Thoracic Cage Flashcards

1
Q

What are the normal curves of the vertebral column and classify them as primary or secondary

A

Cs - Secondary - lordosis
Ts - Primary - kyphosis
Ls - Secondary - lordosis

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2
Q

What is the lumbopelvic rhythm

A

When there is an anterior pelvic tilt there is an increase in the lordotic curvature

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3
Q

Describes the biomechanics and compressive load produced when the head is tilted forward on a seated position

A

Tilting the head forward increases the moment arm, making the muscles work harder thus increasing the force to be able to support the head. This creates a higher compressive force on the vertebrae because the head becomes heavier.
A compressive load is Force X Weight

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4
Q

What are the six degrees of freedom between adjacent vertebrae?

A
- Saggital plane: 
Rotation, 
flex/ext, 
lat flex
- Translations: 
Sup/inf = distraction
Anterior posterior (shear)
Medial lateral shift
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5
Q

What is a shear force and how does it exist in the vertebral column?

A

Shear force is present when there are no horizontal surfaces. Shear acts on the disc to create post. ant. and lat. shift. shear has to be greater than friction for a slippage to occur.

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6
Q

What are the features of a typical thoracic vertebrae

A
T2-T9 
Heart shape body 
vertebral foramen 
Long SP
TP have rib facets 
Superior facet projects post 
Inf. facet projects anterior 
Size increases as they descend 
3 costal facets: superior, inferior, transverse
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7
Q

What are the 4 atypical thoracic vertebrae and their features

A
  • T1: Sup. costal facet complete
  • T10: One singular complete costal facet
  • T11- T12: No transverse costal facet
    superior facet complete and are located at pedicle
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8
Q

how many thoracic vertebrae in the body

A

12

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9
Q

How many ribs in the body and how are they classified

A

12

  • True ribs 1-7
  • False ribs 8 - 10
  • Floating ribs 11 - 12
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10
Q

What are the bony landmarks of a typical rib

A
Superior facet 
inferior facet 
head 
neck 
tubercle of rib + TP articular process
Costal angle
Costal groove 
Site of costal cartilage articulation
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11
Q

What are the Joints found in the rib cage?

A

Costovertebral - synovial joint
Costochondral - palne synovial
Costotranverse - synovial

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12
Q

What are the boundaries of the thoracic inlet?

A

T1
R1
costal cartilage
superior border of manubrium

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13
Q

What are the boundaries of the Thoracic outlet

A
Separates thorax and abdominal cavity
T11-T12
Rib 12
Xiphisternal joint 
costal cartilage
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14
Q

Name location, structure and function of the diaphragm

A

Location: A muscle located at the inferior portion of the thoracic cavity
Structure: 2 domes named demi-diaphragm
a central tendon structure shaped like a clove
Function: Separate thoracic cavity from the abdominal area. Main muscle of respiration,
support lungs.

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15
Q

Origine insertion and cardiovascular supply of diaphragm

A

O: Xiphoid process,
Internal surface of inferior 6 costal cartillage
Lumbar vertebrae

I: central tendon

N: central portion: Phrenic: motor, sensory supply
Periphery: 6 intercostal and subcostal N.

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16
Q

What are the apertures (anatomical spaces) in the diaphragm and what goes through?

A

Caval opening:

  • Inferior vena cava
  • Branches of R phrenic N
  • Lymph vessels

Oesophageal hiatus

  • T10 body
  • oesophagus
  • Vagus N.

Aortic Hiatus

  • Descending aorta
  • Thoracic duct
  • Azygous vein