Scapular neuropathies

Question 1

long thoracic neve: mm palsy, physical weakness, scapular po

Answer 1

mm palsy- Serrates ant

wekaness- arm flex, wall push uo

po- Displaced med and sup

Question 2

Spinal accessory- mm palsy, weakness, scapular pos

Answer 2

Traps

weak- Arm abduction, ext rot

Scap sup angle more laterally displaced

Question 3

Dorsal scap- mm palsy, physical exam weakness, scapular pos

Answer 3

rhomboids

weak scapular retraction/elevation

Inf angle more lat displaced

Question 4

Conservative therapy of scapular overall

Answer 4

advise to avoid- overhead activity, activities that cause pain, not to stretch serrates ant

ROM exercises in supine pos

Potential brance

Question 5

avg spontaneous recovery of scapular probs

Answer 5

6-24m spontaneous recovery

Question 6

stretch induced neuropraxia happens when

Answer 6

Nerve can tolerate 10% increase in resting length, after this stretch induced neuropraxia develops

Question 7

what are some sig injury sites for axillary n

Answer 7

injury to quadrangular space

dislocation causing injury to axillary nerve

Question 8

what does axillary n innervate and palsy

Answer 8

Inn- deltoid, terres minor

palsy- weakness of shoulder abduction
weak ext rot

Question 9

mechanism of quadrangular space syndrom

Answer 9

repeated overhead activity

Question 10

what is the mc complication of humerus fx

Answer 10

axillary nerve injury

Question 11

how long is the average

Answer 11

often full recovery in 7 m

Question 12

inn of dorsal scapular nerve

Answer 12

rhomboids and lev scap

Question 13

sites of injury or entrapment of dorsal cap nerve (3)

Answer 13

1. Entrapped within the scalenus medius mm
2. Medial scapular border
3. Toxic injuryy during brachial plexus block

Question 14

pain distribution oin dorsal scapular nerve injury

Answer 14

Over medial border of scapular, intrascap pain, shoulder and arm pain

Question 15

Clinical features of dorsal scapular never injury

Answer 15

• weakness of arm abduction
• medial scapular winging
• possible atrophy
• aggravation w ipsilateral flex and extension

Question 16

Common mechanism for supra scapular neuropathy

Answer 16

shoulder compression injuries (carrying material on shoulder, backpack etc)

Question 17

weakness of suprascap nerve palsy

Answer 17

Wasting of supra/infra spinatus (c5,6)

Question 18

signs of suprascap n injiry

Answer 18

pt will have a common progressive dull burning arching pain in peter-lateral shoulder

weakness in external rot and or abduction

Question 19

exam findings in suprascap n injury

Answer 19

• Weak resisted external rot
• observed atrophy
• pain at AC jt
• palpation tenderness at the psterosuperior scapular

Question 20

conservative tx for suprascap compression/dysfunction

Answer 20

• pain and inflammation management
• pos of relief, avoid re injury
• therapy for rotator cuff, scapular mobs and strengthening
• conservatibe for up to 12m

Question 21

What is erbs palsy an injury of

Answer 21

axillary nerve
musculocutaneous nerve
suprascap nerve
C5/6roots

Question 22

presentation of erbs palsy

Answer 22

forward rotated shoulder
upper arm redness
waiter tip deformits
horner syndrome

Question 23

What is Klumpke palsy

Answer 23

injury and partial palsy of the lower roots of the brachial plexus (c8/t1)

Palsy of hand, shoulder and arm mm

Question 24

Presentation of klumpke palsy

Answer 24

Severe limb atrophy

claw like hand