Contribution to 3D Modelling of the Human Thorax in Breathing Movement : in Vivo Analysis of Thorax Joint Kinematics Benoit Beyer
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Diapositiva 1
Thoracic Cage and Thoracic Inlet Professor Dr. Mario Edgar Fernández. Parts of the body The Thorax Is the part of the trunk betwen the neck and abdomen. Commonly the term chest is used as a synonym for thorax, but it is incorrect. Consisting of the thoracic cavity, its contents, and the wall that surrounds it. The thoracic cavity is divided into 3 compartments: The central mediastinus. And the right and left pulmonary cavities. Thoracic Cage The thoracic skeleton forms the osteocartilaginous thoracic cage. Anterior view. Thoracic Cage Posterior view. Summary: 1. Bones of thoracic cage: (thoracic vertebrae, ribs, and sternum). 2. Joints of thoracic cage: (intervertebral joints, costovertebral joints, and sternocostal joints) 3. Movements of thoracic wall. 4. Thoracic cage. Thoracic apertures: (superior thoracic aperture or thoracic inlet, and inferior thoracic aperture). Goals of the classes Identify and describe the bones of the thoracic cage. Identify and describe the joints of thoracic cage. Describe de thoracic cage. Describe the thoracic inlet and identify the structures passing through. Vertebral Column or Spine 7 cervical. 12 thoracic. 5 lumbar. 5 sacral 3-4 coccygeal Vertebrae That bones are irregular, 33 in number, and received the names acording to the position which they occupy. The vertebrae in the upper 3 regions of spine are separate throughout the whole of life, but in sacral anda coccygeal regions are in the adult firmly united in 2 differents bones: sacrum and coccyx. Thoracic vertebrae Each vertebrae consist of 2 essential parts: An anterior solid segment: vertebral body. The arch is posterior an formed of 2 pedicles, 2 laminae supporting 7 processes, and surrounding a vertebral foramen. -
The Structure and Function of Breathing
CHAPTERCONTENTS The structure-function continuum 1 Multiple Influences: biomechanical, biochemical and psychological 1 The structure and Homeostasis and heterostasis 2 OBJECTIVE AND METHODS 4 function of breathing NORMAL BREATHING 5 Respiratory benefits 5 Leon Chaitow The upper airway 5 Dinah Bradley Thenose 5 The oropharynx 13 The larynx 13 Pathological states affecting the airways 13 Normal posture and other structural THE STRUCTURE-FUNCTION considerations 14 Further structural considerations 15 CONTINUUM Kapandji's model 16 Nowhere in the body is the axiom of structure Structural features of breathing 16 governing function more apparent than in its Lung volumes and capacities 19 relation to respiration. This is also a region in Fascla and resplrstory function 20 which prolonged modifications of function - Thoracic spine and ribs 21 Discs 22 such as the inappropriate breathing pattern dis- Structural features of the ribs 22 played during hyperventilation - inevitably intercostal musculature 23 induce structural changes, for example involving Structural features of the sternum 23 Posterior thorax 23 accessory breathing muscles as well as the tho- Palpation landmarks 23 racic articulations. Ultimately, the self-perpetuat- NEURAL REGULATION OF BREATHING 24 ing cycle of functional change creating structural Chemical control of breathing 25 modification leading to reinforced dysfunctional Voluntary control of breathing 25 tendencies can become complete, from The autonomic nervous system 26 whichever direction dysfunction arrives, for Sympathetic division 27 Parasympathetic division 27 example: structural adaptations can prevent NANC system 28 normal breathing function, and abnormal breath- THE MUSCLES OF RESPIRATION 30 ing function ensures continued structural adap- Additional soft tissue influences and tational stresses leading to decompensation. -
Vertebral Column and Thorax
Introduction to Human Osteology Chapter 4: Vertebral Column and Thorax Roberta Hall Kenneth Beals Holm Neumann Georg Neumann Gwyn Madden Revised in 1978, 1984, and 2008 The Vertebral Column and Thorax Sternum Manubrium – bone that is trapezoidal in shape, makes up the superior aspect of the sternum. Jugular notch – concave notches on either side of the superior aspect of the manubrium, for articulation with the clavicles. Corpus or body – flat, rectangular bone making up the major portion of the sternum. The lateral aspects contain the notches for the true ribs, called the costal notches. Xiphoid process – variably shaped bone found at the inferior aspect of the corpus. Process may fuse late in life to the corpus. Clavicle Sternal end – rounded end, articulates with manubrium. Acromial end – flat end, articulates with scapula. Conoid tuberosity – muscle attachment located on the inferior aspect of the shaft, pointing posteriorly. Ribs Scapulae Head Ventral surface Neck Dorsal surface Tubercle Spine Shaft Coracoid process Costal groove Acromion Glenoid fossa Axillary margin Medial angle Vertebral margin Manubrium. Left anterior aspect, right posterior aspect. Sternum and Xyphoid Process. Left anterior aspect, right posterior aspect. Clavicle. Left side. Top superior and bottom inferior. First Rib. Left superior and right inferior. Second Rib. Left inferior and right superior. Typical Rib. Left inferior and right superior. Eleventh Rib. Left posterior view and left superior view. Twelfth Rib. Top shows anterior view and bottom shows posterior view. Scapula. Left side. Top anterior and bottom posterior. Scapula. Top lateral and bottom superior. Clavicle Sternum Scapula Ribs Vertebrae Body - Development of the vertebrae can be used in aging of individuals. -
