Thoracic Spine Anatomy

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Questions and Answers

Between which thoracic vertebrae are the spinous processes typically angled slightly downward?

  • T4-T6 (correct)
  • T10-T12
  • T7-T9
  • T1-T3

Which specific thoracic vertebra's spinous process typically exhibits the most acute inferior angle?

  • T1
  • T7 (correct)
  • T4
  • T12

What is the orientation of the articular facets in the thoracic spine, compared to the cervical spine?

  • More horizontal, favoring flexion/extension.
  • Identical, allowing for similar movements.
  • Oblique, limiting all movements equally.
  • More vertical, favoring rotation/lateral flexion. (correct)

What is the approximate angle of the thoracic facet joints to the transverse plane?

<p>60 degrees (C)</p> Signup and view all the answers

Facet joint orientation in the thoracic spine favors which movements, considering the angles to transverse and frontal planes?

<p>Rotation and lateral flexion (B)</p> Signup and view all the answers

Which of the following structures is NOT directly associated with a rib, and is not a point of articulation?

<p>Intervertebral disc (D)</p> Signup and view all the answers

How does the rib cage influence lateral flexion in the thoracic spine?

<p>Limits the degree of lateral flexion (C)</p> Signup and view all the answers

Which muscle is NOT primarily located in the posterior region of the thoracic spine and rib cage?

<p>Serratus anterior (C)</p> Signup and view all the answers

Which of the following muscles could potentially contribute to thoracic outlet syndrome through compression in the thoracic region?

<p>Pectoralis minor (A)</p> Signup and view all the answers

Which structures are most directly related to the brachial plexus as it passes through the thoracic outlet?

<p>Clavicle and 1st rib (A)</p> Signup and view all the answers

During a movement involving thoracic flexion, how do the facet joints typically move?

<p>Gliding superiorly (C)</p> Signup and view all the answers

During thoracic extension, what is the arthrokinematic motion of the facet joints?

<p>Inferior glide (A)</p> Signup and view all the answers

What movement occurs at the thoracic facet joints during rotation?

<p>Slide laterally on both sides (C)</p> Signup and view all the answers

How do the superior facets move on the ipsilateral side during lateral flexion in the thoracic spine?

<p>Glide inferiorly (B)</p> Signup and view all the answers

What facet motion occurs on the contralateral side during lateral flexion of the thoracic spine?

<p>Superior glide (B)</p> Signup and view all the answers

With combined movements, what occurs at the facets during extension with ipsilateral lateral flexion?

<p>Facet 'closing' on ipsilateral side (B)</p> Signup and view all the answers

If the thoracic spine is in flexion with contralateral lateral flexion, what is happening at the facet joints?

<p>&quot;Opening&quot; of facets (A)</p> Signup and view all the answers

What is the arthrokinematic motion of the ribs during trunk flexion?

<p>Ribs roll anterior and glide superior (C)</p> Signup and view all the answers

Which movement pair occurs at the ribs during trunk extension?

<p>Posterior roll, inferior glide (A)</p> Signup and view all the answers

How does the anterior end of the ribs behave during trunk flexion?

<p>Narrows and depresses. (B)</p> Signup and view all the answers

What is the behavior of the anterior end of the ribs during trunk extension?

<p>Widens and elevates (A)</p> Signup and view all the answers

What is the primary motion associated with ribs 1-6 during respiration, often described by a specific analogy?

<p>Pump handle motion (D)</p> Signup and view all the answers

The movement of ribs 7-10 during respiration is closely related to which mechanical action?

<p>Bucket handle motion (B)</p> Signup and view all the answers

Which ribs primarily exhibit caliper action?

<p>Ribs 11-12 (D)</p> Signup and view all the answers

What osteokinematic movement is LIMITED by the presence of the ribs attached to the thoracic vertebrae?

<p>Lateral Flexion (D)</p> Signup and view all the answers

What is the general range of motion expected during thoracic flexion?

<p>20-45 degrees (D)</p> Signup and view all the answers

What range approximates normal osteokinematic values for thoracic extension?

<p>25-45 degrees (C)</p> Signup and view all the answers

What is the approximate range of motion for thoracic rotation?

<p>35-50 degrees (C)</p> Signup and view all the answers

What is the approximate range of motion expected during lateral flexion of the thoracic spine?

<p>20-40 degrees (C)</p> Signup and view all the answers

In terms of spinal nerves, how many are directly associated with the thoracic region?

<p>12 (D)</p> Signup and view all the answers

Flashcards

How many thoracic vertebrae are there?

There are 12 thoracic vertebrae in the spine.

T1-T3 spinous process angle?

T1-T3 spinous processes angle directly posterior.

T4-T6 spinous process angle?

T4-T6 spinous processes angle slightly downward.

Most angled spinous process?

T7 is the most angled spinous process.

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Spinous process angle after T9?

After T9, the spinous process angle flattens out again.

