Shared Flashcard Set

Details

Orthopedics- Spine
Joints, muscles, approaches, dermatomes/myotomes
14
Medical
Professional
09/10/2013

Additional Medical Flashcards

 


 

Cards

Term
anterior longitudinal ligament (attachments, function)
Definition
  • attachments- adjacent anterior vertebral bodies and discs
  • function- resist hyperextension
Term
posterior longitudinal ligament (attachments, clinical importance, function, continues superiorly as what structure)
Definition
  • attachments- adjacent posterior vertebral bodies and discs (full length of spine)
  • function- limits hyperflexion
  • clinical application- disc herniates around ligament
  • tectorial membrane is the superior continuation
Term
ligamentum flavum (attachment, clinical application)
Definition
  • attachments- anterior lamina to post. lamina
  • clinical application- in DDD, undergo hypertrophy leading to nerve root impingement
Term
anterior approach to cervical spine- indications, internervous plane, dangers
Definition
  • indications- ACDF
  • internervous plane
    • superficial- platysma
    • middle- SCM, omohyoid
    • longus coli muscles (R and L)
  • dangers
    • recurrent laryngeal N.
    • sympathetic N.
    • carotid sheath and contents- carotid A, IJV, vagus N.
    • inferior thyroid artery
Term
Layers of spinal cord (outside to inside)
Definition
  1. Dura mater
  2. Arachnoid mater
  3. Pia mater
Term
Denis three columns of spine stability
Definition
  1. Anterior column
    • ALL
    • anterior 2/3 of vertebral body and annulus
  2. Middle column
    • PLL
    • posterior 1/3 of vertebral body and annulus
  3. Posterior column
    • pedicles
    • facets
    • ligamentum flavum
    • spinous process
    • PLC
Term
The ligaments of the spine are composed of what type of collagen?  Which ligament is the one exception
Definition
  • type one collagen
  • except ligamentum flavum (mostly elastin)
Term
What composes the PLC
Definition
  • supraspinous ligament
  • intraspinous ligament
  • ligamentum flavum
  • facet capsule
Term
Dermatomes of cervical spine
Definition
  • C5- lateral arm below deltoid
  • C6- thumb, radial head
  • C7- fingers 2, 3, and 4
  • C8- finger 5
  • T1- medial elbow
Term
Myotomes of the cervical spine
Definition
  • C5- deltoid, biceps (shoulder abduction, elbow flexion in supination)
  • C6- brachioradialis, ECRL (elbow flexion in pronation, wrist extension)
  • C7- triceps, FCR (elbow extension, wrist flexion)
  • C8- FDS, EPL (finger flexion, hand grip, thumb extension)
  • T1- interossei (finger abduction)
Term
Reflexes for C5-C7
Definition
  • C5- biceps
  • C6- brachioradialis
  • C7- triceps
Term
Dermatomes of lumbar spine
Definition
  • L1- iliac crest, groin
  • L2, L3- anterior and inner thigh
  • L4- lateral thigh, anterior knee, medial leg
  • L5- lateral leg, dorsum of foot
  • S1- posterior leg
  • S2- platar aspect of foot
  • S3, S4- perianal
Term
Myotomes of the lumbar spine
Definition
  • L2, L3- iliopsoas, hip abductors (hip flexion, abduction)
  • L4- quadriceps (knee extension)
  • L5- TA, TP, EHL, EDL, hamstrings, glut max, glut med (ankle DF, foot inversion, toe DF, hip extension, hip abduction)
  • S1- gastroc-soleus, peroneals (ankle PF, foot eversion)
  • S2- FHL, FDL (toe PF)
  • S3, S4- bowel/bladder function
Term
Reflexes of L1, L4 and S1
Definition
  • L1- cremaster
  • L4- patella tendon
  • S1- Achilles tendon
Supporting users have an ad free experience!