Quiz 6 Flashcards

1
Q

What is the resting position for facet joints of the thoracic spine?

A

Midway between flexion and extension

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2
Q

What is the closed pack position of the facet joints of the thoracic spine?

A

Full extension

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3
Q

What is the capsular pattern of the facet joints of the thoracic spine?

A

Side flexion and rotation are equally limited, extension

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4
Q

The _ _ are synovial plane joints located between the ribs and the vertebral bodies. How many are there?

A

The COSTOVERTEBRAL JOINTS are synovial plane joints. . .

There are 24

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5
Q

The _ _ are synovial joints found between the ribs and the transverse processes of vertebra of the same level for ribs 1-10

A

The COSTOTRANSVERSE JOINTS are synovial joints found between . . .

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6
Q

Both the costovertebral and costotranverse joints are supported by?

A

Supported by ligaments

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7
Q

The _ _ lie between the ribs and the costal cartilage.

A

The COSTOCHONRAL JOINTS lie between . . .

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8
Q

The _ _ are found between the costal cartilage and the sternum. Joints _ through _ are synovial, where as the _ _ _ is united with the sternum by a synchondrosis

A

The STERNOCOSTAL JOINTS are found between. . .

Joints 2 through 6 are synovial, where as the FIRST COSTAL CARTILAGE is unified with the sternum by synchondrosis

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9
Q

_ _ joints make up the main tri-joint complex along the with the _ between the vertebrae.

A

TWO FACET joints make up the main tri-joint complex along with the DISC between the vertebrae

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10
Q

The superior facet of the _ _ is similar to the facet of the _ spine, therefore it classified as a transitional vertebrae. The _ and _ _ are also considered transitional vertebrae because they resemble _ _.

A

The superior facet of the T1 VERTEBRAE is similar to the facet of the CERVICAL spine, therefore it is classified as a transitional vertebrae

The T11 and T12 VERTEBRAE are also considered transitional vertebrae because they resemble the LUMBAR FACETS

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11
Q

The superior facets of T2-T11 face _ , _ and slightly _; the inferior facets face _, _ and slightly _. This shape enables _ _ in the thoracic spine.

A

The superior facets of T2-T11 face UP, BACK and slightly LATERALLY (LUB); the inferior facets face DOWN, FORWARD and slightly MEDIALLY (FMD)

This shape enables SLIGHT ROTATION in the thoracic spine

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12
Q

What are the 6 ligaments that support the thoracic spine?

A

II SLAP

  • Intertransverse ligament
  • Interspinous ligament
  • supraspinous ligament
  • ligamentum flavum
  • anterior longitudinal ligament
  • posterior longitudinal ligament
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13
Q

With the thoracic spine there are 12 vertebrae which _ in _ from T1 to T3 and then _ _ in _ to T12

A

12 vertebrae which DIMINISH IN SIZE from T1-T3 and the PROGRESSIVELY INCREASE in SIZE to T12

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14
Q

The thoracic vertebrae are distinctive in having facets on the _ and _ _ for articulation with the _.

A

Having facets on the BODY and TRANSVERSE PROCESSES for articulation with the RIBS

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15
Q

The upper 3 thoracic vertebrae have spinous processes that project _ _.

A

Spinous processes that project DIRECTLY POSTERIOR

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16
Q

The other (T4-T12) vertebrae have spinous processes that face _ _ . T7 has the greatest _ _ _.

A

Have spinous processes that face OBLIQUELY DOWNWARD.

T7 has the greatest SPINOUS PROCESS ANGULATION

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17
Q

The spinous processes of the thoracic vertebrae are on the _ _ as the _ _ of the same vertebrae

A

The spinous processes are on the SAME PLANE as the TRANSVERSE PROCESSES of the same vertebrae

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18
Q

With inspiration the first 6 ribs are _ _ and _, which increases the _ _ of the ribs. This is known as the _ _ _ and is accompanied by _ of the manubrium sternum _ and _.

