RADIAL NERVE IS A BEAST

Question 1

ROOT

Answer 1

C5 TO T1

Question 2

LEVELS OF RADAL NERVE INJURY

Answer 2

*VERY HIGH ( ABOVE RADIAL GROOVE )
*HIGH ( BETWEEN RADIAL GROOVE ANF LATERAL EPICONDYLE )
*LOW (AT OR JUST BELOW ELBOW BEFORE DIVISION OF NERVE )
*VERY LOW ( BELOW THE ELBOW ; PIN INJURY )

Question 3

VERY HIGH

Answer 3

TOTAL PALSY ;
WRIST DROP
THUMB DROP
FINGER DROP
LOSS OF EXTENSION OF ELBOW
LOSS OF SENSATION IN 1ST WEB SPACE
FLEXION OF ELBOW WHEN FOREARM PRONATED

Question 4

HIGH

Answer 4

ALL EXCEPT LOSS OF EXTENSION OF ELBOW

Question 5

LOW

Answer 5

ONLY FINGER DROP
THUMB DROP
LOSS OF SENSATION ON 1ST WEB SPACE

Question 6

VERY LOW

Answer 6

ONLY FINGER DROP
THUMB DROP

Question 7

CLINICAL FEATURES

Answer 7

WRIST DROP
THUMB DROP
FINGER DROP
LOSS OF SENSATION ON DORSUM OF 1ST WEB SPACE
LOSS OF EXTENSION OF ELBOW
WASTING OF TRICEPS AND EXTENSORS

Question 8

SUPPLIES TO

Answer 8

@BEAST
BRACHIORADIALIS
EXTENSORS
ANCONEUS
SUPINATOR
TRICEPS

Question 9

EXTENSORS TEST

Answer 9

WRIST EXTENSORS = PARALYSIS LEADS TO WRIST DROP
EXTENSOR DIGITORUM PARALYSIS LEADS TO FINGER DROP
EXTENSOR POLLICIS LONGUS TEST = PATIENT MP JOINT OF THUMB IS STABILISED AND IS ASKED TO EXTEND IP JOINT OF THUMB ( CALLED HITCH HIKER SIGN )

Question 10

TESTS OF @ BET

Answer 10

BRACHIORADIALIS = PATIENT ASKED TO FLEX ELBOW WHEN FOREARM IS MID PRONE
EXTENSORS
TRICEPS =PATIENT ASKED TO EXTEND ELBOW AGAINST RESISTANCE , EXAMINER FEELS THE CONTRACTION OF TRICEPS

Question 11

SCREENING TEST FOR NERVE INJURY

Answer 11

HITCH HIKER SIGN ( TESTS EXTENSOR POLLICIS LONGUS )

Question 12

TREATMENT

Answer 12

COCK UP SPLINT
PHYSIOTHERAPY
NERVE REPAIR
ROM EXRECISE
TENDON TRANSFER