Thorax

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Thoracic
)
Thorax
Chest
oblique lung fissure anteriorly, but more deeply its lower limit rather corresponds to the upper border of the liver.
Details
Identifiers
Latinthorax
Greekθώραξ
MeSHD013909
TA98A01.1.00.014
TA2125
FMA9576
Anatomical terminology]

The thorax (pl.: thoraces or thoraxes)[1] or chest is a part of the anatomy of mammals and other tetrapod animals located between the neck and the abdomen.[2][3] In insects, crustaceans, and the extinct trilobites, the thorax is one of the three main divisions of the creature's body, each of which is in turn composed of multiple segments.

The human thorax includes the

lungs, and thymus gland, as well as muscles and various other internal structures. Many diseases may affect the chest, and one of the most common symptoms is chest pain
.

Adolescent male chest and nipples.

Etymology

The word thorax comes from the

Latin: thorax.[5]

Human thorax

Structure

In humans and other

shoulder girdle
.

Contents

An X-ray of a human chest area, with some structures labeled

The contents of the thorax include the

floating ribs
).

External structures are the skin and nipples.

The chest

In the human body, the region of the thorax between the neck and diaphragm in the front of the body is called the chest. The corresponding area in an animal can also be referred to as the chest.

The shape of the chest does not correspond to that part of the

ensiform cartilage begins, and above this there is often a depression known as the pit of the stomach
.

Bones

The bones of the thorax, called the "thoracic skeleton" is a component of the axial skeleton.

It consists of the

sternum. The ribs of the thorax are numbered in ascending order from 1–12. 11 and 12 are known as floating ribs because they have no anterior attachment point in particular the cartilage attached to the sternum, as 1 through 7 are, and therefore are termed "floating". Whereas ribs 8 through 10 are termed false ribs as their costal cartilage articulates with the costal cartilage of the rib above. The thorax bones also have the main function of protecting the heart, lungs, and major blood vessels in the thorax area, such as the aorta
.

Anatomical landmarks

The anatomy of the chest can also be described through the use of

anatomical landmarks. The nipple in the male is situated in front of the fourth rib or a little below; vertically it lies a little external to a line drawn down from the middle of the clavicle; in the female it is not so constant. A little below it the lower limit of the great pectoral muscle is seen running upward and outward to the axilla; in the female this is obscured by the breast, which extends from the second to the sixth rib vertically and from the edge of the sternum to the mid-axillary line laterally. The female nipple is surrounded for half an inch by a more or less pigmented disc, the areola
. The apex of a normal heart is in the fifth left intercostal space, three and a half inches from the mid-line.

Clinical significance

axial, coronal and sagittal planes, respectively. This type of investigation can be used for detecting both acute and chronic changes in the lung
parenchyma.

Different types of

trauma. Any condition that lowers the ability to either breathe deeply or to cough
is considered a chest disease or condition.

Injury

Injury to the chest (also referred to as chest trauma, thoracic injury, or thoracic trauma) results in up to 1/4 of all deaths due to

trauma in the United States.[6]

The major pathophysiologies encountered in blunt chest trauma involve derangements in the flow of air, blood, or both in combination. Sepsis due to leakage of alimentary tract contents, as in esophageal perforations, also must be considered. Blunt trauma commonly results in chest wall injuries (e.g., rib fractures). The pain associated with these injuries can make breathing difficult, and this may compromise ventilation. Direct lung injuries, such as pulmonary contusions (see the image below), are frequently associated with major chest trauma and may impair ventilation by a similar mechanism.

Pain

musculoskeletal complications. The pain can trigger cardiac issues as well. Not all pain that is felt is associated with the heart, but it should not be taken lightly either. Symptoms can be different depending on the cause of the pain.[7]
While cardiac issues cause feelings of sudden pressure in the chest or a crushing pain in the back, neck, and arms, pain that is felt due to noncardiac issues gives a burning feeling along the digestive tract or pain when deep breaths are attempted. Different people feel pains differently for the same condition. Only a patient truly knows if the symptoms are mild or serious.

Chest pain may be a symptom of

irregular heartbeat
may also be experienced. If a heart attack occurs, the bulk of the damage is caused during the first six hours, so getting the proper treatment as quickly as possible is important. Some people, especially those who are elderly or have diabetes, may not have typical chest pain but may have many of the other symptoms of a heart attack. It is important that these patients and their caregivers have a good understanding of heart attack symptoms.

