Brachial plexus Flashcards

1
Q

The brachial plexus is composed of what sort of nerves?

A

Composed of network of ventral rami providing motor and cutaneous innervation to the upper limb.

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2
Q

Sensory injurys that follow a myotomal or dermatomal pattern are usually a damage to what sort of structure/

A

Typically damage to roots or trunks as a result of trauma to the neck.

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3
Q

Sensory injuries that follow the distribution of peripheral nerves are generally due to injuries of what structures?

A

Terminal branches of the brachial plexus as a result of trauma to the upper limb

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4
Q

What is preaxial side vs postaxal side?

A

Preaxial is the thumb side

Post axial is the ulnar side.

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5
Q

Name what dermatomes provide sensory to

C5
C6
C7
C8
T1
A
C5: Shoulder
C6: Tip of thumb
C7: Too variable
C8: Tip of fifth digit
T1: medial forearm at cubital region
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6
Q

What does the C5 myotome provide?

A

Abduction of the shoulder and flexion of the elbow

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7
Q

What does the C6 myotome provide?

A

Provides extension of the wrist.

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8
Q

What does the C7 myotome provide?

A

C7 provides flexion of the wrist and extension of the fingers.

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9
Q

What does the combination of C7 and C8 myotomes provide?

A

These both provide extension of the elbow.

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10
Q

What does the C8 myotome provide?

A

Flexion of the fingers.

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11
Q

What does the T1 myotome provide?

A

T1 provides abduction/adduction of the fingers.

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12
Q

What reflexes do the C5, C6, and C7 initiate?

A

C5 initiates biceps reflex
C6 initiates the brachioradialis reflex
C7 initiates the tricep reflex.

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13
Q

What area of the body can be touched to test the axillary nerve?

A

Lateral aspect of the deltoid

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14
Q

What area of the body can be touched to test the Musculocutaneous nerve?

A

Lateral fore arm via the lateral antebrachial cutaneous nerve.

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15
Q

What area of the body can be touched to test the Radial nerve?

A

Dorsum of the webbing between the thumb and index finger via the superficial branch!

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16
Q

What area of the body can be touched to test the ulnar nerve?

A

The medial tip of the fifth digit.

17
Q

In Erb-Duchene Palsy lesion what roots are destroyed?

A

C5-C6

18
Q

What are the symptoms of an Erb-Duchene Palsy lesion?

A

Paralysis of abductors and lateral rotators of the shoulder due to loss of suprascapular and axillary nerves.

Paralysis of elbow flexors and forearm supinators (Loss of musculocutaneous nerve)

19
Q

What is the clinical appearance of Erb-Duchene Palsy?

A

“Waiters Tip”
Wasted deltoid muscles arm hangs at side with internal rotation of arm and pronation of forearm
Sensory loss at shoulder and lateral arm and forearm.

20
Q

What roots are destroyed in a Klumpke Paralysis?

A

C8-T1 roots destroyed “Lower plexus injury”

21
Q

What are the symptoms of Klumpke paralysis?

A

Loss of intrinsic muscles of the hand with weakness/loss to the extrinsic hand flexors, especially those innervated by the ulnar nerve.

22
Q

What is the clinical appearance of Klumpke paralysis?

A

Claw hand