Friday, December 13, 2013

Brachial Plexus Lesions

  1. Humeral Fracture and Brachial Plexus Lesions:
    • Surgical neck -> Axillary nerve
    • Medial epycondile -> Ulnar nerve
    • Supracondylar -> Median nerve
    • Mid-shaft -> Radial nerve.

13 comments:

  1. Q: A 34-year-old man who is a construction worker is brought to the emergency department after a recent fall at workk. He says that he landed on his elbow and recently has had some weakness in his hand. Physical examination shows ecchymosis, swelling, and pain at the distal humerus and elbow. An initial neurologic examination shows weakness with thumb adduction and sensory loss on the medial palm. There are no abnormalities with thumb abduction and flexion. Notably, there is clawing of the fourth and fifth digits. This patients most likely has an injury to a nerve that arises from which part of the brachial plexus?

    A: Medial cord

    ReplyDelete
  2. Q: A 30-year-old woman is brought to ER 30 minutes after being involved in a motor vehicle collision. She reports that she was hit from behind and thrust forward, slamming her left arm into the steering wheel. Physical examination shows a grossly displaced humeral fracture with significant bruising in the surrounding region. The injury is surgically reduced and the patient's arm is placed in a cast. Three months after the incident, the patients complains of weakness in her left arm. Physical examination shows that she is unable to extend the left arm, and has decreased sensation on the posterior aspect of the left forearm and hand. Which of the fkind of muscles has most likely atrophied in this patient and what nerve was injured?

    A: Supinator - Radial nerve lesion

    ReplyDelete
  3. Q: A 50-year-old man who is an electrician comes to the physician because of recent onset pain and tingling in his left arm. He reports that his job entails a great deal of overhead electrical work and that raising his arms above his head makes the symptoms worse. Neurologic examination shows absence of sensation to light touch and pinprick on the fourth and fifth digits of his left hand and his medial forearm. There is also clawing of all digits of the left hand. Rotating the patient's head to the left side with the neck extended results in loss of the radial pulse on the left. An x-ray of the neck shows a cervical rib. Which artery and which part of the brachial plexus is most likely being compressed?

    A: Subclavian artery and the Lower trunk of brachial plexus

    ReplyDelete
  4. Good to see this post. Plz visit us for a similar kind of website.

    sushmacosmeticandplasticsurgery.com:- Provide brachial plexus reconstruction in delhi, best brachial Plexus Reconstruction, cost brachial plexus reconstruction delhi and plastic surgeon delhi.

    Rajat Gupta
    MBBS, MS (Gen Surgery), DNB (Plastic Surgery), MNAMS
    Clinic: 24, Central Market , Ashok Vihar, Delhi - 54
    Tel: +91--9968326300,+91--9013756544
    Email- therajatgupta@gmail.com

    ReplyDelete
  5. Hair transplant, breast surgery, gynecomastia, rhinoplasty, liposuction is a segment of The Medspa Plastic & Cosmetic Surgery Clinic. We are one of the best clinic in Delhi providing breast surgery, tummy tuck surgery & non-surgical treatment to enhance your physical body structure.
    Get More Information Through :http://www.themedspa.us/

    ReplyDelete
  6. Gynecoamstia Surgery - Breast surgery, breast implants, breast reduction, breast augmentation, breast enlargement, breast enhancement and gynecomastia surgery is a segment of bestbreastsurgeryindia.com Plastic and Cosmetic Clinic. We are one of the best clinic in Delhi providing breast surgery, gynecoamstia surgery to enhance your physical body structure. Get more information through http://www.bestbreastsurgeryindia.com/

    ReplyDelete
  7. Technically, nose surgery is referred as Rhinoplasty, and is related to nose jobs. In other words, it is a cosmetic surgical procedure which is performed for enhancing the nose’s appearance. Also it is performed structural problems consequential to injury or repairing nasal fractures. Get more information http://www.bestfacesurgeryindia.com/

    ReplyDelete
  8. Tummy tuck is the procedure of reconstructive surgery to tighten muscles that become loose and there are multiple types of tummy tucks. If you are looking for best tummy tuck surgeon in Delhi just call or whatsapp on 9958221983

    ReplyDelete
  9. liposuction cost in delhi - The main purpose of liposuction is to reshape one or more areas of your body, not to reduce body weight. More information http://www.bestliposuctionindia.com/

    ReplyDelete
  10. Do not eat spicy food and drink alcohol after Hair Transplant procedure because this will interfere with the healing process. Alcohol consumption will affect the blood supply to the head. Avoiding smoking for a month, immediately after the procedure, is also advisable. Smoking hinders healing. Suggested by Best Hair Transplant Surgeon in Delhi

    ReplyDelete
  11. Medspa - consumer reviews, stories, and discussions about cosmetic treatments and procedures for face, body, skin and smile. Find a cosmetic & plastic surgeon you can trust. http://www.themedspa.us/blog/

    ReplyDelete
  12. Very NYC blog post keep it up. Other great information about Hair Transplant http://www.besthairtransplantsurgeon.com/ ..!!

    ReplyDelete
  13. Wish you could do something to your nose to make your face look better? Have you considered Rhinoplasty surgery? It can definitely enhance facial harmony.

    nose surgery
    nose reshaping

    ReplyDelete