nerve injury of the upper and lower extremity, complete easy review of nerve injuries
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- เผยแพร่เมื่อ 5 ส.ค. 2024
- 1- long thoracic nerve: medial winging of the scapula is most commonly caused by deficit in the serratus anterior muscle due to impingement of the long thoracic nerve.
2- Median nerve injury: carpal tunnel syndrome: inflammation of the carpal tunnel compresses the median nerve and causes tingling, numbness, weakness, or pain in the thumb, index finger, middle finger, and half of the ring finger. Surgical release of the carpal tunnel is needed.
3- Ulnar nerve injury: cubital tunnel syndrome: pressure on the nerve at the elbow can cause numbness or pain in the elbow, hand, wrist, or fingers. Compression of the ulnar nerve below the elbow may lead to claw hand.
4- Posterior interosseous nerve injury: at about the level of the lateral epicondyle, the radial nerve begins to divided into the deep branch and the superficial branch of the radial nerve. The posterior interosseous nerve (deep) enters the extensor compartment of the forearm through the supinator muscle. The posterior interosseous nerve supplies these muscles on the radial side and dorsal surface of the forearm. The posterior interosseous nerve does not supply cutaneous sensation and is purely a motor nerve. Entrapment at the Arcade of Frohse: with injury to the posterior interosseous nerve, the patient will experience difficulty with extension of the fingers only.
5- Anterior interosseous nerve injury: about half the way down the forearm, the anterior interosseous nerve exits from the dorsal lateral aspect of the median nerve. The anterior interosseous nerve is purely motor. All the muscles in front of the forearm are supplied by the median nerve except the medial half of the flexor digitorum profundus. The anterior interosseous nerve gives branches to three muscles: Pronator quadratus, lateral half of the flexor digitorum profundus, flexor pollicis longus. The patient will be unable to give the OK sign due to paralysis of the flexor pollicis longus and the flexor digitorum profundus.
6- Radial nerve injury: radial nerve compression or injury may occur at any point along the course of the nerve.
7- Axillary nerve injury: the axillary nerve supplies the deltoid muscles, giving sensation over the shoulder area. The axillary nerve originates from the posterior cord of the brachial plexus. When the nerve is injured: weakness of shoulder abduction, atrophy of the deltoid, numbness in the deltoid region. The axillary nerve is commonly injured due to fractures or dislocations of the shoulder joint.
8- Femoral nerve injury: the muscles of the anterior compartment of the thigh are innervated by the femoral nerve. The usual cause of femoral nerve dysfunction are due to trauma or compression of the nerve. The quadriceps tendon is a strong tendon which groups the four muscles that extend the knee: rectus femoris, vastus intermedius (under rectus femoris), vastus medialis, vastus laterlaris.
Differential diagnosis: tears of the quadriceps tendon, patellar tendon injury or patellar fractures cause an inability to extend the knee. A quadriceps tendon rupture is rupture of the tendon that inserts into the top of the patella.
9- Posterior tibial nerve injury: the tarsal tunnel is located just below the medial malleolus of the ankle and is covered with a thick band of ligaments called the flexor retinaculum. The flexor retinaculum protect the structures contained within the tunnel such as the posterior tibial nerve. The structures which also pass through the tunnel include the posterior tibial artery, the tendons of the tibialis posterior, flexor digitorum longus, and the flexor hallucis longus. Tarsal tun el syndrome is a compression neuropathy caused by compression of the posterior tibial nerve within the tarsal tunnel. With tarsal tunnel syndrome there will be pain and numbness on the plantar aspect of the foot and heel. Tibial nerve compression with tarsal tunnel syndrome is similar to carpal tunnel syndrome which occurs at the wrist.
