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OPP 2-2 > 2- Ribs I > Flashcards

2- Ribs I Flashcards

- Be able to define true vs. false and typical vs atypical ribs and why each rib fits into that group - Understand rib connections to: vertebral body, transverse processes, and the sternum - Know the vocabulary used in naming ribs (pump handle, bucket handle, caliper motion) - Understand the static and dynamic assessment and finding for all somatic dysfunctions of the ribs.

1
Q

The ribs that attach via costal cartilage to the sterum are known as what type of rib?

A

True Rib

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2
Q

Which ribs are true ribs?

A

1 through 7

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3
Q

Veterbrochondral ribs are known as what type of ribs?

A

False Ribs

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4
Q

Which ribs are known as False Ribs?

A

8 through 12

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5
Q

What defines a typical rib? Which ribs are typical?

A

TWO demifacets on the rib head articulate with TWO vertebrae.

Ribs 3-10

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6
Q

Floating ribs are known as true ribs or false ribs?

A

False ribs; because it doesn’t directly connect to the sterum

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7
Q

Which ribs are atypical ribs?

A

1, 2, 11, 12

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8
Q

Which rib has a synchondrosis with the manubrium? What does this in effect do?

A

Rib 1! Makes the 1st rib, T1, and manubrium act as one unit.

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9
Q

Which rib is attached anteriorly at the angle of louis via two demifacets? Typical or atypical?

A

Rib 2; atypical.

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10
Q

Rib 11 articulates with which vertebrae?

A

T11 ONLY

no anterior articulation and only 1 posterior articulation

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11
Q

Rib 12 articulates with which vertebrae?

A

T12 ONLY

no anterior articulation and only 1 posterior articulation

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12
Q

Which ribs attach to gladiolus (body) of sternum via synovial joint?

A

Ribs 3-7

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13
Q

Which of the following diameters enlarge during inhalation?

a) cephalad - caudad
b) anterior - posterior
c) right - left (transverse)

A

ALL of them! We need more room for all the air.

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14
Q

During inspiration, the thoraco-abdominal diaphragm moves in what direction to increase the cephalad-caudad diameter?

A

inferiorly

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15
Q

Pump handle ribs motion is analogous to what typical motions?

A

flexion/extension

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16
Q

Which ribs have bucket handle motion?

A

ALL of them, though predominantly ribs 6-10.

17
Q

Bucket handle ribs motion is analogous to what typical motions?

A

Abduction/adduction

18
Q

Which ribs have caliper rib motion? What typical movement are caliper ribs analogous to?

A

ALL OF THEM! (all ribs have all motions)

They move like an ice tongs (internal/external rotation)

19
Q

What does “PUMP water into a BUCKET and lift the bucket with CALIPERS mean?

A

Mnemonic to remember the order of predominance motion.

20
Q

Rib 1 is characterized by what motions?

A

50% pump / 50% bucket

21
Q

Ribs 6-10 are predominantly characterized by what motions?

A

Bucket Handle

22
Q

What type of restriction is an inhalation somatic dysfunction?

A

an exhalation restriction

23
Q

What type of restriction is an exhalation somatic dysfunction?

A

inhalation restriction

24
Q

True or False: Assessment of rib dysfunctions are done only statically.

A

False. Assessment of rib dysfunctions are done statically and dynamically.

25
Q

Static assessment is assessed as being what?

A

prominent/recessed and tender

26
Q

Pump handle assessment of rib dysfunction will result in the rib being ______ on the front of the chest with the ______ border being prominent on the front of the chest and ________ on the back of the chest.

A

Pump handle assessment of rib dysfunction will result in the rib being _prominant_____ on the front of the chest with the __inferior____ border being prominent on the front of the chest and ____recessed____ on the back of the chest.

27
Q

When assessing for bucket handle rib motion, inhaled ribs will be what laterally?

A

more prominent laterally

28
Q

When assessing for bucket handle rib motion, exhaled ribs will be what laterally?

A

more recessed laterally

29
Q

True or false: Lack of rib motion infers the side of dominance?

A

True. side of dominance = side of dysfunction

30
Q

True or False: A rib dysfunction is conclusively determined by dynamic motion assessment.

A

True

31
Q

In an inhalation somatic dysfunction, the anterior end of single or multiple ribs move in what direction on exhalation?

A

Nowhere! it’s restricted on exhalation.

32
Q

In an exhalation somatic dysfunction, the anterior end of single or multiple ribs move in what direction on exhalation?

A

caudal on exhalation

33
Q

When you push down on the right first rib, you notice resistance to springing and a slight elevation compared to the opposite side. In a dynamic test, it does not move inferiorly on exhalation. What somatic dysfunction do you have?

A

Inhalation somatic dysfunction of the right first rib.

34
Q

When you statically test a patient’s right first rib, it is depressed compared to the other side. What would you notice during the dynamic test if this side had an exhalation somatic dysfunction?

A

No resistance to springing

Moves inferiorly on exhalation; no superioer movement on inhalation

OPP 2-2 (9 decks)

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