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OPP 14 Neck/Arm
Garlitz: Neck and Arm Pain Syndromes
Question | Answer |
---|---|
Nerve roots exit ___ vertebral bodies | Above |
Neuropathy V. Myelopathy | M: spinal cord involvement of the upper and lower limbs Affects gait, balance, urological problems |
Most typical level of radiculopathies | C7 70% |
Five muscles implicated in cervical myofascial pain | Trapezius Levator Scapulae Rhomboids Supraspinatus Infraspinatus |
True neurogenic thoracic outlet syndrome | Brachial plexus is injured Seen on EMG/nerve conduction Can be long-term (rare) |
True vascular thoracic outlet syndrome | Subclavian artery/vein is damaged or thrombosed Seen with arteriogram/venogram |
Nonspecific thoracic outlet syndrome | No abnormal tests to document lesion Most common type |
When a patient presents with thoracic outlet syndrome what tumor should you suspect? | Pancoast tumor |
Three provocative tests for thoracic outlet syndrome | Scalene compression (Adson) Costoclavicular Compression Pectoralis minor compression |
Double Crush syndrome is a combination of ___ and ____ | Thoracic outlet and carpal tunnel syndrome |
Compression of an axon at one point... | renders it more susceptible to damage at another |
How do you treat double crush? | Tx must be directed at both lesions for optimum results. |