Flashcards in Positioning and Nerve Injuries Deck (38)
What is the most most upper extremity postop nerve injury?
d\t compression between medial epicondyle of humerus and sharp edge of the operating table
The ulnar nerve is stretched when ______ the arm.
Injury to the ulnar nerve causes the inability to ______ the fifth finger, ultimately leading to "________".
abduct or oppose; claw hand
What is the second most common postop neurologic injury?
brachial plexus injury
What is the cause of a brachial plexus injury?
stretch injury when the neck is extended and the head is turned away, or the arm is abducted > 90 degrees
*compression injury between the clavicle and first rib with improperly placed shoulder braces or spreading of sternum
This injury occurs if the arm slips off the surgical table or if pressure is applied to the nerve as it traverses the spiral groove of the humerus.
radial nerve injury
What type of nerve injury results in wrist drop, inability to extend the metacarpophalangeal joints, weakness in abduction of the thumb, and decrease in sensation over dorsal surfaces of the lateral three and one half fingers (first, middle, and ring)?
Injury to this nerve is unlikely due to positioning, but can result in inability to oppose the first and fifth digits and decreased sensation on the palmar surface of the lateral three and one half fingers (first, ring, and middle).
What nerve is rarely injured d\t stretching or compression because of how deep it runs in the arm?
What will be seen with musculocutaneous nerve injury?
inability to flex the arm and sensation is decreased over the ventral surface of the forearm.
Match the nerve injury: "Ape Hand"
median nerve injury--> unable to oppose thumb
Match the nerve injury: "Claw Hand"
ulnar nerve injury
Match the nerve injury: "Wrist Drop"
radial nerve injury
Match the nerve injury: "inability to flex forearm"
musculocutaneous nerve injury
Match the nerve injury: "inability to abduct arm"
axillary nerve injury
Match the nerve injury: "Foot drop"
sciatic, common peroneal, or anterior tibial
Match the nerve injury: "absent knee jerk and loss of flexion of hip and extension of knee"
Match the nerve injury: "paresthesias along the medial and anteromedial side of calf"
Match the nerve injury: "inability to adduct the leg and diminished sensation over medial side of the thigh"
Match the nerve injury: "pain and dyesthesia over lateral thigh"
lateral femoral cutaneous
Match the nerve injury: "pain or numbness of lower leg, thigh, or foot"
Match the nerve injury: "decreased sensation over superior aspect of thigh and medial and anteromedial side of leg"
Match the nerve injury: "loss of dorsal extension of toes"
Match the nerve injury: "most frequently damaged nerve of the lower extremity"
Match the nerve injury: "damaged in sitting position with pressure on the ischial tuberosities or in lithotomy position when the nerves and thigh are externally rotated".
*also damaged with improper IM injection--> should be given in the upper, outer quadrant of the buttock
Match the nerve injury: "damaged in lithotomy by extreme abduction of the thighs with external rotation of the hip"
Match the nerve injury: "damaged during difficult forceps delivery or by excessive flexion of the thigh to the groin"
Injury to this nerve eventually leads to claw hand.
Injury to this nerve prevents abduction and opposition of the fifth finger.