– Clinical Findings: – history: patient may complain of a subjective knee hyperextension sensation, and twisting or pivoting are also difficult; – lack of contained effusion is suggestive of posterolateral capsular injury; – look for diffuse tenderness over the posterolateral joint region, fibular head, and joint line; … Read more
– 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 – level of a spinal cord … Read more
– See: – PE of C-Spine: – Neuro Exam – Inspection: (scoliosis, thoracic kyphosis, lumbar lordosis, zoster ect.) – ROM: – extension: Phalen’s test (lumbar stenosis) – flexion: – frequently assessed by patient’s ability to touch the floor; … Read more
– See: – Obstetrical Paralysis: – Upper Trunk Brachial Plexus Injuries in Adults; – Discussion: – most common birth related neuropraxia (about 48%); – lesion of C5 & C6 roots are usually produced by widening of the head shoulder interval (in some cases C7 is involved as … Read more
Images kindly provided by Donald Serafin M.D., Duke University Medical Center – Discussion: – epineural repair is currently the gold standard for repair, as no prospective studies have indicated than fasicular repair is superior; – it is probably most indicated w/ pure sensory or pure motor nerves; – Technique: … Read more
– See: Anterior Interosseous Nerve Sydrome: – Site of Proximal Forearm Compression; – supracondylar process of the humerus and struther’s ligament: – median nerve may be compressed as it passes under the bondy spur – pt c/o of weak hand grip and in pronating, … Read more
– EMG – General Discussion: – conduction velocity in the ulnar nerve across the elbow is slowed compared with the velocity in the forearm segment; – as noted by Kaempffe and Farbach (1998), abnormal EMG results are associated w/ poor surgical outcome; – position of elbow during EMG/NCS: … Read more
– See: Burn Management: – Discussion: – these burns are always much worse than they appear, and the big mistake is to underestimate their severity; – deeper tissues receive more damage and burn injury than superficial tissues; – consider using arteriography to help … Read more
– See: – Electromyography – Nerve Entrapment – Discussion: – it is difficult to determine which patients require preoperative EMG/NCS prior to carpal tunnel release; – consider applying this study in any patient involved in litigation, who falls under worker’s compensation, … Read more