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Simple Guide Orthopadics Chapter 3 Examination of the Spine

Simple Guide Orthopadics Chapter 3 Examination of the Spine

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Published by: Surgicalgown on Jun 13, 2009
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06/09/2013

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Chapter 3
Examination of
the Spine
79
Examination of the Spine
Cervical Spine
Thoracic and Lumbar Spine
80
A Simple Guide to Orthopaedics
Cervical Spine Examination
Look
1. General inspection

Inspect the neck for any obvious swelling or deform- ity from the front, back and sides. The patient may also be in obvious pain.

2. Skin
Look for any evidence of scars, sinuses or colour
change.
There may be congenital webbing of the neck.
3. Soft tissue

Observe the muscles for spasm or shortening. Short- ening of the sternomastoid may be due to spasm, trau- ma or a congenital cause. The latter may result in a torticollis, in which the patient holds the neck rotated to the side opposite the lesion.

An enlarged thyroid gland or cervical lymph nodes may be visible. An abscess may point in part of the neck.

4. Bone and joint

Abnormal posture of the neck may be due to fracture of a vertebra, be the result of trauma, osteomyelitis or a secondary tumour. The neck may also be held in an abnormal posture because of disc prolapse or rheu- matoid arthritis.

81
Examination of the Spine
Cervical Spine Examination
Congenital webbing of the neck
Torticollis or \u2018wryneck\u2019 \u2014 may be
secondary to prolapsed disc
Huckstep 1999
\u00a9
Huckstep 1999
\u00a9

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