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
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
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
4
Q
Neck pain with associated pain in the:
- Temporal
- Eye
- Frontal
A
Trigger point
Suboccipital (suboccipital nerve)
5
Q
- Tender bony spot in neck
- Tingling in the hand
- cold feeling in hands
- Clumsy, loss of strength
A
TOS - cervical rib
6
Q
Horners Syndrome causes
A
- Primary neuron lesion
Pancoast tumor - Cervical rib
- Brainstem stroke/ tumor/ syrinx
7
Q
- BP lesion
- C5-6
- Forceps delivery or awkward fall
A
Erb’s Palsy - Waiter tip deformity
8
Q
- BP lesion
- C8-1
- Associated with Horners syndrome
A
Klumpke’s Paralysis - Claw hand
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
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
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”
12
Q
- MOI: Hyperabduction of shoulder
- Weak: wrist flex + intrinsic hand mm.
- Ass: Horners syndrome
A
Klempke’s Paralysis
“Claw hand”
