L8: Peripheral Nerve Injury Flashcards

1
Q

Structure of Nerves

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2
Q

Seddon’s Classification of Nerve Injury

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3
Q

Seddon’s Classification of Nerve Injury

  • Neuropraxia
A
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4
Q

Seddon’s Classification of Nerve Injury

  • Axonotmesis
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5
Q

Seddon’s Classification of Nerve Injury

  • Neurotmesis
A
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6
Q

Brachial Plexus

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7
Q

Causes of Brachial Plexus Injury

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8
Q

Course & Branches of Radial Nerve

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9
Q

Sensory Supply by Radial Nerve

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10
Q

Motor Supply by Radial Nerve

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11
Q

Injury of Radial Nerve

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12
Q

Course of Ulnar Nerve

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13
Q

Sensory Supply of Ulnar Nerve

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14
Q

Motor Supply By Ulnar Nerve

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15
Q

Injury to Ulnar Nerve

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16
Q

Course of Median Nerve

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17
Q

Sensory Supply by Median Nerve

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18
Q

Motor Supply by Median Nerve

A
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19
Q

Injury to Median Nerve

  • Site of injury
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20
Q

Injury to Median Nerve

  • Sensory Symp
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21
Q

Injury to Median Nerve

  • Motor Symp
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22
Q

Origin of Sciatic Nerve

23
Q

Thickest Nerve in Body

A

Sciatic Nerve

24
Q

Commonest Cause of Sciatic Nerve Injury

25
Steppage in **Sciatic Nerve Injury**
High Steppage
26
TTT of **Sciatic Nerve Injury**
Conservative treatment is indicated up to one year.
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Causes of **Sciatic Nerve Injury**
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TTT of **Sciatic Nerve Injury**
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Indications of Surgical Intervention in **Sciatic Nerve Injury**
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Operations for **Sciatic Nerve Injury**
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Operations for **Sciatic Nerve Injury** - Neurolysis
internal / external
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Operations for **Sciatic Nerve Injury** - Nerve Repair
**Nerve repair** - End-to-end repair: epineural/fascicular - Autologous graft: sural N.
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Operations for **Sciatic Nerve Injury** - Neurotization
- intercostal N. - accessory N. - cervical plexus within 1 year.
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Operations for **Sciatic Nerve Injury** - Ms & tendon Transfer
...
35
Leading Cause of failure of Nerve Graft
- Inadequate resection. - Distraction of Repair Site
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Def of **Entrapment Symdrome**
A peripheral neuropathy caused by chronic or acute compression of the median nerve under the transverse carpal ligament "Flexor retinaculum".
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Causes of **Entrapment Symdrome**
Hormonal disturbance as: - Hypothyroidism. - Acromegaly. - RA - Pregnancy
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Incidence of **Entrapment Symdrome**
Sex: More in females.
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CP of **Entrapment Symdrome**
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INVx for **Entrapment Symdrome**
- NCV - US - MRI
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TTT of **Entrapment Symdrome**
- Medical ttt. - Surgical release - open - endoscopic.
42
Def of **Thoracic Outlet Syndrome**
Compression of subclavian vessels & the lower trunk of the brachial plexus.
43
Causes f **Thoracic Outlet Syndrome**
Narrowing of the posterior triangle as in: - Cervical rib. - Fibrous band.
44
Incidence of **Thoracic Outlet Syndrome**
Sex: More in females.
45
CP of **Thoracic Outlet Syndrome**
46
Types of **Thoracic Outlet Syndrome**
1. Neurological. 2. Vascular. 3. Mixed.
47
INVx for **Thoracic Outlet Syndrome**
- NCV - US - MRI - X-Ray
48
TTT of **Thoracic Outlet Syndrome**
- Medical ttt - Surgical decompression: * Scalenotomy * Excision of cervical rib & fibrous bands.
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Entrapment of **Ulnar Nerve** - Etiology
50
Entrapment of **Ulnar Nerve** - Causes
It is always associated with elbow trauma or deformity.
51
Entrapment of **Ulnar Nerve** - CP
52
Entrapment of **Ulnar Nerve** - INvx
- NCV - US - X-Ray ## Footnote Β§
53
Entrapment of **Ulnar Nerve** - TTT
- Medical ttt. - Surgical decompression. - Ulnar nerve transposition.