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Brachial Plexus Injuries

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Nerve
Type of injury
Symptom or sign
muscle damage
Axillary nerve   fracture of surgical head of humerus or Dislocation of shoulder joint   show Paralysis of deltoid muscle  
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Axillary nerve   show weakened lateral rotation of the arm; deltoid paralysis   teres minor muscle  
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Axillary nerve   show "Patch sign"- loss of sensation on lateral side of upper arm   (blank)  
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show 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  
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Long thorasic nerve   stab wound or removal of lymph nodes during a mastectomy   show serratus anterior muscle  
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show Violent stretch between head and shoulder   "waiter's tip", arm is medially rotated and pronated; Erb Duchenne   biceps brachii brachialis  
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Suprascapular nerve (upper trunk - C5-C6)   Violent stretch between head and shoulder   "waiter's tip", arm is medially rotated and pronated; Erb Duchenne   show
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Axillary nerve (upper trunk - C5-C6)   Violent stretch between head and shoulder   show Teres minor muscle  
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Median nerve (lower trunk - C8-T1)   Sudden pull upward on arm   show Muscles of the hand and wrist  
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Ulnar nerve (lower trunk - C8-T1)   Sudden pull upward on arm   show Muscles of the hand and wrist  
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(posterior Cord- C5-T1)   show Wrist drop   (blank)  
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show 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  
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show 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)  
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Radial nerve (Posterior cord -C5-T1)   Fractur of the humerus at the midshaft or badly fitted crutches   show paralysis of mms in extensor compartment of the forearm  
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Median nerve injury at elbow or axilla(Median cord- C5-T1)   Suracondylar fracture of the humerus   show paralysis of abductor pollicis brevis, opponens pollicis and flexor pollicis brevis  
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Median nerve injury at elbow or axilla(Median cord- C5-T1)   Suracondylar fracture of the humerus   show mms in flexor compartment  
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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   show
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Median nerve injury at elbow or axilla(Median cord- C5-T1)   Suracondylar fracture of the humerus   show (blank)  
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Median nerve injury at the wrist (Median cord- C5-T1)   Slashing of the wrist or Carpal tunnel syndrome   show No paralysis of mms of flexor compartment  
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Median nerve injury at the wrist (Median cord- C5-T1)   Slashing of the wrist or Carpal tunnel syndrome   show paralysis of abductor pollicis brevis, opponens pollicis and flexor pollicis brevis  
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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   show
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show 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  
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Ulnar nerve injury at the elbow or axilla (median cord C8-T1)   show "claw hand", lost flesion of the ring and little finger at the DIP joint   paralysis of the medial part of flexor digitorum profundus mm  
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show 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  
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Ulnar nerve injury at the elbow or axilla (median cord C8-T1)   show lost abduction and adduction of the fingers   paralysis of the palmer and dorsal interosseous mm  
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Ulnar nerve injury at the elbow or axilla (median cord C8-T1)   fracture of the medial epicondyle of the humerus   show paralysis of the adductor pollicis mm  
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Ulnar nerve injury at the elbow or axilla (median cord C8-T1)   fracture of the medial epicondyle of the humerus   show paralysis of adductor pollicis mm  
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Ulnar nerve injury at the elbow or axilla (median cord C8-T1)   fracture of the medial epicondyle of the humerus   show (blank)  
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Ulnar nerve injury at the wrist (median cord C8-T1)   show 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  
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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   show
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Ulnar nerve injury at the wrist (median cord C8-T1)   Slashing the wrists   show paralysis of the adductor pollicis mm  
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Ulnar nerve injury at wrist (median cord C8-T1)   show adduction of the thum is lost   paralysis of adductor pollicis mm  
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Ulnar nerve injury at wrist (median cord C8-T1)   show abduction and adduction of fingers is lost   palmer and dorsal interosseous mms  
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show Slashing of the wrists   abduction, flextion, and opposition of the little finger are lost   abductor digiti minimi, flexor digiti minimi and opponens digitiminimi mms  
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Ulnar nerve injury at wrist (median cord C8-T1)   Slashing of the wrists   show (blank)  
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Ulnar nerve injury at wrist (median cord C8-T1)   show "claw hand", yet not as severe as with lesion at the elbow   (blank)  
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show (blank)   Difficulty flexing elbow, and variable sensory loss   Paralysis of coracobrachialis, biceps and brachialis mm ( biceps reflex)  
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