Blue Boxes Flashcards
Jefferson’s Fracture
Damage to Atlas C1
Hangman’s Fracture
Damage to Axis C2; traumatic spondylolisthesis which causes displacement of the anterior segment of vertebra on to the inferior vertebra
Spina Bifida Occulta
caused by a failure of the vertebral lamina to close completely which results in the lack of closure of vertebral canal; tuft hair of the L5-S1 segments
Cervical Vertebrae Dislocation
The cervical vertebrae is the easiest sight for dislocation in the vertebral column. The GOOD NEWS is that the vertebral foramen is so LARGE that spinal cord damage is relatively UNLIKELY.
Spondylosis
Involves the calcification of the vertebral body which causes rigidity and pain
Spondylolysis
This is a fracture of the vertebral lamina of a vertebra; problem with the superior articulating facets and inferior articulating facets
Spondylolisthesis
Anterior displacement of the whole vertebral body onto the inferior vertebral segment
Lumbar Spinal Stenosis
Narrowing of the vertebral canal to the point that it causes compaction of important structures of the spinal cord like spinal nerves, rootlets, etc.
The weird part: parts of the spinal cord will begin to hypertrophy as you go down the spinal cord as well!!!
Age Related: ligamentum flavum will lose the collagen:elastin ratio which causes more rigidity and compression of spinal cord
Lumbar Puncture
Also called a spinal tap, but the trick is to insert between the L3/L4 and L4/L5 vertebrae to pass the chance of damaging spinal cord. The spinal cord ends at L1/L2 area so that is why. You will go through the ligamentum flavum and here a pop when there
Dislocation or Fracture of the Coccyx
from abrupt fall or childbirth; coccygodynia follows coccyx trauma
Abnormal Spine Curvature
Exaggerated Kyphosis= humback
Exaggerated Lordosis= lumbar vertebral column arch
Scoliosis= swaying of vertebrae to the left or the right
Whiplash
excessive tear of the anterior longitudinal ligament as a result of car crash.
Tx for vertebral column fracture
splinting of the anterior longitudinal ligaments EXCEPT when whiplash occurs because you damage this ligament!
**Always keep the patient in hyperextension. Forward pull of anterior longitudinal ligament will keep the vertebral column in place to heal
Disc Herniation
Disc Herniation occurs due to the anulus fibrosis losing the posterior/anterior longitudinal ligaments that keep it in place which causes it to slip out of place and push against spinal cord. Herniations most often occur at L4/L5 and L5/S1
Second Number Rule
The area of the vertebral column slip will effect the 2nd nerve of the vertebraes affected. For example, for L4/L5 it will be Nerve 5 and for C1/C2 will be nerve 2
Back Sprain
Injury caused by the damage of ligaments between the vertebral bones. This is called back sprain and is caused by not exercising before working out.
Back Strain
Excessive stretching of the muscle will cause micro-tears which will cause inflammation and redness at sight; possible muscle spasms
Spinal Cord Injury
The higher up the injury, the worse the disability becomes.
C1-C3= No function below head
C4-C5= no function of limbs, respiration still possible
C6-C8= variable upper limb loss of function
T1-T9= paralysis of both lower limbs
T10-L3= partial walking disabilities
Back Muscle Spasms
Can be caused by a variety of structures:
- fibroskeletal structures
- spinal nerves/spinal roots
- spinal meninges
- synoival joints
“Greenstick” Fracture
clavicle bone fracture; often caused by falling,
-like a glow stick that is half broken
Humerus Fracture
most common site of fracture is the surgical neck of the humerus
Groove of Ulnar Nerve
found on the humerus bone; the groove of the ulnar nerve can be expressed as hitting the “funny bone”
Medial Humeral Epicondyle Fracture
Severe abduction of the extended elbow because many of the flexor muscles attach to the medial epicondyle–> can cause severe abduction
Colle’s Fracture
fracture of the distal end of the radius from breaking a fall; styloid process of the ulna is also broken during this type of fall
Scaphoid Fracture
scaphoid bone is the most common broken carpal bone in the wrist; disconnected from the scaphoid blood supply–> necrosis
Carpal Tunnel Syndrome
This is caused by the inflammation of the flexor retinaculum and this causes the compression of the median nerve which results in parasthesia, anesthesia, and pain