Muscles of thoracic cage with reference to their attachments nerve supply and actions

The muscles associated with the thoracic cage include those involved in respiration, stabilization of the ribcage, and movements of the shoulder and upper limb. Here is a list of some major muscles of the thoracic cage, along with their attachments, nerve supply, and actions:

  1. External Intercostal Muscles:
    • Attachments:
      • Origin: Inferior border of a rib.
      • Insertion: Superior border of the rib below.
    • Nerve Supply: Intercostal nerves.
    • Actions: Elevate the ribs during inspiration, assisting in inhalation.
  2. Internal Intercostal Muscles:
    • Attachments:
      • Origin: Superior border of a rib.
      • Insertion: Inferior border of the rib above.
    • Nerve Supply: Intercostal nerves.
    • Actions: Depress the ribs during expiration, assisting in exhalation.
  3. Innermost Intercostal Muscles:
    • Attachments:
      • Similar to internal intercostals.
    • Nerve Supply: Intercostal nerves.
    • Actions: Assist in expiration by depressing the ribs.
  4. Diaphragm:
    • Attachments:
      • Origin: Sternal (costal) part – xiphoid process and costal cartilages; Costal (lumbar) part – inner surface of lower six ribs and their costal cartilages; Lumbar (vertebral) part – two crura attaching to lumbar vertebrae.
      • Insertion: Central tendon.
    • Nerve Supply: Phrenic nerve (C3-C5).
    • Actions: Major muscle of inspiration; contracts to increase the thoracic volume during inhalation.
  5. External Oblique:
    • Attachments:
      • Origin: External surfaces of lower eight ribs.
      • Insertion: Linea alba, pubic crest, and anterior iliac crest.
    • Nerve Supply: Intercostal nerves and subcostal nerve (T7-T12).
    • Actions: Flexes and rotates the trunk; compresses the abdomen.
  6. Internal Oblique:
    • Attachments:
      • Origin: Inguinal ligament, iliac crest, and lumbodorsal fascia.
      • Insertion: Lower three ribs, linea alba, and pubic crest.
    • Nerve Supply: Intercostal nerves and subcostal nerve (T7-T12).
    • Actions: Flexes and rotates the trunk; compresses the abdomen.
  7. Rectus Abdominis:
    • Attachments:
      • Origin: Pubic crest and symphysis.
      • Insertion: Xiphoid process and costal cartilages of ribs 5-7.
    • Nerve Supply: Intercostal nerves (T7-T12).
    • Actions: Flexes the trunk; compresses the abdomen.
  8. Transversus Abdominis:
    • Attachments:
      • Origin: Inguinal ligament, iliac crest, and lumbodorsal fascia.
      • Insertion: Linea alba, pubic crest, and costal cartilages.
    • Nerve Supply: Intercostal nerves and subcostal nerve (T7-T12).
    • Actions: Compresses the abdomen.
  9. Serratus Posterior Superior:
    • Attachments:
      • Origin: Spinous processes of C7-T3.
      • Insertion: Upper ribs (2-5).
    • Nerve Supply: Intercostal nerves.
    • Actions: Elevates the ribs during deep inspiration.
  10. Serratus Posterior Inferior:
    • Attachments:
      • Origin: Spinous processes of T11-L2.
      • Insertion: Lower ribs (8-12).
    • Nerve Supply: Intercostal nerves.
    • Actions: Depresses the ribs during forced expiration.

It’s important to note that the actions mentioned are simplified, and many muscles contribute to a variety of movements. Additionally, individual anatomical variations may exist.

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