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INJURIES
LEARNING OBJECTIVES
UPPER TRUNK C5 C6
Suprascapular nerve , Nerve to
subclavius
Nerves involved:
Supra scapular nerve, Nerve to Subclavius Musculocutaneous nerve
,Axillary nerve
KLUMPKE,S PALSY
• Clawed hand
RADIAL NERVE
MEDIAN NERVE
Deformity:
Forearm ----supinated
Wrist----flexion is weak accompanied by adduction
Fingers----no flexion of interphalangeal joint of index and middle
Thumb---flexion, abduction and opposition is lost
APE’S HAND----thumb laterally rotated adducted and thenar
eminence flattened
Sensory loss
• Lateral side of palm
• Palmar surface of lateral 3 ½ fingers
• Distal part of dorsal surface of lateral 3 ½ fingers
Causes
• Inflammation of retinaculum
• Arthritis of carpal bones
• Inflammation of synovial sheaths of flexor tendons
ULNAR NERVE
• Arise from medial cord in axilla
• Descends between axillary artery and vein
• In anterior compartment of arm on medial side of brachial
artery
• Pierces medial intermuscular septum to enter in posterior
compartment
• At elbow lies behind medial epicondyle
• Enter forearm between 2 heads of flexor carpi ulnaris
• At wrist between tendons of flexor carpi ulnaris and
digitorum profundus
• Enter palm superficial to flexor retinaculum
Sensory loss
Motor loss
• Small muscles of hand except those of thenar
Deformity
• Claw hand more prominent
Sensory loss
• On the medial side of palm and palmar and dorsal surface of 1 ½ fingers
• Sensation on posterior medial surface of hand is intact
summary