Flashcards in neck Deck (36):
The ______joint is between the spinour processes
the ____ of the _____ provides the ability to rotate the head
dens of the axis
the _____ provides the ability to flex and extend the head
the ________ligament connects one spinous process to the next
the ___________ ligament is deep to the interspinous ligament, and runs along the anterior portion of the spinous processes
the ______ ligament prevents the vertebral bodies from slipping forward.
anterior longitudinal ligament
a herniation of an intervertebral disc occurs when the _______ ruptures through the __________
nucleus ruptures thru the annulus
Term for injury to the actual spinal cord.
cervical nerve roots exit the spinal column above or below the vertebra?
(the C2 nerve root exits between C1 and C2, etc.)
True/False: there is a C8 nerve root
true, b/t C7 and T1
RED FLAGS of neck pain. (3 constitutional, 6 neuro, 1 general)
1) wt loss
3) night sweats
6) gait disturbance
7) bowel incont
8) bladder retention
9) sexual dysfunction
reflexes are increased for pathology in the upper or lower motor neuron?
what nerve? elbow flexion
what nerve? finger abduction
what nerve? finger flexion
what nerve? elbow extension
what nerve? wrist extension
you want to check sensory in C5, what dermatome will you touch?
you want to check sensory in C6, what dermatome will you touch?
you want to check sensory in C7, what dermatome will you touch?
tip of middle finger
you want to check sensory in C8, what dermatome will you touch?
tip of pinky
you want to check sensory in T1, what dermatome will you touch?
between biceps tendon and medial epicondyle
what nerve controls the triceps reflex?
what nerve controls the brachioradialis reflex?
what nerve controls the biceps reflex
what nerve controls the abduction of the fingers?
What nerve controls the extension of the wrist?
what nerve controls the extension of the elbow?
what nerve controls the flexion of the elbow?
what nerve controls the flexion of the fingers?
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
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)
what 3 structures in the neck are not innervated and therefore cannot cause pain?
1) nucleus pulposis
2) inner annulus fibrosis
3) ligamentum flavum
what are the 3 types of neck pain?
2) axial with red flags
3) radicular/nerve root
shatter fracture of the atlas from axial compression on top of the head