Ribs

Question 1

What do rib heads articulate with?

Answer 1

with its own vertebra and the vertebra above

Question 2

What does the tubercle of the rib articulate with?

Answer 2

transverse process of corresponding vertebra

Question 3

What ribs only articulate with their own vertebrae?

Answer 3

Ribs 1, 10, 11, 12

Question 4

What ribs do not have tubercles?

Answer 4

Ribs 11, 12

Question 5

What ribs are atypical?

Answer 5

Ribs 1, 2, 11, 12

Question 6

What ribs are typical?

Answer 6

Ribs 3-9

Question 7

What ribs are true?

Answer 7

Ribs 1-7

Question 8

What ribs are false?

Answer 8

Ribs 8-12?

Question 9

What muscles insert on rib 1?

Answer 9

Anterior and middle scalene

Question 10

What muscle inserts on rib 2?

Answer 10

Posterior scalene

Question 11

What muscle inserts on ribs 3-5?

Answer 11

Pectoralis minor

Question 12

What muscle inserts on ribs 2-8?

Answer 12

Serratus anterior

Question 13

What muscle originates on ribs 9-12?

Answer 13

Latissimus dorsi

Question 14

What muscle inserts on rib 12?

Answer 14

Quadratus Lumbroum

Question 15

What is the anatomical position of the intercostal artery, nerve, and vein?

Answer 15

vein (superior), artery, nerve (inferior)

Question 16

What ribs have a bucket handle motion?

Answer 16

Ribs 1-2, 8-10

Question 17

What ribs have a pump handle?

Answer 17

Ribs 3-7

Question 18

What direction do ribs 11 and 12 move?

Answer 18

Downward and posterior with inhalation

Upward and superior with exhalation

Question 19

What is a subluxation?

Answer 19

incomplete or partial dislocation of a joint or organ

Question 20

What is torsional movement?

Answer 20

Vertebrae rotated, causes ribs to rotate

Question 21

What is non-physiologic movement?

Answer 21

occurs due to trauma or repetitive microtrauma, rib becomes subluxed anteriorly or posteriorly

Question 22

What is an inhalation dysfunction?

Answer 22

rib being held in a position of inhalation, motion toward inhalation is free

Question 23

What is an exhalation dysfunction?

Answer 23

rib being held in a position of exhalation, motion toward exhalation is free

Question 24

What is the key rib to be treated in an inhalation and exhalation dysfunction?

Answer 24

Inhalation: bottom rib
Exhalation: top rib

Question 25

What are some causes of rib dysfunction?

Answer 25

thoracic scoliosis or kyphosis, rib cage asymmetries, boney diseases, increased chest wall diameter, abnormal tensions of musculature, effects of trauma to rib cage, lifestyle

Question 26

How do you position a patient to treat rib 1, inhalation?

Answer 26

Pt supine, follow rib down into exhalation and resist inhalation motion

Question 27

How do you position a patient to treat rib 2-6, inhalation?

Answer 27

Pt supine, rib resting on docs knee, sidebend towards rib

Question 28

How do you position a patient to treat rib 7-10, inhalation?

Answer 28

Pt supine, adduct pts shoulder

Question 29

How do you position a patient to treat rib 11 and 12, inhalation?

Answer 29

Pt prone with legs sidebent towards dysfunction

Question 30

How do you position a patient to treat rib 1-2, exhalation?

Answer 30

“woe is me” position

Question 31

How do you position a patient to treat rib 3-5, exhalation?

Answer 31

flex ipsilateral arm fully

Question 32

How do you position a patient to treat rib 6-8, exhalation?

Answer 32

Pt supine with ipsilateral shoulder flexed to 90 degrees

Question 33

How do you position a patient to treat rib 9-10, exhalation?

Answer 33

Pt supine with harm abducted

Question 34

How do you position a patient to treat rib 11-12, exhalation?

Answer 34

Pt prone with legs sidebent away