Nerve Entrapment Syndrome of Elbow and Forearm Introduction
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Questions and Answers

What is a common characteristic between nerve entrapment in the upper extremity and spinal pathologies?

  • Compression usually occurs at the entrance and exit locations of the nerves. (correct)
  • Only occurs in the upper extremity region.
  • Is caused by muscle bellies alone.
  • Does not involve ligamentous complexes.

    • What is a temporary form of mild compression called according to the text?

  • Myelopathy
  • Neuropraxia (correct)
  • Neuropathy
  • Neuritis

    • Which area is NOT mentioned as a location for compression in the elbow and proximal forearm region?

  • Cubital tunnel
  • Guyon canal
  • Median nerve groove (correct)
  • Radial tunnel

    • What is the cause of neuropathic pain and paresthesia symptoms in cases of neuropraxia?

    <p>Temporary nerve ischemia</p> Signup and view all the answers

    What term is used to describe the recovery seen in neuropraxia once the temporary compression is removed?

    <p>Spontaneous remission</p> Signup and view all the answers

    Which type of postures can cause neuropraxia due to mild compression?

    <p>Maintained elbow flexion posture</p> Signup and view all the answers

    What is the equivalency of a fifth degree injury according to the text?

    <p>Seddon’s neurotmesis</p> Signup and view all the answers

    Which types of injuries are mentioned as the most common types of peripheral nerve trauma?

    <p>Lacerations caused by sharp objects</p> Signup and view all the answers

    How do world wars contribute to our knowledge of peripheral nerve repair, according to the text?

    <p>By providing opportunities for clinical observations</p> Signup and view all the answers

    Why is understanding the anatomy of trauma emphasized for successful treatment of traumatic peripheral nerve injuries?

    <p>To ensure successful treatment</p> Signup and view all the answers

    What classification is mentioned that assists clinicians and neuroscientists in studying peripheral nerve injuries?

    <p>Seddon’s classification</p> Signup and view all the answers

    What classification scheme for peripheral nerve injury was introduced by Sir Herbert Seddon?

    <p>Seddon's classification</p> Signup and view all the answers

    Which nerve injury type is characterized by loss of axonal continuity without disruption of the fascicular connective tissue elements?

    <p>Axonotmesis</p> Signup and view all the answers

    What is the mildest type of nerve injury according to Seddon's classification?

    <p>Neurapraxia</p> Signup and view all the answers

    Which type of nerve injury refers to the most severe injury with compromised sensory and functional recovery?

    <p>Neurotmesis</p> Signup and view all the answers

    According to Seddon, what does 'neurapraxia' mean?

    <p>'To do, to perform'</p> Signup and view all the answers

    Which researcher further stratified Seddon's three injury types into five categories?

    <p>Sydney Sunderland</p> Signup and view all the answers

    What is the term used to describe a block to conduction of nerve impulses without disruption of the axon or perineurium?

    <p>'To cut'</p> Signup and view all the answers

    In which situation may corticosteroid injection with local anesthetic be useful according to the text?

    <p>If pain continues with swelling and pressure on the nerve</p> Signup and view all the answers

    What plays a key role in the referral to surgical management according to the text?

    <p>Patient education and ongoing evaluation from the interprofessional team</p> Signup and view all the answers

    Which term is used to describe complete transection of a nerve?

    <p>Neurotmesis</p> Signup and view all the answers

    What is the clinical sign characterized by pain on palpation/tapping of the ulnar nerve in cubital tunnel and Guyon's canal?

    <p>Tinel sign</p> Signup and view all the answers

    Which of the following movements can aggravate pain and paresthesia in cubital and Guyon's tunnel syndrome?

    <p>Wrist flexion</p> Signup and view all the answers

    What is a common clinical symptom in severe cases of ulnar nerve compression?

    <p>Loss of sensation in 4th and 5th digits</p> Signup and view all the answers

    Which test is performed in cases of mild ulnar nerve compression with only pain as a clinical sign and no sensory/motor deficits?

    <p>'Upper limb nerve tension' test</p> Signup and view all the answers

    What is the term for weakness of interosseous and lumbrical muscles leading to muscle imbalance in the hand?

    <p>'Ulnar claw' hand</p> Signup and view all the answers

    What type of splint is recommended to limit elbow flexion during the night in cubital tunnel syndrome?

    <p>'Night' splint</p> Signup and view all the answers

    What is a common conservative approach for symptom modification in cubital and Guyon's tunnel syndrome?

    <p>'Load management' and activity modification</p> Signup and view all the answers

    'Duchenne sign' refers to which specific clinical manifestation related to ulnar nerve compression?

    <p>'Ulnar claw' hand deformity</p> Signup and view all the answers

    What do slowed conduction and/or conduction block at the elbow or wrist indicate in electrodiagnostic studies?

    <p>'Nerve conduction abnormalities'</p> Signup and view all the answers

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