Thoracic Flashcards
Levels of SPs vertebral bodies
SPs of T1-3, 12 = same level
SPs of T7-10 at the level of one below
(SPs of 4-6, 11 = half way below)
Posteroanterior central vertebral pressure PACVP
Joint play. Increases extension
Prone
Thumbs on SPs. Anterior pressure.
C6-L1
Posterioanterior unilateral vertebral pressure PAUVP
Joint play
Increases CL rotation
Thumbs on lamina or TVP
Anterior springing
Which joint mob is good for hyperkyphosis?
Posteroanterior central vertebral pressure
Transverse vertebral pressure.
Joint mob
Increases rotation. To same side
Apply pressure to side of SPs.
Barrel chest
Normal anteroposterior to transverse ratio for chest: 1:2
Barrel chest 1:1
Scheurmann’s disease
Excessive curvature of T-spine caused by osteochondrosis.
Most common cause of structural kyphosis in adolescents
Ankylosing spondylitis
Chronic inflammatory arthritis of spine
Scoliosis: vertebral body rotates towards
Convex side
Scoliosis: rib hump is on what side
Convex
Scoliosis: SPs deviate toward what side
Concave
Scoliosis: ribs are more anterior on what side
Concave
Unique characteristics of thoracic vertebrae:
Rib facets on TVPs and vertebral body
SPs go downward
SPs and TVPs at same level
Which thoracic vertebrae has the greatest angulation?
T7
Pump handle
Action of ribs 1-6
Bucket handle
Action of ribs 7-10
Caliber
Action of ribs 11-12
Round back
Decreased pelvic inclination with thoracic/TL kyphosis
Hump back
Localized sharp posterior thoracic protrusion
AKA gibbus
Usually normal pelvic inclination.
Anterior wedging of one or two thoracic vertebrae is associated with
Hump back (gibbus)
Flat back
Decreased pelvic inclination with mobile spine.
Dowagers hump
Osteoporosis induced wedge fractures to several vertebrae.
Structural scoliosis with loss of height.
Pectins carnatum
Pigeon chest
Pectus excavatum
Funnel chest