Ligaments of the Costovertebral Joints Including Biomechanics, Innervations, and Clinical Applications: a Comprehensive Review W
Open Access Review Article DOI: 10.7759/cureus.874 Ligaments of the Costovertebral Joints including Biomechanics, Innervations, and Clinical Applications: A Comprehensive Review with Application to Approaches to the Thoracic Spine Erfanul Saker 1 , Rachel A. Graham 2 , Renee Nicholas 3 , Anthony V. D’Antoni 2 , Marios Loukas 1 , Rod J. Oskouian 4 , R. Shane Tubbs 5 1. Department of Anatomical Sciences, St. George's University School of Medicine, Grenada, West Indies 2. Department of Anatomy, The Sophie Davis School of Biomedical Education 3. Department of Physical Therapy, Samford University 4. Neurosurgery, Complex Spine, Swedish Neuroscience Institute 5. Neurosurgery, Seattle Science Foundation Corresponding author: Erfanul Saker, [email protected] Abstract Few studies have examined the costovertebral joint and its ligaments in detail. Therefore, the following review was performed to better elucidate their anatomy, function and involvement in pathology. Standard search engines were used to find studies concerning the costovertebral joints and ligaments. These often- overlooked ligaments of the body serve important functions in maintaining appropriate alignment between the ribs and spine. With an increasing interest in minimally invasive approaches to the thoracic spine and an improved understanding of the function and innervation of these ligaments, surgeons and clinicians should have a good working knowledge of these structures. Categories: Neurosurgery, Orthopedics, Rheumatology Keywords: costovertebral joint, spine, anatomy, thoracic Introduction And Background The costovertebral joint ligaments are relatively unknown and frequently overlooked anatomical structures [1]. Although small and short in size, they are abundant, comprising 108 costovertebral ligaments in the normal human thoracic spine, and they are essential to its stability and function [2-3]. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
Pain Pattern Explanation Forms
Pain Pattern Explanation Forms 1. Cervical Facet Pain Pattern 2. Cervical Radicular/Dynatome Pain Pattern 3. Costotransverse Joint Pain Pattern 4. Fibromyalgia Points 5. Hip Joint Pain Pattern 6. Lumbar Dermatomes: Chemical Radiculitis 7. Lumbar Dermatomes: Disc Pathology 8. Lumbar Disc Pathology Healed 9. Lumbar Epidural Fibrosis 10. Lumbar Facet Pain Pattern 11. Lumbar Stenosis 12. Sacroiliac Joint Pain Pattern 13. Thoracic Facet Pain Pattern 14. Upper Cervical Joint Pain Pattern The OEA pain pattern handouts are PDF files that can be used for patient education and marketing. They help you explain your diagnosis with original illustrations that the patients can take home with them. There is limited text so you can tell your explanation of the treatment plan. The pain patterns can be printed in color or black and white. Once purchased, our business card will be replaced with yours to personalize each handout. Each illustration is based on the pain patterns that have been established in books or research articles when available. Normal anatomy and pathoanatomy illustrations are shown for the clinician to explain the diagnosis to the patient and how their treatment can influence the pain generator. These can also be utilized as marketing tools. The following pages are some guidelines that can be utilized to explain the handouts to patients. Cervical Facet Pain Pattern The cervical facet joints are the joints of the neck. Neurophysiologic studies have shown that cervical facet‐joint capsules are sources of neck pain.1 Dwyer et al.2 established pain patterns of the cervical facet joints. o Parasagittal cervical and cervicothoracic pain. -
Order Ephemeroptera
Glossary 1. Abdomen: the third main division of the body; behind the head and thorax 2. Accessory flagellum: a small fingerlike projection or sub-antenna of the antenna, especially of amphipods 3. Anterior: in front; before 4. Apical: near or pertaining to the end of any structure, part of the structure that is farthest from the body; distal 5. Apicolateral: located apical and to the side 6. Basal: pertaining to the end of any structure that is nearest to the body; proximal 7. Bilobed: divided into two rounded parts (lobes) 8. Calcareous: resembling chalk or bone in texture; containing calcium 9. Carapace: the hardened part of some arthropods that spreads like a shield over several segments of the head and thorax 10. Carinae: elevated ridges or keels, often on a shell or