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Nerve Injuries

The document provides guidance on examining patients for various types of nerve injuries. It discusses examining the patient's attitude, deformities, swelling, and trophic changes. It also discusses palpating for tenderness along the nerve course, thickening of the nerve, and checking for bony deformities. Active and passive movements should be checked. Measurements of limbs should be taken. The logical examination involves checking motor function, muscle bulk, power and sensory function in dermatomal and autonomous areas. Specific nerves like the radial, ulnar and median nerves are examined by testing individual muscles innervated and sensory areas supplied. Signs like Claw hand and Okposner are mentioned to localize nerve injuries.

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Aravind Ravi
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0% found this document useful (0 votes)
73 views

Nerve Injuries

The document provides guidance on examining patients for various types of nerve injuries. It discusses examining the patient's attitude, deformities, swelling, and trophic changes. It also discusses palpating for tenderness along the nerve course, thickening of the nerve, and checking for bony deformities. Active and passive movements should be checked. Measurements of limbs should be taken. The logical examination involves checking motor function, muscle bulk, power and sensory function in dermatomal and autonomous areas. Specific nerves like the radial, ulnar and median nerves are examined by testing individual muscles innervated and sensory areas supplied. Signs like Claw hand and Okposner are mentioned to localize nerve injuries.

Uploaded by

Aravind Ravi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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INJURY EXAMINATION

do:.
weakness
->

->
loss of sensation
->
deformity

HOP I :-
-

ho fraunce
->

puropraxia
Compression
->

no mode of injury-
->

Axonemesis
fractures ->

Neuotmesis
rigories
-
open

neurotmesis)
chemical
->
No (can
injection cause
Inspection
--

-
Attitude

-> Deformity
stars
->
Swelling,
nail brittleness
changes-skininitial dryness, growth,
hair
Trophic
->

(In erythema,
stage
-> Muscle wasting
later
stage dryness)

Dalpation
-- I
injuries (Initial
conic
stage 1
Imperature
->
- innerve stages,

of the
Tenderness/Linel's signalong the course nerve

->

the
Thickening of
nerve
->

-> Bony palpation -/#, dislocation

(The elbow, wish


I hand are
palpated for bony deformitis
to be normal)
I
found

Movements
--

& Passive checked


-> Both Active are

↓ to
↳here bin stiffness
Measurements
--

->Mid arm /forearm/thigh/ leg arainference


->
Link length
Examination
Logical
Motor
-> Your

-Bulk
->
Muscle power

Sensory

-> Dermatomal pattern


-> Autonomous area

Individual
nerve examination

examination
nerve
thunk drop
palsy-wrist drop, finger
a
Radial nerve

Posterior, interosseous nerves finger a thunk drop

① desting
Triceps

② Brachioradialisdesting

③ wrist extensors
extensors (to only
test long extensors, far the IPO supply
④ Tunk &
finger
resistance against the PPX)
Sensation -> Ist dorsal web
space

Unar nerve
--

.
FCU is the single muscle to differentiate
between
high a low

war
palsy
deviation flexion
·
FCU desting make a
fist, una &

· FDP

book.
this
pollicis (Froments
sign) -use
· Adductor a

·
Dalmar interosse card dest)

Dorsal interosse (Igawa test)-ask middle finger


to move
radially
direction
·

ulnar

ask to the little


abduct finger
Abductor digit
minimi-

finger
I

little wartenberg
·

Resting of
abduction e
in
ige

named
signs are

SIGN - MCP extension, IP joint flexion


DUCHENNE to pinch
extension of
MCP of think,
when trying
IEANNE
SIGN -
compensatory
eminence
MASSE
SIGN - Loss of hypothenals

POLLOCK SIGN -> Absent


DIP
flation
MEDIAN NERVE PALSY
-

·
PRONATOR TERES - Elbow in
partial flexion
·
PRONATOR QUADRATUS - Elbow maximal
in flexion

· FCR - make fist & flex


ask to food thank a little finger &
flex the
· Almaris longus -

wrist

· EDS

· FDP

·
FPb

· ADB (Den dest)

touch the
pulp of thumb for pulp of other fingers
·
opponens policist
SIGNS
- -

3
CLASP SIGN
OSCHNER
Higher
- nerve

HAND SIGN
- BENEDIT

sign I
-
OK
Lower nerve
SCIATIC NERVE
- -

· anterior-
Tibialis cross the examining leg on the normal leg flew it.

Ask to dorsiflex the amble

Similarly done
·
Tibialis Posterior -

· EHL->
the does
Entend & resistance
give
at
IP joint

resistance SMMT
at
the amble &
· Prone - Get give

·
Hamstring-prone position
· Gastrosols ->
prone,
knee
flexed
·
FHL -> Drone, knee flexed

Sensory
- -

Sup peroneal nerve-Dorsums of foot


Iweb space
Deep, peroneal
nerve--I

Sural nerve -> lateral border of foot

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