Common Neuro-Musculoskeletal Conditions of the Thoracic Spine
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Questions and Answers

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?

  • Lack of intervertebral discs in the thoracic spine
  • Presence of pain in the relevant intercostal region of the thoracic cage (correct)
  • Radicular pain of thoracic spine is always associated with muscle strain
  • Radiation of pain into the leg
  • Which spinal nerves innervate the intercostal muscles and ribs in the thoracic spine?

  • Intracostal nerves
  • Cervical nerves
  • Intervertebral nerves
  • Intercostal nerves (correct)
  • What are the additional articular structures found in the thoracic spine that are not present in the lumbar and cervical spine?

  • Costochondral joints
  • Facet joints
  • Sternovertebral joints
  • Costotransverse and costovertebral joints (correct)
  • What structures form the costovertebral junction in the thoracic spine?

    <p>Joint between the head of the rib and vertebral bodies</p> Signup and view all the answers

    Which type of joint exists between the angle of rib and transverse process of thoracic vertebrae?

    <p>Costotransverse joint</p> Signup and view all the answers

    What do spinal nerves emerging from the intervertebral foramen of thoracic vertebrae innervate?

    <p>Intercostal muscles and ribs</p> Signup and view all the answers

    Which of the following is NOT a common cause of musculoskeletal chest pain?

    <p>Visceral organ inflammation</p> Signup and view all the answers

    What is the primary characteristic feature of Costochondritis?

    <p>Tenderness at the costosternal junctions</p> Signup and view all the answers

    Which condition accounts for 14% of musculoskeletal chest pain disorders?

    <p>Costochondritis</p> Signup and view all the answers

    What is a common symptom that differentiates musculoskeletal chest pain from other conditions in terms of physical activities?

    <p>Pain worsening with physical activities like coughing and sneezing</p> Signup and view all the answers

    Which characteristic is NOT typically associated with musculoskeletal chest pain?

    <p>Swelling at the rib cage junctions</p> Signup and view all the answers

    What percentage of acute musculoskeletal chest pain cases are encountered in emergency medicine practice?

    <p>50%</p> Signup and view all the answers

    'Chest wall pain syndrome' refers to the direct and/or referred pain symptoms arising from which structures?

    <p>Rib cage structures</p> Signup and view all the answers

    'Costosternal syndrome' primarily affects which region of the rib cage?

    <p>Upper thoracic region</p> Signup and view all the answers

    Which medical condition is NOT listed as a comorbid factor predisposing individuals to musculoskeletal chest pain?

    <p>Liver cirrhosis</p> Signup and view all the answers

    What characteristic feature of costochondritis distinguishes it from other musculoskeletal disorders?

    <p>Tenderness at the costochondral joints</p> Signup and view all the answers

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