Neurology Exam Prep Podcast

Episode 22: Mononeuropathies of the Upper Limb

25 snips
Sep 16, 2020
Jeff Dewey, a neuromuscular specialist, joins Dr. Safa Abdelhakim to dive into upper limb mononeuropathies. They unpack nerve injuries and delve into conditions like carpal tunnel syndrome and musculocutaneous neuropathy, explaining the clinical impact on elbow flexors. The discussion includes the axillary nerve’s role in shoulder movement, humorous takes on trauma portrayals in media, and the importance of understanding ulnar nerve pathologies like claw hand. It's an informative exploration that's both educational and engaging!
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INSIGHT

Mononeuropathy Relies on Anatomy

  • Understanding mononeuropathy relies heavily on precise upper extremity anatomy knowledge.
  • Clinical testing combined with EMG enhances diagnosis of nerve injuries.
ADVICE

Detect Long Thoracic Nerve Injury

  • Watch for scapular winging in long thoracic nerve injuries.
  • Consider post-mastectomy or thoracotomy history as a cause.
INSIGHT

Suprascapular Entrapment Sites

  • Entrapment location of suprascapular nerve determines specific muscle weakness.
  • Suprascapular notch entrapment affects both supraspinatus and infraspinatus, spinoglenoid notch affects only infraspinatus.
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