Nerve Palsies Flashcards

1
Q

What is Erbs palsy

A

Palsy by traction of the upper brachial trunk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Risk factors for Erb’s palsy

A
Use of instrumental delivery 
Large infant size
Small maternal size 
Prolonged second stage labour 
Maternal DM 
Malposition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which palsy is Waters tip associated with

A

Erbs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Clinical features of Erbs palsy

A
Shoulder is adducted 
Internally rotated 
Elbow is extended and pronated 
Wrist is flexed 
Waiters tip
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Ddx for Erbs palsy

A

Clavicle or humeral fracture
Septic arthritic shoulder
Osteomyelitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is Klumpkes palsy

A

Tractin of C8/T1 (lower brachial trunk)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which is more common Klumpkes palsy or Erbs palsy

A

Erbs

Klumpkes is very rare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What can involvement of T1 in Klumpkes palsy result in

A

Horners Syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What sign in the hand can Klumpkes palsy give

A

Claw hand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

From which cord of the brachial plexus does the axillary nerve arise from

A

Posterior cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What sensational deficit can axillary nerve palsy lead to

A

Loss of sensation over the regimental badge area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What motor deficit can axillary nerve palsy lead to

A

Deltoid weakness

Deltoid atrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Which 2 injuries are likely to injury the axillary nerve

A

Fracture of the surgical neck of the humerus

Shoulder dislocation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Rx axillary nerve palsy

A

Most recover spontaneously with no treatment required

Surgery in very sever cases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the main prognosis of axillary nerve palsy

A

Spontaneous resolution without the need for Rx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What characteristic sign does Radial nerve palsy give

A

Wrist drop

17
Q

From which cord of the brachial plexus does the radial nerve arise from

A

Posterior cord

18
Q

In which compartment of the arm does the radial nerve run in

A

Posterior compartment

19
Q

What does radial nerve palsy in the axilla result in

A

Loss of elbow extension
Loss of wrist extension
Sensory changes of forearm and hand

20
Q

What does radial nerve palsy in the arm result in

A

Loss of wrist extension

Sensory loss

21
Q

What does radial nerve palsy in the forearm result in

A

Loss of finger extension

22
Q

What does radial nerve palsy in the wrist result in

A

Loss of sensation e.g handcuff

23
Q

From which cord of the brachial plexus does the ulnar nerve arise from?

A

Medial cord

24
Q

Which roots does the ulnar nerve arise from

A

C8 and T1

25
Q

Where would the ulna nerve be susceptible to an injury from

A

Elbow

26
Q

What characteristic sign does an ulnar nerve palsy give

A

Claw hand

27
Q

What test can be used to clinically examine for an ulnar nerve palsy

A

Froments Test

28
Q

Describe the ulnar paradox

A

A distal lesion has worse clawing than a proximal lesion of the ulnar nerve

29
Q

What causes winging of the scapula

A

Palsy of long thoracic nerve

30
Q

In which procedure is the long thoracic nerve most commonly damaged

A

Axillary LN clearance in breast cancer surgery

31
Q

Clinical appearance of scapula wining

A

Shoulder blade protrudes from back in abnormal position

32
Q

What muscle is commonly affected to cause winging of scapula

A

Serratus anterior

33
Q

Which nerve can surgical neck of humerus fracture damage

A

Axillary nerve

34
Q

What artery can surgical neck of humerus fracture damage

A

Posterior circumflex artery

35
Q

Is rupture of biceps tendon common or uncommon

A

Uncommon

36
Q

Cause of biceps tendon rupture

A

Typically sudden injury

37
Q

Clinical sign of biceps tendon rupture

A

Pop-eye muscle

Ball of muscle during flexion

38
Q

Rx for biceps tendon rupture

A

Repair generally required as function remains

Surgery if indicated