SCS Study Guide- Spine Flashcards
dorsal scapular nerve innervates what
rhomboids, levator scap
c4-5
long thoracic nerve innervates what
c5-6-7 SA
suprascap nerve innervates what
infra and supra C5-6
lateral pectoral nerve innervates what
c-5-6-7
pec major and minor
MSK nerve innervates what
c5-6-7
coracobrachialis, brachalis, biceps
upper subscap nerve innervates what
c5-6
subscap nerve (upper)
thoracodorsal nerve innervates what
c6-7-8
lats
lower subscap nerve innervates what
c5-6
subscap lower and teres minor
axillary nerve innervates what
c5-6
anterior deltoid, posterior teres minor and deltoid
radial nerve innervates what
c5-t1
triceps, supinator, extensors for forearm
brachioradialis
medial pectoral nerve innervates what
c8-t1
pec major and minor
ulnar nerve innervates what
c8-t1
2 medial lumbricals, medial digitorum profundus and intrinsics (but not thenar intrinsics)
odontoid view looks at
c1-2 relationship
swimmers view looks at
c7-T1
alantoedntal interval classifications for risk of injury
3.5mm instability
7mm disruption of transverse ligament
>9-10mm risk of neuro injury and needs surgery
Canadian c/s rules
high risk fractures (age over 65, dangerous MOI, paresthesia in UE) then YES
low risk (able to assume sitting position, ambulatory, absences of midline tenderness, delayed onsets of neck pain) IF NO, IMAGING
but if cannot rotate to over 45 degrees to one side: IMAGING
jefferson or burst fracture is to what
c1
odontoid fracture what level
c2
hangman fracture vert fx
c2
clay shovelers fracture fx site
SP c6-T2
MOI and presentation for c/s dislocation
violent flex and rotation,
and neck tilted toward side of dislocation
signs of cervical myelopathy
hoffmans’
hyperreflexive brachioradialis
gait changes
babinski
age over 45
c/s radic test cluster
(+) distraction
(+) Spurling
(+) ULTT median
(+) less than 60 degrees rotation to affected side
what are stingers associated with
cervical stenosis
kyphosis
congenital fusion
cervical instability
herniation
vascular/metabolic abnormalities
when can RTP after stinger
if it is the first, as soon as sxs resolve
dermatomes
c1: top of head
c2: suboccipital
c3: side neck/jaw
c4: top shoulders
c5: latral delt
c6: tip of thumb
c7: tip of middle finger
c8: fifth finger
t1: ulnar side forearm
myotomes
c1: neck flexion
c2: neck flexion
c3: lateral neck flexion
c4: shoulder elevation
c5: abduction
c6: elbow flexion and wrist extension
c7: elbow ext and wrist flexion
c8: finger flexion
t1: finger abduction and extension
modified sharp purser
tests transverse ligament >1mm neuro sxs
alar ligament test
c2 SP does not move to opposite side