Shared Flashcard Set

Details

Nerve Injuries of the UE pt 2
pt 2
41
Medical
Graduate
03/01/2016

Additional Medical Flashcards

 


 

Cards

Term
Nerve Entrapment: suprascapular nn involves which Cervical nn
Definition
C6-C6
Term
Nerve Entrapment: axillary (circumflex) nn involves which cervical nn
Definition
C5-C6
Term
Nerve Entrapment: long thoracic nn invovles what Cervical nn
Definition
C5-C7
Term
Nerve Entrapment: 2 general injury locations
Definition
Brachial plexus
thoracic outlet syndrome
Term
Nerve Entrapment: symptom description (2)
Definition
Deadarm syndrome
burner/stinger
Term
Nerve Entrapment: non-neurlogical neurlogicla involvement (2)
Definition
pancoast tumor
horner's syndrome (C8-T1)
Term
Surpascapular nn (C5-C6) entrapment: mechanism
Definition
scapualr protraction with horizontal adduction
Term
Surpascapular nn (C5-C6) entrapment: areas of entrapment (2)
Definition
suprascapular notch/transverse scapular ligament
spinoglenoid notch
Term
Surpascapular nn (C5-C6) entrapment: supracapular notch/transverse scapualr ligament presentation (2)
Definition
SS and InfrS affected
C/O jt pain with weakness in ER and Abd
Term
Surpascapular nn (C5-C6) entrapment: spinoglenoid notch presentation (3)
Definition
affects InfrS only
may see atrophy of InfrS fossa with posterior shoulder pain
Associated with overhead athletes esp Vball
Term
Axillary nn (C5-C6) entrapment: nn passes through what space
Definition
quadrilateral space lying against surgical neck of humerus
Term
Axillary nn (C5-C6) entrapment: vulnerable to injury with what injury?
Definition
anterior shoulder dislocation
Term
Axillary nn (C5-C6) entrapment: atrophy of what mm
Definition
deltoid
Term
Axillary nn (C5-C6) entrapment: what symptoms with shoulder abduction
Definition
paresthesia of shoulder and weakness
Term
Axillary nn (C5-C6) entrapment: weakness and paresthesia with what motion
Definition
shoulder abduction
Term
Axillary nn (C5-C6) entrapment: symptom presentation
Definition
typically transient in nature
Term
Long Thoracic nn (C5-C7) entrapment: aka
Definition
ruck sack palsy
Term
Long Thoracic nn (C5-C7) entrapment: may be traumatized with what
Definition
heavy load placed on shoulder (back, pack, brief case) direct blow or traction
Term
Long Thoracic nn (C5-C7) entrapment: symptoms
Definition
shoulder pain
Term
Long Thoracic nn (C5-C7) entrapment: sign
Definition
isoalted scapular winging d/t serratus anterior weakness
Term
Long Thoracic nn (C5-C7) entrapment: may present as what
Definition
RC weakness until scapula is stabilized
Term
Brachial Plexus Injuries: causes (6)
Definition
GSW
Traction to neck or shoulder
Fx
Tumors/Ca
Birth d/t injury to clavicle (infant)
Incorrect use of crutches
Term
Brachial Plexus Injuries: 75% of these injuries occur where
Definition
root level
Term
Brachial Plexus Injuries: how are they dx
Definition
specific locaiton and extent of injury through NCV, mm testing, neuro exam
Term
TOS: whast is it?
Definition
compression of neurovascular structures
Term
most commonly implicated tissues (3)
Definition
subclavican aa/vv
brachial plexus
Term
TOS: usually affects what trunk of the brachial plexus
Definition
lower trunk (C8-T1)
Term
when is dead arm syndrome
Definition
occurs during acceleration and or late cocking phase of throwing
Term
Dead Arm Syndrome: pt will complain of what
Definition
transient numbness into arm
loss of velocity with repetetive throwing
Term
Dead Arm Syndrome: associated with what
Definition
shoulder instability secondary to anterior shoulder subluxation, RC tears, or labral tears
Term
Dead Arm Syndrome: true neurologic signs
Definition
not common
Term
Burner/Stinger: d/t what
Definition
traction or compression of upper trunk of brachial plexus
Term
Burner/Stinger: how may the athlete intially present
Definition
holding arm suggesting fx or dislocation
Term
Burner/Stinger: MOI
Definition
forceful lateral flexion of the head with depression of the shoulder
Term
Burner/Stinger: symptoms (3)
Definition
transient pain
numbness
paresthesias
Term
Burner/Stinger: may become chronic if what (2)
Definition
trauma at the nerve root level
recurrent injury
Term
Pancoast/Horner's: what is a pancoast tumor
Definition
tumor occuring in apex of lung
Term
Pancoast/Horner's: compromises what nn structures
Definition
C8-T1 roots of brachial plexus
Term
Pancoast/Horner's: signs (2)
Definition
sensory changes over medial forearm and hand
mm wasting of instrinsics of hand
Term
Pancoast/Horner's: if the sympathetic chain what are the s/s (4)
Definition
sunken eyeball
ptosis (Drooping eye lid)
miosis (contraciton of pupil)
unilateral flushing of face
Term
Pancoast/Horner's: hx
Definition
night pain in smoker without trauma or neurologic disease should raise suspiscion
Supporting users have an ad free experience!