M5 Thoracic & Ribs

Question 1

Inflammation at the junction between the cartilage and ribs

Answer 1

Costochondritis

Question 2

What ribs are most commonly affected in costochondritis?

Answer 2

2-5

Question 3

A good ortho to evaluate costochondritis?

Answer 3

Shepelmann’s

Question 4

Costochondritis accompanied by swelling is referred to as ___ syndrome

Answer 4

Tietze

Question 5

Unilateral pain in the torso that extends as a band around the chest. Usually sharp, spasmodic

Answer 5

Intercostal neuritis

Question 6

The most frequent cause of intercostal neuritis?

Answer 6

Infection with herpes zoster virus (HSV)

Question 7

Shepelmann’s test would produce pain on the ___ side if it is intercostal neuritis

Answer 7

Concave

Question 8

Abnormal lateral curvature of the vertebral column that is NOT due to pain, degeneration, neuromuscular disease, or congenital malformations

Answer 8

Idiopathic scoliosis

Question 9

If both parents have scoliosis, the child is at a __% risk of developing an idiopathic scoliosis

Answer 9

40%

Question 10

Good ortho for scoliosis screening?

Answer 10

Adam’s test

Question 11

A group of disorders involving the neurovasculature of the upper extremity. Up to 95% of cases are neurogenic. Neck, shoulder, arm pain/numbness/tingling - often into the 4th and 5th digits and made worse with overhead activity.

Answer 11

Thoracic Outlet Syndrome (TOS)

Question 12

List some orthos for TOS:

Answer 12

1. Adson’s test
2. Allen maneuver
3. Wright’s test
4. Roos test
5. Costoclavicular test