HOFFMANN'S SIGN OR REFLEX FOR CERVICAL SPONDYLOTIC MYELOPATHY (CSM) Next to fractures, another red flag we have to screen for in the cervical spine is cervical spondylotic myelopathy (CSM), which is an encroachment of the spinal cord at cervical level by degenerative changes (uncinate process and facet joint osteophytosis, ossification or hypertrophy of the posterior longitudinal ligament and the ligamntum flavum or subluxations of the vertebral body). If the spinal cord is compressed, our patie
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Ak Nursing Academy on Instagram: "The Hoffmann test is a neurological reflex test where a doctor flicks the patient's middle fingernail downward to check for an involuntary finger response. A positive result, where the thumb and index finger flex, can indicate an upper motor neuron lesion in the cervical spine, such as those caused by spinal cord compression. While it's a useful screening tool, a positive sign isn't always definitive, as up to 3% of healthy individuals may have a positive reflex
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