Upper Limb Nerve Injuries Flashcards
Roots of the brachial plexus are deep to which muscle?
Anterior scalene muscle
Phrenic nerve is a part of the ____________ plexus
Cervical
Does the phrenic nerve branch a root, trunk or cord? Which nerve fibers supply this nerve?
Root
C4,C5, C6
Does the dorsal scapular nerve branch a root, trunk or cord? Which nerve fibers supply this nerve?
C5 Root
C4, C5
Does the suprascapular nerve branch a root, trunk or cord? Which nerve fibers supply this nerve?
Upper Trunk
C5, C6
Does the nerve to subclavis branch from a root, trunk or cord? Which nerve fibers supply this nerve?
Upper Trunk
C5, C6
Does the lateral pectoral nerve branch from a root, trunk or cord? Which nerve fibers supply this nerve?
Lateral Cord
C5, C6, C7
Does the musculocutaneous nerve branch from a root, trunk or cord? Which nerve fibers supply this nerve?
Lateral Cord
C5, C6, C7
Does the upper subscapular nerve branch from a root, trunk or cord? Which nerve fibers supply this nerve?
Posterior Cord
C5, C6
Does the thoracodorsal nerve branch from a root, trunk or cord? Which nerve fibers supply this nerve?
Posterior Cord
C6, C7, C8
Does the lower subscapular nerve branch from a root, trunk or cord? Which nerve fibers supply this nerve?
Posterior cord
C5, C6
Does the axillary nerve branch from a root, trunk or cord? Which nerve fibers supply this nerve?
Posterior Cord
C5, C6
Does the median nerve branch from a root, trunk or cord? Which nerve fibers supply this nerve?
C5, C6 C7, C8, T1
Does the radial nerve branch from a root, trunk or cord? Which nerve fibers supply this nerve?
Posterior cord
C5, C6, C7, C8, T1
Does the ulnar nerve branch from a root, trunk or cord? Which nerve fibers supply this nerve?
Medial Cord
C8, T1
Dermatomal vs. Cutaneous Innervation
A dermatome is an area of skin in which sensory nerves derive from a single spinal nerve root
Cutaneous innervation refers to the area of the skin which is supplied by a specific cutaneous nerve.
Avulsion
Most severe type of brachial plexus injury, nerve is torn from spine
Rupture
Nerve is torn but not at the spinal attachment
Neuroma
Nerve has torn and healed but scar tissue puts pressure on injured nerve and prevents it from conducting signals to the muscles
Neuropraxia
Nerve has been damaged but not torn; most common type of brachial plexus injury
Stingers or Burners
Stingers occur with compression or overstretching of the nerves
Which nerve roots are the mostly commonly affected by injury?
C5 and C6
Which nerve fibers are affected in Erb’s Palsy?
C5, C6
Paralysis of the upper plexus
Erb’s Palsy
Paralysis of the lower brachial plexus
Klumpe’s Palsy
Which nerve fibers are affected in Klumpke’s Palsy?
C7, C8, T1
What is the most severe manifestation of Klumpke’s Palsy?
Claw Hand
The more ____________ a muscle is the more likely it is that the nerve fibers are derived from the upper brachial plexus
proximal