy: Key Landmarks
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Xiphoid process an important landmark in the median plane
Its junction with the sternal body at the xiphisternal jointinferior limit of the central part of the thoracic cavity
Xiphisternal joint site of the infrasternal angle (subcostal angle) formed by the right and left costal margins
Midline marker for superior limit of the liver, central tendon of the diaphragm, inferior border of the heart.