Cervical Radiculopathy
description
Transcript of Cervical Radiculopathy
Raghavendra Nayak OMS IV
Anatomy Etiology Symptoms Case
Spinal column Cervical Vertebrae Cervical Spinal Nerve Roots
7 Vertebral Bodies Zygapophyseal Joints Uncovertebral Joints Intervertebral Joints
Intervertebral Foramina Nerve Roots
Degenerative Changes Disc Herniations Trauma
AKA Spondylosis Age related changes Possible pathophysiology
Pathophysiology MRI Studies
Root avulsion due to trauma More common in younger population
Pain Paresthesias Weakness Reflexes
Lhermitte’s Spurling’s
Root Numbness Weakness Reflex
C5 Lateral arm Elbow Flexion Biceps
C6 Lateral forearm Wrist Extension Brachioradialis
C7 Middle finger Elbow Extension Triceps
C8 Medial forearm Finger Flexion
T1 Medial elbow Finger Adduction
45 y/o male presenting for a consult for weakness of the left upper extremity.
CC: Continued weakness and atrophy of muscles of Left arm and forearm.
Course of injury: Dec 2011 - Suffered a “stinger” to his left upper extremity while playing basketball. Feb 2012 – couldn’t lift a gallon of milk, couldn’t do pushups, noticed his left arm was smaller than his right. Feb 2012 – EMG with Dr. Andary. March 2012 Surgery.
Physical Exam pertinent positives: Left arm and forearm smaller than right.
No paresthesias, dysesthesias. Denies numbness, tingling or pain.
Weakness (4/5) in shoulder abduction, elbow flexion, wrist extensors on the left side. MSR 2/4 bilaterally at triceps, 1/4 at brachioradialis and biceps on left, 2/4 at brachioradialis and biceps on the right.
Diagnosis