Ribs Flashcards
What are the main SDs of the ribs?
- Strain
- Rub stuck in inhalation
- Posterior stuck rib
What are the facets on the costovertebral rib articulations?
There is one demifacet on the superior aspect of one vertebrae, and one demifacet on the inferior aspect of the vetebra above
What are the two types of rib articulations on the posterior aspect of the ribs?
Costovertebral
Costotransverse
What are the costotransverse facets?
Articulation of the rib tubercle with the transverse process of the corresponding vetebra
What are the two articulations on the anterior aspect of the ribs?
- Costochondral joints
2. Chondrosternal joints
What is the pump handle motion of the ribs? Which ribs have this motion?
The anterior aspect of the ribs move up with inhalation
Ribs 1-5
What is the bucket handle motion of the ribs? Which ribs have this motion?
The lateral aspect of the ribs moves superiorly, increases the transverse diameter of the thorax
Ribs 6-10
What is the caliper motion of the ribs? Which ribs have this motion?
With inhalation, the ribs move around the single articulation (move laterally)
Ribs 11 and 12
“Locked up” ribs move easier with (BLANK) than with (BLANK)
“Locked up” ribs move easier with inhalation than with exhalation
Ease of motion of ‘locked up” ribs are with what?
Exhalation
Ribs with a “locked up” SD will not go down with what as much as the same ribs on the other side?
Exhalation
“locked down” ribs are what?
When ribs move easier towards exhalation than inhalation
Which rib do you treat with locked up ribs?
Lower ones
Which rib do you treat with locked dow ribs?
Higher ones
What is the “key rib”?
The rib within a group that is primarily responsible for maintaining that dysfunction
How do you diagnose the “key rib”?
First by group, then finding the “key rib”
When diagnosing a locked up rib, where do you start looking?
Start inferiorly
When diagnosing a locked down rib, where do you start looking?
Start superiorly
During what phase of respiration are locked up ribs diagnosed?
exhalation
During what phase of respiration are locked down ribs diagnosed?
inhalation
How do you assess for the pump handle ribs (1-5 ribs)?
Fingers along the sternal border of ribs 1-5
Respire and id the key rib
How do you assess the bucket handle ribs?
Fingers spread out so as to be in contact with ribs along the mid axillary line
How do you diagnose the caliper ribs?
Place hands laterally on the lower rib cage in the mid axillary line
For which ribs (or rib motion type) do you not need to identify the “key rib”?
Caliper ribs (11-12)
What is the tender point for a locked up rib?
Posteriorly, or at the rib angle
What is the tender point for a locked down rib?
Anteriorly, or at the mid axillary line
What is the tender point for a locked up or down rib on rib 11 or 12? What should you “treat”?
TTP at rib 11 or 12, treat the QL
For boards, what are “locked up” ribs called?
Inhalation SD
Exhalation restriction
For boards, what are “locked down” ribs called?
Exhalation SD
Inhalation restriction
WIth is the treatment protocol for ribs?
- Find tender point and treat
- Re-evaluate
- ME
- reevaluate
- HV/LA
What is significant about a rib that has both a rib angle, and mid-axillary tender point?
It is severely strained (from whiplash type accident)
For boards, the anterior tender points are found where?
Anterior axillary line
Where is the rib 1 tender point?
On the first rib in the anterior axillary (DMU=mid clavicular) line
Where is the rib 2 tender point?
On the second rib in the anterior axillary (DMU=mid clavicular) line
Where are the tender points for ribs 3-6?
In the anterior axillary line (mid-axillary line for DMU), on each rib or intercostal space
