Ribs

Question 1

Rib attachments?

Answer 1

Attaches to superior costal facet of same number and inferior costal facet of above vertebra

Question 2

What is costal tubercle?

Answer 2

Where rib articulates with the TP of the vertebra

Question 3

What is costal angle significance>

Answer 3

Where you palpate rib posteriorly to look for SD

Question 4

What ribs only articulate with their own vertebra, and not the one above?

Answer 4

Rib 1, 10, 11, 12

Question 5

What are atypical ribs?

Answer 5

1, 2, 11, 12

Question 6

What are true ribs?

Answer 6

1-7, they attach to the costal cartilage

Question 7

What are false ribs?

Answer 7

8-10 they attach to costal cartilage of the rib above

Question 8

What are floating ribs?

Answer 8

11 and 12 and they have no attachment

Question 9

Where is sternal angle?

Answer 9

rib 2

Question 10

Where does anterior and middle scalene insert?

Answer 10

Superior surface of 1st rib to elevate first rib

Question 11

Where does posterior scalene insert?

Answer 11

2nd rib

Question 12

Where does pec minor attach?

Answer 12

Anterior superior surface of ribs 3-5

Question 13

Where does serratus anterior attach?

Answer 13

superior lateral surface of ribs 2-8

Question 14

Where does latissimus dorsi attach?

Answer 14

Lower 4 ribs

Question 15

Where does quadratus lumborum attach?

Answer 15

Inferior aspect of rib 12

Question 16

Where does the neuro bundle run and what order?

Answer 16

VAN found between internal intercostal and innermost intercostal running along the costal groove on inferior side of rib

Question 17

Bucket handle motion?

Answer 17

moves superiorly and laterally to increase transverse diameter of ribs 1-2, 8-10

Question 18

What is pump handle motion?

Answer 18

Move superiorly and anteriorly to increase AP diameter, ribs 3-7

Question 19

What is caliper or pincer motion?

Answer 19

Downward and posterior with inhalation Upward and superior with exhalation Ribs 11 and 12

Question 20

What is torsional movement?

Answer 20

For example when T5 is rotated to left on T6

Left 6th rib:

• posterior aspect turns externally
• anterior extremity more flat with its inferior border sharp

Right 6th rib:

• posterior aspect of rib turns internally
• Anterior extremity having its superior margin excenuated

Question 21

what causes torsional motion?

Answer 21

caused by articulation at inferior costal facet

Question 22

Anteior subluxationn?

Answer 22

Both posterior and anterior parts of ribs are moved anterior

Question 23

Posterior subluxation?

Answer 23

Anterior and posterior parts of rib move posteriorly

Question 24

Examples of respiratory SD?

Answer 24

• Bucket handle ribs 1 & 2 & 8-10
• Pump handle 3-7
• Caliper 11-12

Question 25

Structural SD examples?

Answer 25

• Torsional due to rotation of spine
• Non physiologic such as ant or post subluxation

Question 26

What is inhalation dysfunciton?

Answer 26

• Rib being held in postion where inhalation is easy and restricted exhalation

Question 27

What is exhalation dysfunction?

Answer 27

• rib being held in postion of exhalation so exhale is easy and inhalation is restricted

Question 28

What is a key rib?

Answer 28

• First rib to be treated, it maintains a group of ribs in dysfxnl motion
• BITE
  
  • Bottom rib is key with an inhalation dysfunction
  • Top rib is key with exhalation

Question 29

What does rib doesnt move in exhalation mean?

Answer 29

Inhalation dysfunction

Question 30

What does symmetrical in inhalation indicate?

Answer 30

Inhalation dysfunction

Question 31

What does it mean to say depressed rib?

Answer 31

Exhalation dysfunction

Question 32

What does it mean to say inhalation restriction?

Answer 32

exhalation dysfunction

Question 33

Causes of rib dysfunction?

Answer 33

• Thoracic scoliosis or kkyphosis
• Pectus excavatum/carinatum
• OA or osteoperosis
• Increased chest wall diameter
• abnormal tensions of shoulder mm
• Trauma to rib cage
• lifestyle