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SCS Study Guide- Spine Flashcards

1
Q

dorsal scapular nerve innervates what

A

rhomboids, levator scap
c4-5

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2
Q

long thoracic nerve innervates what

A

c5-6-7 SA

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3
Q

suprascap nerve innervates what

A

infra and supra C5-6

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4
Q

lateral pectoral nerve innervates what

A

c-5-6-7
pec major and minor

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5
Q

MSK nerve innervates what

A

c5-6-7
coracobrachialis, brachalis, biceps

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6
Q

upper subscap nerve innervates what

A

c5-6
subscap nerve (upper)

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7
Q

thoracodorsal nerve innervates what

A

c6-7-8
lats

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8
Q

lower subscap nerve innervates what

A

c5-6
subscap lower and teres minor

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9
Q

axillary nerve innervates what

A

c5-6
anterior deltoid, posterior teres minor and deltoid

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10
Q

radial nerve innervates what

A

c5-t1
triceps, supinator, extensors for forearm
brachioradialis

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11
Q

medial pectoral nerve innervates what

A

c8-t1
pec major and minor

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12
Q

ulnar nerve innervates what

A

c8-t1
2 medial lumbricals, medial digitorum profundus and intrinsics (but not thenar intrinsics)

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13
Q

odontoid view looks at

A

c1-2 relationship

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14
Q

swimmers view looks at

A

c7-T1

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15
Q

alantoedntal interval classifications for risk of injury

A

3.5mm instability
7mm disruption of transverse ligament
>9-10mm risk of neuro injury and needs surgery

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16
Q

Canadian c/s rules

A

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

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17
Q

jefferson or burst fracture is to what

A

c1

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18
Q

odontoid fracture what level

A

c2

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19
Q

hangman fracture vert fx

A

c2

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20
Q

clay shovelers fracture fx site

A

SP c6-T2

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21
Q

MOI and presentation for c/s dislocation

A

violent flex and rotation,

and neck tilted toward side of dislocation

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22
Q

signs of cervical myelopathy

A

hoffmans’
hyperreflexive brachioradialis
gait changes
babinski
age over 45

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23
Q

c/s radic test cluster

A

(+) distraction
(+) Spurling
(+) ULTT median
(+) less than 60 degrees rotation to affected side

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24
Q

what are stingers associated with

A

cervical stenosis
kyphosis
congenital fusion
cervical instability
herniation
vascular/metabolic abnormalities

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25
when can RTP after stinger
if it is the first, as soon as sxs resolve
26
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
27
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
28
modified sharp purser
tests transverse ligament >1mm neuro sxs
29
alar ligament test
c2 SP does not move to opposite side
30
vertebral artery test
dizziness, drop attack, diplopia dysarthria, dysphagia
31
cervical flexion and rotation test
movement dysfucntion, at c1-2, restricted ROM and firm resistance
32
spurlings
reproduction of c/s radic
33
ULTT
pain, tingling, numbness
34
cervical distraction
symptoms decrease with distraction
35
diaphragm referral
c4
36
heart referral
t3-4
37
esophagus referral
t4-5
38
stomach referral
t8
39
small intestine referral
t10
40
colon referral
t11
41
liver and gallbladder referral
t8-11
42
kidney and testes referral
t10-11
43
bladder referral
t11-l1
44
murphy's sign if for the
gall bladder t8-11 lower border of the ribs
45
mcburney's point
appendix, half way between ASIS and umbilicus
46
what are some functional and structural causes of scoliosis
functional: muscle spasms or LLD structural: idiopathic and irreversible curves
47
tests for scoliosis
adam's bend test and Cobb angle
48
treatment over ___ degrees may need surgery for scoliosis
45
49
R thoracic scoliosis can compromise what
cardiopulmonary function
50
Scheurmann's disease example, exam and treatment
thoracic kyphosis from wedge fracture 5 degrees or more than 3 or more consecutive vertebrate kyphosis, TTP at SP treat: prevention, extension exericses and postural education
51
who is at greatest risk of scheurmans
swimmers and gynmasts
52
dermatomes lumbar spine
l1: iliac crest l2: anterior thigh l3: anterior lower thigh l4: medial calf and big toe l5: lateral leg and anterior foot s1: lower 1/2 posterior calf , sole of foot and lateral 2 toes s2: posterior thigh, sole and plantar aspect of the heel
53
myotomes of lumbar spine
l1: psoas (hip flexion ) l2: psoas (hip flexion) l3: quads (hip and knee ext ) l4: tibialis anterior (knee ext and DF) l5: extension hallicus (DF) s1: Flexor hallucis and gastroc (PF and EVE) s2: Hamstrings
54
patellar tendon reflex what levels
l3-4
55
achilles reflex level
s1
56
red flags
urinary incontinence, cauda equina, loss of sphincters decreased sacral sensation, gait changes
57
stork test
shows pain in area of spondylolisthesis
58
SLR 30degrees
hip or nerve irritation
59
SLR 30-60
scaitic nerve irritation
60
SLR 70-90
SIJ involvement
61
Kernig's sign
back pain may be a nerve root irritation
62
Brudzinski's
lumbar disc involvement or nerve irritaiton
63
FABER
pain in inguinal region: hip patholgy pain with overpressure may be SIJ
64
prone instability test
test for liklihood of responding positively to spinal stabilization program
65
SIJ provocation test
distracction, compression, thigh thrust, sacral thrust , gaenslen's
66
spondylolysis cause, exam and treatment
cause: repetitive hyperextension pars interarticualris defect exam: pain with extension, scotty dog on oblique x-ray treatment: activity modification, rest and surgery
67
ankylosing spondylitis cause, exam and treatment
cause: inflammation that can cause fusing in the spine exam: insidious onset of LBP before 40 years old and worse in AM, BETTER WITH ExERCISE treatment: ROM, positionning and NSAIDS
68
cauna equina syndrome cause, exam and treatment
cause: nerve root compression shutting off movement and sensation herniation, tumor and infection bowel and bladder changes, sensation changes and low back pain and weakness ROM positioning and NSAIDs
69
disc herniation cause, exam and treatment
cause: forward bend/twist (lifting and collision sports) exam: decreased lumbar motion, abnormal gait, weakness and decreased reflexes treatment: directional preference
70
vertebral osteomyelitis cause, exam and treatment
cause: bacterial infection, pain and febrile loss of lordosis, and immobilization and antibiotics
71
CPR spinal manipulation
no pain below the knee less than 16 days less than 19 on FABQ (+) PA glide >35 hip IR
72
cluster for stabilization exercises
age <40 ASLR>91 (+)PITT aberrant movement (catch, arc, gower's sign)
73
cluster for mechanical traction
FABQ<21 no neuro deficit age over 30 non-manual job
74
cluster for stenosis
bilateral sxs leg sxs> back sxs pain during walk/stand relief with sitting over 48 years old

SCS (26 decks)

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