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Spine - Exam 1 > Thoracic Spine and Costal Cage (2) > Flashcards

Thoracic Spine and Costal Cage (2) Flashcards

1
Q

how many ribs does the costal cartilage have

A

24 ribs

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2
Q

what does the sternum include

A

sternum with the xiphoid

costal cartilage and 12 thoracic vertebrae

skin associated fascia & muscle makes up thoracic wall

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3
Q

ribs 1-7

A

true ribs

attach directly to the sternum

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4
Q

ribs 8-10

A

false ribs

attach to cartilage which attaches to sternum

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5
Q

ribs 11-12

A

floating ribs

no anterior attachment

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6
Q

thoracic girdle

A

T1-2

ribs 1-2

manubrium and sternum

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7
Q

articulation of costal cartilage –> exhaling

A

internal torsion

bucket/pump handle

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8
Q

articulation of costal cartilage –> inhaling

A

external torsion

bucket/pump handle

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9
Q

what moves the ribs

A

tspine

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10
Q

thoracic extension is accompanied by

A

rib external torsion

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11
Q

thoracic flexion is accompanied by

A

rib internal torsion

flexion of the rib

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12
Q

flexion, SB and rotation to the left

A

causes internal torsion of the ribs on the right

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13
Q

costovertebral joint

A

plane synovial joint

head of ribs & 2 demi-facets on the inferior body of one vertebrae and on superior body of vertebrae below it

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14
Q

where is energy stored during exhalation –> costovertebral joint

A

radiate ligament

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15
Q

what happens to the facet joints during flexion/extension –> costovertebral joint

A

flex: move anteriorly

extend: move posteriorly

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16
Q

what happens to the facet joints when you SB to the right –> costovertebral joint

A

right side closes

left side opens

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17
Q

what happens to the facet joint in neutral –> costovertebral joint

A

SB to right

rotation left

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18
Q

what happens to the facet joints when you flex and rotate to the left –> costovertebral joint

A

everything opens

rotate left

right side opens

19
Q

costotransverse joint

A

plane synovial joint

20
Q

how is the costotransverse joint formed

A

articulation of costal tubercle on the rib with the costal facet of the transverse process

21
Q

how is the costotransverse joint strengthened

A

3 major ligaments

22
Q

costo-sternal joint

A

ribs 1-7 articulate with costal cartilages

which then articulate with the manubriosternal at the costosternal joint

23
Q

costo-sternal joints of ribs 2-7

A

synovial

divided by intra articular ligaments (like CV joint)

24
Q

manubriosternal joint

A

synchondrosis

has a fibrocartilaginous disk b/w manubrium and sternum

25
Q

where does movement at the rib occur

A

xiphisternal joint

26
Q

rib motion associated w/ flexion

A

internal torsion

27
Q

rib motion associated w/ extension

A

external torsion

28
Q

breathing in the upper ribs

A

pump handle motion

29
Q

breathing in the middle to lower ribs

A

bucket handle motion

30
Q

breathing in ribs 11-12

A

caliper motion

31
Q

first rib AROM

A

C/S rotation, SB

shoulder ABD

32
Q

1st rib during breathing

A

upper/middle/lower

33
Q

how do we ID dysfxn in the TS and costal cage

A

what they tell us

visually type 1, kyphosis, scap

AROM testing (including breathing)

PIVMT testing (overpressure)

spring tests - accessory motion

34
Q

dx related to tx of tspine (1)

A

thoracic pain

rib dysfxns/resp restriction

cervical pain (cervicalgia)

C/S HNP

35
Q

dx related to tx of tspine (2)

A

headaches

shoulder dysfxn

lumbar pain-lumbago

L/S HNP

SI dysfxn

36
Q

ROM testing includes

A

breathing

flexion/ext

SB R & L

Rot R & L

37
Q

PIVMT

A

palpate interspinous for opening/closing with flexion/extension

palpate TP for further opening/closing

38
Q

thoracic springs –> PIVMT

A

springing on the joint/spinous process as the pt is in prone

39
Q

decision trees for eval and intervention

A

components 1-4

40
Q

component 1 –> decision trees for eval and intervention

A

initial observation

concerns for problems/stories

41
Q

component 2 –> decision trees for eval and intervention

A

determine irritability levels (high, moderate, low)

42
Q

component 3 –> decision trees for eval and intervention

A

physical exam to rule out or rule in most relevant conditions

43
Q

most relevant conditions –> component 3 –> decision trees for eval and intervention

A

mid back with radiating pain

thorax pain and mobility deficits

thoracic cage - resp mobility deficits

1st rib pain w/ mobility deficits

44
Q

component 4 –> decision trees for eval and intervention

A

most relevant physical impairment and strategies to implement

Spine - Exam 1 (7 decks)

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