Thoracic Anatomy Flashcards

1
Q

Which thoracic vertebrae do not have paired costal demi-facets posterolaterally?

A

T10-12

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2
Q

What is the role of the demifacets?

A

articulate with ribs (superior demifacet articulates with same level rib, inferior demifacet articulates with rib below spinal level)

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3
Q

What motions do the pedicles limit?

A

extension

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4
Q

Which facets are convex and which are concave?

A

superior is convex and inferior is concave

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5
Q

What is the thoracic rule of 3 for the spinous processes?

A

T1-3 have spinous process at same level
T4-6 have spinous processes a half level below
T7-9 have spinous processes one level below
T10 the spinous process is one level below
T11 the spinous process is a half level below
T12 the spinous process is at the same level

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6
Q

What are the 3 parts of the sternum?

A

manubrium
body
xyphoid process

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7
Q

How many pairs of ribs are there? How pairs are true? How many pairs are false? How many floating ribs?

A

12 pairs of ribs

7 pairs of ‘true’ ribs (connect to sternum directly)

5 pairs of ‘false’ ribs (connect to sternum via cartilage)

11th and 12th ribs are floating

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8
Q

What is the disc to body ratio for thoracic vertebrae?

A

1:5 (contributes to the lack of mobility in T spine)

some report annulus is stronger and this helps the T spine resist rotational stress

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9
Q

True or False: Thoracic spine vertebrae commonly have abnormalities in asymptomatic patients

A

True

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10
Q

What motions do the facet joints allow for?

A

Flexion (upward gliding)
Extension (downward gliding)
Rotation (sideways gliding)

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11
Q

Which ribs do not articulate with two separate ribs?

A

Ribs 1, 10, 11, and 12

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12
Q

Which costotransverse joints are convex/concave? Which are planar? What does this joint structure account for?

A

upper joints are convex/cave

lower joints are planar

said to account for the ‘spin’ (rotation) of the upper ribs and ‘slide’ (elevation/depression) of the lower ribs

Transition of upper to lower T-spine is around the T7 level

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13
Q

What are the 4 neural arch ligaments?

A
  • ligamentum flavum
  • interspinous ligament
  • supraspinous ligament
  • intertransverse ligament

(grade together at their boundaries to function as a single unit)

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14
Q

What represents a bridge between neural arch ligaments and those of the vertebral body?

What supports this structure dorsally and ventrally?

A

Capsular ligaments

dorsally supported by multifidus and ventrally by ligamentum flavum

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15
Q

What are the vertebral body ligaments?

A

Anterior longitudinal ligament and posterior longitudinal ligament

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16
Q

What innervates the muscles housed between the angles of the ribs?

What innervates the other muscles that span the thoracic spine?

A

dorsal primary rami

intercostal nerves or nerves formed by ventral primary rami

17
Q

What muscles may cause thoracic spine pain?

A
  • serratus anterior
  • external, internal, and innermost intercostals
  • transversus thoracis
  • levator costarum
  • serratus posterior superior and inferior
  • diaphragm
  • spinalis thoracic
  • longissimus thoracis
  • iliocostalis thoracis
  • multifidus
  • semispinalis thoracis