Rehabilitation of Peripheral Nerve Injuries in Disasters and Conflicts: Difference between revisions
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! scope="col" | '''Test''' | ! scope="col" | '''Test''' | ||
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| '''Spinal Accessory Nerve''' | | '''[[Accessory Nerve Cranial Nerve 11|Spinal Accessory Nerve]]''' | ||
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* Fracture Atlas or Hyoid | |||
* Neck Trauma | |||
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* [[Trapezius]] | * [[Trapezius]] | ||
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| '''Posture''' | | '''Posture''' | ||
* Scapular | * [[Scapular Winging]] at Rest | ||
* Assess Abduction | * Assess Abduction | ||
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* Scapular Winging with Movement | * [[Scapular Winging]] with Movement | ||
|- | |- | ||
| '''[[Axillary Nerve Injury|Axillary Nerve]]''' | | '''[[Axillary Nerve Injury|Axillary Nerve]]''' | ||
| | | | ||
* Shoulder | * Fracture Shoulder | ||
* [[Shoulder Dislocation]] | * [[Shoulder Dislocation|Dislocation Shoulder]] | ||
| | | | ||
* [[Deltoid]] | * [[Deltoid]] | ||
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|'''[[Suprascapular Nerve Palsy|Suprascapular Nerve]]''' | |'''[[Suprascapular Nerve Palsy|Suprascapular Nerve]]''' | ||
| | | | ||
* Shoulder Fracture | |||
* [[Clavicular Fracture]] | |||
* Proximal Humeral Fracture | |||
| | | | ||
* [[Infraspinatus]] | * [[Infraspinatus]] | ||
* [[Supraspinatus]] | * [[Supraspinatus]] | ||
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* External Rotation | |||
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| | | | ||
* [[Infraspinatus Test]] | * [[Infraspinatus Test]] | ||
* Atrophy Supraspinatus and/or Infraspinatus | |||
* | * | ||
|- | |- | ||
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|'''[[Ulnar Nerve]]''' | |'''[[Ulnar Nerve]]''' | ||
|At risk of Injury at Medial Epicondyle, in Cubital Tunnel, or at the Wrist; | |||
* Fracture Elbow | |||
* Dislocation Elbow | |||
* Laceration at Wrist | |||
|'''Forearm:''' | |||
* [[Flexor Carpi Ulnaris Muscle|Flexor Carpi Ulnaris]] | |||
* [[Flexor Digitorum Profundus]] | |||
'''Hand''' | |||
'''Hypothenar Eminence;''' | |||
* [[Abductor Digiti Minimi (Hand)|Abductor Digiti Minimi]] | |||
* [[Flexor Digiti Minimi Brevis|Flexor Digiti Minimi]] | |||
* [[Opponens Digiti Minimi]] | |||
'''Thenar Eminence;''' | |||
* [[Adductor Pollicis]] | |||
'''Short Muscles;''' | |||
* [[Lumbricals of the Hand|Lumbrical 3 & 4]] | |||
* [[Dorsal Interossei of the Hand|Dorsal Interossei]] | |||
* [[Palmar Interossei]] | |||
* [[Palmaris Brevis]] | |||
|'''High Lesion - Ulnar Paradox;''' | |||
* Hyperextension 4<sup>th</sup> & 5<sup>th</sup> Finger at MCP Joint | |||
* Paralysis 4<sup>th</sup> & 5<sup>th</sup> Finger at IP Joint; Straighter Fingers | |||
* Loss Ulnar Deviation | |||
* Loss of FCU Tendon on Ulna Flexion | |||
* Loss Interossei Function | |||
* Loss Thumb Adduction | |||
* Wasting Hypothenar Eminence | |||
* Wasting Interossei | |||
'''Low Lesion - Partial Claw Hand;''' | |||
* Hyperextension 4<sup>th</sup> & 5<sup>th</sup> Finger at MCP Joint | |||
* Flexion 4<sup>th</sup> & 5<sup>th</sup> Finger at IP Joint | |||
* Loss Interossei Function | |||
* Loss Thumb Adduction | |||
* Wasting Hypothenar Eminence | |||
* Wasting Interossei | |||
| | | | ||
* Palmar Surface of 5<sup>th</sup> & ½ 4<sup>th</sup> Digit | |||
