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BrachPlexus Injuries

Brachial Plexus Injuries

NerveType of injurySymptom or signmuscle damage
Axillary nerve fracture 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 nerve stab 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 PUSH serratus anterior muscle
Long thorasic nerve stab 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 movement paralysis 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 movement paralysis 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 lost paralysis 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 wrists No 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 wrists lost 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 lost paralysis of the adductor pollicis mm
Ulnar nerve injury at wrist (median cord C8-T1) Slashing of the wrists adduction of the thum is lost paralysis of adductor pollicis mm
Ulnar nerve injury at wrist (median cord C8-T1) Slashing of the wrists abduction and adduction of fingers is lost palmer and dorsal interosseous mms
Ulnar nerve injury at wrist (median cord C8-T1) Slashing of the wrists abduction, flextion, and opposition of the little finger are lost abductor digiti minimi, flexor digiti minimi and opponens digitiminimi mms
Ulnar nerve injury at wrist (median cord C8-T1) Slashing of the wrists palmer and dorsal aspects of the little finger and half the ring finger (blank)
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)
Created by: Danusia