Ribs I Flashcards
The ribs that attach via costal cartilage to the sterum are known as what type of rib?
True Rib
Which ribs are true ribs?
1 through 7
Veterbrochondral ribs are known as what type of ribs?
False Ribs
Which ribs are known as False Ribs?
8 through 12
What defines a typical rib? Which ribs are typical?
TWO demifacets on the rib head articulate with TWO vertebrae. Ribs 3-10
Floating ribs are known as true ribs or false ribs?
False ribs; because it doesn’t directly connect to the sterum
Which ribs are atypical ribs?
1, 2, 11, 12
Which rib has a synchondrosis with the manubrium? What does this in effect do?
Rib 1! Makes the 1st rib, T1, and manubrium act as one unit.
Which rib is attached anteriorly at the angle of louis via two demifacets? Typical or atypical?
Rib 2; atypical.
Rib 11 articulates with which vertebrae?
T11 ONLY no anterior articulation and only 1 posterior articulation
Rib 12 articulates with which vertebrae?
T12 ONLY no anterior articulation and only 1 posterior articulation
Which ribs attach to gladiolus (body) of sternum via synovial joint?
Ribs 3-7
Which of the following diameters enlarge during inhalation?a) cephalad - caudadb) anterior - posteriorc) right - left (transverse)
ALL of them! We need more room for all the air.
During inspiration, the thoraco-abdominal diaphragm moves in what direction to increase the cephalad-caudad diameter?
inferiorly
Pump handle ribs motion is analogous to what typical motions?
flexion/extension
Which ribs have bucket handle motion?
ALL of them, though predominantly ribs 6-10.
Bucket handle ribs motion is analogous to what typical motions?
Abduction/adduction
Which ribs have caliper rib motion? What typical movement are caliper ribs analogous to?
ALL OF THEM! (all ribs have all motions) They move like an ice tongs (internal/external rotation)
What does “PUMP water into a BUCKET and lift the bucket with CALIPERS mean?
Mnemonic to remember the order of predominance motion.
Rib 1 is characterized by what motions?
50% pump / 50% bucket
Ribs 6-10 are predominantly characterized by what motions?
Bucket Handle
What type of restriction is an inhalation somatic dysfunction?
an exhalation restriction
What type of restriction is an exhalation somatic dysfunction?
inhalation restriction
True or False: Assessment of rib dysfunctions are done only statically.
False. Assessment of rib dysfunctions are done statically and dynamically.
Static assessment is assessed as being what?
prominent/recessed and tender
Pump handle assessment of rib dysfunction will result in the rib being ______ on the front of the chest with the ______ border being prominent on the front of the chest and ________ on the back of the chest.
Pump handle assessment of rib dysfunction will result in the rib being _prominant_____ on the front of the chest with the __inferior____ border being prominent on the front of the chest and ____recessed____ on the back of the chest.
When assessing for bucket handle rib motion, inhaled ribs will be what laterally?
more prominent laterally
When assessing for bucket handle rib motion, exhaled ribs will be what laterally?
more recessed laterally
True or false: Lack of rib motion infers the side of dominance?
True. side of dominance = side of dysfunction
True or False: A rib dysfunction is conclusively determined by dynamic motion assessment.
True
In an inhalation somatic dysfunction, the anterior end of single or multiple ribs move in what direction on exhalation?
Nowhere! it’s restricted on exhalation.
In an exhalation somatic dysfunction, the anterior end of single or multiple ribs move in what direction on exhalation?
caudal on exhalation
When you push down on the right first rib, you notice resistance to springing and a slight elevation compared to the opposite side. In a dynamic test, it does not move inferiorly on exhalation. What somatic dysfunction do you have?
Inhalation somatic dysfunction of the right first rib.
When you statically test a patient’s right first rib, it is depressed compared to the other side. What would you notice during the dynamic test if this side had an exhalation somatic dysfunction?
No resistance to springingMoves inferiorly on exhalation; no superioer movement on inhalation
