PERIPHERAL NERVE INJURY

Question 1

SEDDONS CLASSIFICATION

Answer 1

@NAN
NEURAPRAXIA
AXONOTMESIS
NEUROTMESIS

Question 2

NEURAPRAXIA

Answer 2

MINOR CONTUSION OF PERIPHERAL NERVE
COMPLETE RECOVERY POSSIBLE
TINEL SIGN NEGATIVE

Question 3

AXONOTMESIS

Answer 3

AXON BROKEN , ENDONEURIUM INTACT
TINEL SIGN POSITIVE AND PROGRESSIVE
COMPLETE RECOVERY MAY NOT BE POSSIBLE
SEEN IN CLOSED FRACTURE AND DISLOCATION

Question 4

NEUROTMESIS

Answer 4

AXON AS WELL AS NERVE BROEN
TINEL SIGN POSITIVE AND NON PROGRESSIVE
COMPLETE RECOVERY MAY NOT BE POSSIBLE .
SEEN IN OPEN FRACTURE .

Question 5

TINEL SIGN

Answer 5

GENERAL PERCUSSION ALONG THE COURSE OF INJURED NERVE GIVES TINGLING SENSATION IN DISTRIBUTION OF INJURED NERVE RATHER THAN THE AREA PERCUSSED
POSITIVE IN AXONOTMESIS , NEUROTMESIS

Question 6

EXAMINATION

Answer 6

LOOK
FEEL TOUCH
MOVE
KNOCK
MEASURE

Question 7

LOOK
FEEL TOUCH
MOVE
KNOCK
MEASURE

Answer 7

LOOK FOR ATTITUDE AND DEFORMITY
FEEL AND TOUCH = SKIN BECOMES DRY, COLD , SMOOTH , PALLOR , CYANOSIS . LOSS OF SWEATING AND SENSATION IN AUTONOMOUS ZONE
MOVE = MOTOR EXAMINATION
KNOCK = REFLEX LOST
MEASURE = WASTING OF MUSCLE AND COMPARE WITH NORMAL LIMB

Question 8

INVESTIGATION

Answer 8

DIAGNOSTIC TEST
-ELECTROMYOGRAPHY , STRENGTH DURATION CURVE
SWEAT TEST
TINEL SIGN
SWEAT TEST

Question 9

MANAGEMENT

Answer 9

CONSERVATIVE
OPERATIVE

Question 10

CONSERVATIVE

Answer 10

AXILLARY - SHOULDER ABDUCTION SPLINT
RADIAL - COCK UP SPLINT
ULNAR - KNUCKLE BENDER SPLINT
COMMON PERONEAL NERVE - FOOT DROP SPLINT
BRACHIAL PLEXUS INJURY - AEROPLANE SPLINT

Question 11

OPERATIVE MANAGEMENT

Answer 11

NERVE REPAIR
NEUROLYSIS
NEUROTINIZATION
TENDON TRANSFER

Question 12

NERVE REPAIR

Answer 12

PRIMARY - WITHIN 6 TO 8 HOURS , IF WOUND CLEAN
DELAYED PRIMARY - WITHIN 6 TO 8 DAYS , IF WOUND CONTAMINATED
SECONDARY - AFTER 18 DAYS , IF PRESENTED LATE

Question 13

TECHNIQUES OF NERVE REPAIR

Answer 13

PARTIAL NEURORRHAPHY
NEURORRHAPHY AND NERVE GRAFTING