5.1 O) I) Surgical Trauma Assessment And Management Of Spinal Cord Injury (Litfl)

Front 1

What Upper limb actions test for a C5 spinal cord injury (2) ?

Back 1

1. Shoulder abduction (axillary)
2. Elbow flexion ( Musculocutaneous)

Front 2

What upper limb actions test for a C6 spinal cord lesion ?

Back 2

1. Shoulder adduction ( C 6 7 8 )
2. Wrist extension / flexion ( C 6 7 ) [ radial ]

Front 3

What Upper Limb actions test for a C7 spinal cord lesion ?

Back 3

1. Elbow extension (radial)
2. Finger extension

( radial-posterior interosseous )

Front 4

What upper limb actions test for a C8 spinal cord lesion ?

Back 4

1. Finger flexion (median )

Front 5

What upper limb actions tests for a T1 spinal cord injury ?

Back 5

1. Finger abduction (ulnar )
2. Abductor pollicis brevis (median)

Front 6

Which of the following actions tests for a C6 spinal cord injury ?

A. Elbow extension
B. Wrist flexion
C. Finger abduction
D. Finger flexion

Back 6

B. Wrist flexion and extension - C6 7 - radial

Also : Shoulder adduction tests C6 7 8 .

Elbow extension = C7
Finger abduction = T1 (ulnar)
Finger flexion = C8 median

Front 7

Which of the following actions tests for a C5 spinal cord injury ?
A. Finger abduction
B. Shoulder adduction
C. Shoulder abduction
D. Elbow extension

Back 7

C. Shoulder abduction = C 5 (axillary )
Also : Elbow flexion = C 5 (musculocutaneous )

Finger abduction = T1 (ulnar)
Shoulder adduction = C6,7,8
Elbow extension = C 7 (radial )

Front 8

List the actions for spinal cord injuries C5 - T1.

Back 8

C5 Shoulder Abduction
C5 Elbow flexion

C6 Shoulder adduction ( C 6,7 8 )
C6 Wrist flexion and extension ( C 6 7 )

C7 Elbow extension
C7 Finger extension
[ C6,7 ] = wrist flexion and extension

C8 Finger flexion
[ C 6 7 8 ] = Shoulder adduction

T1 Finger abduction
T1 Abductor Pollicis Brevis

Front 9

What Lower limb action tests for an L2 injury ?

Back 9

L2 = Hip flexion

Front 10

What Lower Limb action tests for an L3 spinal cord lesion ?

Back 10

Knee extension - L3,4

Front 11

What Lower Limb action tests for an L4 spinal cord lesion ?

Back 11

1. Ankle dorsiflexion ( Deep peroneal )
2. Knee extension ( L3 4 -femoral )

Front 12

What lower limb actions tests for an L5 spinal cord lesion ?

Back 12

1. Hip extension
2. Great toe flexors ( deep peroneal)

Front 13

What Lower limb actions test for an S1 lesion ?

Back 13

1. Knee flexion (sciatic )
2. Ankle plantar flexion (tibial )

Front 14

In regards to spinal cord injury and ventilatory requirements, what is the % need for

ventilation for a C5 level injury ?

Back 14

%50 { Short term ventilatory need) }

Front 15

True / False ?

A patient with a cervical spinal cord injury at C5 level or above should be considered for

advanced airway management and

mechanical ventilation - prior to respiratory failure setting in.

Back 15

True