Module 1: RIbs Flashcards

1
Q

where does sympathetic ganglia lie on top of

A

rib necks

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2
Q

Sharpless showed that the weight of a dime on a spinal root reduces impulse by

A

50%

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3
Q

recurrent vertebral nerve motor branch controls

A

blood supply to meninges

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4
Q

recurrent vertebral nerve sensory branch supplies

A

vertebrae

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5
Q

RMT for costosternal/costochonral joints

A

pectoralis major sternal division

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6
Q

RMT for pectoralis major sternal division is used for

A

upper 6 ribs

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7
Q

indicator for anterior constosternal rib

A

tender and prominent rib
difficult breathing
chronic recurrent subluxation of same vertebrae

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8
Q

costo-sternal and costo-chondral rib indicator

A

chest pain
difficulty breathing
tender and prominent at costo-chondral space

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9
Q

costochondral line is through

A

nipple line

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10
Q

what muscle is responsible for balancing thoracic curve lost by anterior dorsals

A

serratus anterior

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11
Q

upper 6 ribs move like

A

bucket handle

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12
Q

lower 6 ribs move like

A

calipers/pincers

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13
Q

indicators for posterior costals angle adjustment

A
intercostal neuritis (rule out rib fx)
ache along rib
narrow space, difficulty breathing, reaching laterally over arm chair
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14
Q

ribs move towards side of

A

pain

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15
Q

how long does infrascapular pain feel better for after adjustment

A

2 minutes

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16
Q

what may occur after rib angle adjustment

A

“warm flush” in chest, shoulder, and arm

17
Q

how do you check 1st rib

A

rotate with C-spine flex, restriction indication fixation opposite of rotation

18
Q

what subluxations cause intercostal neuralgia

A

costovertebral, costotransverse, costal angles, anterior dorsalis

19
Q

may stimulate intercostal nerves creating false angina with stabbing chest pains

20
Q

how long does it take to strengthen serratus anterior

A

at least a month

21
Q

height differences of how much indicates separation of SC joint

A

more than 5mm

22
Q

joint with cartilage pad between clavicle and sternum

A

enarthrosis

23
Q

most common MOI for SC and AC joint

A

lateral impact or compression

24
Q

3 common directions of SC separation

A

superior, inferior, anterior

25
RMT for SC joint
pectoralis major, clavicular branch
26
stress test for SC joint
push up
27
if SC joint is unstable, how to tape?
"X" over the joint
28
how long to tape joint
3-6 weeks, refer to ortho after 6 weeks
29
how big of a space between coracoid process and clavicle indicates ligamentous disruption?
space more than 1.3cm
30
with injury, distal clavicle goes in what direction
superior
31
horizon sign indicates
grade 2 or more separation at some point in time
32
AC issues can be due to
lateral compresion or FOOSH injury
33
superficial pain in crossover sign can indicate
AC issue
34
deep pain during crossover sign indicates
labrum
35
RMT for AC joint
coracobrachialis
36
height difference of what for scapula indicates instability
15mm
37
scapula is high on side of involvement
cervicobrachial compression syndrome
38
scapula is low on the side of involvement
cervicobrachial traction syndrome