Sunday 19 August 2012

Cervical Spine

Classic Patterns of Cervical Radiculopathy




Abnormalities
Nerve rootInterspacePain distributionMotorSensoryReflex
C4
C3–C4
Lower neck, trapezius
NA
Cape distribution (i.e., lower neck and upper shoulder girdle)
NA
C5
C4–C5
Neck, shoulder, lateral arm
Deltoid, elbow flexion
Lateral arm
Biceps
C6
C5–C6
Neck, dorsal lateral (radial) arm, thumb
Biceps, wrist extension
Lateral forearm, thumb
Brachioradialis
C7
C6–C7
Neck, dorsal lateral forearm, middle finger
Triceps, wrist flexion
Dorsal forearm, long finger
Triceps
C8
C7-C8
Neck, medial forearm, ulnar digits
Finger flexors
Medial forearm, ulnar digits
NA
T1
C8-T1
Ulnar forearm
Finger intrinsics
Ulnar forearm
NA

NA = not applicable.
Information from references 3 and 4.
 The nerve roots exit above their correspondingly numbered vertebral body from C2-C7. C1 exits between the occiput and atlas, and C8 exits below the C7 vertebral body.
A C4-C5 disc herniation will compress the C5 nerve root
A C5-C6 disc herniation will compress the C6 nerve root
A C6-C7 disc herniation will compress the C7 nerve root
A C7-T1 disc herniation will compress the C8 nerve root
A T1-T2 disc herniation will compress the T1 nerve root