Intercostal muscles

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Intercostal muscles
Intercostal-muscle.jpg
Intercostal muscles highlighted in dark red.
Details
Origin ribs 111
Insertion ribs 212
Artery intercostal arteries
Nerve intercostal nerves
Actions Elevation or Depression of the Ribs
Identifiers
Latin musculi intercostales
MeSH D007366
FMA 13354
Anatomical terms of muscle

The intercostal muscles comprise many different 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 by helping expand and shrink the size of the chest cavity. [1]

Contents

Structure

There are three principal layers;

  1. External intercostal muscles also known as intercostalis externus aid in quiet and forced inhalation. They originate on ribs 111 and have their insertion on ribs 212. The external intercostals are responsible for the elevation of the ribs and bending them more open, thus expanding the transverse dimensions of the thoracic cavity. The muscle fibers are directed downwards, forwards and medially in the anterior part.
  2. Internal intercostal muscles also known as intercostalis internus aid in forced expiration (quiet expiration is a passive process). They originate on ribs 212 and have their insertions on ribs 111.Their fibers pass anterior and superior from the upper margin of the rib and costal cartilage to the lower margin of the rib above. [2] The internal intercostals are responsible for the depression of the ribs and bending them inward, thus decreasing the transverse dimensions of the thoracic cavity. The muscle fibers are directed downwards, forwards and laterally forming right angle with external intercostal muscle.
  3. 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 and laterally same as intercostalis internus muscle. [3]

Nerve supply

Both the external and internal muscles are innervated by the intercostal nerves [3] (the ventral rami of thoracic spinal nerves), are supplied by the intercostal arteries, and are drained by the intercostal veins. Their fibers run in opposite directions.

Function

The scalene muscles, which also move the chest wall and have a function in inhalation, are also intercostal muscles, just not one of the three principal layers.

See also

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<span class="mw-page-title-main">Transversus thoracis muscle</span>

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The external intercostal muscles or external intercostals are eleven in number on both sides.

<span class="mw-page-title-main">Internal intercostal muscles</span> Group of muscles between the ribs

The internal intercostal muscles are a group of skeletal muscles located between the ribs. They are eleven in number on either side. They commence anteriorly at the sternum, in the intercostal spaces between the cartilages of the true ribs, and at the anterior extremities of the cartilages of the false ribs, and extend backward as far as the angles of the ribs, hence they are continued to the vertebral column by thin aponeuroses, the posterior intercostal membranes. They pull the sternum and ribs upward and inward.

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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.

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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.

<span class="mw-page-title-main">Thoracic wall</span> Boundary of the chest cavity

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Lateral cutaneous branch can refer to:

<span class="mw-page-title-main">Thoraco-abdominal nerves</span>

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References

  1. "Intercostal muscle strain: Signs, treatments,remedies". www.medicalnewstoday.com. 2020-01-10. Retrieved 2021-02-28.
  2. (source) Archived 2017-12-06 at the Wayback Machine
  3. 1 2 Datta, AK (2018). Essentials of Human Anatomy (10th ed.). India: Current Books International. p. 21. ISBN   978-93-85274-37-4.