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OMM > Ribs > Flashcards

Ribs Flashcards

1
Q

classification of ribs (T/F)

A

true: 1 - 7
false: 8 - 10 (connected by cartilage to cart of rib 7)
floating ribs: 11 - 12

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2
Q

classification of ribs (typical/atypical)

A

typical (3-9): head, neck, tubercle, angle, shaft
atypical: 1 (greatest curve, shortest, no angle/groove, 1 articular facet); 2 (like 1, not as flat, 2 articular facets); 10 (only 1 articular facet); 11/12 (no neck/tubercle, 1 articular facet, no costotransverse joint)

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3
Q

radiate ligament

A

attach rib head to vertebral body

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4
Q

superior costotransverse ligament

A

connect neck of rib to superior transverse process

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5
Q

costotransverse ligament

A

connect rib to same/lower transverse process

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6
Q

primary rib motion

A 
1-5 = pump handle
6-10 = bucket handle
11-12 = caliper
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7
Q

sternal articulations

A

1: manubrium
2: angle of Louis
3-6: sternal body
7: xiphoid/body

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8
Q

principle muscles of inspiration

A

diaphragm
external intercostals
interchondral parts of internal intercostals

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9
Q

accessory muscles of inspiration

A 
sternocleidomastoid
scalenes (anterior, middle, posterior)
\+ subclavius, pectoralis minor, serratus anterior, latissimus dorsi
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10
Q

Diaphragm (O/I/N/A)

A

O: ribs 7-12, L1-3 (VB/IVD), ziphoid process
I: central tendon
N: phrenic (C3-5)
A: tidal breathing

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11
Q

external intercostals (O/I/N/A)

A

O: lower margin of rib
I: upper margin of next lower rib
N: 1-11 intercostal nerves
A: raise ribs

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12
Q

sternocleidomastoid (O/I/N/A)

A

O: munubrium, medial 1/3 of clavicle
I: mastoid process, post nuchal line
N: accessory nerve
A: (u) STRA (b) extend head, respiration

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13
Q

scalenes - anterior (O/I/N/A)

A

O: TP of C3-6
I: Rib 1
N: cervical and brachial plexus (C3-6)
A: raise upper ribs

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14
Q

scalenes - middle (O/I/N/A)

A

O: TP of C3-7
I: Rib 1
N: cervical and brachial plexus (C3-6)
A: raise upper ribs

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15
Q

scalenes - posterior (O/I/N/A)

A

O: TP of C5-7
I: Rib 2
N: cervical and brachial plexus (C3-6)
A: raise upper ribs

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16
Q

subclavius (O/I/N/A)

A

O: Rib 1
I: inferior surface of clavicle
N: nerve to subclavius (C5, 6)
A: stabalizes clavicle in sternoclavicular joint

17
Q

pectoralis minor (O/I/N/A)

A

O: ribs 3,4,5
I: coracoid process
N: medial pectoral nerve (C8, T1)
A: draw scapula down, rotate glenoid inferiorly + respiration

18
Q

serratus anterior (O/I/N/A)

A

O: ribs 1-9 (main 6-8)
I: (medial border of scapula)
N: long thoracic nerve (C5-7)
A: (s) lower raised arm; (whole) draw scapula laterally forward, elevate ribs w/ fixed shoulder; (i) rotate scapula laterally

19
Q

latissimus dorsi (O/I/N/A)

A

O: SP T7-12, scapulas, ribs 9-12, iliac crests
I: humerus (intertubercular groove)
N: toracodorsal nerve (C6-8)

20
Q

accessory muscles of expiration

A 
internal intercostals (no intracostal part)
rectus abdominus
transversus abdominus
ex/internal obliques
serratus posterior
transversus thoracis
subcostal muscle
21
Q

internal intercostals (O/I/N/A)

A

O: lower margin of rib
I: upper margin of next lower rib
N: intercostal nerves 1-11
A: lower ribs, stabalize chest wall

22
Q

rectus abdominus (O/I/N/A)

