A 39-year-old man presents with neck pain radiating to the right arm, associated with numbness in the thumb and weakness of elbow flexion. Spurling ma...

Question

A 39-year-old man presents with neck pain radiating to the right arm, associated with numbness in the thumb and weakness of elbow flexion. Spurling manoeuvre reproduces his pain. There are no red flags such as fever, trauma or malignancy. What is the most likely diagnosis?

Accepted Answer

Cervical radiculopathy affecting the C6 root

Answer

Carpal tunnel syndrome

Answer

Rotator cuff tear

Answer

Cervical myelopathy

Answer

Lateral epicondylitis

ca-mccqe1 MCQ (SBA): Cervical radiculopathy

A 39-year-old man presents with neck pain radiating to the right arm, associated with numbness in the thumb and weakness of elbow flexion. Spurling manoeuvre reproduces his pain. There are no red flags such as fever, trauma or malignancy. What is the most likely diagnosis?