16 Questions
What is the major difference in the clinical characteristics of referred and/or radicular pain originating from the thoracic spine compared to lumbar and cervical spine?
Presence of pain in the relevant intercostal region of the thoracic cage
Which spinal nerves innervate the intercostal muscles and ribs in the thoracic spine?
Intercostal nerves
What are the additional articular structures found in the thoracic spine that are not present in the lumbar and cervical spine?
Costotransverse and costovertebral joints
What structures form the costovertebral junction in the thoracic spine?
Joint between the head of the rib and vertebral bodies
Which type of joint exists between the angle of rib and transverse process of thoracic vertebrae?
Costotransverse joint
What do spinal nerves emerging from the intervertebral foramen of thoracic vertebrae innervate?
Intercostal muscles and ribs
Which of the following is NOT a common cause of musculoskeletal chest pain?
Visceral organ inflammation
What is the primary characteristic feature of Costochondritis?
Tenderness at the costosternal junctions
Which condition accounts for 14% of musculoskeletal chest pain disorders?
Costochondritis
What is a common symptom that differentiates musculoskeletal chest pain from other conditions in terms of physical activities?
Pain worsening with physical activities like coughing and sneezing
Which characteristic is NOT typically associated with musculoskeletal chest pain?
Swelling at the rib cage junctions
What percentage of acute musculoskeletal chest pain cases are encountered in emergency medicine practice?
50%
'Chest wall pain syndrome' refers to the direct and/or referred pain symptoms arising from which structures?
Rib cage structures
'Costosternal syndrome' primarily affects which region of the rib cage?
Upper thoracic region
Which medical condition is NOT listed as a comorbid factor predisposing individuals to musculoskeletal chest pain?
Liver cirrhosis
What characteristic feature of costochondritis distinguishes it from other musculoskeletal disorders?
Tenderness at the costochondral joints
Learn about the pathophysiology of specific neuromusculoskeletal conditions in the thoracic spine, such as muscle strain, sprain, facet joint, intervertebral disc lesions, radiculopathy, and myelopathy. Understand how these conditions compare to lumbar and cervical spine issues.
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