Peripheral Nerve Injuries

Question 1

What is Klumpke’s paralysis?

Answer 1

Paralysis of the small muscles of the hand

Question 2

Median nerve injury manifestation

Answer 2

Ape hand and pointing index finger deformity

Question 3

Ulnar nerve injury manifestation

Answer 3

Partial Claw hand

Question 4

Radial nerve injury manifestation?

Answer 4

Wrist and finger drop

Question 5

Sciatic nerve injury of the lower limb is caused by?

Answer 5

Faulty IM injections or a hip dislocation

Question 6

Sciatic nerve injury manifestation?

Answer 6

Flail foot

Question 7

Common peroneal nerve injury cause?

Answer 7

Trauma to the fibular neck

Question 8

Manifestation of Common peroneal nerve injury

Answer 8

Foot drop and sensory loss over the dorsum of the foot

Question 9

Tibial nerve injury manifestation?

Answer 9

Weak ankle jerk

Question 10

Femoral nerve injury cause

Answer 10

Wounds of the Inguinal region

Question 11

Femoral nerve injury manifestation

Answer 11

Weakness of the quadriceps and knee jerk is lost

Question 12

Investigations for peripheral nerve injuries

Answer 12

Nerve conduction, CT, XR, MRI

Question 13

Surgical treatment for clean cut wounds

Answer 13

Primary nerve suture

Question 14

Surgical treatment of crushed and contaminated wounds

Answer 14

Secondary sutures

Question 15

Advantages of secondary sutures?

Answer 15

Proper neurosurgeon does it, infection control, and proper injury eval

Question 16

Thoracic outlet syndrome is…?

Answer 16

The scalene muscles compressing the neurovascular bundle

Question 17

What are the manifestations of Thoracic outlet syndrome?

Answer 17

Supraclavicular pain, arm pain and parasethesia, plus rotation of shoulder produces symptoms (Adson’s sign)

Question 18

Management for Thoracic outlet syndrome?

Answer 18

None

Question 19

Carpal tunnel syndrome is the entrapment of what nerve, below the transverse carpal ligament?

Answer 19

Median nerve

Question 20

Carpal tunnel syndrome is caused by what, and predominantly in which gender?

Answer 20

Females, during pregnancy and with strenuous work with the hands

Question 21

Surgical treatment for carpal tunnel?

Answer 21

Division of the transverse carpal ligament

Question 22

Investigation to confirm carpal tunnel?

Answer 22

EMG and nerve conduction

Question 23

Cubital tunnel syndrome is the entrapment of what nerve behind the medial epicondyle? (Elbows)

Answer 23

Ulnar nerve

Question 24

Treatment of Cubital Tunnel syndrome?

Answer 24

Neurolysis and anterior transposition of the nerve

Question 25

Meralgia parasthetica is what?

Answer 25

Entrapment of the lateral cutaneous nerve of the thigh

Question 26

Meralgia Parasethetica symptoms and treatment

Answer 26

Burning in the anterolateral aspect of the thigh. Surgical neurolysis and decompression

Question 27

What systemic disease is often associated with carpal tunnel syndrome

Answer 27

Diabetes Mellitus

Question 28

What is the regeneration rate of peripheral nerves

Answer 28

1-2mm a day

Question 29

Which nerve is affected in Kumpke’s Paralysis?

Answer 29

Lower trunk (C7,C8)

Question 30

Which nerve injury is characterized by damage to the endoneurium only

Answer 30

Axonotemesis