People have another rib. Breast cells. Z'єdnannya ribs with ridges

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ribs

Ribs, costae, 12 pairs, - vuzkі, іznої dozhinі kіstkovі plates, symmetrically spread out from the sides of the thoracic іddіl of the spinal stump.

At the dermal rib, the cyst part of the rib, os costale, the short cartilaginous part of the rib, os costale, the short cartilaginous - costal cartilage, cartilago constalis, and two ends - the anterior one, incisions to the sternum, and posterior, and incisions to the spinal stovp are enlarged.

Porozhnina of the breast cell to avenge the life of an important organization and was taken away by the cyst breast cell. The ribs are tied one with one decalcoma with balls of muffs, which add to the dichotomy. The stench is also attached to the ridge for additional stability. A rib fracture, just a position, is a rib fracture. Fractures of the ribs, which are lonely and not pushed in, are classified as hair fractures or simple fractures. The ribs slither to ruin at the point of the blow or to the back, de structurally stench є the weakest.

Greater folding fractures can lead to the substitution of the edges of the hand in the substitution abo zsuv. Serious camp, bandages with fractured ribs, called "suglobovoy suglob". It’s tricky to see, if there are a few curved ribs of evil in some of the mischiefs, there’s a segment that will float and collapse right away. Fractures of the first and the other ribs are very rare, or they can be tied with severe brachial nerve plexus, podclavicular vertebrae, or tied with head injuries, revealing either a thoracic aorta.

8th rib (A - inner surface; B - outer surface)

Kistkova part of the rib makes a head, shyku and tilo. The head of the rib, caput costae, is shattered on the vertebral end. On nii є the suglobov surface of the rib head, facies articularis capitis costae. The surface on the II-X ribs is divided horizontally from the ridge of the head of the rib, crista capitis costae, to the upper, mensha, and lower, large, part, the skin, from which it is clearly connected with the costal fossae of the two side ridges.

More low fracture of the ribs, more for everything, dressings with diaphragm injuries, liver or spleen. We will expand it with a mechanism, wiklikє fractures of the ribs, є blunt trauma. Stupid wiklik's injury fracture the ribs, put a grip on the rib, snarling yogo lamatisya. Approximately 10% of all patients hospitalized for blunt chest injuries have one or more rib fractures. I would like the mechanism of trauma itself to be an important factor in the negotiation of rib fractures; especially important is the concrete world of the patient.

Patients with HIV, osteoporosis, or osteopenia may cause changes in risk of severe and severe fractures. Fractures of the ribs are diagnosed on the chest x-ray, and the severity of the fracture is easily visible. Simple trischini z'yavlyayutsya yak trischini in the edge or toothy edge. Attach fractures, mabut, do not blur the contour of the bridle, the edge of the rib on x-ray sign... The floating segments of the ribs, called the screen, are also easily visible on the x-ray sign.

Shyka ribs, collum costae, - the most ringing and rounded part of the rib, carried on the upper edge of the ridge of the shyki ribs, crista colli costae (I and XII ribs of the ridge do not appear).

On the cordon with 10 upper pairs of ribs on the shytsi there is a small hump of the rib, tuberculum costae, on which there is a hump of the rib, facies articularis tuberculi costae, articulating with the transverse costal fossa of the ridged.

Sternum and ribs in x-ray imaging

We will broaden the symptom of rib fractures є bl. Bіl call the viclikana to the dikhannyam or cough. If the fractures are folded, the patient can suffer from the pre-existing structure of the underlying structures. Gostriy trischinuvatiy kinets ribs can be punctured easier, wicked vitiate, the camp, which is called pneumothorax, is potentially not safe for life. In addition to pain as a result of these traumas, there may be a lack of pain and a decrease in the amount of sourness in the blood. A dykhalny huglob is invariably supervised by the legendary slaughter, the blue of the legendary fabric, which you can lead to the appearance of a cliche object, called to the hospitality of the legendary legends.

Between the posterior surface of the collar of the rib and the anterior surface of the transverse ridge of the ridge of the ridge, the costal-transverse foramen, foramen costotransversarium, form.

