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UE nerve lesions > Clinical Signs > Flashcards

Clinical Signs Flashcards

1
Q

Describe pope’s hand.

A

digits 2 and 3 extended when asked to make a fist

Thumb abducted

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2
Q

Claw hand

A

Is a passive symptom (opposed to popes hand)
MP joints are extended and PIP and DIP joints flexed
thumb is abducted

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3
Q

Claw hand + ape hand

A

Passive and the thumb is adducted

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4
Q

What muscle might get entrapped in the pronator teres?

A

Median N.

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5
Q

What nerve could be entrapped by Flexor carpi ulnaris?

A

ulnar n.

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6
Q

The radial artery is just lateral to what tendon?

A

Flexor carpi radialis

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7
Q

The median n is just lateral to what tendon in the wrist?

A

Palmaris longus

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8
Q

The ulnar a. is just lateral to what tendon?

A

Flexor carpi ulnaris

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9
Q

What artery forms most of the superficial palmar arch?

A

ulnar a.

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10
Q

What artery forms most of the deep palmar arch?

A

Radial a.

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11
Q

What tendons are most superficial in the carpal tunnel?

A

FDS tendons 3,4 (superficial)

FDS 2,5 (deep)

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12
Q

What is contained in the radial bursa?

A

The FPL tendon only (localized infection)

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13
Q

What tendons are within the ulnar bursa?

A

Sheaths 2-5 (good place for infection to spread)

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14
Q

What are symptoms of carpal tunnel syndrome?

A

Ape hand, loss of sensation lateral 3.5 digits, atrophy of thenar compartement

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15
Q

What causes waiter’s tip palsy?

A

SAM (suprascapular, Axillary, Musculocutaneous n.)

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16
Q

Describe waiter’s tip palsy.

A 
Arm adducted, medially rotated
FA pronated (no biceps) , elbow extended

sensory loss lateral F-arm

17
Q

Klumpe’s Paralysis (lower Brach. Plexus lesion) nerves affected

A

klUMpe’s (Ulnar, and Median involvement)

18
Q

Klumpe’s clinical presentation

A

Claw and Ape hand

lateral 3.5 digits have sensation

19
Q

Is DIP and PIP extension still possible in wrist drop?

A

Yes

20
Q

Describe ape hand.

A

Thumb pulled into palm

UE nerve lesions (5 decks)

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