18 results
Brachial Plexus Lesions - Localization and Presentation

Erb palsy ("waiter's tip"), 
Klumpke palsy, 
Thoracic outlet syndrome, Winged
Klumpke palsy, Thoracic ... outlet syndrome ... , Winged scapula ... Klumpke #ClawHand #Diagnosis ... Review in Clinical Neurology
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Radial Nerve Wrist ... Radial Nerve Fingers ... #MuscleGroups #MSK ... #Orthopedics #Neurology ... #Diagnosis
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
Dislocation On lateral wrist ... dorsally and no longer ... Radiology #XRay #Diagnosis ... #Orthopedics #Sports ... #MSK
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... , C8 (radial) Finger ... Wrist drop - Occurs ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
elbow flexion, wrist ... consisting of finger ... #Test #Reflex #neurology ... #orthopedics #msk ... #sports #IRR #Radial
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
variable gross wrist ... carpal tunnel syndrome ... reduction using finger ... Radiology #XRay #Diagnosis ... #Orthopedics #MSK
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
forearm supination → wrist ... dorsiflexion/finger ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
forearm supination → wrist ... dorsiflexion/finger ... #physicalexam #sports ... #msk #orthopedics ... #neurology #ULNT
Mechanisms of Pain
Mixed - Nociceptive/Neuropathic
Nociceptive - Tissue Damage
 - Visceral - (From organ/cavity lining) Poorly localized,
Well-localized, sharp, short ... well-localized, dull, longer ... regional pain syndrome ... Pain #Mechanisms #Neurology ... #Differential #Diagnosis
Guillain-Barre Syndrome - Summary

Acute AIDP that presents with rapidly progressive flaccid weakness

Epidemiology:
 • 1-2 cases/100,000 per
Guillain-Barre Syndrome ... • Weakness: Starts ... Guillain-Barre Diagnosis ... #diagnosis #management ... #treatment #neurology