Waleed Awwad MD FRCSC Anatomy Spinal Column Anatomy
- Slides: 23
Waleed Awwad, MD, FRCSC
Anatomy • Spinal Column
Anatomy • Spinal Column
Anatomy • Spinal Column
Anatomy • Spinal Column
Anatomy • Spinal Column
Anatomy • Spinal Column
Anatomy • Spinal Column
Anatomy • Spinal Column
Anatomy • Spinal Cord
Anatomy • Spinal Cord
Physical exam • Inspection. • Gait. • Palpation. • Range of motion. • Manipulation ( Neurologic Ex ). • Special tests.
inspection • Surface anatomy and alignment • Coronal and sagittal alignment • Shoulder level • Thoracic hump • Waist symmetry • Pelvic obliquity • Skin lesions
gait • Shuffling and slap foot gait • Broad-based gait • Antalgic gait
palpation • Spinous process for tenderness or step • Musculature for spasm
Range of Motion • Cervical spine • Thoracic spine Flexion and extension, Modified Schober test and chest expansion. • Lumber spine
Neurologic • Muscle Test • Sensory exam light touch, Sharp dull discrimination, Vibration sense, Proprioception and two -point discrimination • Reflexes
Neurologic Sensory Levels C 5 over deltoid C 6 Thumb C 7 Middle finger C 8 Little finger T 4 Nipple T 8 Xiphisternum T 10 Umbilicus T 12 Symphysis pubis L 4 medial aspect of calf L 5 Web space 1 st & 2 nd toe S 1 Lateral border of the foot S 4 -5 Perianal region
Neurologic • Myotomes C 5 Deltoid C 6 wrist extensors C 7 Elbow extensors C 8 finger flexors T 1 Small finger abductor ( lower thoracic nerve root –Beever sign ) L 2 Hip flexors L 3 -4 Knee extensors L 4, 5 S 1 Knee flexion L 5 Ankle and big toe dorsiflextion S 1 Ankle planter flexors
Neurologic • Reflexes Biceps reflex, Brachioradialis reflex, triceps reflex Abdominal reflexes Knee, ankle, planter reflex
Special test • Nerve Tension Tests Upper limb tension test Lower limb tension test Strait-leg raising test (SLRT) Crossed SLRT Lasegue’s test Femoral nerve stretch test
Special test • Axial compression test • Spurling’s test • Nonorganic signs of Waddell Simulation test (axial compression, rotation simulation) Non anatomic tendrness Distraction sign Regional sensory or motor disturbance Overreaction
Thank you
- Riad awwad
- Shadi awwad
- Spinal cord and spinal meninges
- Spinal cord anatomy
- Ligamentum denticulatum
- Spinal cord tracts labeled
- Ahevao
- Waleed huwio
- Waleed haddad
- Waleed majeed
- Waleed majeed
- Waleed elsafoury
- The skull spinal column ribs and sternum makeup
- What is short column and long column
- Low back rom
- Spinal cord covered by
- Spinal cord grooves
- Spinal cord nerve anatomy
- Pia mater
- Gray horn
- Spinal angiogram anatomy
- Structure of spinal cord
- Spinal cord
- Intervertebral disc prolapse