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Nerve injury
Peripheral nerve and brachial plexus injury
Symptom | Injured nerve/brac plex area |
---|---|
Erb-Duchenne palsy (or Waiter's tip) | Upper trunk of brachial plexus (C5, C6) |
Klumpke injury due to sudden upward jerk of arm, associated with Horner's syndrome | Lower trunk of brachial plexus (C8, T1) |
Claw hand (impaired wrist flexion and adduction) | Ulnar nerve |
Wrist drop | Radial nerve |
Pain with wrist flexion due to repetitive motion injury (carpal tunnel syndrome) | Median nerve |
Deltoid paralysis | Axillary nerve |
Winged scapula after mastectomy | Long thoracic nerve |
Decreased elbow flexion and loss of biceps reflex | Musculocutaneous nerve |
Foot drop | Common peroneal nerve |
Loss of ability to plantarflex | Tibial nerve |
Loss of ability to make a fist | Median nerve at elbow |
Patient unable to make an "o" with thumb and index finger | Median nerve at wrist - anterior interosseous branch |
Anterior shoulder dislocation | Axillary nerve |
+ve Phalen's and Tinel's tests | Median nerve at wrist |
Loss of knee jerk reflex (due to loss of quadriceps function) and anaesthesia of anterior thigh | Femoral nerve |
Anterior hip dislocation resulting in loss of thigh adduction | Obturator nerve |
Loss of ability to rise from a seated position or climb stairs due to loss of gluteus maximus function | Inferior gluteal nerve |
Positive Trendelenburg sign | Superior gluteal nerve |
Posterior hip dislocation | Superior or inferior gluteal nerve |