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Neuromuscular
Myotome (muscle weakness)
Nerve Root | Muscle weakness |
---|---|
C1 | None |
C2 | Longus colli, SCM, Rectus capitis |
C3 | Traps, Splenius capitis |
C4 | Traps, 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-T2 | Disk lesions at upper 2 thoracic levels do not appear to give rise to root weakness. |
T3-T12 | Articular and dural signs and root pn are common. Root signs (cutaneous analgesia) are rare and have such indefinite area that they have little localizing value. Weakness is not detectable. |
L1 | None |
L2 | Psoas, Hip adductors |
L3 | Psoas, Quads, thigh atrophy |
L4 | Tibialis anterior, Extensor hallucis |
L5 | Extensor hallucis, Peroneals, Gluteus medius, Dorsiflexors, Hamstrings and calf atrophy |
S1 | Calf and hamstrings, wasting of gluteals, peroneals, plantar flexors |
S2 | Same as S1 except peroneals |
S3 | None |
S4 | Bladder, rectum |