" Final Year MB BS " Lecture on Upper Limb Nerve Examination by Mr. Adeel Abbas

1. By;
Mr. Adeel Abbas

4. Which is the Largest Branch of Brachial
Plexus?

5. Which Nerve is the Nerve of Flexor
Compartment of Forearm?

6. Which Nerve is the Nerve of Extensor
Compartment of Forearm?

7. Which Nerve is the “Eye of Hand”?

8. Median Nerve
Root Value?
•C5-8 & T1

9. Median Nerve Entrapment

10. Carpal Tunnel Syndrome
What is it?
What is Carpal Tunnel?

11. What are the Causes?
• MEDIAN TRAPS
•Median Artery (Persistant).
•Edema of Pregnancy.
•Diabetes.
•Idiopathic.
•Acromegaly.
•Neoplasm.
•Thyroid (Myxedema).
•Rheumatoid Arthritis.
•Amyloid.
•Pneumatic Drill Use.
•SLE.

12. What are the Symptoms?
Pain.
Numbness.

13. Signs of Median Nerve Injury

14. Cigarette Burns

15. Hand of Benediction

16. Ape’s Hand

17. How You Should Manage?
Workup;
EMG / Nerve Conduction Study.
Initial Treatment;
Rest.
Wrist Splint.
NSAIDs.
Surgery;
Release Transverse Carpal Ligament.

18. Clinical Examination
Wash Hand.
Introduce Yourself.
Take Informed Consent.
Proper Exposure (Sleeves Rolled Up) .

19. Ulnar Nerve
Root Value?
•C5-7.

20. Signs of Ulnar Nerve Injury
Claw Hand…
Froment’s Sign…

22. Sever Claw Hand

24. Radial Nerve
Root Value?
•C5-8 & T1

25. Signs of Radial Nerve Injury

26. Thank youThank you