* Dorsal Surface of 5<sup>th</sup> & ½ 4<sup>th</sup> Digit | |||
| | | | ||
* Inability to cross second and third finger | * Inability to cross second and third finger | ||
* Poor | * Poor Grasp and Release | ||
* Partial Claw Hand | |||
|- | |- | ||
|'''[[Radial Nerve]]''' | |'''[[Radial Nerve]]''' | ||
| | | | ||
* Humeral Fracture | * Humeral Fracture | ||
|'''Forearm | * Elbow Fractures | ||
* [[ | * Elbow Wounds | ||
* [[ | |'''Arm''' | ||
| | |||
| | * [[Triceps brachii|Triceps Brachii]] | ||
* [[Anconeus]] | |||
'''Forearm;''' | |||
* [[Brachioradialis]] | |||
* Extensor Carpi Radialis Longus | |||
* [[Extensor Carpi Radialis Brevis]] | |||
* [[Supinator]] | |||
* [[Extensor Digitorum Communis|Extensor Digitorum]] | |||
* [[Extensor Digiti Minimi]] | |||
* [[Extensor Carpi Ulnaris]] | |||
* [[Abductor pollicis longus|Abductor Pollicis Longus]] | |||
* [[Extensor Pollicis Longus]] | |||
* [[Extensor Pollicis Brevis]] | |||
* [[Extensor Indicis Proprius|Extensor Indicis]] | |||
|'''High Lesion;''' | |||
* Loss Elbow Extension | |||
* Loss Wrist Extension | |||
* Loss Hand Extension | |||
* Loss Radial Deviation | |||
* Atrophy Forearm | |||
'''Middle & Low Lesion;''' | |||
* Loss Wrist Extension | |||
* Loss Hand Extension | |||
* Loss Radial Deviation | |||
* Loss Thumb Extension | |||
* Atrophy Forearm | |||
|No Sensory Involvement if Posterior Interosseous Branch is Damaged Alone | |||
* 1<sup>st</sup> Webspace; | |||
* Dorsum Aspect Hand from 1<sup>st</sup> to ½ 4<sup>th</sup> Digit | |||
| | | | ||
* Wrist Drop Present | * Wrist Drop Present | ||
* Poor Grip Strength | |||
|- | |- | ||
| rowspan="2" |'''[[Median Nerve]]''' | | rowspan="2" |'''[[Median Nerve]]''' |
Revision as of 23:04, 22 April 2022
Original Editors - Naomi O'Reilly
Top Contributors - Naomi O'Reilly, Tarina van der Stockt, Kim Jackson and Jess Bell
Introduction[edit | edit source]
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Immediate Emergency Care[edit | edit source]
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Emergency Medical Teams[edit | edit source]
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Common Nerve Injuries[edit | edit source]
Upper LImb[edit | edit source]
Nerve | Related Injuries | Muscle Affected | Motor Function | Sensation | Test |
---|---|---|---|---|---|
Spinal Accessory Nerve |
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Posture
Test
| |||
Long Thoracic Nerve |
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| |||
Axillary Nerve |
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| |||
Suprascapular Nerve |
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Musculocutaneous Nerve | |||||
Ulnar Nerve | At risk of Injury at Medial Epicondyle, in Cubital Tunnel, or at the Wrist;
|
Forearm:
Hand Hypothenar Eminence; Thenar Eminence; Short Muscles; |
High Lesion - Ulnar Paradox;
Low Lesion - Partial Claw Hand;
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|
Radial Nerve |
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Arm
Forearm; |
High Lesion;
Middle & Low Lesion;
|
No Sensory Involvement if Posterior Interosseous Branch is Damaged Alone
|
|
Median Nerve | Forearm; | High Lesion;
Low Lesion;
Carpal Tunnel;
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Hand; LOAF |
Resources[edit | edit source]
Early Rehabilitation in Conflict and Disasters, Humanity and Inclusion
Rehabilitation in Sudden Onset Disasters, Humanity and Inclusion