Tilo ribs, corpus costae, stretching from the hump to the sternal end of the rib, є the most to the end of the cyst part of the rib. On the day of the appearance of the hump there are only ribs, strongly curved, set up the ribs, angulus costae. At the first ribs, they are humped, and on the other ribs, there are more established ones to grow (right up to the XI ribs); only XII ribs of the kuta will not fit. The ribs are flattened on all sides. It allows the development in a new two surfaces: inner, escaped, і zovnіshnyu, opukla, і two edges: upper, rounded, and lower, gostry. On the inner surface of the lower edge of the lower edge, there are furrowed ribs, sulcus costae, and then the middle artery, vein and nerve are covered. The edges of the ribs describe a spiral, the rib is twisted around its next axis.

Have a navazhch_y form gostre poshkojennya lungs can be brought up to yaka will load the life organization, called the syndrome of respiratory distress of grown-ups. Dichally lack of zavychay wiklican to the main legenevym diseases, albeit not the most anatomical screen. In addition, the segment of warming collapses in the opposite direction, like the sieve of the breast wall, through the last grip in the tight grip in the middle of the lungs. This is the so-called "paradoxical ruh" that can be made to the robot and be tied to the house.

Special treatment for fractures of the ribs is not a problem, but it can be taken out of the way. Simple rib fractures can be controlled only for additional pain. Patients are recommended to use a stimulating spirometer, a medical device, to learn how to improve the function of legends, and to control them for additional information as soon as possible. As long as you don’t know about the help of only medicines, you can see the best methods of pain relief, for example. blocking nerves. If the patients show multiple fractures of the ribs, they need to be prepared for supplementation with antibiotic drugs.

On the anterior sternum of the cystic part of the rib є a fossa with a small shortness; rib cartilage is attached to it.

Rib cartilage, cartilagines costales (there are also 12 pairs), є extended cystic parts of the ribs. From I to II ribs of the stench step by step podvzhuyutsya and bezdnuyutsya without the middle of the sternum. Top 7 pairs of ribs - true ribs, Costae verae, the lower 5 pairs of ribs are grated ribs, costae spuriae, and XI and XII ribs are heavy ribs, costae fluitantes. The cartilages VIII, IX and X of the ribs should not go up to the sternum without the middle, but the skin from them should be pressed down to the cartilage of the overlying rib. Cartilage XI and XII ribs (inodi X) do not reach the sternum and with their cartilaginous knots lie in the bones of the cartilage.

Pneumothorax initiate the procedure for imaging the screen from the breast tube. The court can easily be inserted into the mechanics of the mechanism, as well as the ventilator support for polishing the concentration of sourness in the blood and, possibly, for renewing fractures behind other metal plates.

The breast plate is formed from a whole of close to seventy components, skin-friendly functions for the preparation of the backward system. I am amazed at the front aspect, the breast tissue is folded at the front chest, Dorsal thoracic ridge і hunt pairs of ribs. Not all ribs may be in perfect contact with the breasts, but are tied with the ventral side of the chest cartilage through the cartilage plates. The lower edge of the ribs does not interfere with cystic or cartilaginous contact, and this is called the strong ribs.

A - 1st rib; B - 2nd rib (right; top view)

Deyak_specialities may be two first and two last ribs. The first rib, costa prima (I), is shorter, a little wider than the ones, the upper and lower surfaces are flattened horizontally (replace the outer and inner ribs). On the upper surface of the rib, in the anterior viddili, є the hump of the anterior vanishing joint, tuberculum T. Scaleni anterioris Name and appearance of the hump to lie slightly borne on the clavicular artery, sulcus a. subclaviae (a slid of the protagonist here of the same artery, a. subclavia), at the back of which there is a small shortness (the place of attachment to the middle outcropping, m. scalenus medius). In front of and up to the middle of the hump є, the furrow of the clavicular vein, sulcus v. subclaviae. Suglobova surface of the head of the I rib is cut with a comb; shyka dovga і thin; rib kut zbіgaєtsya from the hump of the rib.

Axis structures and slopes of the surface of the thoracic ridge

It is necessary to carry out the identification between true pairs of ribs and parasitic pairs of ribs. The ribs collapse with a dizzy collapse through їkh і'єднання through the pleural plates і for additional activation of respiratory and dyshalny mujazіv. The thoracic ridge in the kyphosis establishes the dorsal cordon of the thoracic clit and the cyst points of the rib pairs. On the cranial spines of arched ridges, the costumes of the higher and lower ridges, as the screen of the ribs sound from the hoods.

