Radial neuropathy at the spiral groove - Revision history

Rossdonaldson1 at 14:35, 5 February 2022

2022-02-05T14:35:11Z

← Older revision		Revision as of 14:35, 5 February 2022
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	==Clinical Features==		==Clinical Features==
			[[File:Cutaneous innervation of the upper limb.svg\|thumb\|Cutaneous innervation of the upper limb]]
	*[[Weakness]] of wrist extensors ("wrist drop"), finger extensors, and brachioradialis		*[[Weakness]] of wrist extensors ("wrist drop"), finger extensors, and brachioradialis
	*Triceps retains full strength		*Triceps retains full strength

2022-02-05T14:34:05Z

Background

← Older revision		Revision as of 14:34, 5 February 2022
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	==Background==		==Background==
			[[File:Nerves of the left upper extremity.gif\|thumb\|Nerves of the left upper extremity.]]
	*Radial nerve predisposed to compression in area where runs next to humerus (i.e. spiral groove)		*Radial nerve predisposed to compression in area where runs next to humerus (i.e. spiral groove)
	*Often occurs after prolonged pressure		*Often occurs after prolonged pressure

2022-02-05T14:30:42Z

← Older revision		Revision as of 14:30, 5 February 2022
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	*Possible [[numbness\|sensory loss]] over the dorsum of the hand, sometimes extending up the posterior forearm		*Possible [[numbness\|sensory loss]] over the dorsum of the hand, sometimes extending up the posterior forearm
	*Thumb abduction is affected (abductor pollicis longus is a radial-innervated muscle)		*Thumb abduction is affected (abductor pollicis longus is a radial-innervated muscle)

	~~===Vs. [[CVA]]===~~
	*Relative preservation of triceps strength
	*Sensory loss isolated to the dorsum of the hand
	*Brachioradialis should also be weak

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Evaluation==		==Evaluation==
			===Workup===
	*Clinical diagnosis		*Clinical diagnosis

			===Diagnosis (Vs. [[CVA]])===
			*Relative preservation of triceps strength
			*Sensory loss isolated to the dorsum of the hand
			*Brachioradialis should also be weak

	==Management==		==Management==

2019-10-03T04:39:19Z

← Older revision		Revision as of 04:39, 3 October 2019
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	==Clinical Features==		==Clinical Features==
	*Weakness of wrist extensors ("wrist drop"), finger extensors, and brachioradialis		*[[Weakness]] of wrist extensors ("wrist drop"), finger extensors, and brachioradialis
	*Triceps retains full strength		*Triceps retains full strength
	*Possible sensory loss over the dorsum of the hand, sometimes extending up the posterior forearm		*Possible [[numbness\|sensory loss]] over the dorsum of the hand, sometimes extending up the posterior forearm
	*Thumb abduction is affected (abductor pollicis longus is a radial-innervated muscle)		*Thumb abduction is affected (abductor pollicis longus is a radial-innervated muscle)

2017-04-03T15:32:36Z

Differential Diagnosis

← Older revision		Revision as of 15:32, 3 April 2017
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	==Differential Diagnosis==		==Differential Diagnosis==
	*[[CVA]]		*[[CVA]]

			{{Upper extremity peripheral nerve syndromes}}

	==Evaluation==		==Evaluation==

2017-03-30T13:32:26Z

Workup

2016-07-12T22:22:20Z

Text replacement - "f/u" to "follow up"

← Older revision		Revision as of 22:22, 12 July 2016
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	==Disposition==		==Disposition==
	*Discharge with neurology ~~f/u~~		*Discharge with neurology follow up

	==See Also==		==See Also==

2016-06-26T09:03:59Z

Text replacement - "==Sources==" to "==References=="

2016-03-22T14:14:25Z

Text replacement - "Category:Neuro" to "Category:Neurology"

2016-02-14T22:42:42Z

← Older revision		Revision as of 22:42, 14 February 2016
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	==Sources==		==Sources==
	<references/>		<references/>
	Bunney EB, Gallagher EJ: Peripheral Nerve Disorders; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 107: p 1428-1441.
	[[Category:Neuro]]		[[Category:Neuro]]