Ribs Flashcards

1
Q

What does a rib head articulate with?

A

Inferior costal facet of vertebra ABOVE

Superior costal facet of vertebra of SAME level

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2
Q

What does a rib tubercle articulate with?

A

Transverse process of vertebra of SAME level

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3
Q

For Rib 6, state what it articulates with

A

Inferior costal facet of T5

Superior costal facet and transverse process T6

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4
Q

Which ribs only articulate with their own vertebra?

A

1, 10, 11, 12

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5
Q

Which ribs do not have costal tubercles?

A

11 and 12

- Do not articulate with transverse processes

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6
Q

What are the typical ribs?

A

3-9 and sometimes 10

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7
Q

What are the Atypical ribs?

A

1, 2, 11, 12 and sometimes 10

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8
Q

What are the true ribs?

A

1-7

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9
Q

What are the false ribs?

A

8-10

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10
Q

What are the floating ribs?

A

11, 12

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11
Q

Which ribs do NOT have an anterior attachment?

A

11 and 12

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12
Q

The sternal angle is equivalent to what rib?

A

2

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13
Q

Why is it important to know which muscles attach to which ribs?

A

The muscle can cause a rib somatic dysfunction of that rib that it is attached to

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14
Q

Anterior scalene and Middle scalene attach to what ribs?

A

Rib 1

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15
Q

Posterior scalene attaches to what rib?

A

Rib 2

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16
Q

Pectoralis minor attaches to what ribs?

A

3-5

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17
Q

Serratus Anterior attaches to what ribs?

A

2-8

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18
Q

Latissiumus Dorsi attaches to what ribs?

A

9-12

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19
Q

Quadratus Lumborum attaches to what ribs?

A

12

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20
Q

Action of the scalene muscles?

A

Elevate ribs 1/2

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21
Q

Action of the external intercostal muscles?

A

Elevate ribs

22
Q

The external intercostal muscles run from where to where?

A

Spine to costal cartilages

23
Q

The internal intercostal muscles run from where to where?

A

Costal angle to sternum

24
Q

The innermost intercostal muscles run from where to where?

A

Costal angle to costal cartilages

25
Q

Action of the internal and innermost intercostal muscles?

A

Depress ribs

26
Q

Where is neurovasculature found between ribs?

A

INFERIOR surface in the costal groove of the rib

27
Q

Between what muscles is the neurovasculature found between ribs?

A

Between the innermost and internal intercostal muscles

28
Q

What ribs is the Diaphragm attached to?

A

Bottom 6 (6-12)

29
Q

The bucket handle motion is around what axis?

A

Anterior - Posterior axis

30
Q

The pump handle motion is around what axis?

A

Transverse rib axis

31
Q

The bucket handle motion increases?

A

Transverse diameter

32
Q

The pump handle motion increases?

A

Anterior-Posterior diameter

33
Q

What ribs participate in the bucket handle motion?

A

1, 2, 8-10

34
Q

What ribs participate in the pump handle motion?

A

3-7

35
Q

What is the motion of ribs 11 and 12?

A

Caliper

36
Q

Describe the caliper motion of ribs 11 and 12

A

With inhalation - ribs go down

With exhalation - ribs go up

37
Q

Torsional motion of the ribs is seen with?

A

Spine rotation

38
Q

With torsional motion, and the spine is rotated left, describe the left rib

A

Posteriorly - external

Anteriorly - flat

39
Q

With torsional motion, and the spine is rotated left, describe the right rib

A

Posteriorly - internal

Anteriorly - superior margin accentuated

40
Q

Articulation where causes torsional rib motion?

A

Inferior costal facet

– Rib below moving vertebra is the one that moves

41
Q

With torsional rib motion and vertebra T5 rotates, what rib will move?

A

6!!!

42
Q

What causes non-physiologic movement?

A

Trauma or repetitive microtrauma

43
Q

With non-physiologic movement, the rib becomes ____ anteriorly or posteriorly

A

Subluxed

44
Q

Subluxed

A

Partial dislocation

45
Q

Non-physiologic movement creates what type of mobility in the ribs involved?

A

Hyper-mobility in the anterior - posterior direction

46
Q

Inhalation dysfunction means?

A

Exhalation of rib is restricted

47
Q

Exhalation dysfunction means?

A

Inhalation of rib is restricted

48
Q

What is the pneumonic to decide which rib to treat if the ribs have a respiratory dysfunction (inhalation/exhalation)?

A

BITE
Bottom - Inhalation
Top - Exhalation

49
Q

If ribs 4-6 have an inhalation dysfunction, what rib do you treat?

A

6

50
Q

If ribs 4-6 have an exhalation dysfunction, what rib do you treat?

A

4