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The intercostal space (ICS) is the anatomic space between two ribs (Lat. costa). Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it. Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it.
The intercostal lymph nodes (intercostal glands) occupy the posterior parts of the intercostal spaces, in relation to the intercostal vessels. They receive the deep lymphatics from the postero-lateral aspect of the chest ; some of these vessels are interrupted by small lateral intercostal glands.
The upper five or six anterior intercostal arteries are branches of the internal thoracic artery (anterior intercostal branches of internal thoracic artery).The internal thoracic artery then divides into its two terminal branches, one of which - the musculophrenic artery - proceeds to issue anterior intercostal arteries to the remaining 6th, 7th, and 9th intercostal spaces; these diminish in ...
When the patient inspires, the spleen moves inferiorly along the posterolateral abdominal wall. If the spleen is enlarged enough that the inferior pole reaches the eighth or ninth intercostal space, a dull percussion note will be appreciated, indicating splenomegaly. Some limitations, however, were also reported by Castell in his original paper.
The sign is an imaging finding using a 3.5–7.5 MHz ultrasound probe in the fourth and fifth intercostal spaces in the anterior clavicular line using the M-Mode of the machine. This finding is seen in the M-mode tracing as pleura and lung being indistinguishable as linear hyperechogenic lines and is fairly reliable for diagnosis of a pneumothorax.
The apex beat is found approximately in the fifth left intercostal space in the mid-clavicular line. It can be impalpable for a variety of reasons including obesity, emphysema, effusion and rarely dextrocardia. The apex beat is assessed for size, amplitude, location, impulse and duration.
An intrapleural chest tube is also known as a Bülau drain or an intercostal catheter (ICC), and can either be a thin, flexible silicone tube (known as a "pigtail" drain), or a larger, semi-rigid, fenestrated plastic tube, which often involves a flutter valve or underwater seal.
The left superior intercostal vein drains the 2nd and 3rd posterior intercostal veins on the left side of the body. It usually drains into the left brachiocephalic vein . [ 1 ] [ 2 ] It may also communicate with the accessory hemiazygos vein .