Applied peripheral neuropathy Flashcards
What are the dermatomes of the upper limb?
C5 - over deltoid C6 - index finger C7 - middle finger C8 - little finger T1 - inner arm T2 - apex of axilla
What are the dermatomes of the lower limb?
L2 - anterior medial thigh L3 - over knee L4 - medial aspect of tibia L5 - dorsum of foot running to big toe S1 - lateral heel S2 - popliteal fossa
What are the nerve innervations for movements of the upper limb?
C5 - shoulder abduction C6 - elbow flexion C7 - elbow extension C8 - finger flexion T1 - finger abduction
What are the nerve innervations for movements of the lower limb?
L2 - hip flexion L3 - knee extension L4 - ankle dorsiflexion L5 - extension of big toe S1 - ankle plantar flexion S2 - knee flexion
What muscle does shoulder abduction?
Deltoid
What nerve supplies the deltoid muscle and what cord and trunk of the brachial plexus does this arise from? What is the nerve root?
Axillary
Posterior
Upper
C5
What muscle does elbow flexion?
Biceps brachii
What nerve supplies the biceps brachii muscle and what cord and trunk of the brachial plexus does this arise from? What is the nerve root?
Musculocutaneous
Lateral
Upper
C6
What muscle does shoulder adduction?
Pectoralis major
Latissimus dorsi
What nerve supplies the pectoralis major muscle? What is the nerve root?
Pectoral nerves
C5-T1
What nerve supplies the latissimus dorsi muscle? What is the nerve root?
Thoracodorsal
C6-8
What muscle does elbow extension?
Triceps
What nerve supplies the triceps muscle and what cord and trunk of the brachial plexus does this arise from? What is the nerve root?
Radial
Posterior
Upper and middle
C7
What muscle does wrist extension?
Extensor carpi radialis
What nerve supplies the extensor carpi radialis muscle and what cord and trunk of the brachial plexus does this arise from? What is the nerve root?
Radial
Posterior
Upper and middle
C7/8
What muscle does wrist flexion?
Flexor carpi radialis
What nerve supplies the flexor carpi radialis muscle and what cord and trunk of the brachial plexus does this arise from? What is the nerve root?
Ulnar
Medial
Lower
C7/8
What muscle does finger flexion?
FDS/FDP
What nerve supplies the FDS/FDP muscles and what cord and trunk of the brachial plexus does this arise from? What is the nerve root?
Median (+ulnar)
Medial
Lower
C8
What muscle does finger extension?
Extensor digitorum
What nerve supplies the extensor digitorum muscle and what cord and trunk of the brachial plexus does this arise from? What is the nerve root?
Radial
Posterior
Lower
C8
What muscle does finger abduction?
Dorsal interossei
What nerve supplies the dorsal interossei muscle and what cord and trunk of the brachial plexus does this arise from? What is the nerve root?
Ulnar
Medial
Lower
T1
What can cause a winged scapula?
Nerve lesion
Myopathy
What nerve lesions can cause winged scapula?
Long thoracic (most common) - serratus anterior
Accessory (less common) - trapezius
Dorsal scapular nerve (extremely rare) - rhomboids
What muscle does hip flexion?
Iliopsoas
What is the nerve supply of iliopsoas and what is the nerve root?
Branch of femoral
L2
What muscle does hip extension?
Gluteus maximus
What is the nerve supply of gluteus maximus and what is the nerve root?
Inferior gluteal
L5-S2
What muscle does knee extension?
Quads
What is the nerve supply of the quads and what is the nerve root?
Femoral
L3
What muscle does knee flexion?
Hamstrings
What is the nerve supply of hamstrings and what is the nerve root?
Sciatic L5
Tibial (bit of peroneal) S1/2
What muscle does ankle dorsiflexion?
Tibialis anterior
What is the nerve supply of tibialis anterior and what is the nerve root?
Peroneal
L4
What muscle does extension of the big toe?
Extensor hallucis longus
What is the nerve supply of extensor hallucis longus and what is the nerve root?
Peroneal
L5
What muscle does ankle plantar flexion?
Gastrocnemius
What is the nerve supply of gastrocnemius and what is the nerve root?
Tibial
S1
What are the differentials for foot drop?
Muscle - myopathy Nerve - peroneal nerve/sciatic nerve Root L4/5 Anterior horn MND Brain - parasaggital meningioma