8. OPP Ribs

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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


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