A

O: pubis/pubic tubercle/ant pubic symphysis
I: cart of ribs 5-7, xiphoid
N: intercostal nerves T5 - T12
A: flex trunk, stabilize pelvis

23
Q

transversus abdominus (O/I/N/A)

A

O: 7-12 costal cart, thoracolumbar fascia, iliac crest, ASIS, iliopsas fascia
I: linea alba, pubic crest
N: intercostal n T7-12, iliohypogastric n, ilioinguinal n
A: (u) trunk RT (b) compress abdomen

24
Q

external oblique (O/I/N/A)

A

O: rib 5-12
I: linea alba, pubic tubercle, iliac crest
N: intercostal n T7-12
A: (u) trunk STRA (b) compress abs, stable pelvis

25
Q

internal oblique (O/I/N/A)

A

O: thoracolumbar fascia, iliac crest, ASIS, iliopsoas fascia
I: rib 10-12, linea alba
N: intercostal n T7-12, iliohypogastric nerve, ilioinguinal nerve
A: (u) trunk STRA, (b) compress abs, stable pelvis

26
Q

serratus posterior (sup) (O/I/N/A)

A

O: nuchal lig
I: sup rib 2-4
N: spinal nerves T2-T5
A: elevates ribs

27
Q

serratus posterior (inf) (O/I/N/A)

A

O: SP T11-L2
I: inf rib 8-12
N: spinal n T9-12
A: depress ribs

28
Q

transversus thoracis (O/I/N/A)

A

O: sternum and xiphoid
I: costal cart 2 - 6
N: intercostal nerve T2-6
A: weakly lower ribs

29
Q

Key rib + muscle

A

1: ant/mid scalene
2: post scalene
3-5: pectoralis minor
6-8: serratus anterior
9-10: latissimus dorsi
11-12: quadratus laborum

30
Q

exhalation dysfunction

A

rib stuck down
key rib = highest
often tied to coughing
doesn’t move when breath in

31
Q

rib 1 exhalation dysfunction - Tx

A

P: supine, damsel
A: Pt lift head while inhaling; Dr resist and caudad force rib 1 @ costotransverse jxn
T: hold 3-5 sec; repeat 3-5x
F: final stretch, return, reassess

32
Q

rib 2 exhalation dysfunction - Tx

A

P: supine, damsel, RA from key
A: Pt lift head while inhaling; Dr resist and caudad force rib 1 @ costotransverse jxn
T: hold 3-5 sec; repeat 3-5x
F: final stretch, return, reassess

33
Q

rib 3-5 exhalation dysfunction - Tx

A

P: supine, dysfunction side arm abducted 90 deg
A: Pt lift elbow ( pec fly) while inhale; Dr resist and apply caudad force on key @ costotransverse jxn
T: hold 3-5 sec; repeat 3-5x
F: final stretch, return, reassess

34
Q

rib 6-8 exhalation dysfunction - Tx

A

P: supine, dysfunction side arm abducted 90 deg
A: Pt lift elbow (toward opp ASIS) while inhale; Dr resist and apply caudad force on key @ costotransverse jxn
T: hold 3-5 sec; repeat 3-5x
F: final stretch, return, reassess

35
Q

rib 9-10 exhalation dysfunction - Tx

A

P: supine, dysfunction side arm abducted 90 deg
A: Pt adduct elbow while inhale; Dr resist and apply caudad force on key @ costotransverse jxn
T: hold 3-5 sec; repeat 3-5x
F: final stretch, return, reassess

36
Q

rib 11 - 12 exhalation dysfunction - Tx

A

P: pt prone, dr opp of key
A: Pt inhale; Dr push anteriorly on costotransverse jxn of key; pull post on ASIS
T: hold 3-5 sec; repeat 3-5x
F: final stretch, return, reassess

37
Q

inhalation dysfunctions

A

stuck up
key rib = lowest rib
doesn’t move when exhaling

38
Q

rib 1-10 inhalation dysfunction

A

P: pt supine; Dr same side key
A: Pt inhale; Dr. ST and apply caudad P; Pt exhale; Dr. increase P/ST

OMM (10 decks)

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