| Nerve lesions
in upper limb |
| Quick synopsis |
- Carpal tunnel: weak abductor pollicis brevis,
numb 3 and a half fingers.
- Ulnar nerve: weak finger abduction, numb 1
and half finger.
- Radial nerve palsy: wrist drop, numb on
dorsum web between thumb and index.
|
| Nerve |
Symptoms, Signs and most common cause |
| Axillary |
- Pain: shoulder tip
- Cause: fracture neck of humerus, dislocated shoulder,
deep IM injection.
- Motor weakness: deltoid.
- Sensory loss: small area over deltoid.
- Reflex: none
|
Musculo-
cutaneous |
- Pain: Lateral forearm to wrist.
- Cause: rarely damaged.
- Motor weakness: biceps and
brachialis.
- Sensory loss: dorsum of thumb.
- Reflex: biceps.
|
| Radial |
- Pain: dorsum of thumb and index.
- Cause: Crutch palsy, Saturday night palsy, fractured
humerus.
- Motor weakness: Triceps, wrist and finger extensors,
brachioradialis and supinator of forearm.
- Sensory loss: dorsum of thumb and index.
- Reflex: triceps and supinator jerks.
|
| Median |
- Pain: thumb, index and
middle finger, often spread up to forearm.
- Cause:
- Motor weakness:
- at elbow: wrist flexors
- Anterior interosseus nerve: long finger flexors
to thumb, index and middle fingers
- Wrist: abductor pollicis brevis.
- Sensory loss: thumb, index, middle and
half of ring finger.
- Reflex: finger jerk.
|
| Ulnar |
- Pain: Little finger and half of ring finger.
- Cause:
- Elbow: local trauma, prolonged pressure, repeated
minor trauma, fractured olecranon.
- Wrist: local trauma, ganglion cyst at wrist.
- Motor weakness: All small muscles in hand except
Abductor pollicis brevis.
- Sensory loss: Little
finger and half of ring finger.
- Reflex: none
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