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Ramu's sign, brachialgia, Adson's test, C7 transverse process, hypertrophy of C7 transverse, process, pain neck,

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Information about Ramu's sign, brachialgia, Adson's test, C7 transverse process,...
Health & Medicine

Published on March 8, 2014

Author: drvsnraju

Source: slideshare.net

Description

Persons with a conical neck, especially in the antero lateral area of root of neck, often feel a vague pain which aggravates by applying local pressure on the said area, rarely a radiating pain down the ipsilateral arm may also be elicited. The Brachial plexus in such situations is subjected to kink over the elevated tissue, soft and bony, caused by hypertrophic transverse processes of C7 vertebrae or cervical ribs. The kink leads to a tightness and traction on the spinal nerves, increasing with advancing age and reduced physical activity. This is demonstrable in radiographs & MRIs of root of neck. The said pain is not felt in persons with normal transverse processes of C7 vertebra or in absence of cervical rib/band.

Presence of prefixed cervical spinal nerves may also give a similar sign. The point to ponder is, if hypertrophied transverse processes of C7 spine/cervical rib/cervical band happen to coexist with prefixed spinal nerves.
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Ramu’s Sign Persons with a conical neck, especially in the antero lateral area of root of neck, often feel a vague pain which aggravates by applying local pressure on the said area, rarely a radiating pain down the ipsilateral arm may also be elicited. The Brachial plexus in such situations is subjected to kink over the elevated tissue, soft and bony, caused by hypertrophic transverse processes of C7 vertebrae or cervical ribs. The kink leads to a tightness and traction on the spinal nerves, increasing with advancing age and reduced physical activity. This is demonstrable in radiographs & MRIs of root of neck. The said pain is not felt in persons with normal transverse processes of C7 vertebra or in absence of cervical rib/band. Presence of prefixed cervical spinal nerves may also give a similar sign. The point to ponder is, if hypertrophied transverse processes of C7 spine/cervical rib/cervical band happen to coexist with prefixed spinal nerves.

Prominent & hypertrophied Transverse Process of C7 Vertebra

Prominent & hypertrophied Transverse Process of C7 Vertebra Magnified view

Yet another such situation, much grosser Note the conical form of neck & dimpled Rt. C7 transverse process

Yet another case Bilateral Cervical Ribs

X Ray & MRI of neck of a young male with Ramu’s sign. Presented with brachialgia Right side.

Enlarged View of the same MRI Note kink In spinal nerves in the first two screens

X-Ray of my own Neck

This feature is not a known or traceable entity in literature and I humbly dedicate this phenomenon to my God Father Dr D Ramu garu as Ramu’s Sign

Dr V S N Raju email : intacthands@gmail.com WADEM 2011 BIEGING, CHINA ARC Orthopaedic Clinic, ECIL, ARC Road, Hyderabad, INDIA

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