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41 Cards in this Set

  • Front
  • Back

Axillary Nerve Roots

C5-C6

Axillary Nerve MOI

Fracture surgical neck, anterior dislocation

Presentation of Axillary Nerve Injury

Flattened deltoid, loss of arm abduction, loss of sensation over deltoid and lateral arm

Musculocutaneous Nerve Roots

C5-C7

Musculocutaneous MOI

upper trunk compression

Musculocutaneous Nerve Injury Presentation

loss of forearm flexion and supination


loss of sensation over later forearm

Radial Nerve Roots

C5-T1

Radial Nerve MOI

MIDSHAFT fracture of humerus


compression of axilla (saturday night palsy)

Radial Nerve Injury Presentation

wrist drop, loss of elbow, wrist, and finger extension


Decreased grip strength


Loss of hand sensation over posterior arm/forearm and dorsal hand

Median Nerve Roots

C5-T1

Median Nerve MOI

Supracondylar fracture of humerus (proximal lesion)


Carpal tunnel syndrome


Wrist laceration (distal lesion)

Median Nerve Injury Presentation

"ape hand" or "Pope's blessing"


Loss of wrist flexion, flexion of lateral fingers, thumb opposition, lumbricals of 2nd and 3rd digits


Loss of sensation over the thenar eminence and dorsal and palmar aspects of lateral 2.5 fingers with proximal lesion


Tinned sign in carpal tunnel syndrome

Ulnar Nerve Roots

C8-T1

Ulnar Nerve MOI

fracture of medial epicondyle of humerus "funny bone" (proximal)


fractured hook of hamate (distal)

Ulnar Nerve Injury Presentation

"ulnar claw" on digit extension


Radial deviation of wrist upon flexion (proximal lesion)


Loss of wrist flexion, flexion of medial fingers, abduction and adduction of fingers (interossei), actions of medial 2 lumbrical muscles


Loss of sensation over medial 1.5 fingers, including hypothenar eminence

Recurrent branch of median nerve roots

C5-T1

Recurrent branch of median nerve MOI

superficial laceration of palm

Recurrent branch of median nerve injury presentation

"ape hand"


Loss of thenar muscle group: opposition, abduction, flexion of thumb


NO LOSS OF SENSATION

Obturator Nerve Roots

L2-L4

Obturator Nerve MOI

Pelvic surgery

Obturator Nerve Injury Presentation

decreased medial thigh sensation and decreased adduction

Femoral Nerve Roots

L2-L4

Femoral Nerve MOI

Pelvic fracture

Femoral Nerve Injury Presentation

decreased thing flexion and leg extension (quads)

Common Peroneal Nerve Roots

L4-S2

Common Perineal Nerve MOI

trauma/compression of lateral aspect of leg, fibular neck fracture

Common Perineal Nerve Injury Presentation

foot drop, inverted and plantar flexed at rest, loss of eversion and dorsiflexion.


"steppage gait"


Loss of sensation to the DORSUM of the foot

Tibial Nerve Roots

L4-S3

Tibial Nerve MOI

Knee trauma, Baker Cyst (proximal), tarsal tunnel syndrome (distal)

Tibial Nerve Injury Presentation

Inability to curl toes


Loss of sensation on SOLE of foot


Proximal lesion= foot everted at rest with loss of inversion and plantarflexion

Superior Gluteal Nerve Roots

L4-S1

Superior Gluteal Nerve MOI

Iatrogenic injury during IM injection to upper medial gluteal region

Superior Gluteal Nerve Injury Presentation

Trendelenburg sign/gait (superior gluteal nerve -> glut medium/minimus)


Lesion is contralateral to side of the hip that drops, ipsilateral to extremity that the patient stands on

Inferior Gluteal Nerve Roots

L5-S2

Inferior Gluteal Nerve MOI

posterior hip dislocation

Inferior Gluteal Nerve Injury Presentation

difficulty climbing stairs, rising from a seated position, loss of hip extension (glut maximus)

Sciatic Nerve Roots

L4-S3

Sciatic Nerve Branches

Common perineal and tibial nerves

Sciatic Nerve Innervates?

Posterior thigh

Pudendal Nerve Roots

S2-S4

Pudendal Nerve Innervates?

Perineum (blocked w/ local during childbirth, ischial spine for landmark)