. n o i t a m r o f n i e r o m r o f F D P s i h t f o y t r e p o r p s d r o w y e k e h t e e S . e g a s s e m s i h t e v o m e r l l i w e s n e c i l d i l a v a - E D O M L A I R T
Lower Brachial Palsy (Klumpke paralysis)
Injury to musculocutaneous nerve
Ulnar and Median Nerve Lesions
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All intrinsic muscles of the hand supplied by the C8 and T1 roots of the lower trunk affected. Combination lesions of ulnar lnar nerve erve (“ (“claw claw law hand”) hand hand”””) and median edian nerve erve (“ape (““ape pe hand”) hand an ”) Loss of sensation in the medial aspect of the upper limb and medial 1,5 fingers. May include a Horner syndrome Horner syndrome
Usually results from lesions of lateral a er era a cord cor
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Greatly weakens fle flexio lex xion ion off elbow e ow (biceps biceps and and brachialis muscles) uscles) and supination supination of forearm orearm (biceps ceps muscle) musc e weakened adduction (coracobrachialis m)
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May be accompanied by anesthesia over lateral aspect of forearm Lateral musculocutaneous n of forearm
Median n lesion: Ape hand/benediction with lateral 3 digits are extended, wrist is extended Ulnar n lesion: Claw hand with medial 2 digits extended Dr. Mavrych, MD, PhD, DSc
[email protected] Dr. Mavrych, MD, PhD, DSc
[email protected] Radial n lesion: Drop Wrist with flexion of the wrist
Cutaneous innervation reality, in case of superficial branch of of the hand Inradial adial nerve lesion it will be skin deficit
13. Cardiac ar ac catheterization cat eter zat on
between 1 & 2 digits on the dor dorsum sum of the the hand ONLY because of nerve overlapping l
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Dorsum: 1,5-U and 3,5 R
The femoral emoral artery is s used sed for cardiac catheterization atheterization It can be cannulated for left left cardiac angiography ngogra ngog rap p y & also a so for or visualizing the coronary coron oronary ary arteries arteries – a long, slender catheter is inserted percutaneously and passed up the external iliac artery, common iliac artery, aorta,, to the left aorta ventricle of the heart
Palm: 1,5-U and 3,5 M
A catheter can also be passed through a peripheral vein (femoral femoral vein) into IVC, the R atrium, R ventricle, pulm trunk and pulm arteries. Intracardiac pressures, blood Dr. Mavrych, MD, PhD, DSc
[email protected] samples, and visualization of great vessels using Xray
Dr. Mavrych, MD, PhD, DSc
[email protected]
14. Injury of the gluteal region Fractures of Femoral Neck l
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Avascular necrosis of femoral head
A common fracture in elderly women with osteoporosis is fracture of the femoral neck. neck. Fractures of the femoral neck cause s shortness or ness and an lateral ateral rotation of the lower limb. Coxa Vara