exoskeleton 11. Caudal filament: threadlike projection at the end of the abdomen; like a tail 12. Cercus (pl. cerci): a paired appendage of the last abdominal segment 13. Concentric: a growth pattern on the opercula of some gastropods, marked by a series of circles that lie entirely within each other; compare multi-spiral and pauci-spiral 14. Corneus: resembling horn in texture, slightly hardened but still pliable 15. Coxa: the basal segment of an arthropod leg 16. Creeping welt: a slightly raised, often darkened structure on dipteran larvae 17. Crochet: a small hook-like organ 18. Cupule: a cup shaped organ, as on the antennae of some beetles (Coleoptera) 19. Detritus: disintegrated or broken up mineral or organic material 20. Dextral: the curvature of a gastropod shell where the opening is visible on the right when the spire is pointed up 21. -
Biomechanics of the Thoracic Spine - Development of a Method to Measure the Influence of the Rib Cage on Thoracic Spine Movement
Universität Ulm Zentrum für Chirurgie Institut für Unfallchirurgische Forschung und Biomechanik Direktor: Prof. Dr. A. Ignatius Biomechanics of the Thoracic Spine - Development of a Method to Measure the Influence of the Rib Cage on Thoracic Spine Movement Dissertation zur Erlangung des Doktorgrades der Medizin der Medizinischen Fakultät der Universität Ulm vorgelegt von: Konrad Appelt geboren in: Pforzheim 2012 Amtierender Dekan: Prof. Dr. Thomas Wirth 1. Berichterstatter: Prof. Dr. H.-J. Wilke 2. Berichterstatter: Prof. Dr. Tobias Böckers Tag der Promotion: 06.06.2013 Index List of abbreviations ......................................................................................IV 1 Introduction .............................................................................................. 1 1.1 Background ............................................................................................................. 1 1.2 State of Research .................................................................................................... 4 1.3 Objectives ............................................................................................................... 6 2 Material and methods .............................................................................. 7 2.1 Testing machines and devices ................................................................................. 7 2.1.1 Spine loading simulator ................................................................................... 7 2.1.2 Vicon – MX Motion Capture System -
Variations in Dimensions and Shape of Thoracic Cage with Aging: an Anatomical Review
REVIEW ARTICLE Anatomy Journal of Africa, 2014; 3 (2): 346 – 355 VARIATIONS IN DIMENSIONS AND SHAPE OF THORACIC CAGE WITH AGING: AN ANATOMICAL REVIEW ALLWYN JOSHUA, LATHIKA SHETTY, VIDYASHAMBHAVA PARE Correspondence author: S.Allwyn Joshua, Department of Anatomy, KVG Medical College, Sullia- 574327 DK, Karnataka,India. Email: [email protected]. Phone number; 09986380713. Fax number – 08257233408 ABSTRACT The thoracic cage variations in dimensions and proportions are influenced by age, sex and race. The objective of the present review was to describe the age related changes occurring in thoracic wall and its influence on the pattern of respiration in infants, adult and elderly. We had systematically reviewed, compared and analysed many original and review articles related to aging changes in chest wall images and with the aid of radiological findings recorded in a span of four years. We have concluded that alterations in the geometric dimensions of thoracic wall, change in the pattern and mechanism of respiration are influenced not only due to change in the inclination of the rib, curvature of the vertebral column even the position of the sternum plays a pivotal role. Awareness of basic anatomical changes in thoracic wall and respiratory physiology with aging would help clinicians in better understanding, interpretation and to differentiate between normal aging and chest wall deformation. Key words: Thoracic wall; Respiration; Ribs; Sternum; vertebral column INTRODUCTION The thoracic skeleton is an osteocartilaginous cage movement to the volume displacement of the frame around the principal organs of respiration lungs was evaluated by (Agostoni et al,m 1965; and circulation. It is narrow above and broad Grimby et al., 1968; Loring, 1982) for various below, flattened antero-posteriorly and longer human body postures. -
Canine Thoracic Costovertebral and Costotransverse Joints Three Case Reports of Dysfunction and Manual Therapy Guidelines for A
