Upper Limb Nerve Injuries

Upper Limb Nerve Injuries

  1. Wrist Drop :
    • Associated Nerve: Radial nerve.

  3. Claw Hand :

    • Associated Nerve: Ulnar nerve.

  4. Paresthesia in the Ring and Little Finger :

    • Associated Nerve: Ulnar nerve.

  5. Paresthesia in Middle, Index, and Thumb :

    • Associated Nerve: Median nerve.

  6. Humeral Neck Fracture :

    • Associated Nerve: Axillary nerve.

  7. Humeral Shaft Fracture :

    • Associated Nerve: Radial nerve.

  8. Supracondylar Fracture :

    • Associated Nerve: Median nerve (Anterior interosseous nerve branch).

  9. Saturday Night Palsy / Crutch Palsy :

    • Associated Nerve: Radial nerve.

  10. Winging of Scapula :

    • Associated Nerve: Long thoracic nerve.

  11. Dropped Scapula :

    • Associated Nerve: Accessory nerve.

Upper Limb Common Injuries

1. Biceps Rupture

  • Proximal Biceps : Characterized by the "Popeye sign," which occurs due to the retraction of the muscle belly after rupture.
  • Distal Biceps : Patients often experience a sharp pain located in the cubital fossa.

2. De Quervain Tenosynovitis

  • Description : This condition involves inflammation of the extensor pollicis brevis and abductor pollicis longus muscles.
  • Cause : It is typically caused by repetitive strain injury.
  • Diagnosis : The Finkelstein test is utilized to diagnose this condition.

3. Tennis Elbow (Lateral Epicondylitis)

  • A common overuse injury affecting the lateral elbow, leading to pain and tenderness in the lateral aspect of the elbow.

4. Golfer's Elbow (Medial Epicondylitis)

  • This condition mirrors tennis elbow but involves pain on the medial side of the elbow, typically resulting from overuse or repeated stress.

Other Nerve Injuries and Associated Conditions:

  1. Femur Neck Fracture (Femur neck #)

    • Affects: Sciatic nerve

  2. Neck of Fibula Fracture (Neck of fibula #)

    • Affects: Common peroneal nerve

  3. Foot Drop

    • Affects: Sciatic nerve / Common & Deep peroneal nerve

  4. Loss of Sensation:

    • Medial Side of Foot: Affects Saphenous nerve
    • Lateral Side of Foot: Affects Sural nerve

  5. Glove and Stocking Pattern of Paresthesia

    • Often seen in: Diabetes mellitus