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MSK Shoulder > UE nerve issues > Flashcards

UE nerve issues Flashcards

1
Q

Sensory changes

A

Burning tingling, prickling pins and needles numbness, hyperalgesia allodynia

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2
Q

Motor changes

A

cramps, weakness or paralysis
fibrillations, fasciculations

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3
Q

Autonomic

A

Hypohidrosis
Edema
Cardiovascular dysregulation
B&B dysfunction

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4
Q

trophic changes

A

Smooth, shiny skin muscle atrophy

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5
Q

mononeuropathy

A

Trauma or non-traumatic

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6
Q

polyNeuropathy

A

metabolic
Nutritional
Hereditary
immnunologically mediated
infectious disease
Paraneoplastic

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7
Q

Test item cluster for ruling down radiculopathy or myelopathy

A

rotation less than 60° ipsilateral
Spurling A
Upper limb tension test A
Distraction test

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8
Q

Dorsal scapular nerve

A

C4 5

levator scapula
rhomboids

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9
Q

Long thoracic

A

C5 7

serratus anterior

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10
Q

Suprascapular nerve

A

C4-6

infraspinatus
supraspinatus

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11
Q

Thracodorsal nerve

A

C6-8

latissimus dorsi

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12
Q

Upper subscapular nerve

A

C5-6

Subscapularis

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13
Q

Lower subscapular nerve

A

C5-6
Subscapularis
teres major

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14
Q

thoracic outlet syndrome

A

neck pain with arm symptoms N/T in UE

weakness in arm/hand

intermittent variable symptoms

vascular, prolonged or repetitive activities

Neurologic repetitive or traumatic

Aggravated by overhead reaching activities

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15
Q

examination items for thoracic outlet syndrome

A

Supraclavicular region tender may reproduce upper extremity symptoms

Tinels over the region

positive adsons or 90° ABER wright test

ULTT

Associated data from cervical mobility, first reability, clavicular mobility, flexibility of scalene and pec minor

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16
Q

Stinger burner

A

Neurapraxia in upper trunk of brachioplexus

Burning tingling stinging in upper extremity

mechanism of injury, typically traumatic from below to shoulder with contralateral side bending of neck

PE- symptoms similar to erb’s palsy upper trunk affected- scapular elevators, external rotators, biceps triceps

Typically, transient resolving with time

17
Q

Erbs palsy

A

affects C5-6 roots or upper trunk

Most commonly from birth trauma

Ranges from neuroptaxia to neurotmesis

Posture- shoulder extension, internal rotation, and slight abduction

No active abduction or external rotation

Elbow affected in about half of patients

18
Q

klumpkes palsy

A

affects lower trunk or C7-T1

May have associated Horner syndrome

Sensory deficit in medial arm forearm hand

traction injury through scapula with arm elevated

Claw hand from unopposed extensor digitorum

19
Q

Suprascapular nerve lesion

A

trauma traction or compression to suprascapular nerve

Often mistaken for rotator cuff tear

deep burning worse with horizontal adduction

Tender over suprascapular notch

Motor weakness of supra and infraspinatus

20
Q

Axillary nerve lesion

A

May result from shoulder dislocation

Sensory deficit in axillary patch

Motor deficit in teres minor and deltoid

21
Q

Long thoracic nerve lesion

A

Idiopathic or palpation or trauma to posterior triangle region

Scapular winging may cause aching

Secondary shoulder symptoms

22
Q

dorsal scapular nerve lesion

A

Idiopathic or with palpation, trauma and posterior triangular region

Deficits with scapular elevation, and control

Secondary shoulder symptoms

23
Q

Radial nerve dysfunction arm lesion

A

crutch palsy, Saturday night palsy

Damage at radial or spiral groove of humerus

24
Q

posterior interosseous syndrome

A

compression of PIN after arcade of frohse

25
Q

Radial tunnel syndrome

A

Tissue symptomatic, not true neuro

26
Q

wartenbergs syndrome

A

Superficial radial nerve entrapment

27
Q

cubital tunnel syndrome

A

Caused by compression immobilization or trauma

Sensory deficits in entire ulnar distribution of hand

motor loss hypothenar musculature, FCU usually spared

28
Q

guyons canal syndrome

A

more common in cyclist and racket sports

Sensory deficits limited to volar hand dorsal branch spared

Varied presentation

froments sign

29
Q

pronator teres syndrome

A

pain and tenderness over PT

Sensory changes in median distribution of hand

Motor loss in median nerve distribution distal to pronator teres

30
Q

anterior interosseous syndrome

A

Pain proximal forearm

No sensory changes

FPL, FDP, PQ motor loss, median spared

OK sign

31
Q

carpal tunnel syndrome

A

most common compression neuropathy

Pain and paresthesias median nerve distribution
With use and nocturnally
May radiate proximately
sensory deficits spared in thenar eminence - palmar cutaneous branch

thenar wasting, gripping weakness
tines
phalens

32
Q

carpal tunnel syndrome, CPR

A

Age greater than 45
Symptoms severity scale 1.9
Wrist ratio index greater than .67
Decreased Median sensory thumb
hand shaking improves symptoms

MSK Shoulder (13 decks)

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