Embed Size (px)
Citation preview
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
Cervical Spine Injuries and Neck Pain
Cervical Spine Injuries and Neck Pain
Pablo Vazquez-Seoane, M.D.Pablo Vazquez-Seoane, M.D.40th Annual Symposium on
Sports Medicine
40th Annual Symposium on
Sports Medicine
Financial Disclosure
Dr. Pablo Vasquez-Seoane has no relevant financial relationships with commercial interests to disclose.
Dr. Pablo Vasquez-Seoane has no relevant financial relationships with commercial interests to disclose.
Cervical Spine Injuries andNeck Pain
Cervical Spine Injuries andNeck Pain
Common problemPotentially very seriousInjuries may involve multiple structures:• Ligaments, disks, muscle, bone, facet
joints, spinal cord, or nerve roots
Common problemPotentially very seriousInjuries may involve multiple structures:• Ligaments, disks, muscle, bone, facet
joints, spinal cord, or nerve roots
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
Cervical SpineCervical Spine
AnatomyAnatomy
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
Physical ExamPhysical Exam
C5 Neurologic LevelC5 Neurologic LevelMotorMotor
ReflexReflex
SensationSensation
C5Deltoid Triceps
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
C6 Neurologic LevelC6 Neurologic LevelMotorMotor
ReflexReflex
SensationSensation
C6Biceps Wrist Extensors
C7 Neurologic LevelC7 Neurologic LevelMotorMotor
ReflexReflex
SensationSensation
C7Triceps
Wrist Flexors
Finger Extensors
C8 Neurologic LevelC8 Neurologic LevelMotorMotor
Reflex--NoneReflex--None
SensationSensation
C8
Interosseous Muscles Finger Flexors
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
T1 Neurologic LevelT1 Neurologic LevelMotorMotor
SensationSensation
T1
Reflex--NoneReflex--None
Interosseous Muscles
Acute InjuriesAcute Injuries
Severe InjuriesFractures and Dislocations
Severe InjuriesFractures and Dislocations
Cervical Spine InjuriesUnconscious Patient
Cervical Spine InjuriesUnconscious Patient
Very serious problemAlways assume a cervical spine injuryFollow spine injury protocol with head
and neck support, log roll, and back board
Very serious problemAlways assume a cervical spine injuryFollow spine injury protocol with head
and neck support, log roll, and back board
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
Cervical Spine InjuriesMechanism of Injury
Cervical Spine InjuriesMechanism of Injury
Axial loading National Football Head and Neck Injury Registry
Formed in 1975Data led to rule changes:
Banning spearingNo head first contact
Axial loading National Football Head and Neck Injury Registry
Formed in 1975Data led to rule changes:
Banning spearingNo head first contact
Cervical Spine InjuriesFractures and Dislocations
Cervical Spine InjuriesFractures and Dislocations
Dislocations or subluxations:Can be mild or sever, may be associated with fracturesInvolve serious ligament and soft tissue injuries with potential instabilityFacet dislocations or jumped facets are very seriousNeurological risk, careful neurological examMany will need surgical treatment
Dislocations or subluxations:Can be mild or sever, may be associated with fracturesInvolve serious ligament and soft tissue injuries with potential instabilityFacet dislocations or jumped facets are very seriousNeurological risk, careful neurological examMany will need surgical treatment
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
Cervical Spine InjuriesFractures and Dislocations
Cervical Spine InjuriesFractures and Dislocations
Fractures:May involve vertebral body, lamina, facet joint, or spinous processCan be mild or very severeFracture and dislocation combination usually is the worst case scenarioNeurological risk, careful neurological examMany may need surgical treatment
Fractures:May involve vertebral body, lamina, facet joint, or spinous processCan be mild or very severeFracture and dislocation combination usually is the worst case scenarioNeurological risk, careful neurological examMany may need surgical treatment
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
General Types of InjuriesCervical Sprain
General Types of InjuriesCervical Sprain
Common injuryLigament, muscle, soft tissue injuryLocalized neck pain, stiffnessNo numbness or weaknessTreatment: rehab.Return to play: normal ROM
Common injuryLigament, muscle, soft tissue injuryLocalized neck pain, stiffnessNo numbness or weaknessTreatment: rehab.Return to play: normal ROM
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
General Types of InjuriesCervical Disk Injuries
General Types of InjuriesCervical Disk Injuries
May include tears or herniationsRadicular pain and/or numbness, weaknessPersistent symptomsTreatment varies, depends on severity: rehab, medications, injections, or surgery
May include tears or herniationsRadicular pain and/or numbness, weaknessPersistent symptomsTreatment varies, depends on severity: rehab, medications, injections, or surgery
Cervical HNP
General Types of InjuriesNerve Root/Brachial Plexus
Neuropraxia
General Types of InjuriesNerve Root/Brachial Plexus
NeuropraxiaBurner or stingerTemporary weakness and numbness Cervical nerve root compression (C6)Stretch injuryReturn to play only when symptoms are
COMPLETELY resolvedBest prevention is in good shoulder pads
Burner or stingerTemporary weakness and numbness Cervical nerve root compression (C6)Stretch injuryReturn to play only when symptoms are
COMPLETELY resolvedBest prevention is in good shoulder pads
This presentation is the intellectual property of the author. Contact them at [email protected] forpermission to reprint and/or distribute.
General Types of InjuriesCervical Cord NeuropraxiaGeneral Types of Injuries
Cervical Cord NeuropraxiaRare severe conditionSymptoms usually bilateral or involving the lower extremities, transient quadriplegiaOn severe cases may last over one weekNeeds evaluation with MRI and frequent neurological examinationsTreatment based on severity and MRI findings
Rare severe conditionSymptoms usually bilateral or involving the lower extremities, transient quadriplegiaOn severe cases may last over one weekNeeds evaluation with MRI and frequent neurological examinationsTreatment based on severity and MRI findings
New DevelopmentsDisk Replacement
Thank you!Thank you!
