NERVI E ARTERIE

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Arterial Blood Supply to the Thoracic Wall

The thoracic wall is supplied by three sources of blood supply:
bullet axillary
bulletsupreme thoracic (2)
bulletlateral thoracic (3)
bullet subclavian
bulletinternal thoracic (or mammary) artery (1)
bulletanterior intercostal branches
bullet aorta
bulletintercostal arteries (4)
arterial supply to thoracic wall

Nerves of the Thoracic Wall

 
bullet spinal cord (1)
bullet dorsal (sensory, afferent) root (3)
bullet ventral (motor, efferent) root (2)
bullet spinal nerve (4)
bullet dorsal primary ramus (mixed) (5)
bullet ventral primary ramus (mixed) (6)
bullet white communicating ramus (8)
bullet gray communicating ramus (7)
bullet sympathetic ganglion (9)

Once you have the names down, you should try to understand what is going on in each of the branches.

Starting at the spinal cord, we can work our way out to the periphery describing how a spinal nerve is formed and how it branches.

When the spinal cord is examined in cross section you can usually pick out two colors on its surface: white and gray. This is called the white matter and the gray matter of the spinal cord. The gray matter forms a butterfly-like image with dorsal horns and ventral horns.

 

The thoracic wall is supplied by the intercostal nerves which are the anterior primary rami of spinal nerves. A typical spinal nerve is shown in the adjacent diagram.

 

The white matter is made up mostly of nerve fibers running up and down the spinal cord. The gray matter is made up mainly of cell bodies of nerve cells, this giving a grayer appearance.

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