Thoracic Spine Examination
From WikiMSK
Thoracic Spine
Observation
- Carriage of head and shoulders
- Muscle bulk symmetry
- Scolosis/Kyphosis
- Flat spots
- Axillary creases
- From side
- From front
Surface landmarks
- Medial spines scapulae T3
- Inferior angle scapulae T7
- 12th rib T10
- Ribs 1 to 12 posterior angles and attachments
- in front
- 7th and 9th costal cartilages
- Trapezius
- Levator scapulae
- Rhomboids
- Lateral border scapula and muscle attachments
- Supraspinatus
- Infraspinatus
Active movements
- Flexion
- Extension
- Sidebending
- Rotation
Passive movements
(Gross and segmental)
- Flexion
- Extension
- Sidebending
- Rotation
Segmental Pain
- Skin drag
- Skin rolling
- Vertebral springing
- Zones of irritation supra sp lig
- Spinous processes
- PA palpation
- Transverse palpation
- Transverse processes
- Provocation test
The Ribs
Observation
- Thoracic observation
- Full inhalation
- Full exhalation
Landmarks
- As for thoracic spine
Palpation
- Hands on rib cage
- Front to, back springing
- Monitor 2 to 10 supine inh/exh
- Costal cartilages + inh/exh
- Monitor 2 to 10 prone
- Mid Trapezius
- Rhomboids
- Serratus Posterior Superior
- Pectoralis Major
- Pectoralis Minor
- Sternalis
- Serratus anterior
