pni Flashcards

1
Q
muucslcuteneous nerve 
loss of function
dermatome
refkex affected
causes
A
c5-c6
crcbrachialis, biceps and bracihails
unable to flex elbow with forearm supinated
lateral aspect of forearm
biceps
# of clavicle and humerus
anterior dislocation
surgery ( putti platt, bankart)
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2
Q

median nerve

deformity

A
c5-c8
pronators, palmaris longus, fcr,fds, fpl, fdp, op, apb, fpb, 1st and 2nd lumbricals
ape hand defortimity
grip weak
radial deviation at wrist lost
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3
Q

ulnar nerve

A
c8-t1
guyon tunnel
claw hand 
flexor carpi ulnaris and flexor digitorium profunds
extrinsic muscles and interossie
benediction hand deformity
cock up splint
knitting
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4
Q

radial nerve

reflex

A
c6-8t1
triceps, annconeus, extensors and supinators of forearm
crutch palsy
drop hand
saturday night palsy
shaft #
triceps
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5
Q

femoral nerve

A
L2-4
Iliacs,pectinus, sartorius, quads
hip flexors weak
loss of knee extension
unable to control knee flexion in swing phase
medial side of thigh and leg
reflex patellar
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6
Q

obturator nerve l2-4

A

obturator externus and add
cannot cross legs
medial thigh on ant aspect

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7
Q

sciatica nerve l4 s123

reflexes

A

hamstrings and add magnus and gluteals
weak knee flexion
loss of ankle and foot control
affect all phases of gait
medial and lateral hamsrtring, achilles and
sensation post thigh and leg and whole foot instep and medial mallelous

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8
Q

post tibial nerve l4s123

A

planterflexor, tb post, popliteus, extrinsic toe flexors, lumbricals and interossie, add haullcis and abd hallucis
tarsal tunnel syndrome
sensory - sole of foot expect medial border, plantar surface of toes

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9
Q

plantar and calcaneal nerve

A

pes cvus, claw toes, heel pain

plantar nerve intrinsic muscles except edb

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10
Q

common peroneal nerve

A
compresion from crossing legs
fracture of fibular head
rupture of lcl
tight applied cast
foot slap and high steppage gait
supply ant and lateral
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11
Q

deep peroneal nerve

A

df, toe extensors, peroneus tertius, edb
foot drop
unopposed eversion
pes valgus

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12
Q

suprerficial peroneal nerve

A

peronrus longus and brevis
equinovarus
affects eversion

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13
Q

slr tibial nerve

A

dorsiflexion with eversion

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14
Q

slr sural nerve

A

df with inversion

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15
Q

slr preoneal nerve

A

pf with inversion

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16
Q
axillary nerve
root
muscles
deformity 
MOI
dermatomes
A
c5- c6
deltoid and teres minor
loss of abduction and  lateral rotation
square shoulders
surgical neck fracture, anterior dislocation, forceful abduction
delatoid region
anterior shoulder pain
17
Q
erbs palsy
waiters tip hand
duchenne palsy
nerves involved, atrophy
causes, weakness, loss of function
A

supracapular nerve,. mcn nerve, axillary nerve
loss of sensation in the arm
atrophy of deltoid and biceps and brachialis
loss of abd and LR; weakness of supinators and elbow flexors
shoulder depressed and Lateral flexion of neck to opp side:’ football, birth injuries

18
Q

klumpke’s paralysis
causes
nerves
muscles

A

compression by cervical rib and stretched shoulder overhead, traction on the abducted arm, falling from tree
interossie ,thenar, hypothenar-
flexors of wrist and finger - flexor carpi ulnaris and fdp ulnar half
forearem pronators may be involved
horners syndrome - dilators of iris and elevators of eyelid
deformity - forearm supinated and wrist and fingers flexed

19
Q

interossei
action
nerve

A

dorsal- abd dab
palmar - add pad
ulnar nerve

20
Q

lumbricals
action
nerve

A

flexion at mcp joint and extension at ip joint

median and ulnar nerve

21
Q

thenar

foaa

A

felxor pollics brevis
oppen pollcs
abd pollicis brevis
adductor pollics — ulnar nerve

22
Q

hypothenar

fopa

A

felexor digiti minnimi brevis
abd digti minimi
opponens digiti minimi

23
Q

TOS

A

sleep disturbance with excessive pillow

inability to carry bag and drive, computer or desk work

24
Q

carpal tunnel ( fdp, fds, fpl , fcr)

A

extrinsic finger flexor tendon
nocturnal numbness
loss of two point discrimination
inability to ,manipulate small objects
forward head posture and decreased cervical motion
active wrist extension with passive wrist flexion

25
Q

suprascapular nerve
root
muscle
causes

A

C5 C6
supraspinatus and infraspinatus
pain in posterior shoulder
horizontal add, notches

26
Q

long thoracic nerve
root
muscles

A

c5-7

SA

27
Q

spinal accessory nerve
root
muscles

A

C3-4
trapezius (shoulder elevation)
drooping of shoulder and aching

28
Q

Subscapular nerve

root

A

subscapularis and teres major ( medial rotation)

c5-6 post cord

29
Q

Dorsal scapular nerve

A

c5

rhomboids, LS

30
Q

thoraco dorsl nerve

A

latismus dorsi

31
Q

saphenous nerve

A

medial side of knee - medial side of leg and medial mallelous

32
Q

rsd

symptoms- distal to proximal

A

stage 1 - acute and reversible- vasodilation 3 weeks to 6 months
hyper hydrosis, warmth, erythema, rapid nail growth, edema in distal extremity
Stage 2 - distrophical and vasoconstriction phase, ischameic stage — brittle nails, sympthatic hyperactivity, burning pain, hyper asthesia aggravated by cold weather, mottling and coldness, osteoprosis
Stage 3- atrophic stage- severe osteprosis, pain decrease or worse, waisting and contractures.