Upper C spine Flashcards

1
Q

what ligament becomes the tectorial membrane up at the skull?

A

PLL

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2
Q

what ligament becomes the anterior atlantooccipital membrane?

A

ALL

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3
Q

what ligament becomes the posterior atlantooccipital ligament?

A

ligamentum flavum

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4
Q

what does the alar ligament do?

A

connects dens to foramen magnum- it resists flexion, contralat. SB and contralat. rot

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5
Q

how do u test the alar ligament?

A

test SB in neutral, flexion and extension, must be lax in all 3 positions

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6
Q

what does the transverse ligament do?

A

holds dens against the atlas and away from the spinal cord, keeps motion between C1 and C2 in rotation, not translation. if dens translates back 3 mm= gross instability, 6-8 mm = cord compression symptoms

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7
Q

superior oblique does what motion?

A

contralateral rotation, extenstion, ipsilat SB

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8
Q

inferior oblique does what motion?

A

ipsilateral rotation

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9
Q

what do RCP maj and min do?

A

extend head, major also does ipsilat. SB and rot

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10
Q

rectus capitis anterior

A

flex head

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11
Q

rectus capitus lateralis

A

ipsilat. SB

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12
Q

longus colli

A

stabilizes vertebrae

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13
Q

what NN supply all structures to the upper C spine?

A

dorsal and ventral rami of C1-C3

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14
Q

coupling in upper C spine

A

opposite

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15
Q

OA joint

AA joint

A
OA= flex/ext
AA= rotation
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16
Q

when is soonest u can test VA after an MVA?

17
Q

differentiate types of headaches

A
  • vascular: pounding, dizziness, visual disturbances
  • neurological:intense nerve pain
  • ms: posture, position, activity related
18
Q

pt profile: neck pain, shoulder pain, non-throbbing-unilateral headache that changes with positioning or motion, eased with lying down

A

cervicogenic headache

19
Q

pt profile: pain and headache in base of neck, around cranium, behind ear and on the side of their face

A

trigeminal headache, bad posture causes disruption to trigeminal nuclei in c spine

20
Q

patient profile: headache on whole forehead or whole back of head (central)

A

discogenic headache

21
Q

patient profile: stressed out pt who can’t sleep, tightness on cranium and sub occipital regions, bilateral

A

tension headache,

tx: subocc. release, stretching, pt education

22
Q

whiplash:

A

gets bad, causes lots of bad things, do an in depth eval of all structures in head and neck, then get imaging to double check

23
Q

what dislocation is 100% fatal

A

A-O dislocations

24
Q

Jefferson’s fracture

A

fx of ant. and post. arches of C1, 4 breaks, caused by blow to back of head

25
common in MVAs, pick up in radiography by open mouth x ray?
dens fx
26
hangman's fx
fracture of the pedicles of C2 with dislocation of the body of C2 on C3= dens into brainstem... yikes, bad but not always fatal
27
what subluxation is also known as the face mask injury?
AA subluxation
28
S&S of cervical myelopathy caused by SC compression
UE/LE weakness bowel and bladder dysfunction gait disturbances *SURGERY!!!
29
acute phase after sx
``` sleep in recliner no lifting more than 5-10 lbs. collar no ROM! bed mob stairs ambulation ```
30
outpatient after sx
precision of movement | align shoulder girdle and T spine!
31
precautions after lumbar fusion sx?
log roll, hips at bend of bed, no hip flex >90, no twisting, bending, stooping, rotation, no lifting, no sitting >30 mins