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differential clinical orthopedics sports causes extremity knee management spinalcord barre cord dermatomes guillain leg median motor myotomes neurodynamic peripheral sensory
Cauda Equina Syndrome Overview Cauda Equina Syndrome: • Prevalence: 1:33,000-100,000 ppl/yr • Incidence: 1.5-3.4 million ppl/yr •
Cauda Equina Syndrome ... compression of nerve ... infarct • HIV ... • Provocative Tests ... #causes #neurology
Spinal Cord Injury by Nerve Root Levels Spinal Root Sensory Motor Reflex C4 Acromioclavicular Joint Respiration None C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex C7 Dorsal
Spinal Cord Injury ... by Nerve Root Levels ... C6 Dorsal Thumb Wrist ... Anterior Medial Thigh Hip ... #Neurology #Spine
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Neuromuscular Weakness • Spinal ... Demyelinating Disease (MS ... injury, Sarcoid ... #differential #diagnosis ... #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2) To assess for Median Nerve Peripheral Neuropathy Elbow extension →
forearm supination → wrist ... ULTT2 #clinical #video ... #physicalexam # ... sports #msk #orthopedics ... #neurology #ULNT
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 Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1) To assess for Median Nerve Peripheral Neuropathy Shoulder abduction →
forearm supination → wrist ... ULTT1 #clinical #video ... #physicalexam # ... sports #msk #orthopedics ... #neurology #ULNT
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 Positive Varus Stress Test in LCL Injury Interesting knee injury in a young basketball player who landed
Positive Varus Stress Test ... rupture and our final ... Positive #Clinical #Video ... #PhysicalExam # ... collateral #ligament #msk
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 Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Conditions: • Cauda ... Equina Syndrome ... damage to peroneal nerve ... #neurology #sensory ... #motor #leg #physicalexam
Lesions of the Spinal cord - Spinal Cord Syndromes Spinal cord lesions can result in permanent neurologic
Syndromes Spinal ... result in permanent neurologic ... involvement Cauda ... #differential #diagnosis ... #neurology
Inverted Supinator Test Useful for identifying a lesion at the C5-C6 spinal cord level. Tapping the
Inverted Supinator Test ... lesion at the C5-C6 spinal ... #Reflex #neurology ... #physicalexam # ... orthopedics #msk
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 Upper Extremity Dermatomes and Myotomes Motor Function Shoulder: • Abduction - C5,C6 (axillary) • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
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