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Hilton's law, espoused by John Hilton in a series of medical lectures given in 1860–1862, [1] is the observation that in the study of anatomy, the nerve supplying the muscles extending directly across and acting at a given joint not only supplies the muscle, but also innervates the joint and the skin overlying the muscle.
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.
A thoracostomy is a small incision of the chest wall, [1] with maintenance of the opening for drainage. [2] It is most commonly used for the treatment of a pneumothorax.This is performed by physicians, paramedics, and nurses usually via needle thoracostomy or an incision into the chest wall with the insertion of a thoracostomy tube (chest tube) or with a hemostat and the provider's finger ...
The muscle fibers are directed downwards, forwards and laterally forming right angle with external intercostal muscle. Innermost intercostal muscle also known as intercostalis intimus are deep layers of the internal intercostal muscles which are separated from them by a neurovascular bundle. The muscle fibers are directed downwards, forwards ...
The innermost intercostal muscle is a layer of intercostal muscles. [1] It may also be called the intima of the internal intercostal muscles . [ 2 ] It is the deepest muscular layer of the thorax , [ 3 ] with muscle fibres running vertically (in parallel with the internal intercostal muscles ). [ 2 ]
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.
The organs, muscles, and other contents of the torso are supplied by nerves, which mainly originate as nerve roots from the thoracic and lumbar parts of the spinal cord. Some organs also receive a nerve supply from the vagus nerve. The sensation to the skin is provided by the lateral and dorsal cutaneous branches.
The medial cutaneous branches of the posterior divisions of the thoracic nerves descend for some distance close to the spinous processes before reaching the skin, while the lateral branches travel downward for a considerable distance—it may be as much as the breadth of four ribs—before they become superficial; the branch from the twelfth thoracic, for instance, reaches the skin only a ...