20 results
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
hyperextension -> Upper extremity ... Primarily Upper Extremity ... #Syndromes #diagnosis ... signs #symptoms #msk ... #orthopedics #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
Wrist Extension ... Hip Flexion L2 ... #MuscleGroups #MSK ... #Orthopedics #Neurology ... #Diagnosis
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Upper Extremity ... Pronation - C7, C8 Wrist ... spared in this injury ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory
Rock Paper Scissors - Assessment of Nerve Damage in Upper Limb Injuries
Rock - Median Nerve
 •
• Extension of wrist ... Thumb flexion at IP ... index finger at DIP ... #Injury #UpperExtremities ... #diagnosis #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Test (Upper-Limb ... forearm supination → wrist ... ULTT2 #clinical #video ... physicalexam #sports #msk ... #orthopedics #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Test (Upper-Limb ... forearm supination → wrist ... ULTT1 #clinical #video ... physicalexam #sports #msk ... #orthopedics #neurology
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... Herpes zoster - HIV ... Trauma • Crush injury ... #lower #extremity ... #msk #physicalexam
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... Tumor • Motor Nerves ... injury, Sarcoid ... #differential #diagnosis ... #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
by Nerve Root Levels ... C6 Dorsal Thumb Wrist ... Anterior Medial Thigh Hip ... #differential #diagnosis ... #Neurology #Spine
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
compression of nerve ... cord infarct • HIV ... • Provocative Tests ... absent anal wink test ... #causes #neurology