Nerve Palsies Flashcards

(48 cards)

1
Q

What is HILTON’s law?

A

That a sensory nerve supplying a JOINT also innervates the MUSCLES that innervate the joint and the SKIn overlying the joint

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2
Q

What causes a total brachial Plexus Palsy? C5-T1

A

Damage during childbirth

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3
Q

What root numbers are damaged in Erb’s Palsy?

A

C 5,6, 7

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4
Q

What part of the brachial plexus is damaged in Erb’s Palsy?

A

Superior brachial plexus

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5
Q

What is a common cause of Erb’s Palsy?

A

Obstetric birthing complication when traction is applied

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6
Q

What are the clinical features of Erb’s palsy?

A

Waiter’s tip position

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7
Q

What is the position of the Shoulder, elbow and wrist

A

Adducted and internally rotated
Extended and pronated
Flexed

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8
Q

Which nerve roots are affected in Klumpke’s palsy?

A

C8/T1

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9
Q

Which section of the brachial plexus is affected in Klumpke’s palsy?

A

Lower section

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10
Q

How is a Klumpke’s palsy caused?

A

If an upper limp is delivered 1st and traction applied

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11
Q

What are the clinical features of Klumpke’s palsy?

A

Claw hand - the small muscles of the hands are affected, the forearm is supinated, the wrist and fingers flexed

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12
Q

What nerve roots are affected in a musculocutaneous palsy?

A

C 5,6,7

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13
Q

Which part o the cord is affected in the Musculocutaneuos nerve palsy?

A

Lateral

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14
Q

Which muscle does the musculocutaneuos nerve piece and then run between?

A

Coracobrachialis

Biceps brachia and brachial

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15
Q

What joint does the muscu N supply? And what does it terminate at?

A

Elbow joint

Lateral cutaneous nerve to the forearm

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16
Q

What would cause a palsy to the MC nerve?

A

Stab wound to the upper arm

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17
Q

What would be the clinical features of a palsy of the MC nerve?

A

Wasting of the biceps

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18
Q

What roots form the axillary nerve?

A

C5/6

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19
Q

Which part of the cord does it come from?

A

Posterior

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20
Q

What structure does the axillary nerve wrap around?

A

Surgical neck of the humerus

21
Q

What does the axillary nerve supply?

A

The lateral sensation of arm

Deltoid and Teres minor

22
Q

What are 2 causes of damage to the axillary nerve

A

Fracture to the surgical neck of the humerus

Compression by dislocation

23
Q

What are the 2 symptoms of damage to the axillary nerve?

A

Numbness over the badge area

Deltoid wasting

24
Q

What nerve roots make up the RADIAL nerve?

A

C5,6,7,8 and T1

25
Which part of the cord is it from?
Posterior
26
What groove does the radial artery run in?
Radial groove of the humerus
27
What areas does the radial nerve give sensory supply to?
Lower part of arm, posterior forearm and 2/3 dorsum of the hand
28
What are the 2 causes of a radial nerve palsy?
Saturday night palsy = fall asleep on it | Fracture of the proximal humerus
29
What is the clinical feature of a radial nerve palsy?
Wrist drop
30
What roots make up the median nerve?
C5,6,7,8,T1
31
What 2 chords does the median nerve come from?
Medial and lateral
32
What sensory supply does the median nerve have?
Thenar eminence and the lateral 3 1/2 fingers
33
What motor supply does the median nerve have?
LOAF muscles and all the flexors of the forearm except FCU and medial FDP
34
What can cause a palsy of the median nerve?
Carpal tuneless compression or fracture of the humerus
35
What is the clinical features of median nerve issues?
Hand of Benediction | Carpal tunnel syndrome
36
Ulnar nerve Roots?
C7-T1
37
What part of the cord is it form?
Medial cord
38
What dies the ulnar nerve supply?
Anterior compartment and the HILA muscles of the hand
39
What can cause an injury to the ulnar nerve?
That would be fracture of the humerus or compression at the cubital tunnel in the arm
40
What is the symptoms of ulnar nerve compression?
Claw hand
41
what are the roots of the sacral plexus?
S2-4
42
What are the 3 main branches of the sacral plexus?
Superior gluteal nerve Inferior gluteal nerve Sciatic nerve
43
What do the following supply? Superior gluteal nerve Inferior gluteal nerve Sciatic nerve
Gluteus medius and minimuns Gluteus maximus Posterior thigh leg and foot
44
What is the main branch of the sciatic nerve?
Common peroneal nerve
45
What does the deep common perineal nerve supply?
Anterior complement of the leg
46
What does the Superficial common perineal nerve supply?
Lateral leg compartment
47
What does the tibial nerve supply?
Posterior leg
48
What is the main branch of the lumbar plexus?
Femoral nerve