Midterm: Compression Neuropathies

Question 1

1st degre nerve injury that involves just focal damage of myelin fibers around the axon?

Answer 1

Neuropraxia

Question 2

2nd degree nerve damage that involves disruption of the axon, but the myelin sheath remains intact?

Answer 2

Axonotmesis

Question 3

3-5th degree nerve injury that involves disruption of the axon and the myelin sheath is damaged.

Answer 3

Neurotmesis

-surgery is required for 5th degree

Question 4

What nerve root is the motor for the deltoid and bicep, and lateral sensation of upper arm?

Answer 4

C5

-biceps reflex

Question 5

What nerve root: Wrist extension and elbow flexion, radial forearm and thumb and index finger?

Answer 5

C6

-brachioradialis reflex

Question 6

What nerve root :Wrist flexion, elbow extension, and finger extension with sensation to the middle finger

Answer 6

C7

-Triceps reflex

Question 7

What nerve root: Finger flexion and sensation to medial forearm and pinky

Answer 7

C8

Question 8

What nerve root: Finger abduction with sensation to medial arm

Answer 8

T1

Question 9

This injury is due to the disc rupturing posterior-laterally causing compression of the nerve root causing radicular pain

Answer 9

Cervical nerve root compression due to bulging/herniated disc

Question 10

What tests can you use to identify cervical root compression?

Answer 10

Spurlings

-hurts when neck is toward side of pain

Question 11

How can you identify TOS?

Answer 11

Adsons test

Question 12

How can you identify cervical myelopathy?

Answer 12

Hoffmann’s test
-grab middle finger and flex it quickly down

+if thumb and finger flex (same meaning as babinski, you have UMN issue)

Question 13

If you lose motor action of triceps, anconeus and wrist extensors with sensation lost to the dorsum of the hand what nerve is injured?

Answer 13

Radial N

Question 14

Where is the injury to the radial n when you have wrist drop, elbow flexion weakness, numbness/pain?

Answer 14

High on the humerus

Question 15

What type of radial n damage can be done with repetitve rotatory movements (manual labor, sports)?

Answer 15

Radial tunnel

-pain will be 5 cm distal to lateral epicondyle

Question 16

Losing just sensation on the dorsum of hand means the radial nerve is damaged where?

Answer 16

At the wrist, AKA handcuff neuropathy

Question 17

45 yo man comes in with achey mid forearm pain that bothers him when at work as a UPS driver. You find that he likes to play piano on the side. On exam, he has pain with pronation.

Answer 17

Pronator syndrome

Question 18

If you have sudden issue with your forearm flexors, you should probably think of?

Answer 18

Median nerve entrapment at mid-forearm

Question 19

If patiet has trouble making OK sign, what syndrome do they have?

Answer 19

Anterior Interosseus Syndrome

-due to weak flexion of Index DIP and thumbs IP

Question 20

Numbness and tingling in lateral third of digits. Patient states they are dropping things a lot more, especially at work as a receptionist. Positive tinel and Phalen’s at the wrist.

Answer 20

Carpal Tunnel Syndrome

Question 21

This condition is mostly due to compression at the elbow. Patient will present with numbness to 4th and 5th fingers, with elbow pain that radiates into the hand and decreased intrinsic strength. Positive Tinel’s at elbow, and hurts when patient tries to extend wrist.

Answer 21

Cubital Tunnel Syndrome

Question 22

What is froment’s sign?

Answer 22

Patient has to bend thumb in order to pinch of piece of paper.
-due to weak 1st dorsal interosseus

Question 23

Thoracic Outlet Syndrome common sites of compression

Answer 23

Scalenes
Costoclavicular passage
Pec minor attachments to coracoid process

Question 24

Weakness, parasthesia of medial arm and forearm, and hand/arm may lose oxygenation when doing certain mostions. (+) Adson’s test.

Answer 24

Thoracic Outlet Syndrome

Question 25

Patellar Knee reflex? Achilles?

Answer 25

Patellar=L4

Achilles=S1

Question 26

Numbness and burning on anterolateral thigh, with extreme sensitivity to putting things into pockets on that side. Due to obesity/tight belts.

Answer 26

Meralgia Paresthetica of Lat Fem Cu

-gun belt neuralgia

Question 27

Patient comes in with pain on proximal third of lateral leg. You notice them walking with a slapping gait. Pain is exacerbated during plantarflexion and inversion.

Answer 27

Common Fibular N Compression

-L4-S2

Question 28

How do you treat Common Fibular N Compression?

Answer 28

Posterior Fib HVLA

ME on gastroc

Question 29

Patient comes in with pain on dorsomedial foot, which is worse at rest. Toe extension is 2/5 on R, 5/5 on L. They do wear heels a lot at work. Diagnosis?

Answer 29

Anterior Tarsal Tunnel Syndrome

-L4-S2

Question 30

How do you treat Anterior Tarsal Tunnel Syndrome?

Answer 30

MFR of extensor retinaculum
Traction Tug of Talonavicular Joint
Hiss whip dat hoe

Question 31

A vague burning, tingling sensation on plantar surface of the foot due to compression behind the medial malleolus is Dx as?

Answer 31

Tarsal Tunnel Syndrome

• will affect TIP toes
• -Cannot INVERT and PLANTAR FLEX

Question 32

pain felt emerging from the lower back that is felt along the distribution of the sciatic n that is mostly caused by weak Sacroiliac Ligaments?

Answer 32

Sciatica

Question 33

Patient has pain while walking, but also while sitting for a while at their desk. They have been having to use armrests more when they get up from chairs because their back will hurt.

Answer 33

Sciatica