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The main deep neurovascular bundle at risk is the posterior tibial artery. It lies on the posterior aspect of the tibialis posterior and flexor digitorum longus muscle, and medial to the belly of flexor hallucis longus muscle. It also gives rise to medial plantar artery and lateral plantar artery. [1]
This neurovascular bundle runs high in the intercostal space, and the smaller collateral neurovascular bundle runs just superior to the lower rib of the space (in the order NAV from superior to inferior). Invasive procedures such as thoracentesis are performed with oblique entry of the instrument, directly above the upper margin of the relevant ...
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 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 intercostal arteries are a group of arteries passing within an intercostal space (the space between two adjacent ribs). There are 9 anterior and 11 posterior intercostal arteries on each side of the body. The anterior intercostal arteries are branches of the internal thoracic artery and its terminal branch – the musculophrenic artery.
The spaces between the ribs are known as intercostal spaces; they contain the instrinsic intercostal muscles and the neurovascular bundles containing intercostal nerves, arteries and veins. [4] The superficial surface of the rib cage is covered by the thoracolumbar fascia , which provides external attachments for the neck , back , pectoral and ...
The 3rd and 4th lumbar veins drain into the inferior vena cava. [3]The fate of the two superior lumbar veins is far more variable, and may drain into either the inferior vena cava, ascending lumbar vein, azygos vein, or (on the left side) the left renal vein; the 1st lumbar vein often passes inferiorly to join the 2nd lumbar vein, but may less commonly drain into the ascending lumbar vein, or ...
The thoracodorsal nerve arises from the posterior cord of the brachial plexus. It is derived from their ventral rami (in spite of the fact that the latissimus dorsi is found in the back) of cervical nerves C6-C8. [1] [3] It is derived from fibres of the posterior divisions of all three trunks of the brachial plexus. [4]