Cervical Flashcards

1
Q
  • Axial neck pain (above shoulders)
  • Unilateral
  • Pain with and/or limited Ext + Rot
  • Tenderness with palpation
  • Radiating pain local or into shoulders,
    upper back (rarely past shoulder)
A

Cervical Facet Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

WAD Grades
1
2
3
4

A

1 - complaint of neck pain, stiffness or tenderness. No (+) exam findings

2 - MSK signs (point tenderness, ROM)

3 - Neurological signs

4 - Fracture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  • Restricted ROM
  • Altered pattern of mm recruitment
  • Instability
  • PTSD, sleep disturbance, depression,
    anxiety
  • Possible: tinnitus, malaise, dizziness,
    T/S, TMJ, extremity pain
A

WAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Neck pain with associated pain in the:
- Temporal
- Eye
- Frontal

A

Trigger point
Suboccipital (suboccipital nerve)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  • Tender bony spot in neck
  • Tingling in the hand
  • cold feeling in hands
  • Clumsy, loss of strength
A

TOS - cervical rib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Horners Syndrome causes

A
  • Primary neuron lesion
    Pancoast tumor
  • Cervical rib
  • Brainstem stroke/ tumor/ syrinx
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • BP lesion
  • C5-6
  • Forceps delivery or awkward fall
A

Erb’s Palsy - Waiter tip deformity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • BP lesion
  • C8-1
  • Associated with Horners syndrome
A

Klumpke’s Paralysis - Claw hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • Hypertonic neck muscles
  • Limited neck ROM unilateral
  • Joint restrictions
  • Can be congenital (traumatic birth) or
    acquired 30-60 y.o.
  • Rule out meningitis or osteomyelitis
  • Neuro = wnl
A

Torticollis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  • Cold + clammy hands
  • Trophic changes to skin
  • Palmer muscle wasting
  • Loss of grip strength
  • Miosis, ptosis, anhydrosis
  • Tender supraclavicular spot
A

Cervical rib

(+) Adson’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  • MOI: breached delivery or awkward
    fall
  • Paresthesia C5-7
  • Weak: Shoulder ER + elbow flex +
    wrist ext
A

Erb’s Palsy
“Waiters tip deformity”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • MOI: Hyperabduction of shoulder
  • Weak: wrist flex + intrinsic hand mm.
  • Ass: Horners syndrome
A

Klempke’s Paralysis
“Claw hand”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly