2. Jeopardy Spine Anatomy Spine Muscles Chronic Injuries Q $100 Q $200 Q $300 Q $400 Q $500 Q $100 Q $200 Q $300 Q $400 Q $500 Final Jeopardy Spine Structure and Function Acute Injuries

3. $100 Question from H1 Name the structures. Part:

4. $100 Answer from H1 Name the structures. ANNULUS NUCLEUS INTERVERTEBRAL DISC

5. $200 Question from H1 1. 2. 3. Name the parts of a vertebra.

6. $200 Answer from H1 Name the parts of a vertebra. SPINOUS PROCESS VERTEBRAL BODY INFERIOR FACET

7. $300 Question from H1 Name the parts of a vertebra 1. 2. 3. 4. 5.

8. $300 Answer from H1 Name the parts of a vertebra. SUPERIOR FACET 2. LAMINA PEDICLE VERTEBRAL FORAMEN TRANSERSE PROCESS

9. $400 Question from H1 2 Name the ligaments.

10. $400 Answer from H1 Name the ligaments. LIGAMENTUM FLAVUM PLL ALL

11. $500 Question from H1 2 Name the ligaments.

12. $500 Answer from H1 2 Name the ligaments. SUPRASPINOUS LIG. INTERSPINOUS LIG.

13. $100 Question from H2 What structure sits within and is protected by the vertebral foramen?

14. $100 Answer from H2 What structure sits within and is protected by the vertebral foramen? SPINAL CORD

15. $200 Question from H2 What is the name of the center gel-like portion of the intervertebral disc?

16. $200 Answer from H2 What is the name of the center gel-like portion of the intervertebral disc? NUCLEUS

17. $300 Question from H2 What is the name of the protective membranes on the spinal cord?

18. $300 Answer from H2 What is the name of the protective membranes on the spinal cord? MENINGES

19. $400 Question from H2 What is the main weight-bearing component of the vertebra?

20. $400 Answer from H2 What is the main weight-bearing component of the vertebra? VERTEBRAL BODY

21. $500 Question from H2 What is the name of the thick, strong ligament that limits extension of the spine? AND What is the name of the ligament that covers the back of the vertebral bodies that limits flexion?

22. $500 Answer from H2 What is the name of the thick, strong ligament that limits extension of the spine? ALL What is the name of the ligament that covers the back of the vertebral bodies that limits flexion? PLL

23. $100 Question from H3 Demonstrate: spine flexion, extension, rotation, and lateral bending.

24. $100 Answer from H3 SPINE FLEXION SPINE EXTENSION SPINE ROTATION LATERAL BENDING

25. $200 Question from H3 Name 3 muscles that help flex the spine.

26. $200 Answer from H3 Name 3 muscles that help flex the spine. 1.RECTUS ABDOMINIS 2.EXTERNAL OBLIQUE 3.INTERNAL OBLIQUE

27. $300 Question from H3 Name the 2 actions of the erector spinae.

28. $300 Answer from H3 Name the 2 actions of the erector spinae. 1.SPINE EXTENSION 2.LATERAL BENDING

29. $400 Question from H3 Name this muscle and the 3 parts in proper order:

30. $400 Answer from H3 SPINALIS ILIOCOSTALIS LONGISSIMUS ERECTOR SPINAE

31. $500 Question from H3 Name this muscle and it’s action:

32. $500 Answer from H3 SCALENES Lateral bending the neck!

33. $100 Question from H4 What would be the best recommendation for someone with a coccyx injury to use for extended periods of sitting?

34. $100 Answer from H4 What would be the best recommendation for someone with a coccyx injury to use for extended periods of sitting? DOUGHNUT PAD

35. $200 Question from H4 Identify the acute spine injury associated with the following location and type of pain: Neck pain and stiffness = _____ ? Severe pain at the very bottom of the spine = _____ ? Centralized neck pain with numbness/tingling in arms/legs = _____ ? Burning, numbness, and tingling from shoulder to hand = _____ ?

