Quesada GJC

Language: Spanish
References: 10
Page: 649-653
PDF size: 221.06 Kb.

ABSTRACT

A 15yr old patient consults to a general medicine service, there is no pathological history, no trauma, she suffers of chronic recurrent cervical pain from the last 6 months, which worsen with exercise “Volleyball”, she presents bilateral upper extremity numbing with little improvement upon rest. A thorax and cervical spine X ray is performed finding a bilateral cervical rib associated with an incompleted closure of the seventh cervical vertebrae with a missing spinous process. Recent studies have shown that at least 2 percent of the population has a cervical, but only 10 percent of them will present symptoms. (2,3,10) Physical exam is most important and includes several provocative maneuvers including neck rotation and head tilting, which elicit symptoms in the contralateral extremity, the upper limb tension test and abducting the arms to 90° in external rotation, which usually brings on symptoms within 60 seconds.

REFERENCES

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