Innermost intercostal muscle

Last updated
Innermost intercostal muscle
Innermost intercostal muscles back.png
Innermost intercostal muscle (red), seen from back.
Details
Origin Infero-posterior border of each rib (above)
Insertion Supero-posterior border of the rib (below)
Artery intercostal arteries
Nerve intercostal nerves
Actions Through adduction of upper ribs to the lower ribs the muscles narrow intercostal slits and diminish thorax volume, therefore the muscles represent expiratory muscles.
Identifiers
Latin musculus intercostalis intimus
TA98 A04.4.01.014
TA2 2313
FMA 74086
Anatomical terms of muscle

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] 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]

Contents

Additional images

Related Research Articles

Thoracic duct

In human anatomy, the thoracic duct is the larger of the two lymph ducts of the lymphatic system. It is also known as the left lymphatic duct, alimentary duct, chyliferous duct, and Van Hoorne's canal. The other duct is the right lymphatic duct. The thoracic duct carries chyle, a liquid containing both lymph and emulsified fats, rather than pure lymph. It also collects most of the lymph in the body other than from the right thorax, arm, head, and neck. The thoracic duct usually starts from the level of the twelfth thoracic vertebrae (T12) and extends to the root of the neck. It drains into the systemic (blood) circulation at the junction of the left subclavian and internal jugular veins, at the commencement of the brachiocephalic vein.

Intercostal muscle

Intercostal muscles are several groups of muscles that run between the ribs, and help form and move the chest wall. The intercostal muscles are mainly involved in the mechanical aspect of breathing. These muscles help expand and shrink the size of the chest cavity to facilitate breathing.

Transverse abdominal muscle

The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral abdominal wall which is deep to the internal oblique muscle. It is thought by most fitness instructors to be a significant component of the core.

Transversus thoracis muscle

The transversus thoracis muscle lies internal to the thoracic cage, anteriorly. It is a thin plane of muscular and tendinous fibers, situated upon the inner surface of the front wall of the chest. It is in the same layer as the subcostal muscles and the innermost intercostal muscles.

Axillary vein Large vein between the thorax and the heart

In human anatomy, the axillary vein is a large blood vessel that conveys blood from the lateral aspect of the thorax, axilla (armpit) and upper limb toward the heart. There is one axillary vein on each side of the body.

Abdominal external oblique muscle

The abdominal external oblique muscle is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen.

Intercostal nerves

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. 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.

Medial pectoral nerve

The medial pectoral nerve arises from the medial cord of the brachial plexus, and through it from the eighth cervical and first thoracic roots.

Anterior superior iliac spine

The anterior superior iliac spine is a bony projection of the iliac bone, and an important landmark of surface anatomy. It refers to the anterior extremity of the iliac crest of the pelvis. It provides attachment for the inguinal ligament, and the sartorius muscle. The tensor fasciae latae muscle attaches to the lateral aspect of the superior anterior iliac spine, and also about 5 cm away at the iliac tubercle.

Lingual artery

The lingual artery arises from the external carotid artery between the superior thyroid artery and facial artery. It can be located easily in the tongue.

Hemiazygos vein

The hemiazygos vein is a vein running superiorly in the lower thoracic region, just to the left side of the vertebral column.

Accessory hemiazygos vein

The accessory hemiazygos vein, also called the superior hemiazygous veinis a vein on the left side of the vertebral column that generally drains the fourth through eighth intercostal spaces on the left side of the body.

Intercostal space anatomic space between two ribs

The intercostal space (ICS) is the anatomic space between two ribs. Since there are 12 ribs on each side, there are 11 intercostal spaces, each numbered for the rib superior to it.

Subcostal nerve

The subcostal nerve is larger than the others. It runs along the lower border of the twelfth rib, often gives a communicating branch to the first lumbar nerve, and passes under the lateral lumbocostal arch.

Suprascapular notch Groove in the superior border of the scapula, for the suprascapular nerve to pass through

The suprascapular notch is a notch in the superior border of the scapula, just medial to the base of the coracoid process.

