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138 four Neurovascular structures: types and relatives . . . . . . 162 five Neurovascular platforms: Topographical Anatomy . . . one hundred seventy 08. 07. 2009 15:32:11 Uhr Trunk Wall 1. 1 1. Bones, Ligaments, and Joints The Skeleton of the Trunk Cervical backbone Sternum Thoracic cage Ribs Lumbar backbone Sacrum Coccyx A Skeleton of the trunk, anterior view The skeleton of the trunk is made of the vertebral column, ribs, and sternum. info at the ribs and sternum are given on p. 106. seventy six 009_Knochen_S_076_117_Eng. indd seventy six 08. 07. 2009 15:44:56 Uhr Trunk Wall 1. Bones, Ligaments, and Joints Spinous strategy of C7 (vertebra prominens) Spinous strategy of T3; scapular backbone Cervical backbone Spinous technique of T7; inferior scapular attitude Spinous strategy of T12; 12th rib Spinous technique of L4; iliac crest Thoracic backbone C The spinous tactics as anatomical landmarks Posterior view. The spinous strategies of the vertebrae seem as variable prominences underneath the outside and supply vital landmarks in the course of the actual exam. With few exceptions, they're simply palpated. Ribs Lumbar backbone Sacrum • The spinous strategy of the 7th cervical vertebra, positioned on the junction of the cervical and thoracic backbone. frequently it's the such a lot favourite of the spinous procedures, inflicting the 7th cervical vertebra to be identified additionally because the vertebra prominens. • The spinous strategy of the 3rd thoracic vertebra, situated on a horizontal line connecting the scapular spines. • The spinous strategy of the 7th thoracic vertebra, positioned on the point of the inferior angles of the scapulae. • The spinous means of the 12th thoracic vertebra, situated just below the attachment of the final rib. • The spinous technique of the fourth lumbar vertebra, positioned on a horizontal line connecting the top issues of the iliac crests. notice: The spinous tactics of the thoracic vertebrae are angled downward (see p. 86), and so the spinous strategy of the 5th thoracic vertebra, for instance, is on the point of the 6th thoracic vertebral physique. Coccyx B Skeleton of the trunk, posterior view seventy seven 009_Knochen_S_076_117_Eng. indd seventy seven 08. 07. 2009 15:45:05 Uhr Trunk Wall 1. Bones, Ligaments, and Joints The Bony Spinal Column 1. 2 Atlas (C1) Dens of axis (axis = C2) Axis (C2) Atlas (C1) C1—C7 vertebrae Vertebra prominens (C7) T1 Spinous methods improved costal aspect Inferior costal side T1—T12 vertebrae Transverse strategies Transverse approach Costal part of transverse procedure more desirable articular strategy Inferior articular technique Intervertebral foramina L1 Transverse method Transverse methods Intervertebral disk L1—L5 vertebrae Promontory Posterior sacral foramina Sacrum (S1—S5 vertebrae) a Sacrum Auricular floor of sacrum Anterior sacral foramina Coccyx A The bony spinal column a Anterior view, b posterior view, c left lateral view. b Coccyx c word that, phylogenetically, the transverse strategies of the lumbar vertebrae are rudimentary ribs. they can be often called costal approaches for this reason (see additionally p.