Podcast
Questions and Answers
Between which thoracic vertebrae are the spinous processes typically angled slightly downward?
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?
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?
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?
What is the approximate angle of the thoracic facet joints to the transverse plane?
Facet joint orientation in the thoracic spine favors which movements, considering the angles to transverse and frontal planes?
Facet joint orientation in the thoracic spine favors which movements, considering the angles to transverse and frontal planes?
Which of the following structures is NOT directly associated with a rib, and is not a point of articulation?
Which of the following structures is NOT directly associated with a rib, and is not a point of articulation?
How does the rib cage influence lateral flexion in the thoracic spine?
How does the rib cage influence lateral flexion in the thoracic spine?
Which muscle is NOT primarily located in the posterior region of the thoracic spine and rib cage?
Which muscle is NOT primarily located in the posterior region of the thoracic spine and rib cage?
Which of the following muscles could potentially contribute to thoracic outlet syndrome through compression in the thoracic region?
Which of the following muscles could potentially contribute to thoracic outlet syndrome through compression in the thoracic region?
Which structures are most directly related to the brachial plexus as it passes through the thoracic outlet?
Which structures are most directly related to the brachial plexus as it passes through the thoracic outlet?
During a movement involving thoracic flexion, how do the facet joints typically move?
During a movement involving thoracic flexion, how do the facet joints typically move?
During thoracic extension, what is the arthrokinematic motion of the facet joints?
During thoracic extension, what is the arthrokinematic motion of the facet joints?
What movement occurs at the thoracic facet joints during rotation?
What movement occurs at the thoracic facet joints during rotation?
How do the superior facets move on the ipsilateral side during lateral flexion in the thoracic spine?
How do the superior facets move on the ipsilateral side during lateral flexion in the thoracic spine?
What facet motion occurs on the contralateral side during lateral flexion of the thoracic spine?
What facet motion occurs on the contralateral side during lateral flexion of the thoracic spine?
With combined movements, what occurs at the facets during extension with ipsilateral lateral flexion?
With combined movements, what occurs at the facets during extension with ipsilateral lateral flexion?
If the thoracic spine is in flexion with contralateral lateral flexion, what is happening at the facet joints?
If the thoracic spine is in flexion with contralateral lateral flexion, what is happening at the facet joints?
What is the arthrokinematic motion of the ribs during trunk flexion?
What is the arthrokinematic motion of the ribs during trunk flexion?
Which movement pair occurs at the ribs during trunk extension?
Which movement pair occurs at the ribs during trunk extension?
How does the anterior end of the ribs behave during trunk flexion?
How does the anterior end of the ribs behave during trunk flexion?
What is the behavior of the anterior end of the ribs during trunk extension?
What is the behavior of the anterior end of the ribs during trunk extension?
What is the primary motion associated with ribs 1-6 during respiration, often described by a specific analogy?
What is the primary motion associated with ribs 1-6 during respiration, often described by a specific analogy?
The movement of ribs 7-10 during respiration is closely related to which mechanical action?
The movement of ribs 7-10 during respiration is closely related to which mechanical action?
Which ribs primarily exhibit caliper action?
Which ribs primarily exhibit caliper action?
What osteokinematic movement is LIMITED by the presence of the ribs attached to the thoracic vertebrae?
What osteokinematic movement is LIMITED by the presence of the ribs attached to the thoracic vertebrae?
What is the general range of motion expected during thoracic flexion?
What is the general range of motion expected during thoracic flexion?
What range approximates normal osteokinematic values for thoracic extension?
What range approximates normal osteokinematic values for thoracic extension?
What is the approximate range of motion for thoracic rotation?
What is the approximate range of motion for thoracic rotation?
What is the approximate range of motion expected during lateral flexion of the thoracic spine?
What is the approximate range of motion expected during lateral flexion of the thoracic spine?
In terms of spinal nerves, how many are directly associated with the thoracic region?
In terms of spinal nerves, how many are directly associated with the thoracic region?
Flashcards
How many thoracic vertebrae are there?
How many thoracic vertebrae are there?
There are 12 thoracic vertebrae in the spine.
T1-T3 spinous process angle?
T1-T3 spinous process angle?
T1-T3 spinous processes angle directly posterior.
T4-T6 spinous process angle?
T4-T6 spinous process angle?
T4-T6 spinous processes angle slightly downward.
Most angled spinous process?
Most angled spinous process?
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Spinous process angle after T9?
Spinous process angle after T9?
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Articular Facets
Articular Facets
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Costal Facets
Costal Facets
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How many ribs are in humans?
How many ribs are in humans?
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Costovertebral Joint
Costovertebral Joint
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Costotransverse Joint
Costotransverse Joint
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Facet Joint Orientation
Facet Joint Orientation
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How many spinal nerves?
How many spinal nerves?
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Thoracic Outlet
Thoracic Outlet
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Thoracic Flexion
Thoracic Flexion
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Thoracic Extension
Thoracic Extension
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Thoracic Rotation
Thoracic Rotation
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Thoracic Lateral Flexion
Thoracic Lateral Flexion
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Lateral Flexion Limitation
Lateral Flexion Limitation
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Pump Handle Motion for Ribs
Pump Handle Motion for Ribs
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Bucket Handle Motion for Ribs
Bucket Handle Motion for Ribs
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Caliper Action for Ribs
Caliper Action for Ribs
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Flexing Facet Joint Motion
Flexing Facet Joint Motion
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Extension Facet Joint Motion
Extension Facet Joint Motion
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Rotation Facet Joint Motion
Rotation Facet Joint Motion
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Arthrokinematics: Ipsilateral Lateral Flexion
Arthrokinematics: Ipsilateral Lateral Flexion
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Arthrokinematics: Contralateral Lateral Flexion
Arthrokinematics: Contralateral Lateral Flexion
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What is facet "Closing"?
What is facet "Closing"?
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What is facet "Opening"?
What is facet "Opening"?
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Arthrokinematics: Ribs During Flexion
Arthrokinematics: Ribs During Flexion
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What happens to ribs during extension?
What happens to ribs during extension?
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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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