Pathophysiology of pectoral Girdle Thoracic Cage Flashcards

1
Q

What makes up the RTC

A

Supraspinatus
infraspinatus
teres minor
subscapularis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what does the scapula do

A

assists to anchor upper extremity and ROM of it
it is the origin of the RTC musculature
thick bone, requires high energy force to cause fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are the MOA for scapular fracutres

A

MVC
fall from height
FOOSH
non-accidental trauma (KIDS)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are the complications of scapula fractures

A

concerning for underlying pathologies due to MOI
- lung injuries
-brachial plexus injuries
- thoracic cage
- shoulder girdle(RTC)
-calvicular fracture
-fib fractures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is a scapulothoracic dissociation

A

traumatic disruption of the structures grounding the scapula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how does a scapulothoracic dissociation present on x-rays

A

lateral displacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is thoracic outlet syndrome

A

compression of neruovascular bundle
may be due to soft tissue or bony abnormalities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

what two primary muscles attach to the inferior aspect of the clavicle

A

pectoralis and deltoid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what type of joint is the AC joint

A

plane joint
synovial joint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does the AC joint allow for

A

ROM of the scapula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the most common MOA for clavicular fracture

A

FOOSH or fall directly on the shoulder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the complications of clavicle fractures

A

compression of subclavian vein, artery and brachial plexus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

with is the MOA for AC joint dislocation

A

fall and acromion being pushed under distal clavicle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what ligament tears with a AC joint dislocation

A

coracoclavicular ligament

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what makes up the throacic cage

A

thoracic vertebrae
sternum and ribs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is the purpose of the thoracic cage

A

protects lungs, pleura, trachea, esophagus, heart, diaphragm, part of the liver and kidneys

17
Q

what ribs are false ribs

A

8, 9, 10 piggyback on the cartilage of rib 7

18
Q

what ribs are floating ribs

A

ribs 11 and 12

19
Q

What makes up the neurovascular bundle in the ribs

A

intercostal vein
ntercostal artery
intercostal nerve

20
Q

what types of rib fractures are at higher risk for underling pathology

A

upper rib fractures

21
Q

what are complications of rib fractures

A

pain
lung contusions
pneumothorax
hemopneumothorax
intra-abdominal injury
vascular injury - cardiac contusion

22
Q

what can be compromised in rib fractures

A

ventilation

23
Q

what can be secondary to rib fractures

A

pneumonia due to atelectasis

24
Q

what is the MOA for sternal fractures

A

MVC

25
Q

what type of fracture pattern is most commonly seen with sternal fractures

A

comminuted fractures

26
Q

what is costochondritis

A

inflammation of the costal cartilage, typically at the costochondral junction

27
Q

what is xiphodynia

A

inflammation of the xyphoid process causing pleuritic pain