Triangle of auscultation

The triangle of auscultation of the lungs is a relative thinning of the musculature of the back, situated along the medial border of the scapula.

The common extensor tendon is a tendon that attaches to the lateral epicondyle of the humerus.

Intercostal arteries Arteries supplying the space between the ribs

The intercostal arteries are a group of arteries that supply the area between the ribs ("costae"), called the intercostal space. The highest intercostal artery is an artery in the human body that usually gives rise to the first and second posterior intercostal arteries, which supply blood to their corresponding intercostal space. It usually arises from the costocervical trunk, which is a branch of the subclavian artery. Some anatomists may contend that there is no supreme intercostal artery, only a supreme intercostal vein.

Esophageal plexus

The esophageal plexus is formed by nerve fibers from two sources, branches of the vagus nerve, and visceral branches of the sympathetic trunk. The esophageal plexus and the cardiac plexus contain the same types of fibers and are both considered thoracic autonomic plexus.

Pulmonary pleurae Serous membrane that lines the wall of thoracic cavity and the surface of lung

The pulmonary pleurae are the two layers of the invaginated sac surrounding each lung and attaching to the thoracic cavity. The visceral pleura is the delicate membrane that covers the surface of each lung, and dips into the fissures between the lobes of the lung. The parietal pleura is the outer membrane which is attached to the inner surface of the thoracic cavity. It also separates the pleural cavity from the mediastinum. The parietal pleura is innervated by the intercostal nerves and the phrenic nerve.

References

  1. Rahangdale, Rohit; Tureanu, Luminita; Benzon, Honorio T. (2018-01-01), Benzon, Honorio T.; Raja, Srinivasa N.; Liu, Spencer S.; Fishman, Scott M. (eds.), "Chapter 83 - Truncal Blocks: Paravertebral, Intercostal, Pectoral Nerve, Suprascapular, Ilioinguinal, Iliohypogastric Nerve, and Transversus Abdominis Plane Blocks", Essentials of Pain Medicine (Fourth Edition), Elsevier, pp. 779–788.e2, doi:10.1016/b978-0-323-40196-8.00083-8, ISBN   978-0-323-40196-8 , retrieved 2020-11-23
  2. 1 2 Bland, Kirby I.; Copeland, Edward M.; Klimberg, V. Suzanne (2018-01-01), Bland, Kirby I.; Copeland, Edward M.; Klimberg, V. Suzanne; Gradishar, William J. (eds.), "2 - Anatomy of the Breast, Axilla, Chest Wall, and Related Metastatic Sites", The Breast (Fifth Edition), Elsevier, pp. 20–36.e2, doi:10.1016/b978-0-323-35955-9.00002-7, ISBN   978-0-323-35955-9 , retrieved 2020-11-23
  3. 1 2 3 Rakovich, George; Fréchette, Éric; Deslauriers, Jean (2010-01-01), Lewis, Michael I.; McKenna, Robert J.; Falk, Jeremy A.; Chaux, George E. (eds.), "8 - Thoracic Surgical Anatomy and Procedures", Medical Management of the Thoracic Surgery Patient, Philadelphia: W.B. Saunders, pp. 95–105, doi:10.1016/b978-1-4160-3993-8.00008-8, ISBN   978-1-4160-3993-8 , retrieved 2020-11-23
  4. Jacob, S. (2008-01-01), Jacob, S. (ed.), "Chapter 3 - Thorax", Human Anatomy, Churchill Livingstone, pp. 51–70, ISBN   978-0-443-10373-5 , retrieved 2020-11-23
  5. Carreiro, Jane E (2009-01-01), Carreiro, Jane E (ed.), "Chapter 5 - The respiratory system", An Osteopathic Approach to Children (Second Edition), Edinburgh: Churchill Livingstone, pp. 85–100, doi:10.1016/b978-0-443-06738-9.00005-8, ISBN   978-0-443-06738-9 , retrieved 2020-11-23