brachail plexus Flashcards

(28 cards)

1
Q

what is brachial plexus

A

a peripheral nerve network thats responsible for the sensory motor and sympathetic innervation of the upper extremities originating from the spinal cord

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what veretbrae does the brachial pleux consist of

A

c5-t1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

a type of paralysis mostly seen in one arm after the injury in the brachial plexus during injury

A

obstetric brachial plexus or OBPP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Some risk factors of the obpp

A

breech birth
overweight mother
use of assistive device during birth
4200-4500g birth weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what is the cause of brachial plexus

A

compression of the shoulder in the pelvis which leads to damage of the brachail plexus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

in the clinical condition what are the types of brachail pleuxs

A

upper bp ….duchenne …most common
upper middle bp
lower bp….klumpke…trauma or tumor
total bp….most serious

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

facts about the duchenne paralysis

A

c5-6 or 7 are affected
patient cant flex the arm and do shoulder abduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

facts about the klumpke

A

damage to c8-t1
mostly seen on medial side of the arm
rasp reflex is absent
sensory defect is seen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

facts about horners syndrome

A

seen with damage to the upper cervical and sympathetic ganglia c8-t1
respiratory prob
weakness in hand muscle
miosis is seen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

clinical symptoms of brachial plexus

A

elbow stays in extension
motionless arm
in postpatrum period the upper extremity is flask

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

some early signs of bp

A

inability to dress
discolouration
softness
cant make fist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are the signs that the conservatice treatmnent is working

A

recovery within first 2 weeks
difficult to achieve this if the recovery isnt within 2 weeks
prognosis is good with isolated upper trunk lesions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

some signs that the conservative treatment will fail

A

horners syndrome
dorsal scapula nerve involvement
total involvement
absence of elbow flexion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what can be considered an early reason for microsurgery

A

if the biceps takes more than 3 mnths to heal
and the biceps function do nor incraese within 3 mnths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what do we evaluate for the bp

A

rom
muscle strength
sensory evaluation
circumference

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

when evaluating rom what indicates th epresence of a contracture

A

passive movement doesnt complete and gets stuck in one point

17
Q

the mallet classification is used for what

A

shoulder assessment

18
Q

factors that affect mzllet classification scoring

A

muscle strength
⚫ joint contracture
⚫ bone deformity
⚫ neglect of the affected extremity

19
Q

what lab exams are done

A

ultrasound and mri

20
Q

why is the arm rested after birth for 2 weeks

A

edema and possible bleeding in the nerve

21
Q

things that should be avoided

A

traction
lying on the affected side
passive shoulder joint
hanging the arm down and swinging it should be avoided while having the bath

22
Q

what is the best ppsition for the baby

A

baby is supported under the arm and the arm is kept in extension

23
Q

some conservative treatments

A

vojta
weight bearing
activities that increase rom
pnf
taping

24
Q

in what case should the baby be obesrved from the 3rd month

A

babies without biceps function and third finger extension

25
what is the most important thing for the surgical treatment
correct timing and indication
26
who are the children that are reccomended tendon transfer and osteotomy
children over two who can cooperate wuth the pt and receive commands
27
tendon transfer increases what
external rotation
28
what is the aim of kinesioloy taping
increase hand function