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neck pain
neck pain
Orthopedic Rehabilitation: A Guide to Getting Back to Your Best
Orthopedic rehabilitation is a type of therapy that helps people recover from injuries or surgeries that affect the musculoskeletal system. The musculoskeletal system is made up of bones, muscles, tendons, ligaments, and cartilage. Orthopedic rehabilitation can help improve range of motion,
ماذا يحدث اذا حدث كسر في العمود الفقري؟
! ماذا يحدث اذا حدث كسر في العمود الفقري؟ ألم في الظهر أو الرقبة: والتنمل والوخز والتشنج العضلي والضعف، ويزداد الألم أثناء الحركة. ضعف في الأمعاء، أو المثانة.
cervical spine
POSTURAL NECK PAIN‌‌ In this common condition, pain in the neck and shoulders occurs in association with some abnormality of neck posture. It is commonest in females under the age of 40, many of whom have sedentary jobs (such as computer operators) which entail the head being
Shoulder-Spine Syndrome
Summary Shoulder and cervical spine patients often have overlapping symptoms, presentations, and complaints. Spine and shoulder surgeons, and all providers seeing patients with cervical and shoulder pathologies, need to be knowledgeable of common shoulder and spine pathologies, presentation,
BILATERAL CERVICAL FACET DISLOCATION
A 32yearold woman is brought to the emergency department following a road traffic collision. She complains of neck pain and is immobilised in a cervical collar with blocks and on a spinal board. The initial ATLS assessment suggests that this is an isolated injury and there is no obvious neurologic
C2 Lateral Mass Fractures
C2 Lateral Mass Fractures Patients often present with neck pain, limited range of motion, and no neurologic injury. The mechanisms of injury are axial compression and lateral bending. A CT scan is helpful for a diagnosis. A depression fracture of the C2
Atlantoaxial Rotary Subluxation and Dislocation
Atlantoaxial Rotary Subluxation and Dislocation In this rare injury, patients present with confusing complaints of neck pain, occipital neuralgia, and, occasionally, symptoms of vertebrobasilar insufficiency. In chronic cases, the patient may present with torticollis. It is
Transverse Ligament Rupture (Traumatic C1–C2 Instability)
Transverse Ligament Rupture (Traumatic C1–C2 Instability) This rare, usually fatal, injury is seen mostly in older age groups (50s to 60s). The mechanism of injury is forced flexion. The clinical picture ranges from severe neck pain to complete neurologic
Atlas Fractures
Atlas Fractures These are rarely associated with neurologic injury. Instability invariably equates to the presence of transverse alar ligament insufficiency, which can be diagnosed either by direct means, such as by identifying bony avulsion on CT scan or ligament rupture on
CERVICAL SPINE FRACTURE
CERVICAL SPINE EPIDEMIOLOGY Cervical spine injuries usually occur secondary to high-energy mechanisms, including motor vehicle accidents (45%) and falls from a height (20%). Less commonly, cervical spine injuries occur during
Axial Skeleton Fractures GENERAL SPINE
GENERAL SPINE Axial Skeleton Fractures EPIDEMIOLOGY There are approximately 12,000 new spinal cord injuries requiring treatment each year. Injury to the vertebral column occurs much less frequently than injury to the appendicular skeleton, and vertebral column
Sports Medicine CASES
CASE 1 A 22-year-old, female jogger presents complaining of right knee pain. She describes an insidious onset of her symptoms during the last 3 months. She enjoys running most days and is training for a five-mile road race. Recently, she has been running more and has added hill
FROM 10 TO 28 Sports Medicine CASES
CASE 10
Spine CASES 5
CASE 30
Spine CASES 4
CASE 21
Spine CASE 3
CASE 11
Spine CASES 2
CASE 1 A 63-year-old male sustained a hyperextension injury to his neck while diving into a pool. Upon presentation, he reports decreased sensation in his hands and decreased strength in his arms and wrists, but no lower extremity complaints. On motor examination,
Anterior Cervical Discectomy and Fusion with and without Instrumentation
DEFINITION Cervical spondylosis refers to degenerative conditions affecting the cervical spine, including disc degeneration, herniation, facet arthrosis, and osteophytic spur formation. Depending on the nature and location of the spondylotic changes, pathologic compression of neural structures
Minimally Invasive Posterior Cervical Laminoforaminotomy