The other rib, costa secunda (II), can be short on the outer surface - the hump of the anterior tooth joint, tuberositas T. Serrati anterioris

Eleven and twelve ribs, costa XI and costa XII, may not be shattered by a comb of the slopes of the surface of the head. On the XI ribs, the kut, shyka, hump and ribs are boring, the bends are weak, and on the XII the stench is visible.

Axis structures and angles of the surface of the ribs

Foveva-susalis, roztashovana there, with the bottom ventral hump of the ribs with the ventral end of the cutaneous transverse extension. The ribs are the cysts of the cysts, which are stretched to the ventral straight line into the cartilage or breast bone, Abo in the cartilaginous plate, or in the vilny, yak at the lip of the ribs 11 and 12.

The structure of the Ossar and the slopes of the surface of the sternum

The cranial suglob surface is z'єdnana behind the lower fossa of the offensive thoracic ridge, and the tail suglob surface is articulated with the foveal foveal rib nerve of the offensive lower thoracic ridge. Inter-ribbed nerves and inter-ribbed nerves pass through the furrows, which are rosted in the middle of the dorsal section. The ribs will nibble the part of the cartilage, right down to the sternum. The thoracic ridge will set the chest cordon abo breastfeeding... Cranial wide razvin and sound of the sound of the caudal, so the sword is visually nagaduє or the tip.

sternum

The sternum, sternum, is an unpaired cyst of the podovzhenoi form with a depressed anterior surface and a seemingly curved posterior surface. The sternum is occupied by the anterior breast plate. The handle is opened, tilo and sword-like sprout... All three parts are surrounded by cartilaginous projections, as they ossify.

Here a bunch of stubble and stubble stubs. Stubble body: Stubble body fits the right side and insert surfaces on the right for -. The lack of cyst components is to be produced to an equally great number of new articulated works, which are often important to medical students and academics in therapeutic employment.

The ridge slopes are the right slopes, the skin of the deep slopes of the surface of the slope and the capsule. The stench can be glazed and transmitted by the force of a vice, so that the crumbs can go straight without injury. The hinge hinge is described in greater detail below. Suglobov capsule is thin and small synovial veins. The articulating surfaces of the stick grow out of the ground. Rib z'єnutsya behind the oblique darkened breast of the sternum.

The handle of the sternum, manubrium sterni, is the most wide part, tovsta in the mountains, thinner and even below, on the upper edge of the jarp, incisura jugularis, it is easy to feel through the skir. From the sides of the jugular viralis, the clavicular viralis, incisurae claviculans, are displaced, - the movement of the sternum from the sternum to the clavicles.

The ligaments of the thoracic clitine followed the development of the ligaments of the thoracic ridge, the cyst-ligaments and the cyst-swellings of the ligaments. The stench of the lecture is described in the article "Anatomy of the Ridge". The swarthy structures move from the ribs to the ridge. Sobortransversary ligaments: insertion points of the rosette link on the collage cone and on the lower edge of the transverse extension of the offensive ridge.

The tsia smuga is roasted only with ribs 1-10, and not with pairs of willow ribs. The cranial fibers take the onset of the larger upper segment, the tail fibers - the onset lower segment, and the horizontal fibers - the segment of the same line. Qia smuha is not tattered on the ribs, but the ribs are 10 -. The ligaments stretch from the ribs to the sternum.

Trochi lower, on the side of the edge, is located in the first rib, incisura costalis I, - the place of growth from the cartilage of the first rib. Still lower є not too much lagging - the upper part of the rib cage of the II rib; the lower dilyanka of the tsієї virіzki is located on tіlі sternum.

Tilo sternum, corpus sterni, 3 times as big as the handle, but even more. The thickness of the sternum is short in females, lower in the choloviks.

Oscillations of the type of breast cancer in some vypadki are identical to those of the ridge, here the butts are pointed, which are specifically tied with pathogenic changes of the ribs or ribs. Chi is not a dermal patient with a cym defect to show symptoms. In one heart failure, which is important to the genesis, can be attributed to a decrease in life. In case of a persistent malocclusion in case of kiphosis, there is an extreme mechanic nudge the shoulder strap to ventralize, and the slopes of the slopes are clenched, but the stench cannot be compensated.

