Rib DSA

Question 1

what does a rib articulate with

Answer 1

1. Inferior costal facet of vertebral ABOVE.
2. Superior costal facet of OWN vertebra

Question 2

tubercle of rib articulates with what?

Answer 2

TP of its own veretbra

Question 3

joints on ribs

Answer 3

costochondral joint

sternal costal joint

Question 4

Which ribs ONLY articulate with own vertebra

Answer 4

1

10

11

12

Question 5

Which ribs do not have tubercles, thus, do not articulate with transverse process

Answer 5

rib 11

rib 12

Question 6

Atypical ribs

Answer 6

1,

2,

11

12

and soemtimes 10

Question 7

typical ribs

Answer 7

3-9 (somtimes 10)

Question 8

What are true ribs

Answer 8

Ribs 1-7 (cartilage attach to the sternum)

Question 9

What are the false ribs

Answer 9

8-12

8-10 cartilage attaches to the costal carilage of the rib ABOVE

11-12. are floating ribs and do not have anterior attachement

Question 10

I get up at 1 AM 2 P

what is this telling us1.

Answer 10

1. Anteiror scalene is located on superior surface of rib 1 and elevates the 1st rib
2. Middle scalene is is on superior surface of rib 1 and elevates 1st rib
3. Posteiorr scalene is located. on 2nd rib and lifts up 2nd rib

Question 11

Where does pec minor muscle originate

Answer 11

anteiror superior surface of ribs 3, 4 and 5

Question 12

What does pec minor do

Answer 12

stabilize the. scapula drawing it anteriorly and inferiorly.

Question 13

Where is serratus anterior inserted?

axn

Answer 13

1. Superior lateral surface o_f ribs 2-8_

protracts scapula

Question 14

latissimus dorsi m

originate

Answer 14

originates on lower 4 ribs (9-12)

Question 15

Role of quadratus lumborum

Answer 15

fix 12th rib in inhalation

Question 16

external intercostal m.

axn

Answer 16

elevate ribs during FORCED inspiration

Question 17

internal/innermost intercostals muscles

axn

Answer 17

depress the ribs

Question 18

What. happens to diaphragm during inspiration

Answer 18

descends

Question 19

Nerve, artery and vein and ribs

Answer 19

A “VAN” running under the rib

Intercostal V,A,N run alongthe costal groove of inferior side of rib, located in between internal intercostal and innermost intercostal.

Question 20

bucket handle motion ofribs

Answer 20

move superior and laterally to increase transverse diameter

ribs 1-2, 8-10

Question 21

pump handle motion of ribs

Answer 21

move superior and lateral to increase AP diameter

ribs 3-7

Question 22

motion of ribs 11 and 12

Answer 22

Caliper or pincer

Inhaltion: down and posterior

Exhalation: up and anterior

Question 23

example of torisional movement of ribs

Answer 23

D/t rotation of the thoracic spine

T5 rotated. to the left on T6

Question 24

What happens when T5. is rotated to the L on T6

Answer 24

Rib below will be affected d/t inferior costal facet

Left 6th rib:

Posteior aspect turns externally

Anterior extermity. is more flat with sharp inferior borders

R 6th rib:

Posterior aspect of rib turns internally

Anteiror extremity has accentuated. sup0erior margins

Question 25

**torsional movement** is caused by what?

Answer 25

**articulation at the inferior costal facet.**

Question 26

non-physiological movement of ruibs

Answer 26

d/t. trauma or microtrauma. ribs become sublaxed anterior or posteriorly, creating hypermobile ribs. one or more ribs lose plasticityand become restricted in demformed state

Question 27

Torsion is d/t rotation of thoracic spine, causing rotation to be

Answer 27

fixed

Question 28

non-physiologic (anterior or posterior sublaxation) cause what

Answer 28

always SD.

Question 29

what is a. inhalation dysfunction

Answer 29

Ribs are held so that motion toward inhalation is free and motion to restriction is restricted

Question 30

EXHALATION DYSFUNCTION

Answer 30

Rib being held in a position of exhalation such that motion toward exhalationis more free and motion toward inhalation is restricted

Question 31

**inhalation dysfunction,** what happens to ribs

Answer 31

Ribs 1-4 on L side are held up, and cannot come into full extension key. rib: 4

Question 32

**exhalation dysfunction,** what happens to ribs 3-8

Answer 32

Ribs 3-8 are held down on R side and cannot come into full inhalation on R, Key rib 3

Question 33

what is the **key. rib**?

Answer 33

rib that causes dysfunction in group of ribs. treat first ## Footnote **BITE:** **Inhalation dysfunction, treat bottom** **Exhalation dysfunction, treat. top.**

Question 34

elevated. rib = ____ dysfunction

Answer 34

inhalation

Question 35

depressed rib -\> ______ dysfunction

Answer 35

exhalation

Question 36

doesnt move in inhalation-\>. ____ dysfunction

Answer 36

exhalation

Question 37

if restricted in inhalation-\> _____ dysfunction

Answer 37

exhalation

Question 38

If we have inhalation restriction, what is the problem?

Answer 38

Exhalation dysunction Ribs are pointed down and do not want. to come up. Treat the top rib.

Question 39

If we have a inhalation dysfunction (exhalation restriction), how describe ribs

Answer 39

Ribs 1-10: deppress key rib when exhale Ribs 11- 12 quadratus lumborm

Question 40

muscles for ribs 1 ribs 2 ribs 3-5 ribs 6-8 ribs 9-10

Answer 40

ribs 1- anterior and middle scalene ribs 2- posteiror scalene ribs 3-5- pec minor ribs 6-8- serratus anterior ribs 9-10- latissumus dorsi

Question 41

what can cause rib dysfunction?

Answer 41

1. thoracic scoliosis or. kyphosis 2. rib cage assymmetries 3. increase chest wall diamter d/t COPD 4. tension in cervical, rotator cuff, shoulder girrdle 5. trauma

Question 42

Effects of bony diseases such as **osteoporosis** or **osteoarthritis** cause ribs to do what?

Answer 42

**become anteriorly depressed!**

Question 43

how does **tensions in cervical, rotator cuff, or shoulder girdle musculature** ## Footnote **cause rib dysfunction?**

Answer 43

if the muscles attached to the ribs are dusfunctional, they can put strain on ribs