Cervical Spine Injuries. The Cervical Spine Vertebrae –7 cervical...

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Transcript of Cervical Spine Injuries. The Cervical Spine Vertebrae –7 cervical...

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Cervical Spine Injuries Slide 2 The Cervical Spine Vertebrae 7 cervical 12 thoracic 5 lumbar 5 sacral 4 coccyx Slide 3 Anatomy of Cervical Vertebrae Body of Axis Odontoid Process (Dens) of Axis Anterior Arch of Atlas Posterior Arch of Atlas C1-C2 Facet Lamina Bifid Spinous Process Transverse Process Transverse Foramen Inferior Articular Process Superior Articular Facet Slide 4 Dermatomes Slide 5 Facet Joint Injury Mechanism of Injury Generally the same mechanism as a strain More violent Involves a snapping of the head and neck Ligaments injured Signs and Symptoms Similar signs and symptoms to a strain Tenderness facet joints and ligaments Pain will usually arise the day after the trauma Muscle spasms Cervical Sprain Slide 6 Management Severe injuries Activate EMS Refer to MD RICE for first 48-72 hours Bed rest if severe Rehabilitation Strengthening Restore ROM Review tackling techniques for football players Cervical (Sprain) Slide 7 Brachial Plexus Injuries (Burner/Stinger) Mechanism of InjuryMechanism of Injury Lateral flexion Result ofResult of Stretching of the brachial plexus or Compression of the brachial plexus Disrupts peripheral nerve function Slide 8 Brachial Plexus Injury (Burner/Stinger) Signs and SymptomsSigns and Symptoms Burning sensationBurning sensation Numbness and tingling from the shoulder into the handNumbness and tingling from the shoulder into the hand Pain extending from the shoulder into the handPain extending from the shoulder into the hand Some loss of function of the arm and hand for several minutesSome loss of function of the arm and hand for several minutes Dead arm feeling by athlete Symptoms rarely persist for several daysSymptoms rarely persist for several days Repeated injury can result in permanent damageRepeated injury can result in permanent damage Slide 9 Brachial Plexus Neurapraxia (Burner/Stinger) ManagementManagement Assessment by medical personnel Ice Rest Strengthening and stretching program Return to activity once signs and symptoms have returned to normal Padding to limit neck ROM during impact Slide 10 Cervical Fractures Mechanism of Injury Usually axial load w/ some degree of cervical flexion Spearing Prevention Teach proper tackling technique (See what you hit) Slide 11 Cervical Fractures Signs and Symptoms Neck point tenderness Restricted motion Cervical muscle spasm Cervical pain Pain in the chest and extremities Numbness in the trunk and or limbs Weakness in the trunk and/or limbs Loss of bladder and bowel control ManagementManagement Activate EMS (911) Treat like an unconscious athlete Use extreme care X-ray and physician referral Transport with extreme caution Minimize movement of cervical spine Cervical extrication collarCervical extrication collar Spine BoardSpine Board Slide 12 Mechanism of Injury Usually violent flexion and rotation of the head Cervical Dislocation Slide 13 Signs and Symptoms Considerable pain Numbness Weakness or paralysis Management Extreme care must be used Do not straighten athletes neck Activate EMS (911) More likely to cause spinal cord injury than a fracture Cervical Dislocation Slide 14 Stabilize Head and Neck 5 Man Lift Log Roll onto Spine Board Facemask Removal Strap to Board Log Roll onto Spine Board Lifting Spine Board 1 2a 2b 3 4 5 5 5 Slide 15 Strengthening Exercises Initiated when near normal range has been achievedInitiated when near normal range has been achieved Should be performed pain freeShould be performed pain free Exercise progressionExercise progression IsometricIsometric Isotonic exercisesIsotonic exercises