Thoracic iRA/tRA Flashcards

(47 cards)

1
Q

Which thoracic vertebrae is heart shaped?

A

4th

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2
Q

Where is the center of mass in the thoracic vertebrae?

A

anterior to thoracic kyphosis - predisposes vertebra to compression fractures as well as waisted cylinders

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3
Q

thoracic transverse processes ______ as we move caudally

A

shorten

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4
Q

spinous process project ______ and overlap vertebra ____

A

caudally, vertebra 5-8

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5
Q

What has a deep inferior notch and a shallow superior notch?

A

pedicles

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6
Q

pedicles increase in ______ caudally

A

thickness

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7
Q

what is the shape of the spinal foramen in thoracic vertebrae?

A

small and circular

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8
Q

at what level are the transverse processes

A

at the level of the spinous process

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9
Q

Which ribs are true ribs? Where do they articulate?

A

1-7
- articulate with sternum

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10
Q

Which ribs are false ribs? Where do they articulate?

A

8-10 - typically join superjacent costal cartilage

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11
Q

Which ribs are floating ribs?

A

11-12
- sometimes rib 10 is a floating rib

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12
Q

T1 variences

A

facets for articulation with whole facets of the first rib & an inferior facet for articulation with part of the 2nd rib

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13
Q

T9 variences

A

often fails to articulate with the 10th ribs- inferior costal facets are absent

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14
Q

T10 variences

A

superior costal facets only, as the only costal articulation is with the 10th ribs

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15
Q

T11 variences

A

costal facet close to the upper border of the body and extend onto the pedicles

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16
Q

Which vertebra has no articular facets on transverse processes

A

T11

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17
Q

T12 variences

A

circular facet on body (articulates with head of rib 12)
- transverse process replaced by superior, lateral, and inferior

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18
Q

orientation of superior articular processes of z-joints

A

face posteriorly and slightly superiolaterally

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19
Q

orientation of inferior articular processes of z-joints

A

face anterior and slightly inferiomedially

20
Q

innervation of z-joint referral patterns

A

medial branch of dorsal rami

21
Q

Ribs _____ articulates with superior and inferior bodies of joints of the costal heads

22
Q

What ligament unites the front of the head of a rib with the bodies of the two vertebrae and the intervertebral disc between them?

A

radiate ligament

23
Q

What is a thick, strong, flat, quadrilateral ligament that is on inferior border of transverse process to superior border of neck of underlying rib?

A

superior costotransverse ligament

24
Q

innervation of costotransverse referral patterns

A

lateral branch of dorsal rami

25
What ligament blends with the tectoral membrane and spans from posterior body to C2 to sacrum?
posterior longitudinal ligament
26
What ligament spans anterior spine, blending with anterior bodies and anulus/end plates?
anterior longitudinal ligaments
27
What ligament attaches to adjacent laminae?
ligamenta flava
28
IV discs of spine are thinnest in _____ T-spine?
upper
29
rib 1 joint type
synarthrosis
30
ribs 2-7 joint type
synovial joints
31
ribs 8-10 joint types
interchondral joints
32
_______ motion increases as you move caudally
flexion
33
What motion is more in upper and mid compared to lower T-spine?
rotation
34
Why is T-spine motion limited?
to reduce interference with respiration
35
During extension, the upper vertebra tilts _______
posteriorly
36
What limits t-spine extension
impact of articular process and spinous processes
37
facet joint motion during flexion - where is the tensile load during flexion?
superior facets glide superior and anterior - posterior annulus has tensile load
38
What checks lateral flexion?
resistance from ribs and sternum
39
t-spine flexion arthrokinematics
rotation and lateral flexion ipsilaterally
40
t-spine extension arthrokinematics
rotation and lateral flexion contralaterally
41
upper ribs motion during respiration
pump handle - elevation increase the A-P diameter of the thorax
42
lower ribs motion during respiration
bucket handle
43
normal inspiration muscles
- diaphragm - external intercostals - levatores costarium
44
accessory inspiratory muscles
- SCM - Scalens - Pec major and minor - serratus anterior - latissimus dorsi - serratus posterior superior - iliocostalis cervicis
45
What muscles are apart of the erector spinae muscle group?
- spinalis thoracic - longissimus thoracis - iliocostalis thoracis I like Standing Muscles
46
muscles in spinotransverse group
- rotatores thoracis - multifidus - semispinalis thoracis
47
normal curve of thoracic spine
- Kyphosis - 20-40 deg