Comp. Nero Flashcards
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What is neuropathy?
functional or pathological change in the peripheral NS
4 Biomechanical Causes of Neuropathy
- Space Ocupying lesions (cust/herniated disc)
- Degenerative (stenosing age)
- Post Traumatic (Fracture/hematoma/equipment compression)
- Mechanical (muscle spams/external force)
3 systemic causes of Neuropathy
- Diabetes
- Pregnancy
- Hypothyroidism
5 pathological changes in Neuropathy
-Microvascular compression ->ischemia • Thickened epineurium • Myelin thinning distortion • Microtubule closure • Axonal degeneration
Where are 3 places for radial N. entrapment?
High on Humorerus
Radial tunnel
at the wrist
Associted symptoms of Radial N entrapment
Wrist drop
Pain on L. epicondyle
pain with resisted supination
weakness of elbow flexion
Associated symptoms of Medial N. entrapment
achy pain mid/proximal forearm
pain with resisted pronation
cramping in finger
Anterior Interosseous syn.
What test with?
Trt?
Median N. entrapment
Ok Sign
Splint the elbow
Club cast and dull pain associated with
Weakness of the long flexor muscle of the thumb
Symptoms of Ulnar N. entrapment
- Paraesthesia 4/5th digits
- Medial elbow pain radiated to hand, dec strength
- Tinneal sign at elbow
- symptoms reproduced with elbow extension flexion and wrist extension
What is cubital tunnel syn.?
Ulnar N entrapment at the elbow
Medial N. Entrapment Sym.
Note: MOST COMMONLY COMPRESSED Nerve!
Nighttime numbness of lateral 3 ½ digits, tingling, wrist pain, dropping things, thenar atrophy
How do you test for MEdian N entrapment?
gold-standard EMG
Sympt. of Thoracic Outlet Syn.
Weakness, paresthesia of medial arm, forearm, and
hand exacerbated by overhead activities
What are the four tests to determine Thoracic Outlet Syn?
- Military/Costoclavicular maneuver
- Wright’s HyperABduction Test
- EAST Test/Roos Test
- Adson Test
Sympt. OF Maralgia Paresthetica
- Numbness or burning pain on anterolateral thigh
- Hyperesthesia to the point of not putting anything in pockets
- Trophic skin changes later on
- (+) Tinnel’s sign 1cm medial and inferior to the ASIS
Innervation of Common Fibular N. and motion
L4-S2
plantar flexion and inversion of the foot.