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Muscle Weakness
Myotome Muscle Weakness
| Nerve Root: | Muscle Weakness (myotome): |
|---|---|
| C1 | none |
| C2 | Longus colli, sternocleidomastoid, rectus capitus |
| C3 | Trapezius, splenius capitus |
| C4 | Trapezius, levator scapulae |
| C5 | Supraspinatus, infraspinatus, deltoid, biceps |
| C6 | Biceps, supinator, wrist extensors |
| C7 | Triceps, wrist flexors (rarely, wrist extensors) |
| C8 | Ulnar deviators, thumb extensors, thumb adductors (rarely, triceps) |
| T1 | Disk lesions @ upper 2 thoracic levels dont give rise 2 root weakness of hand intrinsic muscles r due 2 other pathology. Dural & nerve root stress has T1 elbow flex w/ arm horizontal. T1-2 scapulae ->&back on chest wall. Neck flex at any thoracic level |
| T2 | Disk lesions @ upper 2 thoracic levels dont give rise 2 root weakness of hand intrinsic muscles r due 2 other pathology. Dural & nerve root stress has T1 elbow flex w/ arm horizontal. T1-2 scapulae ->&back on chest wall. Neck flex at any thoracic level |
| T3-T12 | Articular & dural signs & root pain r common. Root signs (cutaneous analgesia) r rare & have such indefinate are that they have little localizing value. Weakness is not detectable |
| L1 | None |
| L2 | Psoas, hip adductors |
| L3 | Psoas, quadriceps, thigh atrophy |
| L4 | Tibialis anterior, extensor hallucis |
| L5 | Extensor hallucis, peroneals, gluteus medius, DF, hamstring and calf atrophy |
| S1 | Calf and hamstrings, wasting of gluteals, peroneals, PF |
| S2 | Calf and hamstrings, wasting of gluteals, PF |
| S3 | None |
| S4 | Bladder and rectum |