Rehabilitation of Peripheral Nerve Injuries in Disasters and Conflicts: Difference between revisions
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* Unable to Flex Elbow | * Unable to Flex Elbow | ||
|- | |- | ||
|'''[[Ulnar Nerve]]''' | | rowspan="2" |'''[[Ulnar Nerve]]''' | ||
|At risk of Injury at Medial Epicondyle, in Cubital Tunnel, or at the Wrist; | | rowspan="2" |At risk of Injury at Medial Epicondyle, in Cubital Tunnel, or at the Wrist; | ||
* Fracture Elbow | * Fracture Elbow | ||
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* [[Flexor Carpi Ulnaris Muscle|Flexor Carpi Ulnaris]] | * [[Flexor Carpi Ulnaris Muscle|Flexor Carpi Ulnaris]] | ||
* [[Flexor Digitorum Profundus]] | * [[Flexor Digitorum Profundus]] | ||
|'''High Lesion - Ulnar Paradox;''' | |'''High Lesion - Ulnar Paradox;''' | ||
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* Wasting Hypothenar Eminence | * Wasting Hypothenar Eminence | ||
* Wasting Interossei | * Wasting Interossei | ||
| rowspan="2" | | |||
* 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 | |||
* Poor Grasp and Release | |||
|- | |||
|'''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]] | |||
|'''Low Lesion - Partial Claw Hand;''' | |||
* Hyperextension 4<sup>th</sup> & 5<sup>th</sup> Finger at MCP Joint | * 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 | * Flexion 4<sup>th</sup> & 5<sup>th</sup> Finger at IP Joint | ||
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* Wasting Interossei | * Wasting Interossei | ||
| | | | ||
* Inability to cross second and third finger | |||
* Inability to cross second and third finger | |||
* Poor Grasp and Release | * Poor Grasp and Release | ||
* Partial Claw Hand | * Partial Claw Hand | ||
|- | |- | ||
|'''[[Radial Nerve]]''' | | rowspan="2" |'''[[Radial Nerve]]''' | ||
| | | rowspan="2" | | ||
* Humeral Fracture | * Humeral Fracture | ||
* Elbow Fractures | * Elbow Fractures | ||
* Elbow Wounds | * Elbow Wounds | ||
|'''Arm''' | |'''Arm''' | ||
*[[Triceps brachii|Triceps Brachii]] | |||
* [[Anconeus]] | |||
*[[Extensor Indicis Proprius|Extensor Indicis]] | |||
* [[Extensor Indicis Proprius|Extensor Indicis]] | |||
|'''High Lesion;''' | |'''High Lesion;''' | ||
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* Loss Radial Deviation | * Loss Radial Deviation | ||
* Atrophy Forearm | * Atrophy Forearm | ||
| rowspan="2" |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 | |||
| rowspan="2" | | |||
* Wrist Drop Present | |||
|- | |||
|'''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]] | |||
* | |||
|'''Middle & Low Lesion;''' | |||
* Loss Wrist Extension | * Loss Wrist Extension | ||
* Loss Hand Extension | * Loss Hand Extension | ||
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* Loss Thumb Extension | * Loss Thumb Extension | ||
* Atrophy Forearm | * Atrophy Forearm | ||
|- | |- | ||
| rowspan=" | | rowspan="3" |'''[[Median Nerve]]''' | ||
| rowspan=" | | rowspan="3" | | ||
* [[Supracondylar humeral fracture|Supracondylar Humeral Fractures]] | *[[Supracondylar humeral fracture|Supracondylar Humeral Fractures]] | ||
|'''Forearm;''' | | rowspan="2" |'''Forearm;''' | ||
* [[Pronator Teres]] | *[[Pronator Teres]] | ||
* [[Flexor Carpi Radialis]] | *[[Flexor Carpi Radialis]] | ||
* [[Palmaris Longus]] | *[[Palmaris Longus]] | ||
* [[Flexor Digitorum Superficialis]] | *[[Flexor Digitorum Superficialis]] | ||
*[[Flexor Digitorum Profundus]] | |||
*[[Flexor Pollicis Longus]] | |||
*[[Pronator Quadratus]] | |||
|'''High Lesion;''' | |||
* Loss Wrist Flexion | * Loss Wrist Flexion | ||
* Loss of Opponens | * Loss of Opponens | ||
* Loss of Ulnar Deviation | * Loss of Ulnar Deviation | ||
* Wasting of Thenar Eminence | * Wasting of Thenar Eminence | ||
'''Low Lesion;''' | | rowspan="3" | | ||
* Palmar Aspect 1<sup>st</sup> - ½ 4<sup>th</sup> Ring Finger | |||
| rowspan="3" | | |||
* Ok Test | |||
* Pinch Test | |||
|- | |||
|'''Low Lesion;''' | |||
* Long Flexors Unaffected | * Long Flexors Unaffected | ||
* Loss of Opponens | * Loss of Opponens | ||
* Thenar Muscle Wasting | * Thenar Muscle Wasting | ||
|- | |||
'''Carpal Tunnel;''' | |'''Hand; LOAF''' | ||
*[[Lumbricals of the Hand|'''L'''umbricals]] 1 & 2 | |||
*[[Opponens polisis|'''O'''pponens Pollicis]] | |||
*[[Abductor Pollicis Brevis|'''A'''bductor Pollicis]] | |||
*[[Flexor Pollicis Brevis|'''F'''lexor Pollicis]] | |||
|'''Carpal Tunnel;''' | |||
* Wasting of Thenar Eminence; | * Wasting of Thenar Eminence; | ||
* Weakness Abductor Pollicis Brevis | * Weakness Abductor Pollicis Brevis | ||
* Loss of Opponens | * Loss of Opponens | ||
|- | |- | ||
|} | |} |
Revision as of 23:30, 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 |
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Spinal Accessory Nerve |
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Posture
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Long Thoracic Nerve |
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Axillary Nerve | Most common peripheral nerve injury to affect the shoulder.
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Suprascapular Nerve |
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Musculocutaneous Nerve | Isolated injury to the Musculocutaneous Nerve is rare
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Ulnar Nerve | At risk of Injury at Medial Epicondyle, in Cubital Tunnel, or at the Wrist;
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Forearm: | High Lesion - Ulnar Paradox;
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Hand
Hypothenar Eminence; Thenar Eminence; Short Muscles; |
Low Lesion - Partial Claw Hand;
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Radial Nerve |
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Arm | High Lesion;
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No Sensory Involvement if Posterior Interosseous Branch is Damaged Alone
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Forearm; | Middle & Low Lesion;
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Median Nerve | Forearm; | High Lesion;
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Low Lesion;
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Hand; LOAF | Carpal Tunnel;
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Resources[edit | edit source]
Early Rehabilitation in Conflict and Disasters, Humanity and Inclusion
Rehabilitation in Sudden Onset Disasters, Humanity and Inclusion