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The intercostal nerves are part of the somatic nervous system, and arise from the anterior rami of the thoracic spinal nerves from T1 to T11. [1] [2] The intercostal nerves are distributed chiefly to the thoracic pleura and abdominal peritoneum, and differ from the anterior rami of the other spinal nerves in that each pursues an independent course without plexus formation.
In reference to the muscles of the thoracic wall, the intercostal nerves and vessels run posterior to the internal intercostal muscles: therefore, they are generally covered on the inside by the parietal pleura, except when they are covered by the innermost intercostal muscles, innermost intercostal membrane, subcostal muscles or the transversus thoracis muscle.
These pierce the intercostales externi and the obliquus externus abdominis, in the same line as the lateral cutaneous branches of the upper thoracic nerves, and divide into anterior and posterior branches, which are distributed to the skin of the abdomen and back; the anterior branches supply the digitations of the obliquus externus abdominis ...
The diaphragm is primarily innervated by the phrenic nerve which is formed from the cervical nerves C3, C4 and C5. [7] While the central portion of the diaphragm sends sensory afferents via the phrenic nerve, the peripheral portions of the diaphragm send sensory afferents via the intercostal (T5–T11) [8] and subcostal nerves (T12). [citation ...
Cardiac physiology or heart function is the study of healthy, unimpaired function of the heart: involving blood flow; myocardium structure; the electrical conduction system of the heart; the cardiac cycle and cardiac output and how these interact and depend on one another.
structures of the nervous system including the paired vagus nerves, and the paired sympathetic chains, lymphatics including the thoracic duct. It contains three potential spaces lined with mesothelium: the paired pleural cavities and the pericardial cavity. The mediastinum comprises those organs which lie in the centre of the chest between the ...
Internal intercostal muscles also known as intercostalis internus aid in forced expiration (quiet expiration is a passive process). They originate on ribs 2–12 and have their insertions on ribs 1–11.Their fibers pass anterior and superior from the upper margin of the rib and costal cartilage to the lower margin of the rib above. [ 2 ]
It is present only in the middle of each intercostal space, and often not present higher up the rib cage. [3] It lies deep to the plane that contains the intercostal nerves and intercostal vessels, and the internal intercostal muscles. [3] [4] The diaphragm is continuous with the innermost intercostal muscle. [5]