Mehlman Brachial plexus + upper limb 11-04 (1) Flashcards
What 2 can be caused in neonates by breech/traumatic labor.
Can also be caused by injuries such as grabbing onto tree branch while falling.
Erb-Duchenne and Klumpke
Erb-Duchenne. what nerves injury?
Upper brachial plexus injury (C5-C6)
Upper brachial plexus injury (C5-C6)?
Erb-Duchenne.
Erb-Duchenne. CP of arm?
Arm is adducted, pronated, and wrist flexed
Arm is adducted, pronated, and wrist flexed?
Erb-Duchenne.
Erb-Duchenne. How is called deformity?
Waiter’s tip
Waiter’s tip deformity in what injury?
Erb-Duchenne.
Klumpke. what nerves injury?
Lower brachial plexus injury (C8-T1).
Lower brachial plexus injury (C8-T1)?
Klumpke.
Klumpke. CP of hand?
,,Claw-hand”
,,Claw-hand”?
Klumpke.
DeQuervain tenosynovitis.
what is tenosynovitis?
inflammation of tendon sheats.
DeQuervain tenosynovitis. classic in what population?
breastfeeding women
DeQuervain tenosynovitis. worsened by what test?
Finkelstein
test (HY)
DeQuervain tenosynovitis.
Finkelstein test:
1) thumb is placed in palm;
2) 2nd-5th fingers are wrapped over the palm.
3) Patient ulnar deviates the wrist –> this causes pain = positive test
DeQuervain tenosynovitis.
Finkelstein test how performed?
Finkelstein test:
1) thumb is placed in palm;
2) 2nd-5th fingers are wrapped over the palm.
3) Patient ulnar deviates the wrist –> this causes pain = positive test
Finkelstein test in what pathology?
DeQuervain tenosynovitis.
DeQuervain tenosynovitis. Tx?
Patient should avoid offending activity, but since this is often breastfeeding,
steroid injection can provide immediate relief.
splinting, NSAIDs, and steroid injection are all acceptable as first-line treatments.
Pain along the radial aspect of the wrist caused by thickening of the tendon sheaths of extensor pollicis brevis and abductor pollicis longus –> classically seen in breastfeeding women due to long periods of keeping the wrist in a cocked position?
DeQuervain tenosynovitis.
Ganglion cyst. definition?
Gelatinous collection of joint fluid;
Ganglion cyst. can occur in what parts?
on ankles and flexor areas as well, but classic location is dorsum of hand/wrist.
Can occur on ankles and flexor areas as well, but classic location is dorsum of hand/wrist?
Ganglion cyst.
Ganglion cyst.
Q: most likely trajectory if untreated?
spontaneous regression
Ganglion cyst.
Tx?
Tx is needle drainage if disturbing to the patient