Topics in Compan An Med 29 (2014) 1–5 Topical review Canine Thoracic Costovertebral and Costotransverse Joints: Three Case Reports of Dysfunction and Manual Therapy Guidelines for Assessment and Treatment of These Structures Laurie Edge-Hughes, BScPT, MAnimSt (Animal Physiotherapy), CAFCI, CCRTn Keywords: The costovertebral and costotransverse joints receive little attention in research. However, pain costovertebral associated with rib articulation dysfunction is reported to occur in human patients. The anatomic costotransverse structures of the canine rib joints and thoracic spine are similar to those of humans. As such, it is ribs physical therapy proposed that extrapolation from human physical therapy practice could be used for the assessment and rehabilitation treatment of the canine patient with presumed rib joint pain. This article presents 3 case studies that manual therapy demonstrate signs of rib dysfunction and successful treatment using primarily physical therapy manual techniques. General assessment and select treatment techniques are described. & 2014 Elsevier Inc. All rights reserved. The Canine Fitness Centre Ltd, Calgary, Alberta, Canada nAddress reprint requests to Laurie Edge-Hughes, BScPT, MAnimSt (Animal Physiotherapy), CAFCI, CCRT, The Canine Fitness Centre Ltd, 509—42nd Ave SE, Calgary, Alberta, Canada T2G 1Y7 E-mail: [email protected] The articular structures of the thorax comprise facet joints, the erect spine and further presented that in reviewing the literature, intervertebral disc, and costal joints. Little research has been they were unable to find mention of natural development of conducted on these joints in human or animal medicine. However, idiopathic scoliosis in quadrupeds; however, there are reports of clinical case presentations in human journals, manual therapy avian models and adolescent models in man. -
Rib Mobilizations Kat Hayes, SPT
Rib Mobilizations Kat Hayes, SPT A) Anatomy a. 12 Thoracic Vertebrae i. Superior facet facets anteraior/lateral ii. Inferior facet facets posterior/medial iii. Plane of motion alows more lateral flexion but limited due to ribs iv. T2-10 have a superior and inferior demifacet where rib articulates with two vertebrae b. 12 Ribs i. Costovertebral facet 1. T2-10 rib head has an inferior and superior facet to articulates with 2 vertebrae 2. T1, T11-12 articulates with only one costal facet 3. Kinematics: gliding and rotation ii. Costotransverse Joint 1. Tubercle of rib articulates with on transverse processes 2. Kinematics: gliding wih some rotation c. Sternum i. Ribs 1-7 attach at sternum via costochondral joint ii. Ribs 8-10 articulate to costal cartilage iii. Ribs 11, 12 are not attached B) Young et al. mapped referral patterns for costotransverse joint patterns a. 8 asymptomatic male subjects b. Received consecutive, same day injections to either right T2,4,6 or to their left T3,5,7 c. OmnipaqueTM was injected using fluoroscopy into joint d. Subects were asked to desribe the pian using given descriptors and also VAS including description of referred pain C) Indications a. Rib or Thoracic hypomobility b. Pain c. Shallow breathing D) Contraindications a. Rib fracture b. Osteoperosis c. Hypermobility d. Malignancy e. Systemic inflamitory disease f. Ligamentous laxity E) Precautions a. Pulmonary Disease b. Severe Scoliosis c. Spinal fussion d. Pregnancy F) Assessment a. While patients sitting, assess breathing patern and palpate ribs for movement during inhilation/exhalation i. Are they a chest or belly breather ii. -
Disorders of the Thoracic Spine: Pathology and Treatment
Disorders of the thoracic spine: pathology and treatment CHAPTER CONTENTS • Extraspinal tumours involve the bony parts of the Disorders and their treatment e169 vertebrae. Benign tumours are usually located in the posterior parts (spinous and transverse processes), Tumours of the thoracic spine . e169 malignant tumours in the vertebral body. Extradural haematoma . e171 Spinal cord herniation . e173 Thoracic spinal canal stenosis . e173 Chest deformities . e173 Intraspinal tumours Fracture of a transverse process . e179 Spinal infections . e179 Thoracic neurofibroma Lateral recess stenosis . e180 Pathology Arthritis of the costovertebral and This benign tumour usually originates from the dorsal root and costotransverse joints . e180 arises from proliferating nerve fibres, fibroblasts and Schwann Arthritis of the thoracic facet joints . e181 cells. Sensory or motor fibres may be involved.1 Some confu- Paget’s disease . e181 sion exists about the terminology: various names, such as neu- rofibroma, neurinoma, neurilemmoma or schwannoma have been used. Some believe that all these terms cover the same type of tumour; others distinguish some slight histological dif- Disorders and their treatment ferences between them. Multiple tumours in nerve fibres and the subcutaneous tissues, often accompanied by patchy café Tumours of the thoracic spine au lait pigmentation, constitute the syndrome known as von Recklinghausen’s disease. Neuromas are the most common primary tumours of the Spinal neoplasms, both primary and secondary, are unusual spine accounting for approximately one-third of the cases. causes of thoracolumbar pain. However, because these lesions They are most often seen at the lower thoracic region and the are associated with high mortality, examiners must always be thoracolumbar junction.2 More than half of all these lesions are aware of the possibility of neoplastic diseases and must include intradural extramedullary (Fig 1), 25% are purely extradural, them in their differential diagnosis.