DSA: joyful ribs

Question 1

Which ribs are the only ribs to articulate with their own vertebrae and NOT the one above them?

Answer 1

1 10 11 12

Question 2

Which ribs do not have tubercles?

Answer 2

11 and 12 *** do not articulate with transverse processes

Question 3

Which ribs are the atypical ribs?

Answer 3

1 2 11 12

Question 4

Which ribs are typical ribs?

Answer 4

3-9

Question 5

What is the origin of the pectorals major muscle?

Answer 5

Anterior superior surface at ribs 3, 4, 5

Question 6

What is the insertion of the anterior scalene muscle?

Answer 6

Superior surface of the 1st rib

Question 7

What is the insertion of the middle scalene

Answer 7

Superior surface of the 1st rib

Question 8

What is the insertion of the posterior scalene?

Answer 8

2nd rib

Question 9

What is the insertion of the serratus anterior muscle?

Answer 9

The superior lateral surface of ribs 2-8

Question 10

What is the KEY origin of the latissimus dorsi muscle?

Answer 10

the lower 4 ribs

Question 11

What is the KEY insertion of the quadrates lumborum

Answer 11

inferior aspect of rib 12

Question 12

What are the muscles that elevate the first rib?

Answer 12

Anterior scalene Middle scalene

Question 13

What is the action of the posterior scalene?

Answer 13

Elevates 2nd rib

Question 14

The ______ _______ muscle starts from the spine around the costal cartilage

Answer 14

external intercostal

Question 15

The _____ _____ muscle starts from the rib angle to the sternum

Answer 15

Internal intercostal muscle

Question 16

The ______ _______ muscle starts from the rib angle to the costal cartilage

Answer 16

innermost intercostals

Question 17

The ______ handle motion is synonymous with the functional anterior-posterior rib axis

Answer 17

Bucket

Question 18

The _______ handle motion is synonymous with the functional transverse rib axis

Answer 18

Pump

Question 19

What are the various types of rib motion?

Answer 19

Bucket handle Pump handle Caliper Torsional Non-physiologic

Question 20

Describe bucket handle motion. Which ribs does this involve?

Answer 20

move superiorly and laterally increases the transverse diameter ribs 1, 2 8-10

Question 21

Describe pump handle motion. What ribs does it involve?

Answer 21

moves superiorly and anteriorly increases the a/p diameter ribs 3-7

Question 22

The ribs move ______ and ______ with inhalation

Answer 22

Downward and posterior

Question 23

The ribs move ______ and ______ with exhalation

Answer 23

upward and superior

Question 24

_______ is the incomplete or partial dislocation of joint or organ

Answer 24

subluxation

Question 25

Describe what happens to the right and left sixth ribs when T5 is rotated to the RIGHT (torsional movement)

Answer 25

RIGHT 6th rib: -posterior aspect turns externally -anterior extremity of the right sixth rib becomes more flat with inferior border sharp LEFT 6th rib: -posterior aspect turns internally -anterior extremity of the left sixth rib has superior margin accentuated

Question 26

\_\_\_\_\_\_\_ ________ \_\_\_\_\_\_ is due to trauma or repetitive micro trauma

Answer 26

non-physiologic movement

Question 27

What happens to the ribs during non-physiologic movement

Answer 27

rib becomes subluxed anteriorly or posteriorly one or more ribs become restricted in the deformed state

Question 28

What are examples of the respiratory somatic dysfunctions?

Answer 28

Bucket handle Pump handle Caliper

Question 29

What are examples of the structural somatic dysfunctions?

Answer 29

Torsional Non-physiologic

Question 30

An inhalation dysfunction is a rib being held in a position of inhalation such that motion toward inhalation is more _____ and motion toward exhalation is \_\_\_\_\_\_\_.

Answer 30

free restricted

Question 31

An exhalation dysfunction is a rib being held in a position of exhalation such that motion toward _______ is more free and motion toward _______ is restricted.

Answer 31

Exhalation and inhalation

Question 32

The ____ \_\_\_\_ is the rib that maintains a group of ribs in dysfunctional motion

Answer 32

key rib

Question 33

How do you treat a somatic dysfunction of a key rib?

Answer 33

BITE Bottom Inspired If a group of ribs is found to have Inhalation Dysfunction, the Bottom of the group is the key rib Top Expired If a group of ribs is found to have Exhalation Dysfunction, the Top of the group is the key rib

Question 34

The key rib is at the ______ of the group during an inhalation dysfunction

Answer 34

bottom

Question 35

Where is the key rib in an exhalation dysfunction?

Answer 35

At the top of the group

Question 36

List the causes of rib dysfunction

Answer 36

thoracic scoliosis or hypnosis rib cage asymmetries bony diseases increased chest wall diameter abnormal muscle tension trauma lifestyle

Question 37

What is pictured?

Answer 37

Pectus excavatum

Question 38

What is pictured?

Answer 38

Pectus carinatum

Question 39

What happens where there is deteroiration of vertebral support? (like kyphosis)

Answer 39

ribs become anteriorly depressed

Question 40

COPD serves as an example of ______ \_\_\_\_\_\_ ______ \_\_\_\_\_\_\_ whcih can be a cause of a rib somatic dysfunction

Answer 40

increased chest wall diameter