Cervical disk herniation: Difference between revisions
No edit summary |
|||
| Line 28: | Line 28: | ||
==Workup== | ==Workup== | ||
*MRI required for definitive diagnosis | |||
==Management== | ==Management== | ||
==Disposition== | ==Disposition== | ||
| Line 41: | Line 40: | ||
==References== | ==References== | ||
<references/> | <references/> | ||
[http://www.orthobullets.com/spine/2030/cervical-radiculopathy Orthobullets] | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Revision as of 17:25, 27 May 2017
Background
- Nucleus pulposus protrudes through posterior annular fibrosis
- Leads to radiculopathy or less commonly myelopathy
Clinical Features
- Neck/shoulder/arm pain in dermatome distribution, weakness, hyperreflexia
| Radiculopathy | Motor Deficit | Sensory Deficit | Diminished Reflex |
|---|---|---|---|
| C5 | Deltoid & Biceps | Biceps | |
| C6 | Brachioradialis & Wrist extension | Thumb Paresthesia | Brachioradialis |
| C7 | Triceps & Wrist flexion | Index/Middle/Ring Paresthesia | Triceps |
| C8 | Index/Middle distal phlnx flexion | Small Finger Paresthesia |
Differential Diagnosis
Workup
- MRI required for definitive diagnosis