Orthopaedics/MSK Flashcards
1
Q
Degenerative cervical myelopathy presentation
A
Pain (neck, upper or lower limbs)
Loss of motor function - loss of digital dexterity, difficulty holding a fork/doing up buttons, arm/leg weakness or stiffness
Numbness
Loss of autonomic function - urinary/faecal incontinence, impotence
Hoffman’s sign - flick on finger, other fingers twitch in response
2
Q
Degenerative cervical myelopathy investigations
A
MRI C spine - disc degeneration, ligament hypertrophy, cord signal change
3
Q
Degenerative cervical myelopathy management
A
Urgent referral to specialist spine services for decompressive surgery