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Articular Facets

These are present on the thoracic vertebrae.

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Costal Facets

These are present on the thoracic vertebrae for rib articulation.

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How many ribs are in humans?

Humans have 12 pairs of ribs.

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Costovertebral Joint

The joint where the ribs meet the vertebrae.

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Costotransverse Joint

The joint where the ribs meet the transverse processes of the vertebrae.

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Facet Joint Orientation

These joints are more vertical than the cervical spine, allowing for rotation and lateral flexion.

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How many spinal nerves?

The thoracic spine has 12 spinal nerves.

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Thoracic Outlet

The thoracic outlet is an area where nerves and blood vessels can be compressed.

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Thoracic Flexion

Range of motion is 20-45 degrees.

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Thoracic Extension

The thoracic spine has about 25-45 degrees of extension.

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Thoracic Rotation

The thoracic spine allows about 35-50 degrees of rotation.

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Thoracic Lateral Flexion

The thoracic spine allows about 20-40 degrees of lateral flexion.

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Lateral Flexion Limitation

Lateral flexion range of motion is often limited by the ribs.

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Pump Handle Motion for Ribs

Ribs 1-6 move in a pump handle motion during breathing.

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Bucket Handle Motion for Ribs

Ribs 7-10 move in a bucket handle motion during breathing.

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Caliper Action for Ribs

Ribs 11 and 12 move in a caliper action during breathing.

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Flexing Facet Joint Motion

During flexion, the facet joints glide superiorly.

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Extension Facet Joint Motion

During Extension, facet joints glide inferiorly.

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Rotation Facet Joint Motion

With rotation, facet joints slide laterally.

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Arthrokinematics: Ipsilateral Lateral Flexion

Ipsilateral superior facet glides inferior during lateral flexion.

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Arthrokinematics: Contralateral Lateral Flexion

Contralateral facet glides superior in lateral flexion.

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What is facet "Closing"?

"Closing" of facets includes extension, contralateral rotation, and ipsilateral lateral flexion.

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What is facet "Opening"?

"Opening" of facets includes flexion, contralateral lateral flexion, and ipsilateral rotation.

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Arthrokinematics: Ribs During Flexion

During flexion, ribs roll anterior and glide superior, and the anterior end narrows and depresses.

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What happens to ribs during extension?

During extension, ribs roll posterior and glide inferior; anterior end widens and elevates.

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Study Notes

Objectives

  • Understand the normal anatomy, osteokinematics, and arthrokinematics of the thoracic spine

Vertebrae

  • There are 12 thoracic vertebrae
  • T1-3 spinous processes angle directly posterior
  • T4-6 spinous processes angle slightly downward
  • T7 spinous process is the most angled
  • After T9 the spinous processes angle flattens out again
  • Articular and costal facets are components of thoracic vertebrae

Ribs

  • There are 12 ribs
  • The thoracic cage includes the costovertebral and costotransverse joints

Facet Joints

  • The facet joints are more vertical than in the C-spine, which allows for rotation and lateral flexion
  • The facets are oriented 60 degrees to the transverse plane and 20 degrees to the frontal plane

Nerves

  • There are 12 spinal nerves
  • The brachial plexus passes over the 1st rib and clavicle
  • The sympathetic chain ganglion is present in the thoracic region

Thoracic Outlet

  • The thoracic outlet is bordered by the clavicle superiorly and the 1st rib inferiorly
  • Muscles in the area include scalenes (anterior + middle) and pec minor

Osteokinematics

  • Flexion range is 20-45 degrees
  • Extension range is 25-45 degrees
  • Rotation range is 35-50 degrees
  • Lateral flexion range is 20-40 degrees
  • Lateral flexion is limited by the ribs.
  • Ribs 1-6 perform a pump handle motion during respiration
  • Ribs 7-10 perform a bucket handle motion during respiration
  • Ribs 11 and 12 perform a caliper action during respiration

Arthrokinematics

  • Thoracic facets glide without roll

Arthrokinematics - Flexion

  • During flexion, the facet joints glide superiorly

Arthrokinematics - Extension

  • During extension, the facet joints glide inferiorly

Arthrokinematics - Rotation

  • During rotation, there is a small amount of movement at each joint
  • The facets slide laterally

Arthrokinematics - Lateral Flexion

  • During lateral flexion, the ipsilateral superior facet glides inferiorly
  • During lateral flexion, the contralateral superior facet glides superiorly
  • Lateral flexion is limited by the ribs

Facet Motion

  • Closing" of facets involves extension, contralateral rotation, and ipsilateral lateral flexion
  • "Opening" of facets involves flexion, contralateral lateral flexion, and ipsilateral rotation

Arthrokinematics - Ribs

  • During flexion: ribs roll anterior and glide superior, anterior end narrows and depresses
  • During extension: ribs roll posterior and glide inferior, anterior end widens and elevates

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