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OMM > Ribs > Flashcards

Ribs Flashcards

1
Q

What are the main SDs of the ribs?

A
  1. Strain
  2. Rub stuck in inhalation
  3. Posterior stuck rib
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2
Q

What are the facets on the costovertebral rib articulations?

A

There is one demifacet on the superior aspect of one vertebrae, and one demifacet on the inferior aspect of the vetebra above

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3
Q

What are the two types of rib articulations on the posterior aspect of the ribs?

A

Costovertebral

Costotransverse

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4
Q

What are the costotransverse facets?

A

Articulation of the rib tubercle with the transverse process of the corresponding vetebra

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5
Q

What are the two articulations on the anterior aspect of the ribs?

A
  1. Costochondral joints

2. Chondrosternal joints

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6
Q

What is the pump handle motion of the ribs? Which ribs have this motion?

A

The anterior aspect of the ribs move up with inhalation

Ribs 1-5

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7
Q

What is the bucket handle motion of the ribs? Which ribs have this motion?

A

The lateral aspect of the ribs moves superiorly, increases the transverse diameter of the thorax

Ribs 6-10

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8
Q

What is the caliper motion of the ribs? Which ribs have this motion?

A

With inhalation, the ribs move around the single articulation (move laterally)

Ribs 11 and 12

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9
Q

“Locked up” ribs move easier with (BLANK) than with (BLANK)

A

“Locked up” ribs move easier with inhalation than with exhalation

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10
Q

Ease of motion of ‘locked up” ribs are with what?

A

Exhalation

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11
Q

Ribs with a “locked up” SD will not go down with what as much as the same ribs on the other side?

A

Exhalation

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12
Q

“locked down” ribs are what?

A

When ribs move easier towards exhalation than inhalation

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13
Q

Which rib do you treat with locked up ribs?

A

Lower ones

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14
Q

Which rib do you treat with locked dow ribs?

A

Higher ones

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15
Q

What is the “key rib”?

A

The rib within a group that is primarily responsible for maintaining that dysfunction

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16
Q

How do you diagnose the “key rib”?

A

First by group, then finding the “key rib”

17
Q

When diagnosing a locked up rib, where do you start looking?

A

Start inferiorly

18
Q

When diagnosing a locked down rib, where do you start looking?

A

Start superiorly

19
Q

During what phase of respiration are locked up ribs diagnosed?

A

exhalation

20
Q

During what phase of respiration are locked down ribs diagnosed?

A

inhalation

21
Q

How do you assess for the pump handle ribs (1-5 ribs)?

A

Fingers along the sternal border of ribs 1-5

Respire and id the key rib

22
Q

How do you assess the bucket handle ribs?

A

Fingers spread out so as to be in contact with ribs along the mid axillary line

23
Q

How do you diagnose the caliper ribs?

A

Place hands laterally on the lower rib cage in the mid axillary line

24
Q

For which ribs (or rib motion type) do you not need to identify the “key rib”?

A

Caliper ribs (11-12)

25
Q

What is the tender point for a locked up rib?

A

Posteriorly, or at the rib angle

26
Q

What is the tender point for a locked down rib?

A

Anteriorly, or at the mid axillary line

27
Q

What is the tender point for a locked up or down rib on rib 11 or 12? What should you “treat”?

A

TTP at rib 11 or 12, treat the QL

28
Q

For boards, what are “locked up” ribs called?

A

Inhalation SD

Exhalation restriction

29
Q

For boards, what are “locked down” ribs called?

A

Exhalation SD

Inhalation restriction

30
Q

WIth is the treatment protocol for ribs?

A
  1. Find tender point and treat
  2. Re-evaluate
  3. ME
  4. reevaluate
  5. HV/LA
31
Q

What is significant about a rib that has both a rib angle, and mid-axillary tender point?

A

It is severely strained (from whiplash type accident)

32
Q

For boards, the anterior tender points are found where?

A

Anterior axillary line

33
Q

Where is the rib 1 tender point?

A

On the first rib in the anterior axillary (DMU=mid clavicular) line

34
Q

Where is the rib 2 tender point?

A

On the second rib in the anterior axillary (DMU=mid clavicular) line

35
Q

Where are the tender points for ribs 3-6?

A

In the anterior axillary line (mid-axillary line for DMU), on each rib or intercostal space

OMM (30 decks)

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