Week 3: Thoracic Spine and Ribs Flashcards

1
Q

Typical Thoracic vertebrae runs from:

A

T2 - T9

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2
Q

The body of the vertebrae are of equal:

A

width and depth

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3
Q

The costal demifacets are:

A

they are half facets on the body of thoracic vertebrae

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4
Q

In the vertebral vertebral discs, we can find the ___________ (smallest/largest) ratio of disc height to vertebrae height.

A

smallest

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5
Q

What direction do the pedicles face in the typical thoracic vertebrae?

A

posteriorly (not laterally)

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6
Q

The pedicles are oriented__________ and this will result in:

A

posteriorly; narrowing of the vertebral canal

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7
Q

The articular pillars, or facets, of the typical thoracic vertebrae allow for ___________ (greater/lesser) side bending and rotation.

A

greater

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8
Q

The articular pillars, or facets, of the typical thoracic vertebrae allow for ___________ (greater/lesser) flexion and extension.

A

lesser

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9
Q

Facet joints of the typical thoracic vetebrae lie ______ off frontal plane

A

20°

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10
Q

In the typical thoracic vertebrae, the spinous processes:

A

slope inferiorly from T1 - T8

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11
Q

The tip of the spinous process lie at the level of the __________ ____________ for the majority of the thoracic spine.

A

caudal vertebrae

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12
Q

The joint capsules of the typical thoracic vertebrae are more:

A

taut

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13
Q

What are the atypical vertebrae?

A

T1, T10, T11 and T12

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14
Q

T1 has a _______ costal facet for rib 1 and a ___________ demifacet for rib 2.

A

full; partial

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15
Q

What is special about the T1 vertebrae?

A

Full costal facet for rib 1 & partial demifacet for rib 2
Typical cervical-shaped body
Spinous process of T1 is particularly long and prominent

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16
Q

The spinous process of T1 is usually:

A

long and prominent

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17
Q

T10, 11 and 12 only have:

A

full costal facets as opposed to demifacets for ribs 10 - 12

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18
Q

What vertebrae are most likely to lack a costotransverse joint?

A

T10, 11 and 12

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19
Q

T1 and T12 are considered to be:

A

transitional vertebrae

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20
Q

How many pair of ribs are there?

A

12

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21
Q

The posterior end of a typical rib has a:

A

head, neck and articular tubercle

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22
Q

The head and tubercle articulate with the:

A

thoracic vertebrae

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23
Q

What are the 2 synovial joints of the ribs?

A

costovertebral and costotransverse

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24
Q

The costovertebral articulation is a _______________ joint that allows what motions?

A

synovial; gliding and rotation

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25
Q

What are the typical ribs?

A

2 - 9

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26
Q

Typical ribs have:

A

a head of a rib
2 adjacent vertebral bodies
intervertebral disc

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27
Q

The atypical ribs are:

A

1, 10, 11, and 12

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28
Q

atypical vertebrae have a:

A

head of rib
1 vertebral body
is considered to be more mobile

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29
Q

The costotransverse joint is a __________ joint that permits:

A

synovial; gliding and rotation

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30
Q

T1 - T6 have slightly ___________costal facets of transverse process and slightly __________ costal tubercles.

These promote which type of movement?

A

concave; convex; rotation

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31
Q

T7 - T10 have a _______ surface.

A

flat

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32
Q

T7 - T10 promote what type of movement

A

gliding

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33
Q

T11 - T12 do not:

A

articularte at a costotransverse joint

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34
Q

Costochondral joints are junctions between:

A

anterior rib and cartilage

35
Q

Is there a lot of movement at the costal chondral joint?

A

a little bit but not much at all

36
Q

Chondrosternal is a junction between:

A

medial cartilage and sternum

37
Q

The 1st junction is a ___________________. The 2nd - 7th are:

A

synchondrosis (minimal motion here)

plane synovial (SMALL glides)

38
Q

Flexion and extension normal ranges of the thoracic spine:

A

flexion: 20 - 45
Extension 25 - 45

39
Q

Lateral flexion normal ROM in the thoracic spine:

A

20 - 40

40
Q

Normal ranges of rotation at the thoracic spine?