DEFINITION Cervical radiculopathy is a neurologic condition characterized by dysfunction of a cervical spinal nerve, the roots of the nerve, or both. It usually presents with unilateral pain that radiates from the neck to the arm and/or the hand. There can be a combination of sensory loss,
Reduction Techniques for Cervical Fractures and Dislocations
BACKGROUND Cervical spine fractures are seen in approximately 5% of trauma patients being evaluated at level I trauma centers. Dislocations and displaced fractures require reduction and frequently surgical stabilization. This chapter focuses on the cervical fractures
Cervical Osteotomies for Kyphosis
DEFINITION The precise definition of cervical kyphosis is not clearly described. Normal alignment from C2 to C7 in the sagittal plane is approximately 20 degrees of lordosis. ANATOMY With normal alignment, the load bearing axis of the cervical spine lies in
Cervical Disc Replacement
ANATOMY Familiarity with the anterior cervical anatomy is a necessity, particularly in regard to muscular, fascial, vascular, aerodigestive, nervous, and bony structures (FIG 1). Approach level can be estimated by overlying
Occipitocervical and C1-C2 Fusion with Instrumentation
DEFINITION The term occipitocervical and atlantoaxial instability encompasses a number of varied conditions that compromise the normal function of the O-C1 and C1-C2 joints, resulting in either pain, spinal cord dysfunction, or the threat thereof. Instability can result
Cervical Laminoplasty
DEFINITION Cervical laminoplasty is a surgical technique first described in 19833 that allows for decompression of the cervical cord from a posterior approach. The procedure is designed to open and reconstruct the cervical lamina, thus creating more available space for the spinal cord while
Anterior Cervical Corpectomy and Fusion with Instrumentation
DEFINITION Cervical myelopathy describes a constellation of signs and symptoms resulting from cervical spinal cord compression. Common symptoms include gait instability, clumsiness and loss of manual dexterity, and glove-like (rather than dermatomal) numbness of the hands. Because the
Pediatric Orthopaedic MCQS ONLINE BANK
(SAE09TR.72) A 13-year-old girl sustained an isolated midshaft left femoral fracture in a motor vehicle accident. The fracture was treated with a rigid, antegrade intramedullary nail placed through the piriformis fossa. The fracture healed uneventfully, as shown in Figure 46a; however, at 12 months
Spine Orthopedic MCQS online Bank
(SAE08OS.6) Figures 2a and 2b show the radiograph and MRI scan of a 56-year-old woman who has low back pain and right leg pain. She has grade 3/5 toe and ankle dorsiflexion strength on the right side. Nonsurgical management has failed to provide relief; therefore, surgery should include Review
BASIC SCIENCE ORTHOPEDIC MCQS ONLINE BANK
What assay is commonly used to examine the level of messenger RNA (mRNA) of a particular gene? Western blot Southern blot Reverse transcription polymerase chain reaction (RT-PCR) Immunocytochemical analysis Enzyme-linked immunosorbent assay
Total Elbow Arthroplasty for Rheumatoid Arthritis
DEFINITION Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory condition of unknown etiology affecting 1% to 2% of the population. It affects females two to three times as frequently as males, and the incidence increases with age, typically peaking between 35 and 50 years of
Total Shoulder Arthroplasty for Glenohumeral Arthritis
DEFINITION Glenohumeral arthritis is characterized by loss of articular cartilage and varying degrees of soft tissue contracture, rotator cuff dysfunction, and bone erosion, depending on the underlying arthritic condition. The results of surgical treatment are largely dependent on
Total Elbow Arthroplasty for Rheumatoid Arthritis
DEFINITION Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory condition of unknown etiology affecting 1% to 2% of the population. It affects females two to three times as frequently as males, and the incidence increases with age, typically peaking between 35
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2D
ORTHOPEDIC MCQS ONLINE QUESTION BANK H2D 2685. (3157) Q6-3976: Which of the following serves as the best landmark for proper screw entry into the lumbar pedicle: 1) The junction of the transverse process and inferior facet 3) The articulating interface of the superior and
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ORTHOPEDIC MCQS ONLINE QUESTION BANK H1E
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ORTHOPEDIC MCQS ONLINE QUESTION BANK H1D
