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Nerve Entrapment Syndrome of Elbow and Forearm Introduction

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30 Questions

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.

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

Neuropraxia

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

Median nerve groove

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

Temporary nerve ischemia

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

Spontaneous remission

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

Maintained elbow flexion posture

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

Seddon’s neurotmesis

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

Lacerations caused by sharp objects

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

By providing opportunities for clinical observations

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

To ensure successful treatment

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

Seddon’s classification

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

Seddon's classification

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

Axonotmesis

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

Neurapraxia

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

Neurotmesis

According to Seddon, what does 'neurapraxia' mean?

'To do, to perform'

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

Sydney Sunderland

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

'To cut'

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

If pain continues with swelling and pressure on the nerve

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

Patient education and ongoing evaluation from the interprofessional team

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

Neurotmesis

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

Tinel sign

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

Wrist flexion

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

Loss of sensation in 4th and 5th digits

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

'Upper limb nerve tension' test

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

'Ulnar claw' hand

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

'Night' splint

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

'Load management' and activity modification

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

'Ulnar claw' hand deformity

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

'Nerve conduction abnormalities'

Learn about the pathophysiology and clinical characteristics of nerve root and peripheral nerve entrapment or compression in the elbow and forearm regions. Understand how nerve compression occurs in the upper extremities and its impact.

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