The anterior surface of the sternum can be traced to the evil of the parts in the process of embryonic development in the viglyad, weakly twisting transversely to pass the line.

The cartilage of the upper edge of the body from the lower edge of the handle is called the synchondrosis of the sternum handle, synchondrosis manubriosternalis, with the whole tilo the handle converge, making it dull, with angiosis of the sternum. Tsey vistup is located on the level of the second rib with the sternum and is easy to feel through the shkira.

Sleeping surfaces virodzhuyutsya, but in a twisted vipadkah to produce pain in the bichesky chest, as often falsified angina pectoris, like a legacy, to be disgusting. From them, zokrema, bichny botranspersavram bichny. Allow stress to cause arthritic changes in the cyst-ridge slopes, the ignition parameters that can be transferred to the sound. Otzhe, the stench can also be virojuvatisya, which can lead to a breakdown in the world of progresuvannya zhvoryuvannya.

spondylitis of ancylopoetics

Up to the ridge, it can also be infused into the cyst-brains and slopes of the slopes. Fibrosis and ankylosis, as well as calcification of late vascular structures, can lead to pathological symptoms. I sound like a brisket і, in such a rank, I change dikhalne rukh... So how to compensate in the belly, і, і, і, і, іt іs strongly opucle, here talk і about the so-called phenomenon of the football belly.

On the edge of the border, the sternum grows at least a few more and two different ribs, incisurae costales. - the mice of the sternum from the cartilage of the II-VII ribs. One is not entirely located in the mountainous edge of the sternum and the cartilage of the II rib, іnsha - at the bottom of the lateral edge and the cartilage of the VII rib; chotiri povni virizki cover between them and develop III-VI ribs.

Possibility of nutrition for breastfeeding

Decision roztashovani lower dzherel. Are these ribs called free ribs? Ribs Human skeleton has no ribs. ... Do you know about the offensive structures only on the lower 8 ribs? Tse structure, yak є part of the skeleton of ridge creatures. Vin maє kilka irregular cylindrical shape. In people, there are also vidomas in the size of the breast. Anatomically, the claims are cystic, cartilaginous and mucous elements, and they are intertwined with the breast tissue. I will marvelously wrap around in the upper chest opening; lower, with the lower chest opening, close it with a diaphragm; earlier than dressing with breasts, ribs and costal cartilages; and more from the chest ridges.

Dilianki of bichnykh viddiliv, how to lie between two houses with half-ribbed ribs, may form the shape of a dimple.

The sword-like sprout, processus xiphoideus, is a nikorotsha part of the sternum, which can be grown in size and shape, with a split top, or with an opening in the middle. Gostra is either blunt, the top is brutalized, either in advance, or in vint. At the upper end of the sword-like outgrowth, there is a distinct viral articulation with the cartilage of the VII rib.

Sword-like outgrowth, synchondrosis of the sword-like outgrowth, synchondrosis xiphostemalis. Up to the elders, a sword-like outgrowth, ossified, grows out of the sternum.

One of the handles of the sternum, in the same sub-groups of muscular tissues, or in the medial lower ligaments of the sternum-clavicular-nipple-like meat, 1-3 breast beads are expanded, ossa suprastemalia. The stench comes from the handle of the sternum.

BREAST KLITINA

Breast cell, compages thoracis, store breast viddil spinal stop, ribs (12 pairs) and sternum.

The breast plate is made of the breast emptying, cavitas thoracis, which has the shape of a truncated cone, covered with a wide base from the bottom, and the truncated top - burn down. The front, rear and back sides, upper and lower openings, which surround the chest empty, are opened at the chest.

The anterior stem is shorter than the other stems, becoming the sternum and cartilage of the ribs. Roztashovuyuchis obliquely, more in front of their lower sides, lower upper ones. The posterior stinka is higher than the anterior one, fixed by the pectoral ridges and by the ribs from the heads to the grooves; її straight up vertically.

On the last surface of the back wall of the breast wedge, between the spinous ridges of ridges and cuts of ribs, on the sides of the offense there are two zholobi - dorsal furrows; they cover the sides of the back. On the inner surface of the chest wall, between the protruding tines of the ridges and the ribs of the ribs, two cocks are also contaminated - the legene furrows, sulci pulmonales, to which the ridge part of the ribbed surface is attached.