10- Common peroneal nerve injury: the ankle and foot dorsiflexors are supplied by the peroneal nerve which is part of the sciatic nerve. The sciatic nerve starts in the lower back and runs through the buttock and lower limb. In the lower thigh, just above the back of the knee, the sciatic nerve divides into two nerves, the tibial and the peroneal nerves, which innervate different parts of the lower leg. The common peroneal nerve then travels anterior, around the fibular neck, dividing into superficial and deep peroneal nerves. The deep peroneal nerve gives innervation to the tibialis anterior muscle of the lower leg which is responsible for dorsiflexion of the ankle. Conditions causing foot drop: injury to the knee: knee dislocation: in the event of knee dislocation, it is important to check for common peroneal nerve and popliteal artery injury.
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Fantastic video, great animations and very high yield for Step 1
Thank you for your work. It is so good to see such good visuals of the injuries I have along with a very clear explanation. I have searched many sources to understand my injuries and your videos are at the top of my list. Thank you again. Have a good day. .
Dr Nabil ,ur videos are just too good.They make the subject so easy to understand
That's very much true... I am a great fan of you sir...
Thank you. Absolutely brilliant.
Thank you so much for the clear and concise video! Very easy to understand! :)
thank you Dr.!
God bless you , very helpful
Thank you for your speech.
Excellent presentations and video explanations at a most understanding level for all. Thank you. Patients can be referred to your site for a less medicalised explanation. No big medical words, just an accurate and short explanation.
thanks for sharing video...
great work
Superb!! Dear dr u make orthopedic so easy to understand for me... thanks..
very very good , thank you !
I've got peripheral nueropathy as of the fall of 2012, sadly. It seems to be getting worse as time goes on. My right & left arms are weak, fingertips are white and numb at the ends, and my overall energy level is declining from how it used to be. I work part time at the local grocery store and when i do, i take energy shots to give me a boost of power.
As per usual, great video and a fantastic educational resource. There was a lot of radial nerve injuries / syndromes described but I was surprised not to see "radial tunnel syndrome", was there a reason this was not included?
these are all high yield, thanks
Thanks sir 🙏
Impressive👌 Makes fysiologi an anatomy funn. 😎
i have no movemnt in my right arm i think it's brachial predial or anything other els i wan to know wat to do for to better it
This makes me understand more of why my arm hurts
شكرا شكرا
Hallo.i have got branchial flexus avulsion.please whoever exprerianced it share with me.can ma hand come back to its normal condition? I have no hope
in ulnar nerve injury, functional profundus muscle?? i don't get it
How to heal axillary nerve injury?,
Will the Chinese version of the future be out?
I'm wondering if avoiding hip replacement can cause femoral nerve injury.
thanks
hip replacement cause femoral nerve injury ?!!
+Marina Asprina i think cz femoral nerve is a conti of extrnal iliac nerve thtz why?
Thank you.
Where foi from, Dr Nabil? Wich country
i wan to contact Dr Nabil Ebrahim
Hats of clap
Hej jag bor Sweden jag har onte all som pratar du hur jag kontakt dig snäll hjalpar mig tack
facial nerves infdue to bells palsy
আমি বাংলাদেশ থেকে জানতে চাচ্ছি,, ডাঃ নাবিল ইবরাহীম, কোন দেশের চিকিৎসক,, এবং তার চেম্বার কোথায়,, দয়া করে অনুগ্রহ করে,আমার কমেন্টের উত্তর দিবেন,Please sar,
Helo Sir,
mera axidant hua tha 14 sal pahle usme mera right hand work nahi karta. please suggest kijiye hame kaya karna chahiye.14 pahle k EMG report he hamare pas,uske bad kaya moment hui vo report new nikalne padege .ap suggest kijiye please help me
Regards,
Chandni sadhwani,
patan.
9924997060
Wrong, surgery is NOT needed. There are so many more improved procedures. Seek a Dr that does regenerative medicine instead of cutting open the body. Also inflamed nerves can be caused by bacterial infections. So the infection needs to be treated.
Unwatchable. Looks like it was done in 1993