"Wrist drop"

Clinical Reasoning: A 65-Year-Old Woman With Cancer History and Wrist Drop. Wrist drop is a common presentation in neurology. To localize the lesion, clinicians can focus on testing finger extension, elbow flexion with semipronated forearm, and elbow extension among other muscle groups and identifying dermatomes of numbness. Once the lesion is localized, electrophysiology or imaging can guide to an underlying etiology. Here, we describe a case that illustrates the importance of using a stepwise approach to diagnose the etiology of wrist drop in a patient with a cancer history. A 65-year-old woman with diffuse large B-cell lymphoma in remission presented with new onset wrist drop, severe pain, numbness, and tingling concerning for peripheral nerve injury. Imaging findings from PET, venous ultrasound

Giant-cell tumour of proximal radius in a 50-year-old female with wrist drop: a rare case report Giant-cell tumour is a locally aggressive tumour of long bones of epiphyseal region commonly occurring in adults aged 20-40 years. Most common location is distal femur, proximal tibia, and distal radius. Different treatment options being used are curettage with bone graft or bone cement, resection

Wrist Splint and Occupational Therapy to Improve Pain, Mobility and Functional Status in Patients With Wrist Drop To determine effectiveness of wrist splint and occupational therapy to improve pain, mobility and functional status in patients with wrist drop. undefined

Clinical Reasoning: A 62-year-old man with right wrist drop.

Wrist drop and muscle weakness of the fingers induced by an upper cervical spine anomaly. This report presents a case of wrist drop and muscle weakness of the fingers as a false localizing sign induced by stenosis of the upper cervical spine caused by a bony anomaly. A 77-year-old male complained of severe muscle weakness of the right hand. Cervical spine MRI showed a severe and sharp

* presence of risk factors * constitutional symptoms (e.g., malaise, fever, arthralgia, myalgia) * headache and scalp tenderness (giant cell arteritis) * visual changes (large-vessel) * upper extremity or jaw claudication (large-vessel) * asymmetric brachial pulses (large-vessel) * bruits (large-vessel) * abdominal pain (medium-vessel) * foot drop, wrist drop (medium-vessel) * cutaneous ulcers (medium

and extension. There is no obvious deformity, weakness of his intrinsic hand muscles, or wrist drop. His pain is out of proportion to his exam. Which of the following nerves is most likely injured?AxillaryMedianRadialUlnarFOR THE RIGHT ANSWER CLICK ON THE ROSH REVIEW LOGO BELOWReferencesGuo RC, Cardenas JM, Wu CH. Triquetral fractures overview. Curr Rev Musculoskelet Med. 2021;14(2):101–106. https

the cause of the hematoma. The hematoma was considered the cause of her radial nerve palsy. Although she underwent Kasai hepatic portoenterostomy at age 82 days, the obstructive jaundice did not sufficiently improve. She then underwent living-related liver transplantation at age 8 months. The wrist drop was still present at age 1 year despite hematoma resolution. Delayed detection of BA and inadequate

noted. A transient ischemic attack leading to cortical hand was diagnosed. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Cortical hand strokes are a rare, but important, differential for wrist drop. They are often first strokes and embolic in nature. Therefore, correct diagnosis is vital to enable initiation of secondary prevention.

in mind also the lacerations noted on her neck and arms, it could be a laceration causing the wrist drop noted in her arm; either radial nerve, tendon injury or C5/C6 involvement causing weakened wrist extension.3 Were she still alive, we would want to assess her motor ability in all four limbs to further differentiate the cause of her posture (if any).Erb’s Palsy – a common newborn C5/C6 injury from

) Median n. * Test function – thumb opposition to index and litttle finger * Make sure thumb is bent! * Palsy – main en singe (ape hand) – inability to abduct thumb 1. Radial n. * Test function – wrist extension, thumb extension & abduction * Palsy – wrist drop 2. Flexor tendons * FDS – hold finger in extension at the MCP, patient should be able to flex PIP * FDP – hold finger of the illuminati * In disease: * Wrist drop – radial nerve * Main en griffe – clawhand – ulnar nerve * Main en singe – monkey hand – median nerve * In testing of function * OK sign * Sipping tea with the queen * Hook em Horns This post was edited and uploaded by Ross Prager (@ross_prager)(Visited 10,682 times, 3 visits today) * Bio * Twitter * Latest

Radial neuropathy caused by intraneural leiomyoma: A case report. Leiomyoma of peripheral nerve is a rare condition characterized by neuropathy of affected nerve. We herein report a rare presentation of leiomyoma of radial nerve which presented with wrist drop. A 37-year-old man visited our clinic with a history of sudden onset weakness of the wrist dorsiflexion/finger extension of the right

that is supplied by the median nerve.It also supplies the dorsum of the fingers as far distal as the proximal interphalangeal (PIP) joint and as far medial as the middle of the ring finger.Causes of injury[1, 2]The radial nerve may be damaged by trauma or entrapped, especially between the heads of muscles.In the axilla:With features of weak triceps, wrist drop and possibly also median and ulnar nerve involvement of muscle power will depend upon the level of the lesion.Gowers described the typical posture that accompanies radial nerve lesions, especially Saturday night syndrome. There is wrist drop with slightly flaccid flexion of the wrist and the hand is pronated with the thumb adducted.The following lists the muscles supplied by the radial nerve and how to test each:C7, C8: triceps - ask the patient to extend

features (progressive muscular atrophy).SymptomsPatients or their families often notice problems occurring in one or more of the patterns below:Limb weakness - usually affects the upper limbs:Causes patients to drop objects or have difficulty manipulating objects with one hand (turning keys, writing and opening bottles).Wrist drop, stiffness, weakness or cramping of the hands may also occur.Patients may

loss. * Aggression. * Antisocial behaviour. * Headaches. * Hearing loss. * Subfertility. * Foot drop - due to motor peripheral neuropathy. * Wrist drop - this is a late sign. * Carpal tunnel syndrome. * Gout. * Autonomic dysfunction[12].Signs of lead poisoningThere are no pathognomonic signs of lead poisoning but the following may be seen: * A blue discoloration of gum margins. * Mild anaemia

States.Physical examinationMost patients with acute lead nephropathy present with neurologic manifestations; kidney involvement is detected incidentally. Neurologic findings include the following: * * Irritability * * Impairment of memory * * Poor attention span * * Tremors * * Signs of increased intracranial pressure Peripheral neuropathy, especially motor axonopathies, may develop, causing wrist drop or foot drop.A gingival lead line may be observed, especially in adults. Patients may have transient hypertension. Findings of anemia, including pallor, may be noted.Chronic lead nephropathy has no characteristic findings. Most patients are hypertensive at diagnosis. Anemia is common. Acute gouty arthritis may be present. Eventually, with progression of kidney disease, uremic manifestations may

was referred for left wrist drop, finger drop and a tingling sensation over the lateral dorsum of the left hand. Based on clinical information, neurologic examinations and electrophysiologic studies, he was diagnosed with compressive radial neuropathy. In addition, a reddish skin color change was observed at the area of radial sensory distribution. After two weeks of observation without specific treatment