Exam 1 C-spine Injuries Flashcards

1
Q

What are the two site for stenosis

A

Intervertebral foramen

Vertebral foramen

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2
Q

What are the injuries associated with intervertebral foramen stenosis

A

Brachial plexopathy

Radiculopathy

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3
Q

What are the injuries associated with vertebral foramen stenosis

A

Spinal cord injury

Transient paralysis

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4
Q

What is the normal ratio for Sagittal diameter of a canal compared to Sagittal diameter of vertebral body

A

1:1

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5
Q

What is the ratio for being classified with stenosis

A

Less then .8

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6
Q

What percent of nfl players have a Torg ratio of

A

30%

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7
Q

As Torg ratio decreases does the risk of SCI increase or decrease

A

Increase

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8
Q

True or false

Fracture/dislocation of cervical vertebrae may result in SCI

A

True

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9
Q

What is the primary MOI for catastrophic SCI

A

Axial loading (spearing)

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10
Q

True or false

Catastrophic SCI can be caused and prevented by standard equipment

A

False

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11
Q

True or false

Injuries resulting from head down contact are preventable

A

True

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12
Q

True or false

Face ask should be removed prior to transportation regardless of respiratory status

A

True

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13
Q

In which cases should a helmet be moved

A
  • prevents immobilization of head & C-spine
  • Prevents access to airway
  • cannot remove facemask
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14
Q

What are common sports for C-spine flexion with axial load injuries

A
  • football/rugby
  • Diving
  • Gymnastics/cheerleading
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15
Q

If an spinal injury occurs superior to C3 and C4 what could happen and what is the nerve called what is located in the area

A

Potentially fatal and called Phrenic nerve

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16
Q

what are the signs and symptoms with C-spine fracture/dislocation

A
  • impaired sensation
  • impaired motor function
  • loss of bowel/bladder control
  • postural rigidity
17
Q

what are the four types of Cervical fractures

A
  • Burst
  • Teardrop
  • Hangmans
  • Compression
18
Q

where does a burst fracture commonly occur and what is the MOI

A

at C1 and by an axial load

19
Q

what does a hyperflexion teardrop fracture yeild

A

triangular Fx of vertebral body and avulsion of ligamentum nuchae

20
Q

what does a hyperextension teardrop fracture yeild

A
  • triangular Fx of anterior vertebral body
  • very unstable
  • common at C2
21
Q

what is the MOI for a hangmans Fracture and what is its trait

A

Hyperextension and always bilateral Fx

22
Q

what is the MOI for a compression fracture

A

axial load

23
Q

true or false

Compression Fracture may cause anterior displacement of fractured vertebrae

A

true

24
Q

what are the signs and symptoms with C-spine fracture/dislocation

A
  • impaired sensation
  • impaired motor function
  • loss of bowel/bladder control
  • postural rigidity
25
Q

what are the four types of Cervical fractures

A
  • Burst
  • Teardrop
  • Hangmans
  • Compression
26
Q

where does a burst fracture commonly occur and what is the MOI

A

at C1 and by an axial load

27
Q

what does a hyperflexion teardrop fracture yeild

A

triangular Fx of vertebral body and avulsion of ligamentum nuchae

28
Q

what does a hyperextension teardrop fracture yeild

A
  • triangular Fx of anterior vertebral body
  • very unstable
  • common at C2
29
Q

what is the MOI for a hangmans Fracture and what is its trait

A

Hyperextension and always bilateral Fx

30
Q

what is the MOI for a compression fracture

A

axial load

31
Q

true or false

Compression Fracture may cause anterior displacement of fractured vertebrae

A

true

32
Q

what nerve does ULTT1 test

A

median

33
Q

what nerve does ULTT2 test

A

radial

34
Q

what is paralysis

A

loss of complete function

35
Q

what is paresis

A

loss of function at limited capicity

36
Q

how does the Brachial plexus branch downward

A
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