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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 |