L8: Peripheral Nerve Injury Flashcards
Structure of Nerves
Seddonβs Classification of Nerve Injury
Seddonβs Classification of Nerve Injury
- Neuropraxia
Seddonβs Classification of Nerve Injury
- Axonotmesis
Seddonβs Classification of Nerve Injury
- Neurotmesis
Brachial Plexus
Causes of Brachial Plexus Injury
Course & Branches of Radial Nerve
Sensory Supply by Radial Nerve
Motor Supply by Radial Nerve
Injury of Radial Nerve
Course of Ulnar Nerve
Sensory Supply of Ulnar Nerve
Motor Supply By Ulnar Nerve
Injury to Ulnar Nerve
Course of Median Nerve
Sensory Supply by Median Nerve
Motor Supply by Median Nerve
Injury to Median Nerve
- Site of injury
Injury to Median Nerve
- Sensory Symp
Injury to Median Nerve
- Motor Symp
Origin of Sciatic Nerve
Thickest Nerve in Body
Sciatic Nerve
Commonest Cause of Sciatic Nerve Injury
Leprosy
Steppage in Sciatic Nerve Injury
High Steppage
TTT of Sciatic Nerve Injury
Conservative treatment is indicated up to one year.
Causes of Sciatic Nerve Injury
TTT of Sciatic Nerve Injury
Indications of Surgical Intervention in Sciatic Nerve Injury
Operations for Sciatic Nerve Injury
Operations for Sciatic Nerve Injury
- Neurolysis
internal / external
Operations for Sciatic Nerve Injury
- Nerve Repair
Nerve repair
- End-to-end repair: epineural/fascicular
- Autologous graft: sural N.
Operations for Sciatic Nerve Injury
- Neurotization
- intercostal N.
- accessory N.
- cervical plexus within 1 year.
Operations for Sciatic Nerve Injury
- Ms & tendon Transfer
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Leading Cause of failure of Nerve Graft
- Inadequate resection.
- Distraction of Repair Site
Def of Entrapment Symdrome
A peripheral neuropathy caused by chronic or acute compression of the median nerve under the transverse carpal ligament βFlexor retinaculumβ.
Causes of Entrapment Symdrome
Hormonal disturbance as:
- Hypothyroidism.
- Acromegaly.
- RA
- Pregnancy
Incidence of Entrapment Symdrome
Sex: More in females.
CP of Entrapment Symdrome
INVx for Entrapment Symdrome
- NCV
- US
- MRI
TTT of Entrapment Symdrome
- Medical ttt.
- Surgical release - open - endoscopic.
Def of Thoracic Outlet Syndrome
Compression of subclavian vessels & the lower trunk of the brachial plexus.
Causes f Thoracic Outlet Syndrome
Narrowing of the posterior triangle as in:
- Cervical rib.
- Fibrous band.
Incidence of Thoracic Outlet Syndrome
Sex: More in females.
CP of Thoracic Outlet Syndrome
Types of Thoracic Outlet Syndrome
- Neurological.
- Vascular.
- Mixed.
INVx for Thoracic Outlet Syndrome
- NCV
- US
- MRI
- X-Ray
TTT of Thoracic Outlet Syndrome
- Medical ttt
- Surgical decompression:
- Scalenotomy
- Excision of cervical rib & fibrous bands.
Entrapment of Ulnar Nerve
- Etiology
Entrapment of Ulnar Nerve
- Causes
It is always associated with elbow trauma or deformity.
Entrapment of Ulnar Nerve
- CP
Entrapment of Ulnar Nerve
- INvx
- NCV
- US
- X-Ray
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Entrapment of Ulnar Nerve
- TTT
- Medical ttt.
- Surgical decompression.
- Ulnar nerve transposition.