What is the costovertebral angle?

The costovertebral angle ( Latin: arcus costovertebralis) is the acute angle formed on either side of the human back between the twelfth rib and the vertebral column. The kidney lies directly below this area, so is the place where, with percussion ( Latin: sucussio renalis ), pain is elicited when the person has kidney inflammation.

What is costovertebral angle percussion?

Costovertebral angle percussion also known as Murphy’s percussion test or Murphy’s punch sign, is used to rule out kidney involvement or pseudorenal pain. When performing this percussion test the patient can either be in prone or sitting.

How to check for costovertebral angle tenderness?

How to Check for Costovertebral Angle Tenderness. Position yourself to the patient’s back (posterior). Find the CVA by assessing for the 12 th rib and the spine….just below the 12 th rib in between the spine is the angle. Lay your non-dominate hand flat over the angle. Make a fist with your dominate hand and firmly thump the fist onto…

Can a neurosurgeon perform costovertebral angle surgery?

Because the anatomy of the costovertebral angle is complex and often unfamiliar to the operating thoracic surgeon, surgical procedures performed in that area must be performed by a surgical team rather than by individual surgeons, and such a team usually includes either an orthopedic surgeon or a neurosurgeon.

What are the costocorporeal joints of the vertebrae?

The costocorporeal joints connect the concave costal facets of the thoracic vertebra and the convex articular facets found on the heads of all ribs; Vertebrae T1-T10 have two costal facets; a superior one and an inferior one.

What is the function of the costovertebral complex?

The costovertebral complex is an essential component of the biomechanics of chest wall movement. The costovertebral ligaments make the actions of the costovertebral joints and intervertebral movement possible. The ligaments function to: Affix, stabilize and allow some motion of the ribs on the thoracic vertebra at the costovertebral joint.

What are the prime movers of the costovertebral joints?

The prime movers of the costovertebral joints are the muscles of respiration. Namely the respiratory diaphragm and intercostal muscles. sternocleidomastoid, scalene, serratus anterior, pectoralis major, pectoralis minor, latissimus dorsi and serratus posterior superior.

What is the costovertebral angle tenderness test?

Costovertebral angle tenderness test Costovertebral angle percussion also known as Murphy’s percussion test or Murphy’s punch sign, is used to rule out kidney involvement or pseudorenal pain. When performing this percussion test the patient can either be in prone or sitting.