brachial plexus injuries
DESCRIPTION
Brachial Plexus InjuriesTRANSCRIPT
Nerve Type of Injury Symptom/Sign Muscle Damage
Axillary nervefracture of surgical head of humerus or Dislocation of
shoulder joint
Abduction of arm to horizontal position is compromised
Paralysis of deltoid muscle
Axillary nerve
fracture of the surgical head of the humerus or
dislocation ot the shoulder joint
weakened lateral rotation of the arm; deltoid paralysis
teres minor muscle
Axillary nerve
fracture of the surgical head of the humerus or
dislocation ot the shoulder joint
"Patch sign"- loss of sensation on lateral side of upper arm
(blank)
Long thorasic nervestab wound or removal of
lymph nodes during a mastectomy
Abduction of the arm past the horizontal position is impaired, and pt
can't use arm to PUSHserratus anterior muscle
Long thorasic nervestab wound or removal of
lymph nodes during a mastectomy
"winged scapula" serratus anterior muscle
Musculocutaneous nerve (upper trunk - C5-C6)
Violent stretch between head and shoulder
"waiter's tip", arm is medially rotated and pronated; Erb Duchenne
biceps brachii brachialis
Suprascapular nerve (upper trunk - C5-C6)
Violent stretch between head and shoulder
"waiter's tip", arm is medially rotated and pronated; Erb Duchenne
Infraspinatus muscle
Axillary nerve (upper trunk - C5-C6)
Violent stretch between head and shoulder
"waiter's tip", arm is medially rotated and pronated; Erb Duchenne
Teres minor muscle
Median nerve (lower trunk - C8-T1)
Sudden pull upward on arm
"claw and", loss of function of the hand and wrist; Klumpke's
Muscles of the hand and wrist
Ulnar nerve (lower trunk - C8-T1)
Sudden pull upward on arm
"claw and", loss of function of the hand and wrist; Klumpke's
Muscles of the hand and wrist
(posterior Cord- C5-T1) (blank) Wrist drop (blank)
Radial nerve (Posterior cord -C5-T1)
Fractur of the humerus at the midshaft or badly fitted
crutches
"Saturday night palsy", Can't extend wrist and digits and no supination.
paralysis of mms in extensor compartment of the forearm
Radial nerve (Posterior cord -C5-T1)
Fractur of the humerus at the midshaft or badly fitted
crutches
sensory loss at posterior arm, posterior forearm, and lateral aspect of the dorsum of the arm "snuff box".
(blank)
Radial nerve (Posterior cord -C5-T1)
Fractur of the humerus at the midshaft or badly fitted
crutches"wrist drop"
paralysis of mms in extensor compartment of the forearm
Median nerve injury at elbow or axilla(Median
cord- C5-T1)
Suracondylar fracture of the humerus
lost thumb movementparalysis of abductor pollicis brevis, opponens pollicis and
flexor pollicis brevis
Median nerve injury at elbow or axilla(Median
cord- C5-T1)
Suracondylar fracture of the humerus
weakened flexion of the wrist, lost pronation and flexion of digits
mms in flexor compartment
Median nerve injury at elbow or axilla(Median
cord- C5-T1)
Suracondylar fracture of the humerus
"Pope's blessing" or "ape's sign", flattening of thenar eminence
mms in flexor compartment
Median nerve injury at elbow or axilla(Median
cord- C5-T1)
Suracondylar fracture of the humerus
sensory loss on the palmer and dorsal aspects of the index, middle and half
of the ring fingers and the palmer aspect of the thumb
(blank)
Median nerve injury at the wrist (Median cord- C5-T1)
Slashing of the wrist or Carpal tunnel syndrome
Normal flexion of wrist and digits, and normal pronation
No paralysis of mms of flexor compartment
Median nerve injury at the wrist (Median cord- C5-T1)
Slashing of the wrist or Carpal tunnel syndrome
lost thumb movementparalysis of abductor pollicis brevis, opponens pollicis and
flexor pollicis brevis
Median nerve injury at the wrist (Median cord- C5-T1)
Slashing of the wrist or Carpal tunnel syndrome
"Pope's blessing" or "ape's sign", flattening of thenar eminence
(blank)
Ulnar nerve injury at the elbow or axilla (median
cord C8-T1)
fracture of the medial epicondyle of the humerus
Deviation of the hand to the radial side, at the wrist joint
paralysis of flexor carpi ulnaris mm
Ulnar nerve injury at the elbow or axilla (median
cord C8-T1)
fracture of the medial epicondyle of the humerus
"claw hand", lost flesion of the ring and little finger at the DIP joint
paralysis of the medial part of flexor digitorum profundus mm
Ulnar nerve injury at the elbow or axilla (median
cord C8-T1)
fracture of the medial epicondyle of the humerus
lost flexion of ring and little finger at the MCP joint
paralysis of the lumbricles 3 and 4
Ulnar nerve injury at the elbow or axilla (median
cord C8-T1)
fracture of the medial epicondyle of the humerus
lost abduction and adduction of the fingers
paralysis of the palmer and dorsal interosseous mm
Ulnar nerve injury at the elbow or axilla (median
cord C8-T1)
fracture of the medial epicondyle of the humerus
adduction of the thumb is lostparalysis of the adductor
pollicis mm
Ulnar nerve injury at the elbow or axilla (median
cord C8-T1)
fracture of the medial epicondyle of the humerus
lost abduction, flexion and opposition of the little finger
paralysis of adductor pollicis mm
Ulnar nerve injury at the elbow or axilla (median
cord C8-T1)
fracture of the medial epicondyle of the humerus
sensory loss on the palmer and dorsal aspects of the little finger and half of
the ring finger(blank)
Ulnar nerve injury at the wrist (median cord C8-T1)
Slashing the wristsNo wrist deviation toward ulnar side and NO problems with felxion of of
ring and little finger at DIP joint
No paralysis of flexor carpi ulnaris or medial part of the
flexor digitorum profundus mm
Ulnar nerve injury at the wrist (median cord C8-T1)
Slashing the wristslost flexion of ring and little finger at the MCP joint, with hyperextension at
joint b/c extensor mm are intact
paralysis of the lumbricles 3 and 4
Ulnar nerve injury at the wrist (median cord C8-T1)
Slashing the wrists adduction of the thumb is lostparalysis of the adductor
pollicis mm
Ulnar nerve injury at wrist (median cord C8-T1)
Slashing of the wrists adduction of the thum is lostparalysis of adductor pollicis
mm
Ulnar nerve injury at wrist (median cord C8-T1)
Slashing of the wristsabduction and adduction of fingers is
lostpalmer and dorsal interosseous
mms
Ulnar nerve injury at wrist (median cord C8-T1)
Slashing of the wristsabduction, flextion, and opposition of
the little finger are lost
abductor digiti minimi, flexor digiti minimi and opponens
digitiminimi mms
Ulnar nerve injury at wrist Slashing of the wrists palmer and dorsal aspects of the little (blank)
(median cord C8-T1) finger and half the ring finger
Ulnar nerve injury at wrist (median cord C8-T1)
Slashing of the wrists"claw hand", yet not as severe as with
lesion at the elbow(blank)
Musculocutaneous nerve (lateral cord- C5-C7)
(blank)Difficulty flexing elbow, and variable
sensory loss
Paralysis of coracobrachialis, biceps and brachialis mm
( biceps reflex)