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38 Cards in this Set

  • Front
  • Back
which muscles are innervated by the musculocutaneous nerve?
BBC (biceps, brachialis, coracobrachialis)
lumbosacral plexus
L1-S4
what are the motor functions of the radial nerve?
extension at all arm, wrist, and finger joints, forearm supination, thumb abduction in plane of palm
what are the motor functions of the median nerve?
thumb flexion and opposition, flexion of digits 2 and 3, wrist flexion and abduction, forearm pronation
what are the motor functions of the ulnar nerve?
finger adduction and abduction other than thumb, thumb adduction, flexion of digits 4 and 5, wrist flexion and adduction
what is the function of the axillary nerve?
abduction of arm at shoulder beyond first 15°
what is the function of the musculocutaneous nerve?
flexion of arm at elbow, supination of forearm
sensory innervation of saphenous nerve
medial shin
sensory innervation of common peroneal nerve
lateral upper half of shin
sensory innervation of deep peroneal nerve
b/w 1st and 2nd toes
sensory innervation of superficial peroneal
lower lateral half of shin
sensory innervation of posterior tibial nerve
lateral foot and sole
what are the intrinsic hand muscles?
muscles of the thenar and hypothenar eminence, lumbricals, and interossei
what nerves and nerve roots innervate the intrinsic hand muscles?
ulnar nerve, except for the LOAF muscles which are innervated by the median nerve; C8, T1
function of the palmar interossei
adduct the fingers
function of the dorsal interossei
abduct the fingers
which muscles are innervated by the sciatic nerve?
hamstring muscles (semitendinosus, semimembranosus, biceps femoris)
Erb-Duchenne Palsy
damage to the upper trunk of the brachial plexus causes weakness of the deltoid, biceps, infraspinatus, and wrist extensors (C5, C6); arm assumes "bellman's" or "waiter's tip" pose
what causes Erb-Duchenne Palsy?
traction on infant's shoulder during delivery and motorcycle accidents
Klumpke's Palsy
damage to the lower trunk of the brachial plexus causes hand and finger extension weakness, atrophy of the hypothenar muscles, and sensory loss on the ulnar aspect of the hand and forearm
what causes Klumpke's Palsy?
upward traction produced by grabbing a branch during fall from a tree, thoracic outlet syndrome, and Pancoast's syndrome
thoracic outlet syndrome
lower brachial plexus is compressed as it passes b/w the clavicle and 1st rib
Pancoast's syndrome
apical lung tumor (non-small cell carcinoma) extends into the lower brachial plexus
what causes radial neuropathy?
sleeping with the arm slung over a park bench ("Saturday night palsy"), compression in the axilla by crutches
signs of radial neuropathy?
wrist drop (weakness of all extensors of the arm hand, and fingers below the shoulder), loss of triceps reflex
what causes median neuropathy?
someone sleeping with their head resting on the upper arm ("honeymooner's palsy")
which nerve passes through the pronator teres muscle in the forearm?
median
signs of median neuropathy?
preacher's hand (unable to flex first 3 digits when trying to make a fist)
what is the best muscle to test carpal tunnel syndrome?
abductor pollicis brevis, which abducts the thumb perpendicular to the plane of the palm
signs of femoral neuropathy?
weakness of thigh flexion and knee extension, loss of patellar reflex, and sensory loss in anterior thigh
signs of sciatic neuropathy?
weakness of all foot and ankle muscles and of knee flexion, loss of Achilles reflex, and sensory loss in the foot and lateral leg below the knee
where is the common peroneal nerve vulnerable to injury?
as it passes around the fibular head
signs of peroneal nerve palsy?
foot drop with weakness of foot dorsiflexion and eversion, and sensory loss over the dorsolateral foot and shin
meralgia paresthetica
lateral femoral cutaneous nerve (L2,L3) can be entrapped as it passes under the inguinal ligament or fascia lata producing paresthesias and loss of sensation in the lateral thigh
Morton's metatarsalgia
tight-fitting shoes can compress the nerves of the 3rd and 4th toes, producing numbness and paresthesias
what will you see in a nerve conduction study with a lesion proximal to the dorsal root ganglia?
SNAPs will be preserved
what will you see in a nerve conduction study with a lesion proximal to motor nerve roots?
reduced or absent CMAPs
decreased SNAP amplitude indicates
axonal damage