Median Nerve

Question 1

LOOK

Answer 1

Palm up: pointing index finger; wasting thenar eminence;
wasting forearm; volatile scarring.
Thumb up: wasting @ thenar eminence; radial border of wrist
Palm down
Palms together: lateral forearm; axilla scars

Question 2

FEEL…aka sensation

Answer 2

Lateral forearm- LCNF (C6)
Thenar eminence- palmar branch of median nerve
Medial forearm- MFCN medial cord T1

Question 3

MOVE

🅰 = AIN

Answer 3

Pronator teres (C6) with elbows flexed and resist supernation
Flexor carpi radialis (6) flex wrist against R
FDS (C8) flex MCp & resist extension PIP
Palmaris Longus (C8) medial to the test of FExlor carpi radialis
🅰FDP (C8) make fist & extend index PIP
🅰F pollicus longus- flex distal phalanx of thumb R
🅰Pronator quadratus (8) test in elbow extended to eliminate PT then attempt to pronated against R
AbPB (T1) abduct thumb away from Palm with R & palpate muscle belly
1st & 2nd lumbricals- flex MCP whilst extend PIP & DIP

Question 4

SPECIAL TESTS

Answer 4

Tinnels
Phalens
Allens

AIN fallout- kids supracondylar #

              - wrist slitting
              - loss of OK sign.