A

With inspiration the ribs are PULLED UP AND FORWARD, which increases the ANTEROPOSTERIOR diameter of the ribs

This is known as the PUMP HANDLE ACTION and is accompanied by the ELEVATION of the manubrium sternum UPWARD AND FORWARD

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19
Q

Ribs 7-10 mainly increase in _ or a _ dimension. To accomplish this the ribs move _, _ and _ to increase the infra sternal angle or they move _, _ and _ to decrease the infra sternal angle. These movements are known as _ _ action.

A

7-10 mainly increase in LATERAL or a TRANSVERSE dimension

To accomplish the ribs move UPWARD, BACKWARD, AND MEDIALLY (BUM) to increase the infra sternal angle or they move DOWNWARD, FOWARD, and LATERALLY to decrease the sternal angle.

These movements are known as the BUCKET HANDLE ACTION

20
Q

Ribs 8-12 move laterally in what is known as _ _, to increase _ diameter.

A

Move laterally in what is known as CALIPER ACTION to increase LATERAL diameter

21
Q

_ is a condition that is most prevalent in the thoracic spine. _ is a _ angle greater than 40 degrees and is measured by the Cobb method on a lateral X-ray

A

KYPHOSIS is a condition that is most prevalent in the the thoracic spine

HYPERKYPHOSIS is a kyphotic angle greater than 40 degrees . . .

22
Q

There are _ _ of kyphotic deformities.

A

There are 5 TYPES of kyphotic deformities

23
Q

_ _ is decreased pelvic inclination (20 degrees) with a thoracolumbar or thoracic kyphosis. Most forms of kyphosis show a _ _ _, in order to compensate and maintain the body’s _ of _.

A

ROUND BACK is a decreased pelvic inclination with thoracolumbar or thoracic kyphosis

Most forms of kyphosis show a DECREASED PELVIC INCLINATION in order to compensate and maintain the body’s CENTER OF GRAVITY

24
Q

_ _ is the most common structural kyphosis in adolescents but can occur in adults. Etiology _ _ .

A

SCHEUERMANN’S DISEASE is the most common structural kyphosis in adolescents . . .

Etiology IS UNKNOWN

25
Q

_ _ is a localized, sharp, posterior angulation called a _, it is usually structural and often results from and anterior wedging of the body of one or two thoracic vertebrae. Pelvic inclination is usually _.

A

HUMP BACK is a localized sharp, posterior angulation called a GIBBUS, it is usually structural . . . .

Pelvic inclination is usually NORMAL

26
Q

_ _ is a decreased pelvic inclination (20 degrees) with a mobile spine. It is similar to round back, except the the thoracic spine remains mobile and is able to compensate for altered center or gravity. Therefore it does not have the appearance of an _ _ _.

A

FLAT BACK is decreased pelvic inclination with a mobile spine

Therefore it does not have the appearance of an EXCESSIVE KYPHOTIC CURVE

27
Q

A _ _ results from postmenopausal osteoporosis. Due to the OA _ _ occurs to several vertebrae usually in the upper to middle thoracic spine causing _ and contributing to a decrease in _.

A

A DOWAGER’S HUMP results from postmenopausal OA

Due to the OA ANTERIOR WEDGING occurs to several vertebrae usually in the upper and middle thoracic spine causing SCOLIOSIS and contributing to a decrease in HEIGHT

28
Q

Scoliosis is a deformity in which there are one or more _ _ of the _ or _ spine. What are the 2 types?

A

Scoliosis is a deformity in which there are one or more LATERAL CURVATURES of the LUMBAR OR THORACIC spine

Two types:
- non-structural & structural

29
Q

The scoliosis curve pattern is designated according to the _ of the _ and the _ of the convexity.

A

Pattern is designated according to the LEVEL of the CURVE and the DIRECTION of the convexity

30
Q

For a thoracic curve the apex is between _ and _. A thoracolumbar curve has an apex between _ and _.

