- See:
-
Brachial Plexus - Neuro Exam
-
Management of Spinal Cord Injury:
- Assess for Spinal Shock &
Sacral Sparing
-
bulbocavernosus
- anal sphincter
S-3
- bladder sphincter
S-2
-
FHL
S-1
- Lower Extremity:
- sensory:
- in the acute situation, sparing of sensation to pin prick in a motor segment w/ grade 0 power
indicates an 85% chance of motor recovery to at least grade 3;
- ref: Sparing of sensation to pin prick predicts recovery of a motor segment after injury to the spinal cord.
AR Poyton MD et al.
JBJS. Vol 79-A No 6. Nov 1997. p 952.
- reflexes: ankle and knee
- motor:
-
FHL
S-1
-
EHL
L-5
-
TA
L-4
-
Quads
L-3
-
Psoas
L-2
- Upper Extremity:
-
brachial plexus
- sensory:
- reflexes: triceps and biceps
- motor:
-
Intrinsic
T-1
-
FDP
C-8
-
Triceps
C-7
-
WF
C-7
-
WE
C-6
-
Biceps
C-5
-
Deltoid
C-5
- Cranial Nerves:
- Functional Assesment Scale: (from complete tetraplegia to normal);
-
brachioradialis absent:
- brachioradialis intact:
- brachioradialis and ECRL
- brachioradialis, ECRL, and ECRB;
- brachioradialis, ECRL, ECRB, and pronator teres;
- brachioradialis, ECRL, ECRB, pronator teres, and FCR;
- brachioradialis, ECRL, ECRB, pronator teres, FCR, and finger extensors;
- brachioradialis, ECRL, ECRB, pronator teres, FCR, and finger extensors, and
thumb extensors;
- brachioradialis, ECRL, ECRB, pronator teres, FCR, and finger extensors,
thumb extensors, and finger flexors;
- only intrinsics are deficient;
Upper limb surgery for tetraplegia: A 10-year re-review of hand function
