Peripheral nerve lesion...titim... ***trumaCLOSED ..nuropraxia/axanotemesis --OPEN INJURY ..

neuro temesis ***(malignant) tumor nurofibroma/nf sarcoma ***inflame/infcarpel tunnel syndrome /herpes/leprosy/diphtheria ***misc metabolicdiabetes/arsenic/lead poisoning/vit b1 diff/alcoholism/porphyria

Eg-

Neck of fibula=lat popliteal nerve Neck of humerus/subcorocoid dislocation=axillary nervedeltoid peresis Radial n=#shaft humerus All 3 elbow supra condylar #

Ulnar n=medial epicondyle#(late ulnar palsy==tardive ulnar palsy) involvement nerve in callus formation... Post dislocation hip/subtrochantric#/supra condylar #femur=common pernial of sciatic n Brachial plexusupper lesion=erb duchenne...shoulder stretching during labour __ lower lesion klumpkes...arm stretching(hyper abduction) CAUSALGIA= CONSTANT BURNING PAIN ..partial nerve injury..(post healing ..a month n so.... PARASTHESIA/TROPHIC ULCERS =leprosy/diabetes WASTING OF MUSCLES DRY SKIN..no sweatingSYMPATHETIC N INVOLVEMENT

SPECIFIC HISTORY OF* local injection,local irritant like quinine/arsenic -- intra muscularly /past diphtheria..healing with fibrosis

***WRIST DROP=WRIST EXTENSORRADIAL ***FOOT DROP=DORSIFLEXORS EVERTORSLATERAL POPLITEAL NERVE ***WINGING SCAPULALONG THORACIC N OF BELL ***CLAW HAND (main en griffe ) INTEROSSEI N LUMBRICALS= ULNAR N-partial/combined median n-complete(flex mcp+ext ip) ***APE THUMBopponence pollicis /(pointing index) FLEXOR DIGITORUM PROFUNDUS PARALYSIS =BOTH MEDIAN N ***police men ricieving tip deformity= erbs point lesion

******2 CN N-11/12TRAPEZIUS SHOULDER SHRUGGING /TONGUE PROTRUSSION