Anatomy - Basic Upper limb Flashcards

1
Q

What levels are effected with damage in erb-duchenne palsy?

A

C5-C7 , due to falling on neck or difficult delivery

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2
Q

What levels are screwed in klumpkes paralysis?

A

C8-T1, due to grabbing a tree limb or difficult delivery.

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3
Q

Would claw hand be present in erb-duchenne’s or klumpkes?

A

Klumpkes

- all digits clawed, intrinsic muscles of the hand are innervated by C8-T1. All lumbricles and interossi are gone

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4
Q

What does a midshaft fracture cause and what are possible etiologies of similar nerve problems.

A

Radial

Crutches - saturday nite palsy

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5
Q

What can result in radial nerve damage?

A

Wrist drop

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6
Q

What does froments sign test?

A

ulnar nerve damage - Adductor pollis lesion

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7
Q

Where does wasting occur in ulnar nerve damage?

A
  • hypothenar eminence
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8
Q

Where do you have damage in the cubital tunnel problem?

A
  • ulnar nerve
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9
Q

Where can median nerve injury occur?

A

between the two head of the protonator trees in hypertrophy and in the carpal tunnal. Causes swelling due to edema that causes pressure on the nerve
- Lose sensory on the first 3 1/2 digits of the palm, superficial flexor retinaculum

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10
Q

What specific muscles do the
ulnar nerve go through
radial nerve go through
median nerve go through

A
  • The ulnar nerve goes through the 2 heads flexor carpi ulnaris
  • The radial nerve goes through the supinator
  • The median nerve goes through the pronator teres
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11
Q

Where is the long thoracic n. in relation to the serratus anterior?

A

Superficial to the serratus anterior

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12
Q

What vertebral areas do the biceps, brachioradialis, and the triceps test

A

Biceps - C5
Brachioradialis - C6
Triceps - C7

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13
Q

Sensation of thumb, middle finger, pinky finger comes from?

A

Thumb - C6
Middle finger - C7
Pinky finger - C8

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14
Q

What is normal in reflexes?

A

2 out of 4

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15
Q

What is normal in a strength test?

A

5/5

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16
Q

What nerves are responsible for sensation in the palm?

A

digits 1-3.5 median n

digits 3.5-5 ulnar

17
Q

What nerves are responsible for sensation in the dorsal hand?

A

.5 radial
.5-3.5 median
3.5-5 ulnar

18
Q

How can you dx if cord level or peripheral named injury?

A

Contrast the dermotomes and the myotomes

19
Q

Dinner fork deformity?

A

Colles fracture - distal radial epipyphsis (should have dorsal displacement of the hand)

20
Q

What are the four things that pass through the carpal tunnel?

A

4 tendons FDR
4 tendons FDS
median nerve

21
Q

What muscles are aggrevated in DeQuarvian’s tenosynovitis?

A
  • Abductor pollicus longus

- extensor pollicus brevis

22
Q

What is the most common joint to get a separation?

A

AC

23
Q

What is the most common joint to get a dislocation?

A

Glenohumoral joint

24
Q

What would a fracture of the surgical neck of the humerus damage?

A

Axial nerve