Arm Neurology Clinical notes

Question 1

Erb-duchenne Palsy or Waiters tip position

Answer 1

injury to the superior part of brachial plexus C5-C6

caused by stretch of the angle between the neck and the shoulder ripping the spinal roots off the spinal cord

patient will have an adducted and medially rotated arm and an extended elbow

Question 2

claw hand or klumpke paralysis

Answer 2

injury to the inferior part of the prachial plexus

increasing the angle between the trunk and the upper limb affecting the short muscles of the hand

claw hand when an individual tries to make a fist

Question 3

Compression of the cords of the brachial plexus

Answer 3

prolonged periods with the upper limb extended over the head

get pain radiating down the arm, loss of sensation, tingling of the arms and weakness of the hands

Question 4

Brachial muscle paralyzation

Answer 4

injury to the musculocutaneous N usually from blunt force or trauma

Question 5

injury to the axillary nerve

Answer 5

atrophy of the deltoid M and loss of sensation over the superolateral Arm, where the superior lateral brachial Cutaneous N exists

Question 6

Apes hand

Answer 6

injury to the median N in the wrist

results in an adducted thumb and thenar eminence atrophy

Question 7

Hand of Benediction

Answer 7

injury to the median N at the elbow inhibits flexion of the 2nd and 3rd digits

also see symptoms of apes hand

Question 8

4 ulnar injury locations and symptoms

Answer 8

posterior to the medial humeral epicondyle

between the ulnar and humeral heads of the flexor carpi ulnaris M (cubital tunnel)

or at the wrist or hand

extensive loss of sensory and motor control in the hand, when an individual tries to make a fist it appears as a Claw hand

Question 9

Handlebar neuropathy

Answer 9

Ulnar N compression at the spot of the hamulus of the hammate B. like when riding a bike

can produce sensory loss on the medial side of the hand and weakness of the intrinsic hand muscles

Question 10

Wrist drop

Answer 10

injury to the Radial N which causes an impairment of elbow extension and thumb abduction and extension