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 
https://orthonp.blogspot.com/2020/04/algorithm-6-for-osteonecrosis-of.html








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