Cervical Flashcards
Functional and Non-functional SB
Functional SB: CO-C7 SB right with right rotation
Non-functional SB
OA SB right, AA rotation lef, C2-C7 SB right with right rotation
Spear Tacklers Spine
Absolute contraindication to participation in contact/collision sports
- Loss of cervical lordosis from spearing
- Causes central stenosis
Torg Ratio
1.0 = normal
< 0.8 = Stenotic
Klippel-Feil Syndrome
Faulty segmentation along the embryos developing axis during weeks 3-8 of gestation
- Causes 2 or more spinal segments to be fused
- Immediate contraindication for sports
Atlanto-Axial Subluxation
- Up to 20% of children with downs syndrome
Common in RA late stages - Prominent C2 SP
- Stuck in cock robin
Arnold Chiari Malformation
Cerebellum is smaller than normal, slides through foramen magnum
- 4 types, type 1 is most common.
- Type 4 is most severe
Most Common Cervical Fractures
C4,5,6
Jefferson Fracture/ Burst
C1 Burst Fx
MOI- Spearing
- May result in death, humpty dumpty sign
- Halo fixation
Tear Drop Fracture
Axial Compression
+ babinski, loss of bowel or bladder
Absent DTRs
Loss of breathing, phrenic nerve
Whiplash
Acceleration/Deceleration injury
- Extreme hyperextension force followed by deceleration moving back into flexion
Whiplash Associated Disorders
Gr 1- stiff neck no signs
Gr 2- Decreased ROM, point tenderness
Gr 3- Neuro signs, decreased or absent DTR, dermatome or myotome involvement
Gr 4- fx or dislocation
Torticollis
“wry neck”
Cock robin
- Spasmodic, cogenital, hysterical
Most common root level for Brachial Plexus injuries
C5,C6 root level
Thoracic Outlet Syndrome
Compression of the brachial plexus, subclavian artery, and subclavian vein
TOS Compression sites
- Costoclavicular (rib 1 and clavicle)
- Anterior and middle scalene
- Compression on pec minor
