Thoracic Spine Pathology

Question 1

Subluxation rib cause

Answer 1

Excess cough/sneezing, lifting, throwing, quick twisting with underlying pathology

Question 2

Costochondritis SX

Answer 2

Similar to MI, tenderness, multiple ribs (3,4,5), worse with cough/deep breathing/physical activity

Question 3

cause of costochondritis

Answer 3

Insidious
Trauma
Infection at joint

Question 4

Risks for costochondritis

Answer 4

Scoliosis, Ankylosing sponyliosis, rheumatoid arthritis, osteoarthritis, tumor

Question 5

T4 Syndrome (Upper thoracic syndrome) background info

Answer 5

Sympathetic nerves for upper limb come from T2-T5

Lies anterior/lateral T-spine/costovertebral joints

Question 6

T4 Syndrome cause

Answer 6

Entrapment, ischemia of sympathetic nerves over neck/rib from extreme postures

Question 7

T4 Syndrome Presentations

Answer 7

30-40 yrs, female (4:1), coincides with new job/activity

Question 8

Subluxed rib Sx

Answer 8

Sharp pain, mm spasm, possible rotating pain around rib