Spinal disc herniation

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Spinal disc herniation

Pathology

Pediatric musculoskeletal conditions

Radial head subluxation (Nursemaid elbow)

Developmental dysplasia of the hip

Legg-Calve-Perthes disease

Slipped capital femoral epiphysis

Transient synovitis

Osgood-Schlatter disease (traction apophysitis)

Musculoskeletal injuries and trauma

Rotator cuff tear

Dislocated shoulder

Radial head subluxation (Nursemaid elbow)

Winged scapula

Thoracic outlet syndrome

Carpal tunnel syndrome

Ulnar claw

Erb-Duchenne palsy

Klumpke paralysis

Iliotibial band syndrome

Unhappy triad

Anterior cruciate ligament injury

Patellar tendon rupture

Meniscus tear

Patellofemoral pain syndrome

Sprained ankle

Achilles tendon rupture

Spondylolysis

Spondylolisthesis

Degenerative disc disease

Spinal disc herniation

Sciatica

Compartment syndrome

Rhabdomyolysis

Bone disorders

Osteogenesis imperfecta

Craniosynostosis

Pectus excavatum

Arthrogryposis

Genu valgum

Genu varum

Pigeon toe

Flat feet

Club foot

Cleidocranial dysplasia

Achondroplasia

Osteomyelitis

Bone tumors

Osteochondroma

Chondrosarcoma

Osteoporosis

Osteomalacia and rickets

Osteopetrosis

Paget disease of bone

Osteosclerosis

Lordosis, kyphosis, and scoliosis

Joint disorders

Osteoarthritis

Spondylosis

Spinal stenosis

Rheumatoid arthritis

Juvenile idiopathic arthritis

Gout

Calcium pyrophosphate deposition disease (pseudogout)

Psoriatic arthritis

Ankylosing spondylitis

Reactive arthritis

Spondylitis

Septic arthritis

Bursitis

Baker cyst

Muscular disorders

Muscular dystrophy

Polymyositis

Dermatomyositis

Inclusion body myopathy

Polymyalgia rheumatica

Fibromyalgia

Rhabdomyosarcoma

Neuromuscular junction disorders

Myasthenia gravis

Lambert-Eaton myasthenic syndrome

Other autoimmune disorders

Sjogren syndrome

Systemic lupus erythematosus

Mixed connective tissue disease

Antiphospholipid syndrome

Raynaud phenomenon

Scleroderma

Limited systemic sclerosis (CREST syndrome)

Musculoskeletal system pathology review

Back pain: Pathology review

Rheumatoid arthritis and osteoarthritis: Pathology review

Seronegative and septic arthritis: Pathology review

Gout and pseudogout: Pathology review

Systemic lupus erythematosus (SLE): Pathology review

Scleroderma: Pathology review

Sjogren syndrome: Pathology review

Bone disorders: Pathology review

Bone tumors: Pathology review

Myalgias and myositis: Pathology review

Neuromuscular junction disorders: Pathology review

Muscular dystrophies and mitochondrial myopathies: Pathology review

Pediatric musculoskeletal disorders: Pathology review

Assessments

Spinal disc herniation

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USMLE® Step 1 questions

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High Yield Notes

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Spinal disc herniation

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Questions

USMLE® Step 1 style questions USMLE

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USMLE® Step 2 style questions USMLE

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A 42-year-old man presents to the emergency department as a level 1 trauma following a fall from scaffolding. The patient worked as a painter and slipped and fell approximately 20 ft, landing on his back. Upon arrival, the patient has a GCS of 15 and endorses pain in his lower back. Temperature is 37.0 °C (98.6 °F), pulse is 105/min, respirations are 18/min, blood pressure is 176/65 mmHg, and O2 saturation is 97% on room air. The patient's primary survey is intact, and his secondary survey is notable for a step-off and pain at the T12-L1 spinal level. An emergent MRI of the spine is demonstrated below. Which of the following additional clinical features is most specific to this patient's clinical condition?

Reproduced from: Radiopaedia

External References

First Aid

2022

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2016

Disc herniation p. 463

Vertebral disc herniation p. 524

External Links

Summary

Spinal disc herniation is a medical condition in which there is a tear in the outer fibrous ring of an intervertebral disc, allowing the central portion called the nucleus pulposus to bulge out beyond the damaged outer ring. This puts pressure on the spinal nerves and causes pain, numbness, tingling, or muscle weakness in the affected area. Disc herniation is usually due to age-related degeneration of the annulus fibrosus, although trauma, lifting injuries, and straining have been implicated. The severity of the symptoms can vary depending on the size and location of the herniation. Treatment options can range from conservative measures like pain management and physical therapy to surgical interventions in more severe cases.

Elsevier

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