8. OPP Ribs
False ribs (8-10)
indirectly connected to the sternum
Motions of Ribs 6-10
lateral/superior (bucket handle) along AP axis
Which muscles are used to treat Ribs 9-10?
latissimus dorsi
Weird landmarks of Rib 2
2 tubercles
Primary muscles of exhalation
Diaphragm relaxes
Stuck down
Exhalation Somatic Dysfunction (Doesn't want to inhale)
Stuck up
Inhalation Somatic Dysfunction (Doesn't want to exhale)
How are intercostal spaces named?
Numbered for rib superior to intercostal space
The sternal angle is a landmark for what?
Rib 2
Secondary muscles of inhalation
Scalenes, Pectoralis minor, Serratus Anterior & Posterior, Quadratus Lumborum, Latissimus dorsi
Secondary muscles of exhalation
abdominal and intercostal muscles
Which muscles are used to treat Rib 1?
anterior and middle scalenes
Motions of Ribs 1-5
anterior/superior (pump handle) along transverse axis
Where is the 1st intercostal space?
between rib 1 and 2
Primary muscles of inhalation
contraction of diaphragm, external intercostal m.
True Ribs (1-7)
directly connected to the sternum by their costal cartilage
Floating ribs (11-12)
do not connect to the sternum or costal cartilage
Typical ribs (3-10)
have all five landmarks
Weird landmarks of Rib 1
no angle
Weird landmarks of rib 11 and 12
no tubercle or neck
Which muscles are used to treat Ribs 3-5?
pectoralis minor
Which muscles are used to treat Rib 2?
posterior scalene
Motions of Ribs 11-12
posterior/lateral (calipers) along vertical axis
Which muscles are used to treat Ribs 11-12?
quadratus lumborum
Inhalation dysfunction
restricted in exhalation
Exhalation dysfunction
restricted in inhalation
Attachments of the diaphragm
ribs 6-12 L1-3 xiphoid process
Which muscles are used to treat Ribs 6-8?
serratus anterior
Atypical ribs
some do not have all 5 landmarks, and some have more than 5 landmarks