Thoracic Region Flashcards

1
Q

What features will allow discrimination between T2-T4 and T5-T8 segmental groups?

A

the vertebral body, transverse process, articular process and spinous process

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2
Q

What is the outline of the vertebral body of a typical thoracic from superior view?

A

triangular

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3
Q

On cranial view, what is the outline of the vertebral body for the T5-T8 group?

A

the left side of the vertebral body will be flattened, the right side convex

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4
Q

What is the name given to the left side appearance of the vertebral body of T5-T8?

A

the aortic impression

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5
Q

What part of the vertebral body is most influenced by the aorta at T5-T8?

A

the left side superior and inferior epiphyseal rims

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6
Q

What is the height pattern of the typical thoracic vertebral body?

A

the posterior height is greater than the anterior height by one to two millimeters

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7
Q

What is the height pattern of intervertebral discs in the typical thoracic region?

A

the intervertebral discs are rather planar of flat with no apparent height difference between anterior and posterior heights

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8
Q

What is the principal cause of the posterior curve of the thoracic spine?

A

the vertebral body height difference

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9
Q

What is another way of naming a posterior curve pattern?

A

a kyphotic curve

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10
Q

What joint classification are identified at the vertebral body of a typical thoracic?

A

fibrous (amphiarthrosis) syndesmosis,
cartilaginous (amphiarthrosis) symphysis,
synovial plane (diarthrosis arthrodia)

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11
Q

How many synovial joints are formed at the vertebral body of a typical thoracic?

A

four

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12
Q

How many symphysis joints are formed with the vertebral body of a typical thoracic?

A

two

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13
Q

How many syndesmosis joints are formed at the vertebral body of a typical thoracic?

A

typically four are identified

as many as eight if the costocentral stellate/radiate ligaments are included

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14
Q

How many costocentral joints are formed at the vertebral body of a typical thoracic?

A

four

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15
Q

Which of the demi-facets on the vertebral body of a typical thoracic is larger?

A

the superior costal demi-facet

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16
Q

What feature will provide assistance in maintaining the stability of the intervertebral foramen in the typical thoracics?

A

the costocentral joint or ribs

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17
Q

What ligaments support the costocentral joint?

A

the costocentral stellate/radiate ligament

and the costocentral interarticular or intra-articular ligament

18
Q

What does the costocentral intra-articular or interarticular ligament connect to?

A

the interarticular or intra-articular crest of the head of the rib and the intervertebral disc

19
Q

What is the size relation between the articulating surface of the head of the rib and the costal-demi facet surface?

A

the rib surface is greater than the costal demi-facet surface

20
Q

Which muscles(s) is attached to the vertebral body of T2 or T3?

A

longus colli

21
Q

What is the position and direction of the pedicle from the typical thoracic vertebral body?

A

the pedicle arises from the upper third of the vertebral body and project posterior and slightly laterally

22
Q

What is the angulation of the pedicle in the typical thoracic region?

A

ten to fifteen degrees posterolateral from the sagittal plane

23
Q

Which X-ray view is used to see into the intervertebral foramen of a typical thoracic?

A

lateral view

24
Q

What is overlap of the lamnia called in the typical thoracic region?

A

shingling

25
Q

What is the outline of the vertebral foramen in the typical thoracic region?

A

oval to circular

26
Q

In which plane will the size of the vertebral foramen of a typical thoracic be greatest?

A

the transverse plane, the vertebral transverse diameter

27
Q

What is present on the transverse tubercle of a typical thoracic?

A

the transverse costal facet

28
Q

What are the osseous parts of the costotransverse joint?

A

the transverse costal facet and the articular surface of the tubercle of a rib

29
Q

What ligaments support the costotransverse joint of a typical thoracic?

A

superior costotransverse,
inferior costotransverse,
lateral costotransverse ligaments

30
Q

Which muscles may attach to the transverse process of a typical thoracic?

A
longissimus thoracis,
longissimus cervicis,
longissimus capitis,
semispinalis thoracis, 
semi spinalis cervicis,
semi spinalis capitis,
multifidis,
rotator longus, rotator brevis,
intertransversarii,
levator costarum longus, and levator costarum brevis
31
Q

How can you distinguish between a T2-T4 from T5-T8 segment using the articular process?

A

at T2-T4 the width between the superior articular processes is greater than the width between the inferior articular process of the vertebra
at T5-T8 the width between the superior articular process is equal to or the same width between the inferior articular process of that vertebra

32
Q

What is the orientation of the superior articular facet of a typical thoracic?

A

they face backward, upward, and lateral (BUL)

33
Q

What is the orientation of the inferior articular facet of a typical thoracic?

A

they face backward, downward, and medial (ForMeD)

34
Q

How many synovial joint are present at a typical thoracic ?

A

ten

35
Q

How many synovial joint surfaces for the ribs are present on a typical thoracic?

A

six

36
Q

Identify the synovial joint surfaces for ribs that are present on a typical thoracic

A

two superior costal demi-facets,
two inferior costal demi-facets,
two transverse costal facets

37
Q

What is the name given to the overlap of spinous processess in the thoracic region?

A

imbrication

38
Q

What is imbrication?

A

the overalap of spinous processes

39
Q

Imbrication will be more pronounced for what region of the thoracics?

A

T5-T8

40
Q

Which thoracic has the longest spinous process?

A

T8

41
Q

What is the angulation of the spinous process in the typical thoracic region?

A

the undersurface of T2-T4 spinous process will angle up forty degrees from the horizontal plane
the undersurface of T5-T8 spinous process will angle up sixty degrees from the horizontal plane

42
Q

Which muscles may attach to the spinous process of a typical thoracic?

A

trapezius, latissimus dorsi, rhomboig major, serratus posterior superior,
splenius cervicis, splenius capitis,
spinalis thoracis, spinalis cervicis, spinalis captis,
semispinalis thoracis,
multifidis,
rotator longus, rotator brevis, interspinalis