Bichni stinki are higher than the front and rear, fixed with the edges of the ribs and are more bulky.

The spaciousness, surrounded above and below by two bony ribs, in the front - by the side edges of the sternum and behind - by ridges, they call them the middle ribs, spatia intercoslalia: the stench of vicious rings, the middle membranes.

The breast cage, compares thoracis, is surrounded by meaningful lines, two openings - the upper and lower ones are called apertures.

The upper aperture of the thoracic clitine, apertura thoracis superior, is smaller than the lower one, enclosed in front by the upper edge of the handle, from the sides - by the first ribs and from the back - by the length of the I thoracic ridge. Vona has a transverse oval shape and is ripped in the area, nailed backwards and forwards and downwards. The upper edge of the sternum handle is located at the level of the second and third pectoral ridges.

The lower aperture of the thoracic clitine, aperlura thoracis inferior, is surrounded in front by the XII saber-shaped spine and the refined cartilaginous edges of the grave ribs by the costal arch, from the sides - by the large edges of the XII ribs and XII ribs

Rib arch, arcus coslalis, in the sword-like outgrowth, it opens up to the bottom of the under-chest cut, angulus infrastemalis.

The shape of the breast tissue in children is small (flat, cylindrical or endless). Some people have a higher breast cage under the breast cage, which is more comfortable and the intercostal space is wider, and the breast cage itself is higher, lower in particular with a wide breast cage. The sternum in choloviks is larger, wider and more cone-like, lower in females. The shape of the breast bone can also be deposited as a form.

Ribs on the skin side 12. All the stench with its hind knots should be surrounded by the thoracic ridges. The anterior knots of the 7 upper ribs are closed without the anterior sternum. tse true ribs, costae verae. Three offensive ribs (VIII, IX and X), which should be attached with their cartilage not to the sternum, and to the cartilage of the anterior rib, are called grave ribs, costae spuriae... Ribs XI and XII with front edges lie upright - up to floating ribs, costae fluctuantes.

Ribs, costae, Introduce vuzkі vignutі plates, which are stored in their back, most dovgoyu, part of the cistka, os costale, which can be applied to all spongy parts, And in the anterior, short, from the cartilage, cartilago costalis. On the dermal cystal ribs, the posterior and anterior knots develop, and between them there are only ribs, corpus costae. The back end is small, the head of the rib, caput costae, from the flattened surface, divided by a comb, behind an additional rib it is connected to the back of the ridges. At the I, XI and XII edges of the slope, the surface does not have a comb. Behind the head, there is a sound of a part - a rib of the rib, collum costae, on the upper edge of which a late comb, crista colli costae, goes through the first and last rib.

At the point of the transition of the shyka to the bottom of the rib, there is a hump of the rib, tuberculum costae, with a sloped surface for the connection from the sloped surface of the transverse ridge of the ridge. On the XI and XII ribs, the hump is wide, so that the ribs come out with the transverse outgrowths of the remaining pectoral ridges. Laterally, the hump of the ribs of the viginous ribs changes sharply, and at the most of the ribs, the back of the ribs, angulus costae, is located. At I, the ribs of angulus costae are built up with a hump, and on the other ribs they grow between a hump and a rib kut, they grow up to the XI rib, and on the XII, they are knotted. On the inner surface of the middle ribs of the lower edge of the lower edge, there is a beard, sulcus costae, along which pass the mid-ribs. On the upper surface of the I rib, there is a practically important hump, tuberculum m. scaleni anterioris, m. scalenus anterior. Unbeknownst to the back of this hump, it is possible to bachiti a small furrow, sulcus a. subclaviae, in the yaku lyagє there is an arterial artery, bent over the I rib. In front of the hump there is іnsha, more flat boron for the clavicle vein, sulcus v. subclaviae.


Sternum and ribs in x-ray imaging.