ORTHOPEDIC MCQS ONLINE QUESTION BANK H1D Which of the following is a significant risk factor for a motor nerve palsy following a primary hip replacement: 1) Age <50 years 3) Prior hip surgery 2) Female sex 5) Developmental dysplasia 4) Body mass index
Posterior Cervical Fusion with Lateral Mass Screws
Posterior Cervical Fusion with Lateral Mass Screws DEFINITION The lateral mass is a quadrangular area of bone lateral to the lamina and between borders of superior and inferior facets as seen from posteriorly. Seen in three dimensions, the lateral mass is a skewed box. Its appearance on
ARAB BOARD ORTHOPEDIC MCQS ONLINE BANK
ARAB BOARD ORTHOPEDIC MCQS ONLINE BANK PREFACE Much effort has been put in this book, as every question was reviewed, analyzed and evaluated concerning the benefit, and information given to the student or Orthopedic Resident, that would allow one to realize his weak
ORTHOPEDIC MCQS ONLINE BANK OITE 14A
1.04 A 32-year old man sustained a closed tarsometatarsal fracture-dislocation, and a closed reduction is performed. Postreduction radiographs reveal a 3 mm offset at the first metatarsocuneiform joint. Management should not consist of: A light dressing and immediate range of
ORTHOPEDIC MCQS ONLINE BANK OITE23
Orthopedics MCQS ONLINE OITE23 1.03 What is the most common complication associated with surgical fixation of a transverse midshaft humeral fracture using antegrade statically locked medullary nail? Infection Radial nerve palsy Brachial artery injury during
ORTHOPEDIC MCQS ONLINE OITE 1213 1A
ORTHOPEDIC MCQS ONLINE BANK OITE 1213 2013 & 2012 OITE Study Guide © 2012 American Academy of Orthopaedic Surgeons 2012 Orthopaedic In-Training
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ORTHOPEDIC MCQS BANK ONLINE OITE 21 For OITE 21 FIGURES CLICK OITE21FIG 01.1 A 49-year-old man has a persistent Trendelenburg gait after undergoing open reduction and internal fixation of a posterior wall acetabular fracture 6 months ago. The radiographs reveal a normal
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ORTHOPEDIC MCQS BANK OITE 96
ORTHOPEDIC MCQS BANK OITE 96 96.1 A 4‑year‑old girl has had increasing left hip pain over the past 48 hours and has stopped walking. Her temperature is 38°C (100.4°F). Hip range of motion is limited. Aspiration of the hip reveals a WBC of 68,000/mm' and
ORTHOPEDIC MCQS BANK OITE 99
ORTHOPEDIC MCQS BANK OUTE 99 99.1 Examination of a 60-year-old man who has a painful flatfoot deformity reveals no demonstrable function of the posterior tibial tendon. Neither the hindfoot valgus nor the forefoot pronation is passively correctable, and management consisting of shoe
ORTHOPEDIC MCQS ONLINE OB SPINE
SPINE A 79-year old man falls sustaining a hyperextension injury to his neck. A lateral radiograph, CT scan and MRI are seen in Figures A through C. On motor examination, he has 3/5 strength in his deltoids, elbow and wrist flexors and extensors. He has 4/5 strength in his hip flexors,
ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1B
ORTHOPEDIC MCQS ONLINE OB SHOULDER AND ELBOW 1B Which of the following rehabilitation exercises is most appropriate immediately following the repair of the injury seen in figure
ORTHOPEDIC MCQS ONLINE 010 PEDIATRIC
ORTHOPEDIC MCQS ONLINE 010 PEDIATRIC 2010 Pediatric Orthopaedic Examination Answer Book • 7 Figure la Figure lb Question 1 A 5-year-old boy has had a limp for the past 4 weeks with intermittent pain at
ORTHOPEDIC MCQS ONLINE 011 RECONSTRUCTION
ORTHOPEDIC MCQS 011 Reconstruction Online 2011 Orthopaedic Self-Assessment Examination by Dr.Dhahirortho 1 Question 1Which of the following methods of
ORTHOPEDIC MCQS ONLINE 011 PATHOLOGY
ORTHOPEDIC MCQS 011 PATHOLOGY 2011 Musculoskeletal Tumors Self-Assessment Exam by Dr.Dhahirortho 1 Question 1 A 30-year-old man has a
ORTHOPEDIC MCQS ONLINE 012 SPINE
ORTHOPEDIC MCQS ONLINE 012 SPINE 1 Question 1A 56-year-old man has a chief complaint of leg weakness and
ORTHOPEDIC MCQS ONLINE 013 BASIC
ORTHOPEDIC MCQS ONLINE 013 BASIC 2013 Orthopaedic Basic Science Self-Assessment Examination by Dr.Dhahirortho 1 Question 1A 70-year-old man is experiencing neck pain, progressive
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ORTHOPEDIC MCQS ONLINE 014 PATHOLOGY Musculoskeletal Tumors and Diseases Self-Assessment Examination AAOS 2014..by Dr.Dhahirortho
ORTHOPEDIC MCQS ONLINE 015Spine
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Orthopedic MCQS online Anatomy 017
