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what is the level of the spin of the scapula ?
T3
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what is the Transverse process level of the inferior border of the scapula?
T8
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what is the spinous process level of the inferior border of the scapula?
T7
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what is the spinous process level of the illiac crest?
L4
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the first rib is at what spinous process level?
T1
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vertebral prominens is at which spinous process level
C7
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what is the Vt level for the PSIS
S2
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what rib lvl is the sternal angle?
2
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what are the other names for the sternal anle?
- the angle of louis
- angle of the sternum
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what rib is closest to the xophoid process ?
rib 7 the last true rib
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what ribs are the atypical ribs
1,2, 10, 11, and 12
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what ribs are the typical ribs
3-9
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ribs 11 and 12 fit into what caterorgy of ribs
floating and false
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what makes rib 1 atypical
- no angle or costal cartilage
- only articulat1 with T1
- flat greatest curve and shortes
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what passes over rib1 and why is it important? and which surface
the subclavian artery and the brachial plexus on the superior surface
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what is atypical about rib2
- articulates with both T1 and T2
- has a larger tuberosity for sexy serrita ( serratus anterior)
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what are the costal attachments of rib 2 and by what means?
attached via a bicompartmental synovial joint at Manubrio-sternal junction
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what is atypical about rib 10
only one facet T10
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what is atypical about rib 11 and 12
- no necks or tuberucles
- only have a single facet
- articulate with corresponding vertebrea
- flot
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what is atypical about rib 12 specifically?
has no costal groove
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head features of typical rib
- the head is round and knob-like
- it has 2 facets for articulation
- the same numbered vertebrae and the one above
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typical rib neck and tubercle
articulation of corresponding transverse process and costotransverse ligament
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typical rib body/shaft
thin flat curved with (sub)costal groove on the inferior edge
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typical rib distal concavity
cartilage attaches here
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False ribs
joined with costal cartilage to rib 7's costal cartilage
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features of floating ribs
- lack cartilage and float freely
- have no sternal attachment
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what are the primary muscles and what are used for
normal breathing and they are the intercostals and the diaphragm
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where does the neurovascular bundle of the rib cage lay ?
between the anterior and middle scalene
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what happens when the pec minor is tight?
this can cause pectoralis minor syndrome which is a type of thoracic outlet syndrome
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what is pectoralis minor syndrome?
a thoracic outlet syndrome that is due to compression of brachial plexus and subclavian artery
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what ribs are serratus anterior attached to ?
rib 1 through rib 9
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what ribs are serratus posterior attached to ?
inferior border of 9-12 ribs
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what sp are serratus posterior attached to ?
T11- L2
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what rib(s) QL attached to?
the medial half of the inferior border of rib 12
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what ribs does the latissimus dorsi attache?
- 9-12 ribs
- medially attaches to inferior ribs 3 or 4
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what ribs does the diaphragm attach to ?
6-12 ribs and xiphoid process
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what (3) characterisitics are true for all ris?
- costovertebral joints for gliing rotatory motion
- cototransverse joints for gliding arcuate motion
- ligamentous attachemtn makes rib influencce thoracic vertebra
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what is atypical about rib 2
longer thatn rib 1 and not as flat
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how is the head of a typical rib
round knob like and has 2 facets
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what are the secondary muscles fir respiration
- seeratus anterior
- latissimus dorsi
- pec minor
- quadratus lumbarum
- serrtatus posterior
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what are the vt level attachment for the right and left crus
- left is l1-l2
- right is l1-l3
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which intercostal muscle are use for quie breathing and which for labored
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what ribs are the anterior and middle, and posterior scalene attached to
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action of -pec minor
- depress and protract
- aka
- inferior and anterior
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serratus anterior action
- sexy serrita
- alwats has her shoulder up and elevated and when she dance she rasies her arms ( abduction)
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action of serratus posterior
depresses ribs
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action of QL
- extends and laterally flexes Vt
- fixes rib 12 during inspiration
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action o latisimuss
- pull up
- extend
- abduction and mdially rotatioes
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which ribs do pump handle, bucket handle and calipher primarily
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some signs of thoracic outlet syndrome
cold or num or thingly arm
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what s calipher motion
during inhale the floatin rib move posterior and inferior to make more space and the opposite during exhilation
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