Neuropathies upper limb Flashcards
what nerve carries the dermatome around the anterior medial arm
medial cutaneous from C8T1
what nerve dermatome is the lateral forearm
lateral cutaneous C567
what nerve dermatome is the middle posterior arm forearm
C5678
what dermatome is the arm/shoulder area
axillary nerve from superior lateral cutaneous C56
what nerve dermatome are the anterior digits1-3 and half 4
median nerve C678
what nerve dermatome is the anterior and posterior 5th digit and half of 4th
ulnar C8T1
what nerve dermatome is the posterior hand and digits 1-3 and half 4
radial C678
what is the nerve dermatome of the supraclavicular area
supraclavicular nn C34
what is the cutaneous inn of the thumb and index finger
thumb is C6
index is 6 and 7
what is the cutaneous inn for palm and middle 3 fingers
C7
what is the cutaneous inn for the pinky finger and ring
C8
ring is C7C8
What mm does the C5 level inn
deltoid, biceps
what is the reflex for the C5 level
biceps
what mm does C6 level inn
biceps wrist extensors
what reflex is with C6 level
brachioradialis
what mm does C7 level inn
wrist flexors and finger extensors
what reflex is assoc with C7
triceps
what mm does C8 inn
finger flexors
what mm does T1 inn
interossei
What levels provide SANs to upper limb
T2-6
what are the major joints of UL
gelnohumeral, AC
ulnar humeral, radial humeral, ulnar radial
intercarpal joints
MCP, PIP DIP
What are the components of UL neuro exam
muscle strength tone DTRs light touch sharp touch graphesthesia stereognosis proprioception
what structures pass through thoracic inlet
brachial plexus, subclavian a and v
what boney structures surround brachial plexus
spinal column, first ribs, sternum and clavicle
what can cause thoracic outlet syndrome
cervical rib, excessive tension in scalenes, SD of clavicle, upper ribs and upper thoracics, tumor, abnormal insertion pec minor, whiplash, fractured clavicle
where can compression occur leading to thoracic outlet
between scalenes, pec minor and rib cage
costoclavicular articulation between clavicle and first rib
What are the neurlogic symptoms of thoracic outlet
numbness, parasthesias, muscle weakness
what are the vascular symptoms of thoracic outlet syndrome
distal thromboembolism
arm pain with exertion (claudication)
acute arterial thrombosis
If vein then DVT and swelling
What are on your Ddx for thoracic outlet
pancoast tumor tumor of pulmonary sulcus spinal tumor nerve root tumor OA of C spine arthritis of shoulder cervical radiculopathy
What special tests help confirm thoracic outlet syndrome
Adsens roos spurlings hyperabduction test rib restrictions in ribs 1-5
What is the Tx for thoracic outlet syndrome
PT NSAIDs steroids muscle blocks surgical decompression (remove cervical ribs 1st rib or clavicle
What OMT maneuvers can help with thoracic outlet syndrome
SD of ribs, clavicle, sib sons fascia, C spin, T spine
Where can the ulnar n be entrapped
epicondylar groove
cubital tunnel
guyons tunnel
