Lab: Ribs

Question 1

What makes up the anatomy of a rib?

Answer 1

Head, neck, tubercle, angle, body, costochondral joint, and sternocostal joint

Question 2

Which ribs ONLY articulate with their own vertebrae (not the one above as well)?

Answer 2

Ribs 1, 10-12

Question 3

Which ribs do NOT have tubercles (and therefore do not articulate with transverse processes)?

Answer 3

Ribs 11, 12

Question 4

Describe the bucket handle motion of ribs

Answer 4

Ribs move superiorly and laterally; increase transverse diameter

Question 5

Describe the pump handle motion of ribs

Answer 5

Move superiorly and anteriorly; increase anterior/posterior (A/P) diameter

Question 6

What ribs primarily use bucket handle motion?

Answer 6

1-2, 8-10

Question 7

What ribs primarily use pump handle motion?

Answer 7

3-7

Question 8

For ribs 1-10, describe an inhalation dysfunction

Answer 8

Rib on symptomatic side is statically cephalad and on inhalation has greater cephalad movement (on exhalation, less caudal), it is classified as an inhalation rib dysfunction

Question 9

For ribs 1-10, describe an exhalation dysfunction

Answer 9

Rib on symptomatic side is statically caudal and on inhalation has less cephalad movement (on exhalation, greater caudal), it is classified as an exhalation rib dysfunction

Question 10

For ribs 11-12, describe an inhalation dysfunction

Answer 10

If, on the symptomatic side, the patient’s rib moves more posteriorly and inferiorly with inhalation and less anteriorly and superiorly with exhalation than its mate, it is classified as an inhalation rib dysfunction.

Question 11

For ribs 11-12, describe an exhalation dysfunction

Answer 11

If, on the symptomatic side, the patient’s rib moves more anteriorly and superiorly with exhalation and less posteriorly and inferiorly with inhalation than its mate, it is classified as an exhalation rib dysfunction.

Question 12

If a group of ribs is found to have inhalation dysfunction, the ___________ of the group is the key rib

Answer 12

Bottom

BITE

Question 13

If a group of ribs is found to have ________ dysfunction, the top of the group is the key rib

Answer 13

Exhalation

BITE

Question 14

If a single rib is involved, how would you name it?

Answer 14

Rib 8 inhaled right

Rib 9 exhaled left

Question 15

If a group of ribs is involved, how would you name it?

Answer 15

Ribs 4-6 inhaled left

Ribs 5-9 exhaled right

Question 16

For ribs 1-10, what are you treating for an inhalation dysfunction?

Answer 16

Treating key rib by depressing with exhalation

Question 17

For ribs 11-12, what are you treating for an inhalation dysfunction?

Answer 17

Quadratus lumborum

Question 18

For rib 1, what are you treating for an exhalation dysfunction?

Answer 18

Anterior/middle scalene

Question 19

For rib 2, what are you treating for an exhalation dysfunction?

Answer 19

Posterior scalene

Question 20

For ribs 3-5, what are you treating for an exhalation dysfunction?

Answer 20

Pectoralis minor

Question 21

For ribs 6-8, what are you treating for an exhalation dysfunction?

Answer 21

Serratus anterior

Question 22

For ribs 9-10, what are you treating for an exhalation dysfunction?

Answer 22

Latissimus dorsi

Question 23

For ribs 11-12, what are you treating for an exhalation dysfunction?

Answer 23

Quadratus lumborum

Question 24

What are the typical ribs?

Answer 24

Ribs 3-9

Question 25

What are the atypical ribs?

Answer 25

Ribs 1-2, 10-12