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Duke Orthopaedics
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Wheeless' Textbook of Orthopaedics

Physical Exam of the Cervical Spine

- See:
      - Brachial Plexus - Neuro Exam
      - Diff Dx of Cervical Pathology:
      - Neuro Exam:
      - PE of Lumbar Spine:


- Upper Cord Involvement: (see: cervical radiculopathy / myelopathy)

  C5 C6 C7 C8   T1  
Sens: Lat arm Thumb Mid f. Little f.   Med. arm  
Motor: Deltoid Wr/Ext Tricep Finger Flex   Interossei  
Disc: C4-C5 C5-C6 C6-C7 C7-T1   T1-T2  
Reflex: Bicep BR Tricep        



- Lower Cord Involvement:
    - Reflex:
            - Knee & Ankle jerk
            - Babinski's reflex:
            - Sacral Sparing
    - Sensory:
    - Motor:
            - Quadriceps:                      L-3 /L-4
            - EHL:                                       L-5
            - PF:                                         S-1
            - Sacral Sparing
                     - Blad Sphincter:               S-2
                     - Anal Sphincter:               S-3

- ROM:   Flex      Ext      Abd: Rt/Left  Rotation: Rt/Left
                  45        55            40 40              70  70



The shoulder abduction test in the diagnosis of radicular pain in cervical extradural compressive monoradiculopathies.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Wednesday, December 21, 2011 4:27 pm