Thoracic iRA/tRA Flashcards
Which thoracic vertebrae is heart shaped?
4th
Where is the center of mass in the thoracic vertebrae?
anterior to thoracic kyphosis - predisposes vertebra to compression fractures as well as waisted cylinders
thoracic transverse processes ______ as we move caudally
shorten
spinous process project ______ and overlap vertebra ____
caudally, vertebra 5-8
What has a deep inferior notch and a shallow superior notch?
pedicles
pedicles increase in ______ caudally
thickness
what is the shape of the spinal foramen in thoracic vertebrae?
small and circular
at what level are the transverse processes
at the level of the spinous process
Which ribs are true ribs? Where do they articulate?
1-7
- articulate with sternum
Which ribs are false ribs? Where do they articulate?
8-10 - typically join superjacent costal cartilage
Which ribs are floating ribs?
11-12
- sometimes rib 10 is a floating rib
T1 variences
facets for articulation with whole facets of the first rib & an inferior facet for articulation with part of the 2nd rib
T9 variences
often fails to articulate with the 10th ribs- inferior costal facets are absent
T10 variences
superior costal facets only, as the only costal articulation is with the 10th ribs
T11 variences
costal facet close to the upper border of the body and extend onto the pedicles
Which vertebra has no articular facets on transverse processes
T11
T12 variences
circular facet on body (articulates with head of rib 12)
- transverse process replaced by superior, lateral, and inferior
orientation of superior articular processes of z-joints
face posteriorly and slightly superiolaterally
orientation of inferior articular processes of z-joints
face anterior and slightly inferiomedially
innervation of z-joint referral patterns
medial branch of dorsal rami
Ribs _____ articulates with superior and inferior bodies of joints of the costal heads
2-9
What ligament unites the front of the head of a rib with the bodies of the two vertebrae and the intervertebral disc between them?
radiate ligament
What is a thick, strong, flat, quadrilateral ligament that is on inferior border of transverse process to superior border of neck of underlying rib?
superior costotransverse ligament
innervation of costotransverse referral patterns
lateral branch of dorsal rami
What ligament blends with the tectoral membrane and spans from posterior body to C2 to sacrum?
posterior longitudinal ligament
What ligament spans anterior spine, blending with anterior bodies and anulus/end plates?
anterior longitudinal ligaments
What ligament attaches to adjacent laminae?
ligamenta flava
IV discs of spine are thinnest in _____ T-spine?
upper
rib 1 joint type
synarthrosis
ribs 2-7 joint type
synovial joints
ribs 8-10 joint types
interchondral joints
_______ motion increases as you move caudally
flexion
What motion is more in upper and mid compared to lower T-spine?
rotation
Why is T-spine motion limited?
to reduce interference with respiration
During extension, the upper vertebra tilts _______
posteriorly
What limits t-spine extension
impact of articular process and spinous processes
facet joint motion during flexion
- where is the tensile load during flexion?
superior facets glide superior and anterior
- posterior annulus has tensile load
What checks lateral flexion?
resistance from ribs and sternum
t-spine flexion arthrokinematics
rotation and lateral flexion ipsilaterally
t-spine extension arthrokinematics
rotation and lateral flexion contralaterally
upper ribs motion during respiration
pump handle
- elevation increase the A-P diameter of the thorax
lower ribs motion during respiration
bucket handle
normal inspiration muscles
- diaphragm
- external intercostals
- levatores costarium
accessory inspiratory muscles
- SCM
- Scalens
- Pec major and minor
- serratus anterior
- latissimus dorsi
- serratus posterior superior
- iliocostalis cervicis
What muscles are apart of the erector spinae muscle group?
- spinalis thoracic
- longissimus thoracis
- iliocostalis thoracis
I like Standing Muscles
muscles in spinotransverse group
- rotatores thoracis
- multifidus
- semispinalis thoracis
normal curve of thoracic spine
- Kyphosis
- 20-40 deg