Thoracic Spine Flashcards

1
Q

T1-3 Spinous processes are in what plane as the vertebral body?

A

Same Plane

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2
Q

T4-T6 Spinous Processes are in what plane as the vertebral body?

A

They are in a plane halfway between their own TP and TP of the vertebrae below

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3
Q

T7-9 where are there spinous processes?

A

Their SP is in a plan that is one below own TP and the TP of the vertebrae below

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4
Q

T10; where is its spinous process?

A

One level below

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5
Q

T11; where is its spinous process?

A

It is halfway between its spinous process and the spinous process of the vertebrae below

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6
Q

The rib head articulates with what two structures on a vertebrae?

A

Superior Vertebra: Inferior costal facet

Inferior Vertebrae: Superior costal facet

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7
Q

The rib tubercle articulates with what on the vertebra?

A

It articulates with the transverse costal facets on the transverse processes

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8
Q

What is the function of the Costovertebral joint?

A

It holds the heads of the ribs in intervertebral bodies

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9
Q

What is the function of the Costotransverse joint?

A

Articulates rib tubercle with with transverse costal facets on the transverse processes

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10
Q

What is the function of a Superior ligament?

A

It connects the transverse process of the superior vertebra to the transverse process of the next lower vertebra

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11
Q

What is the definition of a visceral somatic reflex?

A

Visceral disturbances (organ dysfunction) can cause increased musculoskeletal tension in somatic structures which are innervated form the corresponding spinal level.

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12
Q

Sympathetic gangilion cells are located where?

A

They are located in the paravertebral sympathetic ganglia of sympathetic trunks; which are posterior to the transverse processes

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13
Q

What are the divisions for sympathetics to the head and neck?

A

T1-T4

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14
Q

What are the sympathetic divisions to the Heart?

A

T1-T5

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15
Q

What are the sympathetic divisions to the Lungs?

A

T2-T7; Lungs

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16
Q

What are the sympathetics to the upper abdominal viscera, stomach, liver, gallbladder, spleen, and portion of pancreased and duodenum?

A

T5-T9

17
Q

What are the sympathetic to the lower abdominal viscera?

A

T10-T11

18
Q

What are the sympathetic to the lower abdominal viscera; including distal 1/3rd of the transverse colon, descending colon, sigmoid colon, and rectum

A

T12-L2

19
Q

The body of the rib is greatest curved at which portion?

A

Costal Angle (Anterolateral turn)

20
Q

Where are most of the intercostal nerves and vessels found?

A

Costal groove on the inferor border of the body of the rib

21
Q

What are some defining characteristic of Rib 1?

A

1) Single facet on the head (articulating with T1 vertebra only)
2) Groove for subclavian artery and vein
3) Scalene tubercle for anterior scalene muscles attachment

22
Q

What are some defining characteristics of Rib 2?

A

1) Tuberosity for serrratus anterior

23
Q

What are some defining characteristics for Ribs 10-12?

A

1) Single facet on their heads and articulate with a single vertebra

24
Q

What are some defining characteristics of Ribs 11 and 12?

A

1) No neck neck or tubercle

25
Q

The 4th intercostal space lies between what ribs and is named from what?

A

1) Lies between the 4th and 5th ribs

2) Named for the rib superior to it; Rib 4

26
Q

The space below the 12th rib is known as what?

A

A subcostal space

27
Q

What are the muscles utilized for inhalation?

A

External intercostal muscles, Diaphragm, Scalenes, Sternocleidomastoid

28
Q

What muscles are utilized for expiration?

A

Internal intercostal muscles, External oblique, internal oblique, and Rectus Abdominis

29
Q

With a Pump Handle Inhalation rib dysfunction, what is the resulting mechanism of injury?

A

Rib elevation anteriorly

30
Q

With a bucket handle inhalation rib dysfunction what is the mechanism of the dysfunction?

A

Ribs are elevated laterally