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Nerve Entrapments Pt 2 - Coggle Diagram
Nerve Entrapments Pt 2
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TOS special tests
-Adsons
-Allen
-Roos
-Wright
-costoclavicular syndrome/military brace test
-provocation elevation test
shoulder girdle passive elevation test
-Halstead maneuver
high false positive rate
-false-positive rate of 12% when two tests are performed
-false-positive rate of less than 2% when three are performed
-mean SN of 5%, Sp of 72% when adson, hyperabduction and wrights are used in a cluster
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burner/stinger injury
-nerve injury that most often occurs in football
-often thought to be traction or compression injury of upper trunk of BP or C5/6 nerve roots
-transient pain, numbness, paresthesia usually produced
-chronic syndrome may result from nerve root compression in IV foramina secondary to disk disease in older athletes
-cowboy collars do not prevent stingers/burners
-they are better than shoulder pads alone in prevention of cervical hyperextension injuries
-strength training to cervical spine and shoulder girdle is an effective way tor reduce occurrence of burners/stingers
dead arm syndrome
causes include:
-recurrent transient ant shoulder subluxation
-RC tear
-labral tear
-psych disorders
-direct trauma to arm
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symptom reports often suggest possible neural compromise, but true neurologic changes are rarely present
pancoast tumor
-can compromise C8/T1 nerve roots due to compression from tumor
-sensory changes in medial forearm and hand (4/5th digits)
-intrinsic muscle wasting
-horner syndrome
-night pain
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Horner syndrome
-unilateral enophthalmos (sunken eye)
-ptosis
-miosis
-flushing of face d/t I/L involvement of sympathetic chain in cervical sympathetic chain or upper thoracic cord
-burner injury is most common peripheral nerve injury followed by those involving cervical root, axillary nerve, suprascap nerve, and long thoracic nerve
-football players have greatest number of peripheral nerve injuries