Thoracic Spine Flashcards

1
Q

where is spine most narrow

A

t4-9

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2
Q

2 extra joint in t spine

A

costovertebral and costotransverse

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3
Q

What creates kyphosis in t spine?

A

post height is taller 2mm

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4
Q

which ribs articulate with their own vertebrae

A

T1, T10-12

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5
Q

which way does the inf facet face
what motion does this favor

A

AIM
SB + rotation

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6
Q

CV ligaments (2) what do they connect

A
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7
Q

CT ligaments (3) what do they connect

A
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8
Q

imaging projections for throacic spine and ribs

A
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9
Q

total flexion:
segmental flexion:

A

20-45
2-4 each

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10
Q

when does flexion occur

A

scap protreaction

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11
Q

what resists flexion

A

disc
facet jt
post ligaments

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12
Q

what happens with the center of the disc for flexion / extension

A

distracted/ compressed

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13
Q

facet during flexion

A
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14
Q

ribs during flexion (ant / post)

A

approximate / separate

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15
Q

Costo transverse joint during flexion
T1-7
8-10

A

anterior rotation and sup glide
ant rotation and PMS glides

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16
Q

Costo transverse joint during extension

A
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17
Q

ribs during extension (ant / post)

A
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18
Q

Costo sternal joint during flexion

A

anterior rotation (t1-10)

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19
Q

total extension
segmental extension

A

25
1-2

20
Q

what UE movements cause extension

A
21
Q

VB during extension

A
22
Q

z joint facet extension

A

post / inf glides

23
Q

motion restricted by (extension)

A
24
Q

ant / post ribs (extension)

A

separate / approximate

25
Q

Costotransverse during extension

A

t1-7 post rot + inf glide
8-10: post rot ILA glide

26
Q

costosternal joints during extension

A

post rotation

27
Q

lateral flexion total and segmental

A

25-40
7-9

28
Q

lateral flexion VB

A

ipsi roll and glide

29
Q

lateral flexion z joint facets

A

ipsilateral: inf/post (extension)
contralateral: superior/anterior (flexion)

30
Q

lateral flexion ribs

A

ipsi approx
contra separate

31
Q

lateral flexion CT joints

A
32
Q

Latexion

A

rib and z joint move together in the beginning (Ipsi z joint will move down and back + rib approximation)
THEN z joint has more motion so pushes rib away

NOW: ipsi rib motion = ant rotation and sup glide
contra rib = post rot inf glide (this is why CL rot)

33
Q

lateral flexion CT joint Ribs

A

t3-t7: ipsi–ant rotation sup glide
8-10 ipsi ant rotation PMS glides

34
Q

lateral flexion CS joint rib motion

A

3-8

35
Q

rotation motion total and segmental

A
36
Q

rotation VB motion

A

ipsi roll
contra glide

37
Q

rotation z joint motion

A

ipsilateral: inferior posterior glide
contra: superior anterior

38
Q

Rotextion coupled motion

A
39
Q

Rotexion CT joint

A

t3-t7: ipsi post rotation inf glide
contra
8-10: ipsi post rotattion ILA
contra

40
Q

rotexion Costo sternal joint

A

3-8:
ipsi posterior
contra: anterior

41
Q

rib motions during breathing
t1-2
3-7
8-10

A

pump handle (elevation)
bucket handle (lateral elevation)
caliper

42
Q

inspiration CT joint / CV joint

A

1-7 superior and anterior to increase AP diameter
CV: inferior glide
8-10 ??? move PMS, glide ILA
10-12: fixed

43
Q

inspiration costo sternal joint

A

1-2: elevation

3-8: post rotation

44
Q

expiration rib motion CT joint

A
45
Q

expiration rib motion CS joint

A