MSK Nerves and Injuries Flashcards
Abnormal passive abduction of knee (valgus stress)
MCL Injury
Abnormal passive adduction of knee (varus stress)
LCL injury
Pain on external rotation of knee
Medial meniscus injury
Pain on internal rotation of knee
Lateral meniscus injury
Site of pudendal nerve block during delivery
Ischial spine
Location of appendix
2/3 of distance between umbilicus and ASIS
Site of lumbar puncture
Iliac crest
Rotator Cuff Muscles (4) + Main innervation
Supraspinatus, Infraspinatus, Teres Minor, Subscapularis; innervated by C5-C6
Supraspinatus (nerve + function)
Innervated by Suprascapular nerve; abducts arm, most common rotator cuff injury
Infraspinatus (nerve + function)
Innervated by Suprascapular nerve; laterally rotates arm; pitching injury
Teres minor (nerve + function)
Innervated by Axillary nerve; Adducts and laterally rotates arm
Subscapularis (nerve + function)
Innervated by Subscapular nerve, medially rotates and adducts arm.
Scaphoid
Most commonly fractured carpal bone, prone to avascular necrosis, palpated in anatomical snuff box
Lunate
Carpal bone, dislocation can cause acute carpal tunnel syndrome
Hook of hamate (clinical significance)
Falling on outstretched hand can cause ulnar nerve injury
Guyon canal syndrome
Compression of ulnar nerve (seen in cyclists from pressure from handlebars)
Erb palsy (Waiter’s tip)
Injury of upper trunk (C5-C6 roots); due to lateral track on neck during delivery (infants) or trauma (adults); Injury to Deltoid/supraspinatus (no abduction, arm hangs by side), Infraspinatus (no lateral rotation, arm medially rotated), Biceps brachii (no flexion/supination, arm hangs extended and pronated).
Klumpke Palsy
Claw hand; Injury of lower trunk (C8-T1 roots); due to upward force on arm during delivery (infants) or trauma like grabbing a tree branch to break a fall (adults); Injury to intrinsic and muscles, lumbricals, thenar, hypothenar.
Thoracic Outlet Syndrome
Compression of lower trunk and subclavian vessels; caused by cervical rib injury/Pancoast tumor, Muscle deficit same as Klumpke palsy (atrophy of intrinsic hand muscles, ischemia, pain, and edema due to vascular compression)
Winged Scapula
Lesion of long thoracic nerve, due to Axillary Node dissection after mastectomy or stab wounds, Injury to Serratus Anterior, causes inability to anchor scapula to thoracic cage, cannot abduct arm above horizontal position