Nerve injuries Flashcards

1
Q

What muscles does the musculocutaneous nerve supply?

A

Caracobrachialis
Biceps
Brachialis

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2
Q

What clinical features present with a damaged musculocutaneous nerve?

A

Sensory: numbness over the lateral forearm.

Motor: absent biceps reflex. Weak elbow flexion and weak forearm supination.

Deformity: wasting of the anterior compartment of arm.

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3
Q

What nerve is commonly damaged by a surgical neck of humerus fracture?

A

Axillary nerve

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4
Q

What muscles does the axillary nerve supply?

A

Deltoid muscle and teres minor

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5
Q

What clinical features are associated with a damaged axillary nerve?

A

Sensory: numbness over “sergeants patch” (skin over the lower part of the deltoid).

Motor: paralysis of deltoid leading to weak shoulder abduction (15 - 90 degrees). Paralysis of teres minor leads to weak external shoulder rotation.

Deformity: wasting of deltoid

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6
Q

What fracture can cause damage to the radial nerve?

A

Fracture of proximal humerus, humeral shaft or proximal radius.

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7
Q

What hand deformity can be seen with damage to radial nerve?

A

“Wrist drop” - dropping of the wrist during wrist extension.

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8
Q

Median nerve palsy causes wasting of the hypothenar eminence. True/false?

A

False, median nerve damage causes wasting of the thenar eminence of the hand.

Ulnar nerve palsy causes hypothenar eminence wasting.

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9
Q

Wasting of the biceps is a feature of radial nerve damage. True/false?

A

False, wasting of the bicep can occur due to damage of the musculocutaneous nerve.

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10
Q

What nerve is associated with “claw hand”?

A

Ulnar nerve

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11
Q

What nerve is associated with “foot drop”?

A

Common peroneal nerve

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12
Q

What nerve supplies the hip joints?

A

Obturator nerve

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13
Q

What is a potential cause of obturator nerve damage?

A

Can be damaged during surgery that involves the abdomen or pelvis.

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14
Q

Some symptoms of obturator nerve damage?

A

Numbness and paraesthesia of the thigh.
Weakness in thigh adduction
Patient can present with posture or gait problems due to lack of hip adduction.

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15
Q

Another name for the superficial fibular nerve?

A

Superficial peroneal nerve

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16
Q

What nerve is associated with “scapula winging”?

A

Long thoracic nerve

17
Q

Another name for common fibular nerve?

A

Common peroneal nerve