Comp. Nero Flashcards

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1
Q

What is neuropathy?

A

functional or pathological change in the peripheral NS

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2
Q

4 Biomechanical Causes of Neuropathy

A
  • Space Ocupying lesions (cust/herniated disc)
  • Degenerative (stenosing age)
  • Post Traumatic (Fracture/hematoma/equipment compression)
  • Mechanical (muscle spams/external force)
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3
Q

3 systemic causes of Neuropathy

A
  • Diabetes
  • Pregnancy
  • Hypothyroidism
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4
Q

5 pathological changes in Neuropathy

A
-Microvascular compression ->ischemia
• Thickened epineurium
• Myelin thinning distortion
• Microtubule closure
• Axonal degeneration
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5
Q

Where are 3 places for radial N. entrapment?

A

High on Humorerus
Radial tunnel
at the wrist

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6
Q

Associted symptoms of Radial N entrapment

A

Wrist drop
Pain on L. epicondyle
pain with resisted supination
weakness of elbow flexion

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7
Q

Associated symptoms of Medial N. entrapment

A

achy pain mid/proximal forearm
pain with resisted pronation
cramping in finger

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8
Q

Anterior Interosseous syn.
What test with?
Trt?

A

Median N. entrapment
Ok Sign
Splint the elbow

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9
Q

Club cast and dull pain associated with

A

Weakness of the long flexor muscle of the thumb

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10
Q

Symptoms of Ulnar N. entrapment

A
  • 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
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11
Q

What is cubital tunnel syn.?

A

Ulnar N entrapment at the elbow

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12
Q

Medial N. Entrapment Sym.

A

Note: MOST COMMONLY COMPRESSED Nerve!

Nighttime numbness of lateral 3 ½ digits, tingling, wrist pain, dropping things, thenar atrophy

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13
Q

How do you test for MEdian N entrapment?

A

gold-standard EMG

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14
Q

Sympt. of Thoracic Outlet Syn.

A

Weakness, paresthesia of medial arm, forearm, and

hand exacerbated by overhead activities

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15
Q

What are the four tests to determine Thoracic Outlet Syn?

A
  • Military/Costoclavicular maneuver
  • Wright’s HyperABduction Test
  • EAST Test/Roos Test
  • Adson Test
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16
Q

Sympt. OF Maralgia Paresthetica

A
  • 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
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17
Q

Innervation of Common Fibular N. and motion

A

L4-S2

plantar flexion and inversion of the foot.

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18
Q

How can you cause Common fibular N. entrapment?

A
  • Leg gets hooked over a rail
  • Spend a prolonged time squating
  • Ankle Sprains or Trauma to Fibular Head
19
Q

What is Tarsal Tunnel Syn?

A

Compression of posterior tibial nerve in the tarsal tunnel behind the medial malleolus with the overlying flexor
retinaculum

20
Q

What does P. Tibial N. innervate?

A

motor to the plantar muscles of the foot and sensation to plantar aspect of the foot and toes

21
Q

Sym. of P. Tibial N Entrapment

A
-Pain on plantar surface of foot
• Not very specific, on plantar aspect of the foot
• Vague burning
• Tingling
• Numbness
• Gait seldom affected
22
Q

OMM trt for Tarsal N entrapment?

A

Myofascial release

• HVLA

23
Q

ANTERIOR TARSAL TUNNEL SYNDROME is due to compression of what N.?

A

Deep fibular nerve (L4-S2) compressed at the inferior extensor retinaculum

24
Q

What are symptoms of Anterior Tarsal Tunnel Syn.?

A

-Pain over dorsomedial aspect of foot and worse at rest

• Weakness of extensor digitorum brevis

25
Q

Three types of injury of Nerves

A

Neuropraxia (1st degree )
Axometesis (2nd Degree)
Neuromesis (3rd to 5th)

26
Q

With Neuroesis (3 to 5th degree) What occurs

A

Axon Damage plus CT coverings begin to damaged in successive order around the Nerve
-Cannot fully recover b/c loss to the CT

27
Q

Axometesis what occurs

A

Disruption to Axon itself (in the name), can have full recovery

28
Q

Neuropraxia

A
  • Damaged the Myelin sheath surrounding the Axon
  • fully reversible
  • shortest duration of days to weeks
29
Q

C5 associated with what reflex, Motor, Sensation

A

Reflex: Biceps
Motor: Deltoid and Biceps
Sensation: Lateral Arm

30
Q

C6 associated with what reflex, Motor, Sensation

A

Reflex: Brachioradialis
Motor: Wrist extension and Elbow flexion
Sensation: Radial forearm Thumb and index finger

31
Q

C7 associated with what reflex, Motor, Sensation

A

Reflex: Triceps
Motor: Wrist flexion, Elbow extension Finger extension
Sensation: Middle Finger

32
Q

C8 associated with what Motor and Sensation

A

Motor: Finger flexion
Sensation: Ulnar forearm, Small finger

33
Q

T1 associated with what Motor and Sensation

A

Motor: Finger ABDuction
Sensation: Medial Arm

34
Q

What is Handcuff Neuropathy?

A

Superficial Radial N entrapment aka Chairalgia prostetia aka Wartenburg’s Syndrome

35
Q

What is the sensory distribution for the Superficial Radial N.?

A

The Dorsum of hand, First through middle fingers

36
Q

What is the Gold standard for diagnosing Carpal Tunnel Syndrome?

A

EMG

37
Q

L1/L2 Motor and Sensation

A

Motor: Hip Flexion
Sensation: Inguinal crease (L1),anterior thigh (L2)

38
Q

L2, L3 Motor and Sensation

A

Motor: Knee Extension
Sensation: anterior thigh just above knee (L3); Antrio thigh (L2)

39
Q

L4 Reflex, Motor, Sensation

A

Reflex: Patellar
Motor: Ankle dorsiflexion
Sensation: Medial leg and foot

40
Q

L5 , Motor, Sensation

A

Motor: Extensor hallucis longus m.
Sensation: Lateral leg, foot dorsum

41
Q

S1 Reflex, Motor, Sensation

A

Reflex: Achilles
Motor: Ankle Plantar Flexion
SensationL: Lateral foot, plantar foot

42
Q

Symptoms of Common Fibular N. Entrapment

A
  • Pain along proximal third of lateral leg
  • Foot drop with a slapping gait
  • Sx exacerbated during plantarflexion & inversion of the foot
43
Q

Sciatica is ____ NOT a _____ …

Most often caused by?

A

A symptom NOT a cause

Most often caused by WEAKNESS of the Sacroiliac ligament