REIDER PART 248
308_Chapter 8_Cervical and Thoracic Spine
Figurę 8-18. A and B, Modified Schober s lest.
Figurę 8-19. A and 8, Measurement of chest expansion.
point tenderness strongly suggests a fracture or a signifi-cant ligamentous disruption. Palpation of the spine is performed primarily from the posterior aspect.
Posterior Aspect
The cervical spine is most commonly palpated with the patient in either the supine or the seated position. The supine position allows the patient to relax morę com-pletely and may, thus, permit the Identification of morę anatomie detail (Fig. 8-20A). The disadvantage of the supine position is that the examiner cannot directly visualize the structures being palpated. The seated position (Fig. 8-20B) may compromise muscle relaxation, but it permits direct visualization of the area being examined. The prone position, although not widely employed, permits a compromise between the two cxtremes. If the patient is initially seen in an emergency situation, such as on an athletic field or following a motor vehicle accident, the ąuestion of preferred position is moot. In the emergency situation, the patient should be examined in the position in which he or she is first encountered until the examiner is satisfied that the possibility of an unstable cer-vical spine has been ruled out. If the examiner is unable to make this dccision with confidence, the patient should be transported to a hospital with the neck immobilized until a good radiographic evaluation can be conductcd.
Wyszukiwarka
Podobne podstrony:
REIDER PART 244 304 Chapter 8_Cervical and Thoracic Spine individuals. Thcsc muscles originate on tREIDER PART 246 306 Chapter 8 Cervical and Thoracic Spine Figurę 8-13. Active laterai rotation of tREIDER PART 250 310 Chapter 8 Cervical and Thoracic Spine spine and, thus, are less common. HoweverREIDER PART 252 312 Chapter 8 Cervical and Thoracic Spine Flexors When fired togethcr, the two sterREIDER PART 260 320 Chapter 8 Cervical and Thoracic Spine To test the wrist extensors, the examinerREIDER PART 264 324_Chapter 8_Cervical and Thoracic Spine hyperreactive. The examiner must make thiREIDER PART 270 330 Chapter 8 Cervical and Thoracic SpineF Figurę 8-46C). The examiner s right handREIDER PART 272 332 Chapter 8 Cervical and Thoracic Spine Figurę 8-50. Nonanatomic tenderness. theREIDER PART 274 334 Chapter 8 Cervical and Thoracic Spine Richards JS, Nepomuceno C, Rilcs M, SuerREIDER PART 240 300 Charter 8__Cervical and Thoracic Spine Figurę 8-5. Scoliosis. A, Mild. B, MorcREIDER PART 242 302 Chapter 8_Ceryical and Thoracic Spine Figurę 8-8. A, Flexion deformity of ankylREIDER PART 256 316 Chaptkr8_Cervical and Thoracic Spine rests thc base of the vibrating fork on thREIDER PART 266 326 Chaftłr 8_Cervical and Thoracic Spinc helps the examiner identify the approximaREIDER PART 268 328 Chaptkr 8_Cervical and Thoracic Spine Figurę 8-44. A-F, Upper limb tension testREIDER PART 142 132 Chapter 4 Hand and Wrist Figurę 4-48. A, Opposition of the thumb. B, Lack of noREIDER PART 206 266 Chapter 7 Lowcr Leg, Foot, and Ankle Figurę 7-28. A, Halłux valgus. B, HałłiucREIDER PART 208 268 Chapter 7_Lower Leg, Foot, and Ankle B C Figurę 7-32. A, NormREIDER PART 210 270_Chapter 7 Lower Leg, Foot> and Ankle Figurę 7-35. A, Walking on the lateralREIDER PART 214 274 Chapter 7_Lower Leg, Foot, and Ankle Great Toe Motion of the great toe occurs twięcej podobnych podstron