Published on March 8, 2014
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 : firstname.lastname@example.org WADEM 2011 BIEGING, CHINA ARC Orthopaedic Clinic, ECIL, ARC Road, Hyderabad, INDIA
A fracture of a transverse process is a break of a part ... the spine are close to the transverse processes, ... to the onset of back and/or neck pain.
The transverse processes of mammals are homologous to the cervical ... causing pain , numbness, tingling ... The long spinous process of C7 is thick and ...
The 7th cervical (C7) vertebra is the largest and most inferior vertebra in the neck region. ... (9th Thoracic Vertebra) Transverse Process; Ventral Ramus ...
... two transverse processes, ... (with the exception of C2 and C7, which have palpable spinous processes). ... Neck pain; Upper back pain;
An elongated transverse process of C7 is basically ... Severe trauma and acute injuries can cause thoracic outlet syndrome ... Scalene Hypertrophy ...
Cervical spondylosis is a common ... Examination findings include neck pain, radicular signs, ... uncinate process hypertrophy is present ...
Cervical Blood Vessels. There are a number of major blood vessels in the cervical spinal region including: the brachiocephalic vein; the internal jugular ...
... to be present in a patient without neck pain who is ... spinous process ... portion of the transverse process pass the ventral rami of the ...
Thoracic vertebrae are unique among the bones of the ... Transverse Process; Ventral Ramus ... vertebrae to one another and to the C7 and L1 vertebrae.