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Orthopedic MCQS online Spine 0018
Orthopedic MCQS online Spine 0018 AAOS Adult spine self Assessment 2018 Question 1 of 100 When compared with posterior decompression and fusion, the addition of an interbody fusion for the treatment of degenerative spondylolisthesis and stenosis has been shown
Orthopedic Mcqs Sport 0019
Orthopedic MCQS online Sports 0019 Sports Medicine Scored and Recorded Self-Assessment Examination 2019 Question 1 of 99 Figures 1 and 2 are intrasurgical photographs from the posterolateral viewing portal that
ORTHO MCQS PEDS 10
ORTHO MCQS PEDS 10 2010 Pediatric Orthopaedic Examination Answer Book • 7 Figure la Figure lb Question 1 A 5-year-old boy has had a limp for the past 4 weeks with intermittent pain at the foot. He remains normally active and has no
ORTHO MCQS BANK 011 FREE 03
ORTHO MCQS BANK 011 FREE 03 Question 2..On MRI, what nerve is most likely to demonstrate increased signal intensity about the elbow in asymptomatic patients? 1- Ulnar 2- Radial 3- Median 4- Anterior interosseous 5- Musculocutaneous DISCUSSION: The ulnar nerve has been shown to have
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ORTHOPEDIC MCQS OB 20 BASIC5
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ORTHOPEDIC MCQS OB 20 BASIC 6
ORTHOPEDIC MCQS OB 20 BASIC 6 A college athlete on a scholarship has a medical condition that you feel presents a life-threatening risk to him with participation in athletics. Because of the gravity of this decision and the potential effect it can have on the
ORTHOPEDIC MCQS BANK WITH ANSWER PEDS 01
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ORTHOPEDIC MCQS WITH ANSWER SPINE 03
ORTHOPEDIC MCQS WITH ANSWER SPINE 03 1. The transverse diameter of the pedicle is most narrow at which of the following levels? 1- T1 2-
ORTHOPEDIC MCQS WITH ANSWER TRAUMA 03
ORTHOPEDIC MCQS WITH ANSWER TRAUMA 03 1. A 21-year-old woman who was wearing a seat belt sustained an injury of the thoracolumbar junction in a motor vehicle accident. The AP radiograph shows widening between the L1 and L2 spinous processes,
ORTHOPEDIC MCQS WITH ANSWER ANATOMY 05
ORTHOPEDIC MCQS WITH ANSWER ANATOMY 05 1. A 65-year-old man with ankylosing spondylitis sustains an extension injury to his cervical spine. Two days later, a progressive neurologic deficit develops at the C6 level. An MRI scan
ORTHOPEDIC MCQS WITH ANSWERS ONLINE SPINE 06
ORTHOPEDIC MCQS WITH ANSWERS ONLINE SPINE 06 1. Figures 1a and 1b show the sagittal T2- and T1-weighted MRI scans of a 25-year-old intravenous drug abuser who has low back pain that is increasing in intensity. Laboratory studies show a WBC count of
ORTHOPEDIC MCQS WITH ANSWERS ONLINE TRAUMA 06
ORTHOPEDIC MCQS WITH ANSWERS ONLINE TRAUMA 06 1. A 36-year-old woman sustained a tarsometatarsal joint fracture-dislocation in a motor vehicle accident. The patient is treated with open reduction and internal fixation. What is the most common
ONLINE ORTHOPEDIC MCQS SPORT07
ONLINE ORTHOPEDIC MCQS SPORT 07 1. A 22-year-old college baseball pitcher reports the recent onset of anterior and posterosuperior shoulder pain in his throwing shoulder. Examination shows a 15-degree loss of internal rotation,
ONLINE ORTHOPEDIC MCQS ANATOMY08
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ONLINE ORTHOPEDIC MCQS SPINE0 9
ONLINE ORTHOPEDIC MCQS SPINE0 9 1. Which is the best initial study for the diagnostic evaluation of diskogenic low back pain? 1- MRI 2-
Orthopedic MCQS online sports Medicine
Orthopedic MCQS online Sport Medicine 1- A 38-year-old man has increasing left knee pain and occasional instability. Several years earlier he sustained a noncontact twisting injury to his knee. He had initial soreness and pain but was able to resume his normal activities while
Clinical Application of Neurologic Levels
Clinical Application of Neurologic Levels Herniated Cervical Disks There are eight cervical nerves and only seven cervical vertebrae; thus, each cervical nerve leaves the spine adjacent to its corresponding vertebral body except C8, the first
Questions in Trauma and Orthopaedics Adult Pathology for the FRCS
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Pediatric Orthopaedic MCQS Self-Assessment Examination 2020
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Self-Assessment Examination 2020 Adult Spine MCQS
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ORTHOPEDICS HYPERGUIDE MCQ 901-950
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