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Flashcards in neck Deck (36):
1

The ______joint is between the spinour processes

facet

2

the ____ of the _____ provides the ability to rotate the head

dens of the axis

3

the _____ provides the ability to flex and extend the head

atlas

4

the ________ligament connects one spinous process to the next

interspinous ligament

5

the ___________ ligament is deep to the interspinous ligament, and runs along the anterior portion of the spinous processes

ligamentum flavum

6

the ______ ligament prevents the vertebral bodies from slipping forward.

anterior longitudinal ligament

7

a herniation of an intervertebral disc occurs when the _______ ruptures through the __________

nucleus ruptures thru the annulus

8

Term for injury to the actual spinal cord.

myelopathy

9

cervical nerve roots exit the spinal column above or below the vertebra?

above.

(the C2 nerve root exits between C1 and C2, etc.)

10

True/False: there is a C8 nerve root

true, b/t C7 and T1

11

RED FLAGS of neck pain. (3 constitutional, 6 neuro, 1 general)

1) wt loss
2) fever/chills
3) night sweats
4) numbness/paresthesia
5) weakness
6) gait disturbance
7) bowel incont
8) bladder retention
9) sexual dysfunction
10) fracture

12

reflexes are increased for pathology in the upper or lower motor neuron?

upper

13

what nerve? elbow flexion

C5

14

what nerve? finger abduction

T1

15

what nerve? finger flexion

C8

16

what nerve? elbow extension

C7

17

what nerve? wrist extension

C6

18

you want to check sensory in C5, what dermatome will you touch?

deltoid area

19

you want to check sensory in C6, what dermatome will you touch?

thumb

20

you want to check sensory in C7, what dermatome will you touch?

tip of middle finger

21

you want to check sensory in C8, what dermatome will you touch?

tip of pinky

22

you want to check sensory in T1, what dermatome will you touch?

between biceps tendon and medial epicondyle

23

what nerve controls the triceps reflex?

C7

24

what nerve controls the brachioradialis reflex?

C6

25

what nerve controls the biceps reflex

C5

26

what nerve controls the abduction of the fingers?

T1

27

What nerve controls the extension of the wrist?

C6

28

what nerve controls the extension of the elbow?

C7

29

what nerve controls the flexion of the elbow?

C5

30

what nerve controls the flexion of the fingers?

C8

31

You extend the middle finger of a patient and flick down on his DIP. This elicits a small flexion in the thumb and pointer finger of the left hand only. This is called the ________ reflex and is concerning for ___________

Hoffmann's reflex, concerning for upper motor neuron problem

32

You extend your patient's head, turn it to the side and push down on the top of the head. What is this test? What are you looking for?

Spurling's sign, looks for RADICULAR pain that shoots down an arm.
(neck pain without radiation is a negative test)

33

what 3 structures in the neck are not innervated and therefore cannot cause pain?

1) nucleus pulposis
2) inner annulus fibrosis
3) ligamentum flavum

34

what are the 3 types of neck pain?

1) axial
2) axial with red flags
3) radicular/nerve root

35

shatter fracture of the atlas from axial compression on top of the head

Jefferson fx

36

what is broken in hangman's fracture?

spinous process of C2