Term
| Why might the patient have reduced grip and manual dexterity? |
|
Definition
1) Injury
2) Metabolic (diabetes)
3) Compression. |
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|
Term
| What symptoms does nerve compression produce? |
|
Definition
1) Pain with proximal or distal radiation
2) Sensory disturbance with parasthesia or numbness
3) Motor disturbance with weakness and wasting |
|
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Term
| What is more important in nerve compression injuries: ischaemia or mechanical factors? |
|
Definition
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|
Term
| What 3 kinds of nerve injuries are there? |
|
Definition
1) Neuropraxia (concussion)
2) Axonotmesis (sheath intact, axons cut)
3) Neurotmesis (sheath and axons cut. |
|
|
Term
| What nerve compression causes carpal tunnel syndrome? |
|
Definition
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|
Term
| What makes up the base and roof of the carpal tunnel? |
|
Definition
1) Base: carpal bones
2) Roof: flexor retinaculum |
|
|
Term
| What are possible causes of carpal tunnel syndrome? |
|
Definition
1) Idiopathic
2) Conditions increasing volume of tunnel
3) Conditions increasing volume of tunnel
4) Conditions increasing susceptibility of nerve (unlikely). |
|
|
Term
| What are the symptoms of carpal tunnel? |
|
Definition
1) Pins and needles in the thumb, index, middle and radial 1/2 of fingers
2) Weakness and clumsiness
3) Abductor pollicis brevis weakness. |
|
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Term
|
Definition
| Hyper-irritability when touched. |
|
|
Term
| What tests would you do on a patient with suspected carpal tunnel? |
|
Definition
1) Elevation test
2) Tinel's sign
3) Phelan's test
4) Nerve conduction studies. |
|
|
Term
| How can you treat carpal tunnel? |
|
Definition
1) Steroid injections
2) Diuretics
3) Splint
4) Surgical release of flexor retinaculum. |
|
|
Term
| What is cubital tunnel compression and where does it take place? |
|
Definition
| Ulnar nerve compression. Compression at the elbow or the wrist |
|
|
Term
| What are possible causes of ulnar nerve compression? |
|
Definition
1) Compression between beneath FCU aponeurosis
2) Traction injury arond medial epicondyle
3) Chronic irritation. |
|
|
Term
| What are the symptoms of ulnar nerve compression? |
|
Definition
1) Numbness of little and ring finger
2) Pain on elbow flexion
3) Numbness of dorsal area of hand supplied by the nerve |
|
|
Term
| What is a +ve froments sign? |
|
Definition
| Can't hang on to a piece of paper (ulnar nerve compression). |
|
|
Term
| How do you treat ulnar nerve compression at the elbow? |
|
Definition
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