Non-cardiac causes of chest pain

Just like with a heart attack, not all chest pain is caused by conditions involving the heart. Chest wall pain can be experienced after an increase in activity. Persons who add exercise to their daily routine generally feel this type of pain at the beginning.[citation needed] It is important to monitor the pain to ensure that it is not a sign of something more serious. Pain can also be experienced in persons who have an upper respiratory infection. This virus is also accompanied by a fever and cough. Shingles is another viral infection that can give symptoms of chest or rib pain before a rash develops. Injuries to the rib cage or sternum is also a common cause of chest pain. It is generally felt when deep breaths are taken or during a cough.

Atelectasis

Another non-cardiac cause of chest pain is

tumour, or an inhaled foreign object such as a coin, piece of food, or a toy.[8]
It is possible for something outside of the bronchus to cause the blockage.

Pneumothorax

pleural space. It can occur without a known cause or as the result of a lung disease or acute lung injury.[9]
The size of the pneumothorax changes as air or gas builds up, so a medical procedure can release the pressure with a needle. If it is untreated, blood flow can be interrupted and cause a drop in blood pressure known as tension pneumothorax. It is possible for smaller cases to clear up on their own. Symptoms of this condition are often felt only on one side of the lung or as a shortness of breath.

Other animals

In tetrapods

In mammals, the thorax is the region of the body formed by the sternum, the thoracic vertebrae, and the ribs. It extends from the neck to the diaphragm, and does not include the upper limbs. The heart and the lungs reside in the thoracic cavity, as well as many blood vessels. The inner organs are protected by the rib cage and the sternum. Thoracic vertebrae are also distinguished in birds, but not in reptiles.

In arthropods

petiole and bulbous gaster
.

In insects, crustaceans, and the extinct trilobites, the thorax is one of the three main divisions of the creature's body, each of which is in turn composed of multiple segments. It is the area where the wings and legs attach in insects, or an area of multiple articulating plates in trilobites. In most insects, the thorax itself is composed of three segments; the prothorax, the mesothorax, and the metathorax. In extant insects, the prothorax never has wings, though legs are always present in adults; wings (when present) are restricted to at least the mesothorax, and typically also the metathorax, though the wings may be reduced or modified on either or both segments. In the apocritan Hymenoptera, the first abdominal segment is fused to the metathorax, where it forms a structure known as the propodeum. Accordingly, in these insects, the functional thorax is composed of four segments, and is therefore typically called the mesosoma to distinguish it from the "thorax" of other insects.

Each thoracic segment in an insect is further subdivided into various parts, the most significant of which are the dorsal portion (the

sternum). In some insects, each of these parts is composed of one to several independent exoskeletal plates with membrane between them (called sclerites
), though in many cases the sclerites are fused to various degrees.

Human thorax images

  • Volume rendering of a high resolution computed tomography of the thorax. The anterior thoracic wall, the airways and the pulmonary vessels anterior to the root of the lung have been digitally removed in order to visualize the different levels of the pulmonary circulation.
    high resolution computed tomography of the thorax. The anterior thoracic wall, the airways and the pulmonary vessels anterior to the root of the lung have been digitally removed in order to visualize the different levels of the pulmonary circulation
    .
  • Thorax. Anterior view.
    Thorax. Anterior view.
  • Thorax. Anterior view.
    Thorax. Anterior view.
  • Clearly visible thorax of an artistic gymnast.
    Clearly visible thorax of an artistic gymnast.

See also

References

  1. ^ "Definition: Thorax". Oxford Learner's Dictionaries.
  2. ^ "thorax" at Dorland's Medical Dictionary
  3. ^ Thorax at the U.S. National Library of Medicine Medical Subject Headings (MeSH)
  4. ^ θώραξ, Henry George Liddell, Robert Scott, A Greek-English Lexicon, on Perseus Digital Library
  5. ^ "thorax, n.". Oxford English Dictionary. Oxford University Press.
  6. ^ Shahani, Rohit, MD. (2005). Penetrating Chest Trauma. eMedicine. Retrieved 2005-02-05.
  7. ^ Chest Diseases Archived 2014-12-16 at the Wayback Machine Retrieved on 2010-1-26
  8. ^ Atelectasis Lung and Airway Disorders. Retrieved on 2010-1-26
  9. ^ Pleurisy Lung Diseases. Retrieved on 2010-1-26

External links