periph nerve entrapments

Question 1

radial entrapment cause/tx

Answer 1

cause: trauma, lead poison, crutches
tx: adjust, incr strength, stretch

Question 2

radial entrapment s/sx

Answer 2

site: spiral groove
- wrist drop, crutch palsy, erb’s palsy
- no tricep reflex, dec sens to post arm

Question 3

carpal tunnel cause/tx

median n

Answer 3

cause: trauma, obesity, fluid retention, preg, hypothyroid, RA
tx: adjust, cock up splint, diuretic, B6

Question 4

s/sx carpal tunnel

Answer 4

• nocturnal pn/paresthesia of hand, thenar atrophy, weak opponens pollicis (ape hand appearance), and affects first 3 fingers
• test with tinels, phalen, thumb abduct strength, dynamom grip

Question 5

pronator teres syndrome cause/tx/sx

Answer 5

cause: bt pronator teres heads at elbow, hypertonicity dt occupation (carpenter eg)
tx: TrP, spray/stretch
presents: pn on volar aspect of forearm (ddx from CT), paresthesia in med distrib of hand, pain with pronation, thenar atrophy

Question 6

median disorder

Answer 6

• carpal tunnel (flx retinaculum)
• pronator teres: bt pronator teres heads at elbow
• ape hand

Question 7

ulnar motor/sensory

Answer 7

• abd digit 5, add thumb

- distal ulnar hand, digit 5

Question 8

ulnar entrapment cause/tx

Answer 8

cause: direct or repetitive trauma
tx: adj, tape, support

Question 9

ulnar n entrapment

Answer 9

tunnel of guyon, cubital tunnel, claw hand

Question 10

dorsal scap disorder

Answer 10

flared scap

Question 11

long thoracic disorder

Answer 11

WINGED scap

Question 12

lateral femoral cutaneous cause, tx

Answer 12

cause: external pressure, obesity, tight jeans, trucker
tx: advice with weight loss, loose clothing

Question 13

lateral femoral cutaneous s/sx

Answer 13

• burning dysesthesia on anterolateral thigh

- L2, L3, nerve roots

Question 14

lat fem cutaneous disorder

Answer 14

meralgia paresthetica, over pubic brim under the inguinal ligament

Question 15

sciatic nerve entrapment site, s/sx

Answer 15

• sciatica, pelvis, hip, politeal fossa
• sens pn in post butt, thigh, leg to floor (stops at knee ddx facet)
• weak knee flx and dec achilles reflex

Question 16

sciatic nerve cause

Answer 16

trauma, traction, wallet pressure, piriformis, muscle spasm

Question 17

obturator motor/sensory

Answer 17

• hip add

- medial thigh

Question 18

femoral n. motor/sensory

Answer 18

• hip flx/knee ext

- anteromedial thigh/leg

Question 19

femoral n. muscles

Answer 19

iliopsoas, quads

Question 20

peroneal disorder

Answer 20

fibular head fx

Question 21

TIBIAL N. –> medial plantar n disorder

Answer 21

tarsal tunnel syndrome, test with tinels at ankle

due to post traumatic ankle deform, sublux, arthritis, edema

Question 22

tibial nerve entrap s/sx

Answer 22

• burning paresthesia on soles, aggravated by walking/standing
• dec sens on soles, weak foot muscles

Question 23

tibial nerve entrap/tarsal tunnel tx

Answer 23

adjust, orthotic to keep foot in slight inversion

Question 24

morton’s neuroma site/sx/sx

Answer 24

• bt MT 3-4 found with morton’s squeeze

- pn in toes, dorsum of foot

Question 25

morton’s neuroma cause, tx

Answer 25

cause: rep microtrauma, RA, foot deform
tx: surgery may be necessary

Question 26

deep peroneal nerve entrapment causes

Answer 26

anterior compartment syndrome

Question 27

anterior compartment syndrome s/sx

Answer 27

-deep peroneal nerve
-affects any/all 4 muscles of compartment: tib ant, EHL, EDL, peroneus tertius
=s/sx similar to charcot marie tooth