approach to C-spine examination
Gait , Romberg sign
Sitting
Look - Head , neck , sides and face
feel temperature
feel - soft tissues - anterior / posterior , deeper structures
movement
Tests
Spurling
Axial compression
Hyperabduction
Sensation
myotome
reflexes
Lhermitte's
Lying position
Reflexes
Clonus
Babinski's
Upper limb tension signs for brahial plexus tension tests
ULT1 - patient supine
examines axilla , hand on shoulder not to let elevate shoulder
shoulder abduction to 90 degrees , forearm supination , wrist and fingers extended
head same side - relief ; head opposite side - pain on antecubital region
UL 2 - Median nerve variant
examiner on head end , thigh depresses shoulder
pain if illicited suggestive of Compression
radial nerve variant - examiner same position
shoulder - IR
hand and fingers - PF
ULT3
Ulnar nerve - examine axilla
arm of patient overlying pelvis
flex elbow , Dorsiflexion of wrist and finger , abduct and maximum external rotation
pain suggestive of tension sign .
Also check
Sitting
Look - Head , neck , sides and face
feel temperature
feel - soft tissues - anterior / posterior , deeper structures
movement
Tests
Spurling
Axial compression
Hyperabduction
Sensation
myotome
reflexes
Lhermitte's
Lying position
Reflexes
Clonus
Babinski's
Upper limb tension signs for brahial plexus tension tests
ULT1 - patient supine
examines axilla , hand on shoulder not to let elevate shoulder
shoulder abduction to 90 degrees , forearm supination , wrist and fingers extended
head same side - relief ; head opposite side - pain on antecubital region
UL 2 - Median nerve variant
examiner on head end , thigh depresses shoulder
pain if illicited suggestive of Compression
radial nerve variant - examiner same position
shoulder - IR
hand and fingers - PF
ULT3
Ulnar nerve - examine axilla
arm of patient overlying pelvis
flex elbow , Dorsiflexion of wrist and finger , abduct and maximum external rotation
pain suggestive of tension sign .
Also check
https://orthonp.blogspot.com/2020/04/algorithm-6-for-osteonecrosis-of.html
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