Peripheral Nerve Injuries Flashcards
What is Klumpke’s paralysis?
Paralysis of the small muscles of the hand
Median nerve injury manifestation
Ape hand and pointing index finger deformity
Ulnar nerve injury manifestation
Partial Claw hand
Radial nerve injury manifestation?
Wrist and finger drop
Sciatic nerve injury of the lower limb is caused by?
Faulty IM injections or a hip dislocation
Sciatic nerve injury manifestation?
Flail foot
Common peroneal nerve injury cause?
Trauma to the fibular neck
Manifestation of Common peroneal nerve injury
Foot drop and sensory loss over the dorsum of the foot
Tibial nerve injury manifestation?
Weak ankle jerk
Femoral nerve injury cause
Wounds of the Inguinal region
Femoral nerve injury manifestation
Weakness of the quadriceps and knee jerk is lost
Investigations for peripheral nerve injuries
Nerve conduction, CT, XR, MRI
Surgical treatment for clean cut wounds
Primary nerve suture
Surgical treatment of crushed and contaminated wounds
Secondary sutures
Advantages of secondary sutures?
Proper neurosurgeon does it, infection control, and proper injury eval
Thoracic outlet syndrome is…?
The scalene muscles compressing the neurovascular bundle
What are the manifestations of Thoracic outlet syndrome?
Supraclavicular pain, arm pain and parasethesia, plus rotation of shoulder produces symptoms (Adson’s sign)
Management for Thoracic outlet syndrome?
None
Carpal tunnel syndrome is the entrapment of what nerve, below the transverse carpal ligament?
Median nerve
Carpal tunnel syndrome is caused by what, and predominantly in which gender?
Females, during pregnancy and with strenuous work with the hands
Surgical treatment for carpal tunnel?
Division of the transverse carpal ligament
Investigation to confirm carpal tunnel?
EMG and nerve conduction
Cubital tunnel syndrome is the entrapment of what nerve behind the medial epicondyle? (Elbows)
Ulnar nerve
Treatment of Cubital Tunnel syndrome?
Neurolysis and anterior transposition of the nerve
