1. بسم الله الرحمن الرحيم

2. Thoraciccage

3. Thoracic inlet

5. Thoracic Cage - The thoracic cage consists of the sternum, the ribs, and the thoracic vertebrae. - It has a narrow inlet and a wide outlet. I. Thoracic inlet: (the upper opening of the thoracic cage) Boundaries: a. Anterior -------------- Supra-sternal notch of the manubriumsterni. b. On each side --------- First rib. c. Posterior -------------- First thoracic vertebra.

6. II. Thoracic outlet It is the lower opening of the thoracic cage. Boundaries: a. Anterior -------------- Xiphoid process. b. On each side --------- Lower six costal cartilages + Last two ribs. c. Posterior -------------- Last thoracic vertebra. - It is closed by the diaphragm which separates it from the abdominal cavity.

7. Ribs Classification of ribs according to their attachments to the sternum: - There are twelve ribs on each side classified as: A: True ribs --------- Upper seven ribs (their anterior end is attached to the sternum). B: False ribs --------- Lower five ribs (they are not attached anteriorly to the sternum). - The lower two ribs are called the floating ribs because they are free anteriorly. Classification of ribs according to their structure: A: Typical ----------- 3rd- 9th ribs. B: Atypical ---------- 1st, 2nd, 10th, 11th, and 12th ribs.(first two and last 3) ribs)

8. Typical rib

9. A: Posterior end, formed by: 1. Head, contains: - Small upper demifacet for articulation with the small lower demifacet on the side of the vertebra above it. - Large lower demifacet for articulation with the large upper demifacet on the side of the vertebra of the same number. - Between both demifacets there is the crest of the head. 2. Neck - It is the flattened constriction next to the head. 3. Tubercle, formed by: - Articular part (medial part), which articulates with the circular facet on the tip of the transverse process of the vertebra of the same number. -Non articular part (lateral part), which is attached to the lateral costo-transverseligament .

10. Atypical ribsFirst rib (general features)

11. First rib Structures related

13. The neck of the first rib The neck is related anteriorlyfrom medial to lateral to: a. Stellate ganglion. b. Superior intercostal artery. c. Ventral ramus of the 1stthoracic nerve.

14. Second rib

16. Tenth rib a.Single articular facet on the head.

17. Eleventh rib a.Single articular facet on the head. b.No tubercle.

18. Twelveth rib a.Single articular facet on the head. b.No tubercle. c.No neck. d.No costal groove. e. Large head. f. Tapering anterior end.

19. Sternum(Parts)

20. Sternum(General features)

21. Thoracic vertebrae Classification of thoracic vertebrae: - There are twelve thoracic vertebrae classified as: A: Typical ------ 2nd – 8th vertebrae. B: Atypical ----- 1st, 9th, 10th, 11th, and 12thvertebrae (first one and last 4 vertebrae).

22. Characteristics of a typical thoracic vertebra 1. The body is characterized by: - Small in size and heart shaped. - Its side contains two demifacets: a. Large upper demifacet for articulation with the head of the rib of the corresponding number. b. Small lower demifacet for articulation with the head of the rib below it.  2. The tip of the transverse process containscircular facet for articulation with the tubercle of the rib of the corresponding number.  3. The spine is long, tapering, and directed downwardsand backwards. 4. The vertebral foramen is circular and small. 5. The superior articular process faces backwards, while the inferior articular

23. Typical thoracic vertebra Lateral surface Superior surface

24. First thoracic vertebra 1. The body is small . 2. The vertebral foramen is wide and triangular. 3. The body carries complete circular articular facet for articulation with the headof the first rib. 4. The spine is horizontal.

25. The ninth& tenth thoracic vertebrae Ninth vertebra Tenth vertebra

26. The eleventh & twelveth thoracic vertebrae Eleventh vertebra Twelveth vertebra

28. Thank You Prof.: Dr. Wafaa Abdel-Rahman