Module 1: RIbs Flashcards
where does sympathetic ganglia lie on top of
rib necks
Sharpless showed that the weight of a dime on a spinal root reduces impulse by
50%
recurrent vertebral nerve motor branch controls
blood supply to meninges
recurrent vertebral nerve sensory branch supplies
vertebrae
RMT for costosternal/costochonral joints
pectoralis major sternal division
RMT for pectoralis major sternal division is used for
upper 6 ribs
indicator for anterior constosternal rib
tender and prominent rib
difficult breathing
chronic recurrent subluxation of same vertebrae
costo-sternal and costo-chondral rib indicator
chest pain
difficulty breathing
tender and prominent at costo-chondral space
costochondral line is through
nipple line
what muscle is responsible for balancing thoracic curve lost by anterior dorsals
serratus anterior
upper 6 ribs move like
bucket handle
lower 6 ribs move like
calipers/pincers
indicators for posterior costals angle adjustment
intercostal neuritis (rule out rib fx) ache along rib narrow space, difficulty breathing, reaching laterally over arm chair
ribs move towards side of
pain
how long does infrascapular pain feel better for after adjustment
2 minutes
what may occur after rib angle adjustment
“warm flush” in chest, shoulder, and arm
how do you check 1st rib
rotate with C-spine flex, restriction indication fixation opposite of rotation
what subluxations cause intercostal neuralgia
costovertebral, costotransverse, costal angles, anterior dorsalis
may stimulate intercostal nerves creating false angina with stabbing chest pains
rib heads
how long does it take to strengthen serratus anterior
at least a month
height differences of how much indicates separation of SC joint
more than 5mm
joint with cartilage pad between clavicle and sternum
enarthrosis
most common MOI for SC and AC joint
lateral impact or compression
3 common directions of SC separation
superior, inferior, anterior
RMT for SC joint
pectoralis major, clavicular branch
stress test for SC joint
push up
if SC joint is unstable, how to tape?
“X” over the joint
how long to tape joint
3-6 weeks, refer to ortho after 6 weeks
how big of a space between coracoid process and clavicle indicates ligamentous disruption?
space more than 1.3cm
with injury, distal clavicle goes in what direction
superior
horizon sign indicates
grade 2 or more separation at some point in time
AC issues can be due to
lateral compresion or FOOSH injury
superficial pain in crossover sign can indicate
AC issue
deep pain during crossover sign indicates
labrum
RMT for AC joint
coracobrachialis
height difference of what for scapula indicates instability
15mm
scapula is high on side of involvement
cervicobrachial compression syndrome
scapula is low on the side of involvement
cervicobrachial traction syndrome
