CH10: Pain in Back, Neck, Extremities Flashcards
ligament running along the ventral surface of the posterior elements and is applied to the inner surface of the laminae (p.212)
Ligamentum Flavum
pain originating from the buttock and is projected along the posterolateral thigh (p. 214)
Sciatica
sagging gluteal fold is indicative of the involvement of which root? (p. 215)
S1
herniated disc lies LATERAL to the nerve root and displaces it medially, pain is relieved by bending the trunk SAME OR OPPOSITE? 9p.215)
OPPOSITE
herniated disc lies MEDIAL to the nerve root and displaces it laterally, pain is relieved by bending the trunk SAME OR OPPOSITE? 9p.215)
SAME
pain and limited motion upon knee extension (p. 215)
Kraus Weber Test
Patient is supine, raising the leg places the sciatic nerve and its roots under tension, thereby producing radicular radiating pain from buttock; good for L5 or S1 (p. 215)
Lasague Sign
Cross straight leg test sign (p. 215)
Fahersztajn sign
Patient supine. Heel of the offending leg is placed on the opposite knee and pain is evoked by depressing the flexed leg and externall rotating the hip (p. 215)
Patrick Test
Patrick test is useful for the diagnosis of what? (p. 215)
Trochanteric bursitis
Described as asymmetrical loss of height of a vertebral body (p. 218)
Compression fracture
Most common site of herniated intervertebral disc (p. 219)
L5- S1
Classic points of Valleix- course of sciatic nerve (p. 219)
Sciatic notch, Retrotrochanteric gutter, Posterior surface of thigh, head of fibula
Variation of Lasague maneuver: pain by dorsiflexion of the foot (p. 220)
Bragard sign
Variation of Lasague maneuver: pain by dorsiflexion of great toe (p. 220)
Sicard sign
Patient standing, forward bending of the trunk will cause flexion of the knee of the affected side (p. 220)
Neri sign
Sciatica provoked by forced flexion of the head, neck, coughing, pressure on both jugular veins, increasing intraspinal pressure (p. 220)
Naffzinger sign
extension of the disc beyond the margins of the interspace (p.222)
Bulging
extension of the disc asymmetryically beyond the margin of the interspace (p. 222)
Protrusion
Most extreme extension of the disc (p. 222)
Extrusion
Segmeng of the junction of pedicle and lamina affected in spondylolysis (p. 224)
Pars interarticularis
Cyst- like dilatation of the perineural sheath (p. 224)
Tarlov cysts
Lumbosacral plexus neuritis akin to brachial neuritis which may cause sciatica, as does occasionally nerve infarction or damage from DM< HZ
Wartenberg plexitis
Displacement and malalignment of one vertebral body in relation to the adjacent one (p. 225)
Spondylolisthesis
Antigen for ankylosing spondylitis (p.227)
HLA B27
Imaging hallmark of ankylosing spondylitis (p. 227)
Bamboo spine
Bizarre gait described as walking with trunk flexed at almsot at a right angle (p. 229)
Camptocormia
Most common root involved in cervical disc herniation? (p. 230)
C7
Maneuver described as putting downward pressure on top of the head with the patient;s head turned to the afected side and neck slightly extended (p. 230)
Spurling maneuver
Vein/ subclavian vein becoming thrombosed after prolonged exercise (p. 233)
Paget Schrotter syndrome
checking for vascular compression by obliteration of the pulse when the patient is seated, arm extended, patient holds a breath and tilts the head back and tilted to the affected side (p. 233)
Adson Test
Abducts and externally rotates the arm and braces the shoulders and turn the head to either side (p. 233)
Wright Maneuver
Osteoporosis and atrophy of cutaneous and subcutaneousstructures after immobility eg following MI (p. 234)
Sudeck atrophy/ Sudeck- Leriche syndrome
Imbalance of these fibers presumes the genesis of painful dysesthesias in neuroma (p. 235)
Increase in C, decrease in A delta
neuroma found on the planter nerve between the third and fourth metatarsal bones (p. 235)
Morton neuroma
Pain on compression of the forefoot (p. 235)
Mulder sign
Tratment for erythromelalgia (p.235)
Aspirin
