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34 Cards in this Set
- Front
- Back
C7 root
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Compressed by cervical disk lesion
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Axillary n
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Lesioned by fracture of surgical neck; dislocation of the humerus; intramuscular injections
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Radial n. in spiral groove
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Lesioned by midshaft fracture of humerus
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Radial n. in armpit
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Compressed in axilla by incorrect crutch use
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Radial n. deep branch
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Stretched by subluxation of radius
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Median n at elbow/proximal forearm
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Compressed by supracondylar fracture of humerus; pronator teres syndrome (entrapment of median n by two heads of pronator teres muscle); aggravated by resisted pronation of forearm
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Ant. interosseous n
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Compressed in deep forearm; weakness of flexor digitorum profundus (index) and flexor pollicus longus (thumb) and pronator quadrus of forearm; can't make a pincer movement with first finger and thumb
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Recurrent branch of median n
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Lesioned by superficial laceration; innervates thenar evidence (flexes, abducts, and aducts the thumb)
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OAF
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Muscles in thenar eminence
Opponens; abductor; flexor |
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Meat-LOAF
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Muscles innervated by median nerve in hand
(2 Lateral Lumbricals, Opponens pollics, abductor pollicis brevis, flexor pollicis brevis) |
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Thoracic Outlet Syndrome
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1. Atrophy of thenar and hypothenar eminence
2. Atrophy of interosseous muscles 3. Sensory deficits on the medial side of the forearm and hand 4. Disappearance of the radial pulse upon moving the head toward the opposite side |
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C5/C6 Trunk Lesion
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Waiter's tip (erb's palsy)
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C8/T1 trunk lesion
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Total claw hand (klumpke)
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Radial nerve lesion (C5-C8) (midshaft humerus fracture)
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Wrist drop + sensory deficit on posterior arm, dorsal hand, dorsal thumb
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Long thoracic nerve injury in brachial plexus
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Winged scapula
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Axial nerve lesion
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Deltoid paralysis
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Radial nerve lesion
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Wrist drop (saturday night palsy)
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musculocutaneous nerve lesion
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Difficulty flexing elbow, variable sensory loss
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Proximal median lesion (supracondylar humerous fracture)
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Ape hand/thumb problems
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Distal median nerve lesion (carpal tunnels yndrome; dislocated lunate)
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Ulnar deviation of wrist upon wrist flexion
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Proxiaml ulnar lesion via fracture of medial epicondyle of humerous
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Radial deviation of wrist upon flexion
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Distal ulner lesion via fracture of hook of hamate (falling on outstretched hand)
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Ulnar claw hand (when asked to straighten fingers) - Pope's bledding/sign of benediction
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Musculocutaneous lesion by upper trunk compression
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Loss of elbow flexion and lateral forearm sensory
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Muscles innervated by radial nerve
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"great extensor nerve" - BEST - Brachioradialis, Extensors of the wrist and fingers, Supinator and Triceps
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Dorsal interosseous muscles
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Abduct the fingers (DAB = dorsals ABduct)
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Palmar interosseous muscles
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Adduct the fingers (PAD = Palmars ADduct)
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Lumbrical muscles
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flex at the MP joint
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Repetitive elbow trauma
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Degenerative injury due to repeated use; leads to tiny tears in tendons and muscles. May be inflammatory - e.h. lateral epidonylitis (tennis elbow), medial epicondylitis (golf elbow)
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Obturator nerve injury via anterior hip dislocation
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Thigh adduction, medial thigh sensory deficit
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Femoral nerve injury via pelvic fracture
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Thigh flexion and leg extension; anterior thigh and medial leg
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Common peroneal injury via trauma to lateral aspect of leg or fibula neck fracture
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Branch of sciartic; foot erversion and dorsiflexion; toe extension; sensory deficit on anterolateral leg and dorsal aspect of foot = foot drop
PED = peroneal everts and dorsiflexes; if injured foot dropPED |
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Tibial nerve injury via knee trauma
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Foot inversion and plantar flexion; toe flexion; sensory deficit on sole of foot
TIP = Tibial Inverts and Plantarflexes; if injured, can't stand on TIPtoes |
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Superior gluetal nerve injury via posterior hip dislocation or polio
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Thigh abduction (positive trendelenburg sign)
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Inferior gluteal nerve injury via posterior hip dislocation
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Can't jump, climb stairs, or rise from seated position
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