A

35 - 50

41
Q

Flexion in the thoracic vertebrae is limited by:

A

tension in the:
PLL
ligamentum flavum
interspinous ligaments
capsule of facet joints

42
Q

Extension in the thoracic vertebrae is limited by:

A

contact of the:
spinous processes, laminae, facet joints

Tension from:
ALL
Facet joint capsule
abdominal muscles

43
Q

lateral flexion in the thoracic vertebrae is limited by:

A

facets and ribs

44
Q

rotation in the thoracic vertebrae is limited by:

A

ribcage

45
Q

Lateral flexion is _____________ with some:

A

coupled; rotation

46
Q

Amount of rotation in the thoracic vertebrae _____________ in the lower part of the thoracic spine due to facet orientation

A

decreases

47
Q

The the upper thoracic spine, lateral flexion and rotation are coupled in the

A

same direction

48
Q

In the lower thoracic spine, lateral flexion and rotation may occur in the

A

opposite direction

49
Q

Ventilation is the mechanical process of:

A

air inhalation and exhalation

50
Q

ventilation is DRIVEN by:

A

active and passive forces

51
Q

changes in intrathroracic volume causes:

A

a change in air pressure

52
Q

Bot the costotransverse and costovertebral joints create a:

A

single axis of rotation for the ribs.

53
Q

When the costotransverse and costovertebral create a single axis of rotation, these movements are called:

A

elevation and depression

54
Q

The orientation of the axis determines a:

A

direction of a rib movement

55
Q

The upper ribs, 1 -6 , have an axis of rotation closest to the ____________ plane

A

frontal

56
Q

If the axis of rotation at the upper ribs is closest to the frontal plane, the ribs move in which plane?

A

sagittal

57
Q

Diameter changes occur in which direction when the upper ribs are moving?

A

anterior posterior (a pump handle motion)

58
Q

The lower ribs, 7 - 10, have an axis of rotation closest to the ______________ plane

A

sagittal

59
Q

If the axis of rotation is closest to the sagittal plane in the lower ribs, what plane do the ribs move in?

A

Frontal plane

60
Q

The bucket handle motion applies to the:

A

lower ribs

61
Q

the pump handle motion is most directly correlated to:

A

the lower ribs

62
Q

External oblique on one side acts ____________with internal oblique on the other side

A

synergistically

63
Q

The sit up results in a ___________ line of force

A

diagnol

64
Q

The transverse abdominis acts as a ______________ for the obliques.

A

stabilizer

65
Q

What are the primary axial rotators?

A

external and internal obliques

66
Q

What are the secondary axial rotators?

A

Ipsilateral latissimus dorsi
ipsilateral iliocostalis lumborum
contralateral transversospinal muscles

Effective extensors of the trunk and offset flexion tendency of obliques while contributing to rotation

67
Q

The multifidi is crucial for extension stability in the lumbar region during:

A

axial rotation

68
Q

The loss of multifidi stabilization may also result in:

A

visualization of flexion bias of unopposed oblique muscles

69
Q

The thoracic vertebrae are ultimately _____ flexible and _______ stable.

A

less;more

70
Q

motion is limited in the thoracic vertebrae, secondary to:

A

Rib cage
spinous processes
taut facet joint capsules
ligamentum flavum
dimensions of the discs
vertebral bodies

71
Q

The thoracic spine and ribs provide:

A

Stable base for muscles that influence craniocervical region
Protection for the thoracic organs
Mechanical “bellows” for breathing

72
Q

functional scoliosis can be corrected:

A

actively

73
Q

What can physical therapists do about structural scoliosis?

A

Not much

74
Q

Scoliosis is a:

A

deformity of the vertebral column

75
Q

Scoliosis most commonly involves which spine?

A

thoracic

76
Q

T7 - T9 is a common place of:

A

scoliosis

77
Q

How is scoliosis named?

A

by region and side of convexity

78
Q

The rib hump of scoliosis is associated on the:

A

convex side

79
Q

Scoliosis may be just a single curve or it may involve:

A

secondary compensatory curves

80
Q

Hyperkyphosis is:

A

excessive thoracic kyphosis

81
Q

how does hyperkyphosis occur?

A
  • trauma
  • severe DDD
  • severe marked osteoporosis
  • abnormal growth or development of vertebrae
82
Q

hyperkyphosis can significantly increase:

A

interbody joint compression

83
Q

What may result in compression fracture?

A

hyperkyphosis