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How Pleural Dome Suspension Affects The Neck

Pleural dome suspension, oblique view.

The apex of the parietal pleura is

suspended in several ways. One of these is

the costo-pleuro-vertebral ligament, which

attaches to the first rib then runs

posteriorly as a local thickening of the

parietal pleura of the pleural dome to

attach anteriorly on the transverse

processes of the sixth and seventh cervical

vertebrae. The pleural dome is also

suspended by the suspensory ligament of

the lung, which connects the apex of the

pleural dome to the inferior surface of the

middle scalene muscle. Both of these

pathways transmit pleural strains to the

cervical vertebrae.

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