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SPORTS BOARD 2020 > Cervical Spine > Flashcards

Cervical Spine Flashcards

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1
Q

What is the spectrum of pars intercularis

A

stress reaction
spondylolysis
spondylolithesis

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2
Q

What is the pelvic tilt highly associated with disease severity

A

Pars intercularis

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3
Q

WHICH CERVICAL VERTEBRAE IS POSTERIOR TO CRICOID RING

A

C6

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4
Q

WHICH CERVICAL VERTEBRAE IS POSTERIOR TO HYOID BONE

A

C3

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5
Q

WHICH CERVICAL VERTEBRAE IS POSTERIOR TO MANDIBLE ANGLE

A

C2

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6
Q

WHICH CERVICAL SPINE IS THE MOST EASIEST TO PALPATE

A

C7

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7
Q

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

A

SUPERIOR

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8
Q

NAME 3 MUSCLES INNERVATED BY C5 AND C6

A

DELTOID
BICEPS
BRACHIORADIALIS

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

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9
Q

NAME 2 MUSCLES INNERVATED BY C6 AND C7

A

PROTENATOR TERES

ECR

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10
Q

NAME MUSCLE INNERVATED BY C6, C7 AND C8

A

TRICEPS ( MAINLY C7)

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11
Q

NAME 1 MUSCLE INNERVATED BY C7 AND C8

A

EDC

Test C8 by flexion of DIP

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12
Q

NAME1 MUSCLES INNERVATED BY C7, C8, T1

A

FCU ( MAINLY 8)

Test T1 by fingers abduction and adduction

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13
Q

NAME THE NERVE ROOT RESPONSIABLE FOR SENSTATION: LATERAL ARM

A

C5

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14
Q

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

A

C6

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15
Q

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

A

C7

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16
Q

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

A

C8

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17
Q

NAME THE NERVE ROOT RESPONSIABLE FOR SENSTATION: MEDIAL ARM

A

T1

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18
Q

NAME THE MUSCLE TENDONS NEEDED FOR RELEX TESTING OF C5

A

BRACHIORADIALSIS AND BICEPS

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19
Q

NAME THE MUSCLE TENDONS NEEDED FOR RELEX TESTING OF C6

A

BRACHIORADIALSIS AND BICEPS

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20
Q

NAME THE MUSCLE TENDONS NEEDED FOR RELEX TESTING OFC7

A

TRICEPS

21
Q

WHAT IS LHERMITTES SIGN

A

NECK FLEXION RESULTS IN ELECTRICAL SHOCK DOWN THE SPINE

22
Q

CONCERNING STINGERS:

What circumstance RTP the same game?

A

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

23
Q

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

A

2nd Cannot RTP the same game

3rd- Must have imaging before RTP

24
Q

Main symptoms to distinguish stingers from other injuries?

A

single limb

25
Q

Symptoms and physical exam signs of Cervical cord neruoprexia and TQ

A

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

26
Q

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

A

MRI is manditory

27
Q

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

A

Functional stenosis reserve

Loss of CSF cushion around the spinal cord.

28
Q

RTP for cervical stenosis

A

Generally controversial

Discussion between patient

29
Q

Absolute contraindications RTP for radiculpathy for football?

A

Multilevel fusion
Cervical laminectomy
C1-C2

30
Q

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

A

C4-C7

Offensive lineman

31
Q

List the 5 NEXUS criteria

A
  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

32
Q

The anterior column consist of

A
  1. ALL

2. Ant 2/3 of VB

33
Q

The middle column consist of

A
  1. PLL

2. Post 1/3 of VB

34
Q

Hangman Fracture

A

Bilateral C2 fracture

Hyperextension

35
Q

What makes a Hangman Fracture

A

when assoicated with C2 facet dislocation

36
Q

What makes a burst (compression fracture) unstable?

A

If >50% loss of vertebral height

Multiple adjacent compression fractures

37
Q

What decides whether or not C1 burst fracutre is stable?

A

> 6.9 mm displacement
Requires Halo

<6.9mm - ligmanet still intact.
Treat with ridgid brace.

38
Q

Odontoid Fracture: (I/II/III)

Tip avulsion above trasverse ligament

A

1- stable

39
Q

Odontoid Fracture: (I/II/III)

Fracture through the base of dens

A

II -most common

Unstable

40
Q

Odontoid Fracture: (I/II/III)

Fracture through axis body

A

III

Unstable but heals better than II

41
Q

Numbers to rememeber for cervical sprain or laxity?

A

AP displacement >3.5 mm or 20%, or 11% rotation

Sagital plane rotation > 20 degrees

42
Q

Describe presentation of whiplash

A

delayed pains/stiffness 24-48hrs

Some dizziness, HA, decreased ROM <24 hrs

43
Q

Atlanto-axial instablility is common in -____

A

DOWN SYNDROME - TRANSVERSE LIGAMENT

44
Q

Screening for Atlanta-axial instability

A

> 3.5 mm in adults

4-5 mm in children

45
Q

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

A

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

46
Q

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

A

surgery

47
Q

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

A

Klippel-Feil Syndrome
(low hair line)
Females

48
Q

RTP for Klippel Feil Syndrome

A

SINGLE LEVEL THAT IS NOT C0-C1

49
Q

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

A

CONTACT SPORTS
WATER SPORTS
GYMNASTICS
WEIGHT LIFTING

SPORTS BOARD 2020 (19 decks)

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