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