A

Thoracic curve- between T2- T11

Thoracolumbar curve- between T12- L1

31
Q

With structural scoliosis the vertebral bodies _ to the _ of the curve and become _. If the thoracic spine is involved this movement will cause the ribs on the _ side to push posteriorly causing a hump, and the spinous processes will deviate toward the _ _.

A

With structural scoliosis the vertebral bodies ROTATE to the CONVEXITY of the curve and become DISTORTED

If the thoracic spin is involved this movement will cause the ribs on the CONVEX side to push posteriorly causing a hump and the spinous processes will deviate toward the CONCAVE SIDE

32
Q

The lateral deviation may be more evident if the examiner uses a _ _ (_) from the C7 spinous process or external occipital protuberance.

A

May be more evident if the examiner uses a PLUMB BOB (PLUMBLINE) from C7 SP or . . .

33
Q

The examiner should also note whether the ribs are _ and whether the rib _ are _ and _ on both sides.

A

Should also note whether the ribs are SYMMETRIC and whether the rib CONTOURS are EQUAL and NORMAL on both sides

34
Q

In _ _ the rib contours are not normal and there is asymmetry.

A

In IDIOPATHIC SCOLIOSIS the rib contours are not normal and there is asymmetry

35
Q

What are the 3 common chest deformities?

A

F PB

  • funnel chest
  • pigeon chest
  • barrel chest
36
Q

With _ _ deformity the sternum projects forward and downward like the heel of a boot increasing the _ _ of the chest. This is a congenital deformity the impairs the effectiveness of _ by restricting _ _.

A

The PIGEON CHEST deformity . . . Increasing the ANTEROPOSTERIOR DIMENSION of the chest

This is a congenital deformity that impairs the effectiveness of BREATHING by restricting VENTILATION VOLUME

37
Q

With a _ _ the sternum projects forward and upward so the anteroposterior diameter is increased. It is seen in pathological conditions such as _.

A

With a BARREL CHEST the sternum projects forward and upward so the. . .

It is seen in pathological conditions such as EMPHYSEMA

38
Q

The funnel chest is a _ deformity that results from the sternum being pushed _ by an overgrowth of the _. The anteroposterior dimension is _ and the _ may be displaced. On inspiration this deformity causes a _ of the sternum that affects _ and may result in _.

A

Funnel chest is a CONGENITAL deformity that results from the sternum being pushed POSTERIORLY by an overgrowth of the ribs

The anteroposterior dimension is DECREASED and the HEART may be displaced. On inspiration this deformity causes a DEPRESSION of the sternum that affects RESPIRATION and may result in KYPHOSIS

39
Q

What is the AROM of the thoracic spine in forward flexion? Extension?

A

Forward flexion: 20-45 degrees

Extension: 25-45 degrees

40
Q

What is the AROM for side flexion in the thoracic spine? Rotation?

A

Side flexion: 20-40 degrees

Rotation: 35-50 degrees

41
Q

Costovertebral expansion is _ cm to _ cm

A

3 cm to 7.5 cm

42
Q

How can you use a tape measure to derive an indication of the overall movement (forward flexion and extension)occurring in the spine?

A

Measure the distance between the C7 and T12 spinous process in normal standing posture then measure again once movement is completed, and analyze the difference

43
Q

How can you use a measuring tape to derive the amount of movement achieved with lateral flexion and forward flexion?

A

Measure distance between tips of the fingers and the floor and analyze differences (between r/ l, 1st and 5th visit, etc)

44
Q

What is the end feel for forward flexion? Extension? Side flexion? Rotation?

A

All are tissue stretch

45
Q

If you drew a tic tac toe board on a persons abdomen what would you call the upper right & left boxes? Lower left & right boxes? Middle left and right boxes?

A

Upper- hypochondrium

Lower- inguinal

Middle- flank

46
Q

If you were to draw a tic tac toe board on a persons abdomen what would be the order from bottom to top of the middle column

A

SUE

  • suprapubic
  • umbilical
  • epigastrium