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*Part II Supplemental > Peripheral Nerve entrapment and condition > Flashcards

Peripheral Nerve entrapment and condition Flashcards

1
Q

Median N

A

Carpal tunnel and pronator teres syndrome

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2
Q

Carpal tunnel syndrome site

A

Under flexor retinaculum

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3
Q

Cause of carpal tunnel syndrome

A

Obesity
Fluid retention due to pregnancy
Hypothyroidism
RA

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4
Q

Presents with numbness and tingling of the first 3 digits, thenar atrophy, nocturnal pain, weak opponent pollicis (ape hand appearance)

A

Carpal tunnel

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5
Q

Carpal tunnel tests

A

Tinnels
Phalens
Grip strength with dynamometer

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6
Q

Carpal tunnel treatment

A

Adjust
Cock up splint
Natural diuretic vitamin B6

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7
Q

Pronator teres syndrome site

A

Between head of pronator trees at the elbow

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8
Q

Pronator teres nerve

A

Anterior interosseous nerve

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9
Q

Presents with pain & paresthesia on the VOLAR (palm) aspect of forearm, lateral palm, lateral digits

A

Pronator teres syndrome

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10
Q

Caused by hypertonicity of the muscle by things such as occupation (carpenters and mechanics)

A

Pronator teres syndrome

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11
Q

Pain with pronation, wrist flexion, thenar atrophy

A

Pronator teres syndrome

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12
Q

Test for pronator teres syndrome

A

Pinch grip test

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13
Q

Treatment for pronator trees syndrome

A

Trigger point therapy, stretch

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14
Q

Ulnar nerve entrapment site

A 
Tunnel of Guyon (under hook of hamate)
Cubital tunnel (elbow)
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15
Q

Caused by direct trauma or repetitive micro trauma. Presents with pain, tingling, and numbness in the last 2 digits and weakness of adductor pollicis (Claw hand deformity), Hypothenar atrophy

A

Ulnar N entrapment

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16
Q

Claw hand deformity; weakness of adductor pollicis

A

Ulnar N

Klumpke’s paralysis (Lower brachial plexus)

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17
Q

Ape hand deformity; weak opponen pollicis

A

Median N (carpal tunnel syndrome)

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18
Q

Cubital tunnel entrapment will present with weak wrist flexion on the ulnar side

A

Ulnar N entrapment

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19
Q

Lower Brachial Plexus entrapment c8-t1

A

Klumpke’s paralysis

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20
Q

Palsy of the lower brachial plexus from childbirth

Creates a claw hand deformity with flexion of the wrist

A

Klumpke’s paralysis

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21
Q

Wrist drop
Erbs Palsy (waiters tip deformity)
Saturday night palsy
Crutch paralysis

A

Radial N entrapment

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22
Q

Unable to extend elbow and wrist

A

Wrist drop

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23
Q

Adduction, internal rotation, flexion of the wrist

A

Erb’s palsy

Waiters tip deformity

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24
Q

Presents with loss of triceps reflex. Caused by trauma, lead poisoning, pressure from crutches

A

Radial N entrapment

25
Q

Decreased sensation in posterior arm, forearm, and posterolateral 3.5 fingers

A

Radial N entrapment

26
Q

LTN entrapment

A

Scapular (medial) winging

27
Q

The result of numerous causes including trauma, iatrogenic, and idiopathic processes that most often result in nerve injury and paralysis of serratus anterior

A

LTN entrapment

28
Q

DSN entrapment

A

Flaring of the scapula

29
Q

Lateral Femoral Cutaneous N entrapment

A

MEralgia paresthetic

30
Q

Meralgia paresthetica location/ site

A

over the pelvic brim under the inguinal ligament

31
Q

Meralgia Paresthetic Nerve Roots

A

L2 and L3 Nerve Roots

32
Q

Caused by external pressure, obesity, and tight jeans. Presents with burning synesthesia on anterolateral thigh.

A

Meralgia Paresthetica

33
Q

Meralgia Paresthetica treatment

A

Advice weight loss and loose clothing

34
Q

Sciatica site

A

Pelvis, hip, popliteal fossa

35
Q

Caused by trauma, traction, wallet pressure, piriformis and muscle spasm.

A

Sciatica

36
Q

Patient presents with sensory pain in posterior buttock, thigh, leg down to the floor. Weak knee flexion and decreased achilles reflex

A

Sciatica

37
Q

Differential diagnosis with facet

A

Sciatica

38
Q

Tibial N entrapment

A

Tarsal Tunnel Syndrom (Medial plantar N)

39
Q

Presents with burning paresthesia, decreased sensation on soles of feet and weak muscles of the foot, aggravated by walking or standing

A

Tarsal tunnel syndrome

40
Q

Tarsal tunnel syndrome treatment

A

Adjust

Orthotic support to keep foot in slight inversion

41
Q

Morton’s neuroma (inter metatarsal neuroma) Site

A

Between 3rd and 4th metatarsal

42
Q

Presents with pain in toes and dorsum of the foot

A

Morton’s neuroma

43
Q

Test for Morton’s neuroma

A

Morton’s squeeze

44
Q

Treatment for Morton’s neuroma

A

Surgery may be needed

45
Q

Common Peroneal N entrapment site

A

Fibular head

46
Q

Presents with pain in the lateral aspect of the leg, weak peroneal muscle, FOOT DROP. Caused by trauma

A

Common peroneal N entrapment

47
Q

Common Peroneal N entrapment (foot drop) patient management

A

Adjust

Refer if fracture is present

48
Q

Deep Peroneal N entrapment

A

Anterior Compartment Syndrome

49
Q

Can affect any and all four muscles of that compartment; tibialis anterior, extensor hallucinating longus, extensor digitorum longus, peroneus tertius.

A

Ant. Compartment SYndrome

50
Q

Symptoms of ant. Compartment syndrome is similar to

A

Charcot Marie Tooth

51
Q

A deformity in which the fingertip is curled in and cannot straighten itself. This deformity results from injury, which either damages the tendon or tears the tendon from the bone

A

Mallet finger

52
Q

Hyperflexion of DIP and Hyper-extension of PIP

A

Swan neck deformity

53
Q

Swan neck deformity is associated with which condition

A

RA

54
Q

Hyper-extension of DIP and hyper flexion of PIP

A

Boutonnierres Deformity

55
Q

Boutonierres associated with which condition

A

OA

56
Q

An abnormal thickening underneath the skin of the palm and fingers. Causes the last 2 digits to cure into the palm. Later on the middle finger may be involved

A

Dupuytren’s contracture

57
Q

A finger becomes locked in a flexed position. The finger locks when one of the tendons that flex the finger becomes inflammed and swollen. To straighten the finger, a person must force the swollen area into the sheath producing a popping or snapping

A

Trigger Finger

58
Q

Inflammation of the extensor pollicis braves and the abductor pollicis longus tendons on the side of the wrist at the base of the thumb. Can be brought on by simple strain injury

A

De Quervain tenosynovitis

59
Q

Dequevain test and treatment

A

Finkelstein’s test

Treated by bracing the thumb and wrist

*Part II Supplemental (28 decks)

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