1 / 5

Heritage College of Osteopathic Medicine

Heritage College of Osteopathic Medicine. Friday, 1 August 2014. Humeral Surgical Neck Fractures. normal x-ray. head. 2005 Grant’s Atlas. Surgical Neck Fracture. www.gentili.net/fracture.asp?ID=61. Heritage College of Osteopathic Medicine. Friday, 1 August 2014. Axillary Nerve Palsy.

chione
Télécharger la présentation

Heritage College of Osteopathic Medicine

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Heritage College of Osteopathic Medicine Friday, 1 August 2014 Humeral Surgical Neck Fractures normal x-ray head 2005 Grant’s Atlas Surgical Neck Fracture www.gentili.net/fracture.asp?ID=61

  2. Heritage College of Osteopathic Medicine Friday, 1 August 2014 Axillary Nerve Palsy Axillary n. (C5, C6): superior lateral brachial cutaneous n. posterior view 2006 Moore & Dalley COA posterior view

  3. Heritage College of Osteopathic Medicine Friday, 1 August 2014 UBP Injury – Erb’s Palsy LBP Injury – Klumpke’s Palsy • Excessive upward pull of limb • Traction (stretching or avulsion) of lower ventral rami (e.g., C8, T1) • Increase in angle between neck & shoulder • Traction (stretching or avulsion) of upper ventral rami (e.g., C5,C6) 2006 Moore & Dalley COA erbseparese.nl/ Fotomap/Plexus.jpg 2006 Moore & Dalley COA

  4. Heritage College of Osteopathic Medicine Friday, 1 August 2014 Upper Brachial Plexus Injury – Erb’s Palsy • Appearance: drooping, wasted shoulder; pronated and extended limb hangs limply (“waiter’s tip palsy”) • Loss of innervation to abductors, flexors, & lateral rotators of shoulder and flexors & supinators of elbow • Loss of sensation to lateral aspect of UE • More common; better prognosis Bayne & Costas (1990) Netter 1997

  5. Heritage College of Osteopathic Medicine Friday, 1 August 2014 Lower Brachial Plexus Injury – Klumpke’s Palsy • Much rarer than UBPIs and Erb’s Palsy • Loss of C8 & T1 results in major motor deficits in the muscles working the hand: “claw hand” • Loss of sensation to medial aspect of UE • Sometimes ptosis or full Horner’s syndrome • Much rarer (1%) but poorer prognosis “claw hand” 2006 Moore & Dalley COA Netter 1997

More Related