Cervical Spine

Question 1

What is the spectrum of pars intercularis

Answer 1

stress reaction
spondylolysis
spondylolithesis

Question 2

What is the pelvic tilt highly associated with disease severity

Answer 2

Pars intercularis

Question 3

WHICH CERVICAL VERTEBRAE IS POSTERIOR TO CRICOID RING

Answer 3

C6

Question 4

WHICH CERVICAL VERTEBRAE IS POSTERIOR TO HYOID BONE

Answer 4

C3

Question 5

WHICH CERVICAL VERTEBRAE IS POSTERIOR TO MANDIBLE ANGLE

Answer 5

C2

Question 6

WHICH CERVICAL SPINE IS THE MOST EASIEST TO PALPATE

Answer 6

C7

Question 7

CERVICAL NERVES EXIT (SUPERIOR/INFERIOR) TO CORRELATING SPINOUS PROCESS

Answer 7

SUPERIOR

Question 8

NAME 3 MUSCLES INNERVATED BY C5 AND C6

Answer 8

DELTOID
BICEPS
BRACHIORADIALIS

Test C5 by arm abduction arm flexion
Test C6 by Wrist extension

Question 9

NAME 2 MUSCLES INNERVATED BY C6 AND C7

Answer 9

PROTENATOR TERES

ECR

Question 10

NAME MUSCLE INNERVATED BY C6, C7 AND C8

Answer 10

TRICEPS ( MAINLY C7)

Question 11

NAME 1 MUSCLE INNERVATED BY C7 AND C8

Answer 11

EDC

Test C8 by flexion of DIP

Question 12

NAME1 MUSCLES INNERVATED BY C7, C8, T1

Answer 12

FCU ( MAINLY 8)

Test T1 by fingers abduction and adduction

Question 13

NAME THE NERVE ROOT RESPONSIABLE FOR SENSTATION: LATERAL ARM

Answer 13

C5

Question 14

NAME THE NERVE ROOT RESPONSIABLE FOR SENSTATION: LATERAL FOREARM , THUMB, INDEX FINGER

Answer 14

C6

Question 15

NAME THE NERVE ROOT RESPONSIABLE FOR SENSTATION: DORSAL FOREARM, DORSAL INDEX, MIDDLE, RING AND VOLAR INDEX, MIDDLE, RING

Answer 15

C7

Question 16

NAME THE NERVE ROOT RESPONSIABLE FOR SENSTATION: RING AND LITTLE FINGER, MEDIAL FOREARM

Answer 16

C8

Question 17

NAME THE NERVE ROOT RESPONSIABLE FOR SENSTATION: MEDIAL ARM

Answer 17

T1

Question 18

NAME THE MUSCLE TENDONS NEEDED FOR RELEX TESTING OF C5

Answer 18

BRACHIORADIALSIS AND BICEPS

Question 19

NAME THE MUSCLE TENDONS NEEDED FOR RELEX TESTING OF C6

Answer 19

BRACHIORADIALSIS AND BICEPS

Question 20

NAME THE MUSCLE TENDONS NEEDED FOR RELEX TESTING OFC7

Answer 20

TRICEPS

Question 21

WHAT IS LHERMITTES SIGN

Answer 21

NECK FLEXION RESULTS IN ELECTRICAL SHOCK DOWN THE SPINE

Question 22

CONCERNING STINGERS:

What circumstance RTP the same game?

Answer 22

Symtpoms resolve within 15 min and no previous stinger this season.

Question 23

CONCERNING STINGERS:
Player recieves second stinger this season. RTP?
3rd?

Answer 23

2nd Cannot RTP the same game

3rd- Must have imaging before RTP

Question 24

Main symptoms to distinguish stingers from other injuries?

Answer 24

single limb

Question 25

Symptoms and physical exam signs of Cervical cord neruoprexia and TQ

Answer 25

Multiple limbs, burninb hand syndrome, usually >15 min but can last longer. Postive Lhermittes sign

Question 26

If you think player has cervical cord neruprexia what imaging if any is necessary?

Answer 26

MRI is manditory

Question 27

What is the most important clinical indicator of increased risk of cervical stenosis?

Answer 27

Functional stenosis reserve | Loss of CSF cushion around the spinal cord.

Question 28

RTP for cervical stenosis

Answer 28

Generally controversial | Discussion between patient

Question 29

Absolute contraindications RTP for radiculpathy for football?

Answer 29

Multilevel fusion Cervical laminectomy C1-C2

Question 30

What is the common football player position subject to cervcial fractures?

Answer 30

C4-C7 | Offensive lineman

Question 31

List the 5 NEXUS criteria

Answer 31

1. no posterior midline cervical tenderness 2. No neur defects 3. Normal alertness 4. Not intoxicated 5. No painful distracting injuries If all 5 are met 99% predictive value

Question 32

The anterior column consist of

Answer 32

1. ALL | 2. Ant 2/3 of VB

Question 33

The middle column consist of

Answer 33

1. PLL | 2. Post 1/3 of VB

Question 34

Hangman Fracture

Answer 34

Bilateral C2 fracture | Hyperextension

Question 35

What makes a Hangman Fracture

Answer 35

when assoicated with C2 facet dislocation

Question 36

What makes a burst (compression fracture) unstable?

Answer 36

If >50% loss of vertebral height | Multiple adjacent compression fractures

Question 37

What decides whether or not C1 burst fracutre is stable?

Answer 37

>6.9 mm displacement Requires Halo <6.9mm - ligmanet still intact. Treat with ridgid brace.

Question 38

Odontoid Fracture: (I/II/III) | Tip avulsion above trasverse ligament

Answer 38

1- stable

Question 39

Odontoid Fracture: (I/II/III) | Fracture through the base of dens

Answer 39

II -most common | Unstable

Question 40

Odontoid Fracture: (I/II/III) | Fracture through axis body

Answer 40

III | Unstable but heals better than II

Question 41

Numbers to rememeber for cervical sprain or laxity?

Answer 41

AP displacement >3.5 mm or 20%, or 11% rotation | Sagital plane rotation > 20 degrees

Question 42

Describe presentation of whiplash

Answer 42

delayed pains/stiffness 24-48hrs | Some dizziness, HA, decreased ROM <24 hrs

Question 43

Atlanto-axial instablility is common in -____

Answer 43

DOWN SYNDROME - TRANSVERSE LIGAMENT

Question 44

Screening for Atlanta-axial instability

Answer 44

>3.5 mm in adults | 4-5 mm in children

Question 45

If diagnosed with Atlanta-axial instability what is the RTP options?

Answer 45

only non contact (cross country, sking, distance running ,bowling)

Question 46

Treatment for symptomatic Atlanta-axial instability in a Downs Patient?

Answer 46

surgery

Question 47

Congential fusion of cervical vertebrae at 1 or more levels that make more suspectable to cord injury?

Answer 47

Klippel-Feil Syndrome (low hair line) Females

Question 48

RTP for Klippel Feil Syndrome

Answer 48

SINGLE LEVEL THAT IS NOT C0-C1

Question 49

IF DIANGOSED WITH ATLANTO-AXIAL INSTABILITY WHAT SPORTS ARE CONSIDERED CONTRAINDICATED

Answer 49

CONTACT SPORTS WATER SPORTS GYMNASTICS WEIGHT LIFTING