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Musculoskeletal II > Thoracic Spine > Flashcards

Thoracic Spine Flashcards

1
Q

Where does T-spine sit?

A

T1 to T12

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2
Q

What is connected to T-spine?

A

rib cage

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3
Q

Superior facet

A

convex and posteriorly oriented

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4
Q

Inferior facet

A

concave and face anteriorly

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5
Q

Origins of facets in T-spine?

A

sagittal plane

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6
Q

T1-T3

A

same level

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7
Q

T4-6

A

half a level below

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8
Q

T7-9

A

one level below

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9
Q

T10

A

one level below

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10
Q

T11

A

Half a level below

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11
Q

T12

A

same level

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12
Q

Upper Thoracic spine

A

Upper T1-2 (acts of lower C-spine)

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13
Q

Mid thoracic spine

A

T3-9

fully functional spine

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14
Q

Lower thoracic spine

A

T10-12

acts as lumbar

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15
Q

Inferior angle of scapula

A

T7

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16
Q

What are last 2 ribs?

A

false ribs

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17
Q

What do ribs articulate with?

A

Vertebral body
Transverse process
sternum

18
Q

How do ribs rotate with flexion?

A

anteriorly and glide superiorly

19
Q

How do ribs rotate with extension?

A

posteriorly and glide inferiorly

20
Q

Ribs compress with:

A

ipsilateral side with side bending

21
Q

What discs have been found to have the most disease?

A

T6-T7

22
Q

Thoracic outlet syndrome

A

Often have impairments of the scalene, first rib and pec minor due to their location of the subclavian artery

23
Q

Thoracic flexion

A

20-45 degrees

24
Q

Thoracic extension

A

20-45 degrees

25
Q

Thoracic rotation

A

35-50

26
Q

Thoracic lateral bending

A

20-40

27
Q

How many degrees of thoracic extension is needed for arm elevation?

A

15 degrees

28
Q

Kyphotic-Lordotic Posture

A 
Forward Head
Cervical spine is hyper-extended
Scapulae abducted
Thoracic kyphosis
Lumbar spine lordotic/extension
Hips are flexed
29
Q

Flat Back Posture

A

Thoracic spine is flat
Upper thoracic spine is flexed
Upper cervical spine is extended
Lumbar spine is flexed

30
Q

Sway Back Posture

A

Thoracic spine is in kyphosis/flexed position
Lumbar spine is flat or flexed
Pelvis posterior tilt
Hips are extended

31
Q

Risk Factors for developing Thoracic Spine Pain

A 
Concurrent musculoskeletal pain
Growth/physical
Lifestyle
Backpack
Postural problems
Psychological
Environmental factors
32
Q

Pneumothroax

A

Collapsed lunge – air leaks into the space between lung and chest wall
Recent bout of coughing or strenuous exercise
Decreased breath sounds
Hyper –resonance on percussion
Decreased breath sounds

33
Q

Cholecystitis

A

Inflammation of the gall bladder
T7-T9 region of the body
Right sided abdominal and interscapular pain
Most common in middle aged women & women after pregnancy
Symptoms worse w/ fatty foods

34
Q

Peptic Ulcer

A

Sores that develop in the inside of the stomach and esophagus or small intestine
Burning, knowing
Symptoms usually relieved when eating food

35
Q

Compression Fracture or Spinal Fracture

A

More common in those with osteoporosis
Age > 70 years of age
Long term corticosteroid use
History of trauma

36
Q

Where is most common spinal fracture or compression?

A

T11-L1

37
Q

Clinical Prediction rule for spinal fracture?

A

Female
> 70 years old
Trauma (minor for elderly and major for younger person)
Prolonged use of corticosteroids

38
Q

Where is the emphasis of movement in T-spine?

A

frontal plane

39
Q

Spine of scapular

A

T3/4

40
Q

Thoracic pain or dysfunction may arise from

A 
Thoracic spine structures
Cervical spine structures
Thorax/Rib Cage
Gastrointestinal system/organs
Cardiopulmonary System
Renal System
41
Q

Wells Criteria for PE

A
  1. Signs and symptoms of DVT (pain with palpation & swelling)
  2. PE more likely than other diagnosis
  3. Pulse greater than 100
  4. Previous hx of DVT or PE
  5. Immobilization or surgery in last 4 weeks
  6. Blood in urine
  7. Hx of cancer in last 6 months

Musculoskeletal II (14 decks)

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