36. $200 Answer from H4 Identify the acute spine injury associated with the following location and type of pain: Neck pain and stiffness = WHIPLASH Severe pain at the very bottom of the spine = COCCYX INJURY Centralized neck pain with numbness/tingling in arms/legs = CERVICAL FRACTURE Burning, numbness, and tingling from shoulder to hand = BURNER/STINGER

37. $300 Question from H4 What acute spine injury is associated with these mechanisms of injury? Sudden snap of the neck = _____ ? Helmet-to-helmet collision = _____ ? Stretching or compressing of brachial plexus= _____ ? Following backwards directly on to tailbone= _____ ?

38. $300 Answer from H4 What acute spine injury is associated with these mechanisms of injury? Sudden snap of the neck = WHIPLASH Helmet-to-helmet collision = CERVICAL FRACTURE Stretching or compressing of brachial plexus= BURNER/STINGER Following backwards directly on to tailbone= COCCYX INJURY

39. $400 Question from H4 What are the 3 requirements before allowing an athlete with a burner/stinger to return to play?

40. $400 Answer from H4 What are the 3 requirements before allowing an athlete with a burner/stinger to return to play? 1.NO MORE SYMPTOMS 2.FULL ROM 3.FULL STRENGTH

41. $500 Question from H4 Describe the most common position of the neck during a cervical fracture/dislocation? AND What is the recommended on-field treatment ?

42. $500 Answer from H4 Describe the most common position of the neck during a cervical fracture/dislocation? AXIAL LOAD + FLEXION + ROTATION What is the recommended on-field treatment ? STABILIZE HEAD AND NECK; SPINEBOARD. EXTREME CAUTION!!!

43. $100 Question from H5 What chronic spine injury is associated with the following location and types of pain? Dull pain where the spine meets the pelvis = _______? Constant achy pain in one segment of lumbar spine =_____?

44. $100 Answer from H5 What chronic spine injury is associated with the following location and types of pain? Dull pain where the spine meets the pelvis = Sacroiliac Joint Dysfunction Constant achy pain in one segment of lumbar spine = Spondylolysis

45. $200 Question from H5 An athlete has been lifting weights with poor form and technique. He reports low back pain on both sides of his spine in the muscle belly about 2-3 inches lateral to spinous process. What injury do you suspect? What structure is likely involved?

46. $200 Answer from H5 Pain on both sides of his spine in the muscle belly about 2-3 inches lateral to spinous process. What injury do you suspect? What structure is likely involved? LOW BACK MUSCLE STRAIN ERECTOR SPINAE

47. $300 Question from H5 An athlete has pain on one side of spine about 1 inch lateral to spinous process. What injury do you suspect? What range of motions would increase pain?

48. $300 Answer from H5 An athlete has pain on one side of spine about 1 inch lateral to spinous process. What injury do you suspect? FACET SYNDROME What range of motions would increase pain? EXTENSION + ROTATION

49. $400 Question from H5 List symptoms of a lumbar disc herniation. Describe what is happening during this injury and why it leads to these symptoms.

50. $400 Answer from H5 Lumbar Disc Herniation Symptoms = Pain at one lumbar vertebra and shooting pain/tingling/numbness down one leg The nucleus (jelly) of the disc is pushing out through a crack in the annulus (donut). This is putting pressure on a nearby nerve root, causing the nerve symptoms such as burning, numbness, and tingling.

51. $500 Question from H5 What type of injury and what part of the vertebra is involved in a spondylolysis?

52. $500 Answer from H5 What type of injury and what part of the vertebra is involved in a spondylolysis? STRESS FRACTURE OF PARS INTERARTICULARIS- (BETWEEN SUPERIOR AND INFERIOR FACET)

53. Final Jeopardy 1. What is the difference between a spondylolysis and a spondylolysthesis? 2. Explain the “Scotty Dog Sign” seen on an x-ray of these conditions. Include: a. What a collar on the scotty dog indicates b. What the head chopped off the scotty dog indicates

54. Final Jeopardy Answer 1.Spondylolysis is a stress fracture of pars interarticularis. If the bone continues to weaken, the stress fracture can eventually slip, causing a spondylolysthesis 2. a. Collar on dog = stress fracture of pars interarticularis (Spondylolysis) b. Head chopped off = slipped fracture (Spondylolysthesis)