Oosteninnya. On radiographs of the sternum, one can see around the points of ossification: in the handle (1-2), in the til (4-13), from them the lower ones are seen in front of the people and in the first time of life, and in the xiphoid outgrowth (in the case of 6-20 rocks). The lower growth rate grows at 15-16 rockets, the upper one at 25 rockets, the sword-like growth rate is up to 30 rockets, and the handle is not as expected. In the last resort, if synchondrosis sternalis is spared, it appears on the x-ray at the vigilance of the zone and the education of the hilt. One of the points of ossification of the sternum, close to the I rib, can be protected at the viglyadi of the pre-cat, os parasternale.


Ribs to reveal ossification points:

  1. ribs in the area of ​​\ u200b \ u200bcuta; for a rakhunok neї kostenі tіlo, behind a vignette of an anterior knot, which is covered with cartilage (costal cartilage);
  2. in the head ribs (epiphiz) i
  3. in a hump (Apofiz).

The remainder will be in 15-20 years and grow up in 18-25 years.

In older adults, all 12 pairs of ribs are clearly visible on the anterior radiographs, while the anterior parts of the ribs are found on the posterior ones, intertwining with themselves. You need to grow up in the ciches of the neck, you need the mother on the floor, the back of the ribs are tied with the backbone and the rosette obliquely - downwards and laterally. The front part is nahilenі downwards, a little in the vortex right - medially. after the transition knitted fabric in the cartilaginous tіnі front ends of the ribs yak bi are shaved.


On radiographs, the heads and ribs of the ribs appear to be superimposed on the thin and transverse ridges of the ridges. Close to the transverse outgrowths, one can also see the humps of the ribs and their connections. The options for the development of the ribs are of great practical importance, so called additional ribs (VII shinny rib and I transverse); XII pair of ribs yak light rudimentary variations stronger than other ribs. There are two forms of XII ribs: saber-like, with a yak-yak, the edge is heaved down, і stiletto-like, if the short edge is tucked horizontally. The XII rib can be outward.

z'єdnannya ribs

Z'єdnannya ribs with sternum. The cartilaginous part of the 7 right ribs is joined with the sternum when in the middle of the symphysis, or, often, flat slopes, articulationes sternocostales. The cartilage of the first rib grows beside the middle of the sternum, framing synchondrosis. In front and back of the tsi the slopes are interchanged with interchangeable sounds, ligg. sternocostalia radiata, as on the anterior surface of the sternum, at once from the sides, they fix the shell, membrana sterni. The skin from the grave ribs (VIII, IX and X) is located by the anterior end of its cartilage from the lower edge of the pomaceous cartilage behind the supplementary spinal tissue growth (syndesmosis).

Between cartilages VI, VII, VIII, and inodi and V ribs є member, called artt. interchondrales, a thickened capsule that serves as a perichondrium. Back ribs with sternum і art. sternoclavularis to find food for a. thoracica interna. Venous vidtik - vidbuvaetsya in the same vein. See the limfi go on the glide lymph boats in nodi lymphatici parasternales et cervicales profundi. Innervation rr. anteriores nn. intercostales.

Z'єdnannya ribs with ridges

  1. Artt. capitis costae is established by the articular surfaces of the heads of the ribs and foveae costales of the thoracic ridges. The slopes of the surfaces of the rib heads from II to X of the ribs are articulated dermally from the foveae costales of two articulated ridges, and from the ridge of the rib head to mid-row disc internal corner link, lig. capitis costae intraarticular; Member I, XI and XII ribs are not lig. intraarticulare.
  2. Artt. costotransversariae are established between the humps of the ribs and the costal fossae of the transverse protuberances.

At the remaining 2 ribs (XI and XII), there are slopes in the middle. Artt. costotransversariae change with additional links, ligg. costotransversaria. The offense of the joint of the ribs with the ridges is a single combination of a joint (overtal) with a wrap around, which is to pass the bridle of the ribs. In such a rank, the ribs come together with the ridges and the sternum behind the aid of all kinds of z'єdnan. Here є synarthrosis in viglyadi syndesmoses (ligaments) and synchondrosis, symphysi (between small costal cartilages and sternum) and darthrosis (between ribs and ridges and between II-V and rib cartilages). Evidence of all types of z'adnan, yak and in spinal stovpi, Imagining the line of Evolution and functional attachments.

Up to which likarіv to turn around for the ribbing:

traumatologist

Iakіvannya tied with Ribs:

Both analyzes and diagnostics are required for the Ribs:

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