Nerve Axillary nerve

Axillary nerve

Axillary nerve

Long thorasic nerve

Long thorasic nerve Musculocutaneous nerve (upper trunk - C5-C6) Suprascapular nerve (upper trunk - C5-C6) Axillary nerve (upper trunk - C5-C6) Median nerve (lower trunk - C8-T1) Ulnar nerve (lower trunk C8-T1) (posterior Cord- C5-T1) Radial nerve (Posterior cord -C5-T1) Radial nerve (Posterior cord -C5-T1) Radial nerve (Posterior cord -C5-T1) Median nerve injury at elbow or axilla(Median cord- C5-T1) Median nerve injury at elbow or axilla(Median cord- C5-T1) Median nerve injury at elbow or axilla(Median cord- C5-T1) Median nerve injury at elbow or axilla(Median cord- C5-T1) Median nerve injury at the

Type of Injury fracture of surgical head of humerus or Dislocation of shoulder joint fracture of the surgical head of the humerus or dislocation ot the shoulder joint fracture of the surgical head of the humerus or dislocation ot the shoulder joint stab wound or removal of lymph nodes during a mastectomy stab wound or removal of lymph nodes during a mastectomy Violent stretch between head and shoulder Violent stretch between head and shoulder Violent stretch between head and shoulder Sudden pull upward on arm Sudden pull upward on arm (blank) Fractur of the humerus at the midshaft or badly fitted crutches Fractur of the humerus at the midshaft or badly fitted crutches Fractur of the humerus at the midshaft or badly fitted crutches Suracondylar fracture of the humerus Suracondylar fracture of the humerus Suracondylar fracture of the humerus Suracondylar fracture of the humerus Slashing of the wrist or

Symptom/Sign Abduction of arm to horizontal position is compromised

Muscle Damage Paralysis of deltoid muscle

weakened lateral rotation of the arm; deltoid paralysis

teres minor muscle

"Patch sign"- loss of sensation on lateral side of upper arm Abduction of the arm past the horizontal position is impaired, and pt can't use arm to PUSH "winged scapula" "waiter's tip", arm is medially rotated and pronated; Erb Duchenne "waiter's tip", arm is medially rotated and pronated; Erb Duchenne "waiter's tip", arm is medially rotated and pronated; Erb Duchenne "claw and", loss of function of the hand and wrist; Klumpke's "claw and", loss of function of the hand and wrist; Klumpke's Wrist drop "Saturday night palsy", Can't extend wrist and digits and no supination. sensory loss at posterior arm, posterior forearm, and lateral aspect of the dorsum of the arm "snuff box". "wrist drop"

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serratus anterior muscle

serratus anterior muscle biceps brachii brachialis Infraspinatus muscle Teres minor muscle Muscles of the hand and wrist Muscles of the hand and wrist (blank) paralysis of mms in extensor compartment of the forearm

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paralysis of mms in extensor compartment of the forearm paralysis of abductor pollicis brevis, opponens pollicis and flexor pollicis brevis mms in flexor compartment

lost thumb movement weakened flexion of the wrist, lost pronation and flexion of digits "Pope's blessing" or "ape's sign", flattening of thenar eminence sensory loss on the palmer and dorsal aspects of the index, middle and half of the ring fingers and the palmer aspect of the thumb Normal flexion of wrist and digits,

mms in flexor compartment

(blank) No paralysis of mms of flexor

wrist (Median cord- C5T1) Median nerve injury at the wrist (Median cord- C5T1) Median nerve injury at the wrist (Median cord- C5T1) Ulnar nerve injury at the elbow or axilla (median cord C8-T1) Ulnar nerve injury at the elbow or axilla (median cord C8-T1) Ulnar nerve injury at the elbow or axilla (median cord C8-T1) Ulnar nerve injury at the elbow or axilla (median cord C8-T1) Ulnar nerve injury at the elbow or axilla (median cord C8-T1) Ulnar nerve injury at the elbow or axilla (median cord C8-T1) Ulnar nerve injury at the elbow or axilla (median cord C8-T1) Ulnar nerve injury at the wrist (median cord C8-T1)

Carpal tunnel syndrome Slashing of the wrist or Carpal tunnel syndrome Slashing of the wrist or Carpal tunnel syndrome fracture of the medial epicondyle of the humerus fracture of the medial epicondyle of the humerus fracture of the medial epicondyle of the humerus fracture of the medial epicondyle of the humerus fracture of the medial epicondyle of the humerus fracture of the medial epicondyle of the humerus fracture of the medial epicondyle of the humerus Slashing the wrists

and normal pronation

compartment paralysis of abductor pollicis brevis, opponens pollicis and flexor pollicis brevis (blank) paralysis of flexor carpi ulnaris mm paralysis of the medial part of flexor digitorum profundus mm paralysis of the lumbricles 3 and 4 paralysis of the palmer and dorsal interosseous mm paralysis of the adductor pollicis mm paralysis of adductor pollicis mm (blank) No paralysis of flexor carpi ulnaris or medial part of the flexor digitorum profundus mm paralysis of the lumbricles 3 and 4 paralysis of the adductor pollicis mm paralysis of adductor pollicis mm palmer and dorsal interosseous mms abductor digiti minimi, flexor digiti minimi and opponens digitiminimi mms (blank) (blank) Paralysis of coracobrachialis, biceps and brachialis mm ( biceps reflex)

lost thumb movement "Pope's blessing" or "ape's sign", flattening of thenar eminence Deviation of the hand to the radial side, at the wrist joint "claw hand", lost flesion of the ring and little finger at the DIP joint lost flexion of ring and little finger at the MCP joint lost abduction and adduction of the fingers adduction of the thumb is lost lost abduction, flexion and opposition of the little finger sensory loss on the palmer and dorsal aspects of the little finger and half of the ring finger No wrist deviation toward ulnar side and NO problems with felxion of of ring and little finger at DIP joint lost flexion of ring and little finger at the MCP joint, with hyperextension at joint b/c extensor mm are intact adduction of the thumb is lost adduction of the thum is lost abduction and adduction of fingers is lost abduction, flextion, and opposition of the little finger are lost palmer and dorsal aspects of the little finger and half the ring finger "claw hand", yet not as severe as with lesion at the elbow Difficulty flexing elbow, and variable sensory loss

Ulnar nerve injury at the wrist (median cord C8-T1) Ulnar nerve injury at the wrist (median cord C8-T1) Ulnar nerve injury at wrist (median cord C8-T1) Ulnar nerve injury at wrist (median cord C8-T1) Ulnar nerve injury at wrist (median cord C8-T1) Ulnar nerve injury at wrist (median cord C8-T1) Ulnar nerve injury at wrist (median cord C8-T1) Musculocutaneous nerve (lateral cord- C5-C7)

Slashing the wrists

Slashing the wrists Slashing of the wrists Slashing of the wrists Slashing of the wrists Slashing of the wrists Slashing of the wrists (blank)