COMMON PARONEAL NERVE PALSY

CAUSES:

• COMPRESSION OF THE NERVE BY TIGHT PLASTER
• FRACTURE OF THE NECK OF THE FIBULA
• FRACTURE DISLOCATION OF HEAD OF FIBULA
• HANSEN'S DISEASE OR LEPROSY
• TRAUMA TO THE KNEE
• ENTRAPED,COMPRESSED OR IRRITATED NERVE
• PROLONG IMMOBILIZATION

SIGNS AND SYMPTOMS:

LOSS OF SENSATION OVER THE AREA SUPPLIED BY THIS NERVE

MUSCLES SUPPLIED BY COMMON PARONEAL NERVE ARE PARALYSED

DEFORMITY:FOOT DROP

TREATMENT:

IG STIMULATION

PASSIVE MOVEMENTS

STRETCHING OF THE TENDOACHILIS

SPLINTS OR ORTHOSIS

FEMORAL NERVE PALSY

CAUSES:

• PSOAS ABCESS
• PELVIC NEOPLASM
• FRACTURE OF THE PELVIS OR FEMURE
• HIP DISLOCATION
• INGUINAL HERNIA
• COMPLICATION OF SPINAL ANESTHESIA
• PROLAPSE INTERVERTEBRAL DISC
• LUMBAR SPONDYLOSIS OR STENOSIS
• NEUROPATHY SECONDARY TO DIABETES MELLITUS KNOWN AS  DIABETIC AMYOTROPHY
• NEURAPRAXIA AFTER HYSTERECTOMY
• PENETRATING WOUNDS OF LOWER ABDOMEN

SIGNS AND SYMPTOMS:
LOSS OF SENSATION
QUADRICEPS JERK IS LOST
GENU RECURVATUM IS SEEN BECAUSE QUADRICEPS IS PARALYSED
TREATMENT:

• UNDERLYING CAUSE MUST BE DEALT WITH
• IG STIMULATION TO THE PARALYSED MUSCLES
• PASSIVE MOVEMENTS
• ORTHOSIS TO CORRECT GENU RECURVATUM.

MEDIAN NERVE INJURY

CAUSES:

AXILLA

• AXILLARY ANEURYSM
• TRACTION INJURY

ARM

• PENETRATING INJURY

ELBOW

• PENETRATING INJURY
• HANSEN'S DISEASE
• TOURNIQUET'S DISEASE
• GOLFER'S ELBOW
• SUPRACONDYLAR FRACTURE

FOREARM

• PRONATER TERES SYNDROME
• VOLKMAN'S ISCHEMIC CONTRACTURE

WRIST

• GLASS CUT INJURY
• CARPAL TUNNEL SYNDROME

SIGNS AND SYMPTOMS:
SENSORY AND MOTOR LOSS INVOLVING THAT AREA
DEFORMITY:

1. APE HAND
2. POINTING INDEX FINGER

TREATMENT:
PASSIVE MOVEMENTS
GENTLE STRETCHING
IG STIMULATION
CARE OF ANESTHETIC HAND
SPLINTS

ULNER NERVE INJURY AND PHYSIOTHERAPY TREATMENT

ULNAR NERVE INJURY

Anatomy Of Ulnar Nerve

CAUSES OF ULNAR NERVE INJURY :

 AT THE CERVICAL SPINE

Sensory Area Of Ulnar And Radial Nerve

• PROLAPSE INTER-VERTEBRAL DISC
• OSTEOPHYTE DUE TO CERVICAL SPONDYLOSIS
• RHEUMATOID DISEASES OF THE CERVICAL SPINE

AT THE BASE OF THE NECK

• CERVICAL RIB
• THORACIC OUTLET SYNDROME
• SCALENUS ANTICUS SYNDROME

AT THE AXILLA

• CRUTCH PALSY

ARM

• TOURNIQUET PALSY
• HANSEN'S DISEASE

ELBOW

• CUBITUS VALGUS

  

  Ulnar Nerve Sensory Area

• DISLOCATION OF ELBOW
• HANSEN'S DISEASE

AT THE FOREARM

• VOLKMAN'S ISCHEMIC DISEASE
• TIGHT PLASTER

AT THE WRIST

• GLASS CUT INJURY
• COMPRESSION OF THE ULNAR NERVE
• TUMORS
• OSTEOARTHRITIS
• FRACTURE OF THE CARPAL BONE

SIGNS AND SYMPTOMS IN ULNAR NERVE INJURY :

SENSORY & MOTOR LOSS

Claw Hand Deformity 

DEFORMITY : CLAW HAND DEFORMITY

PHYSIOTHERAPY MANAGEMENT : 

            

Exercise in Ulnar Nerve Injury

• IG/SF  STIMULATION
• PASSIVE MOVEMENTS AND STRETCHING
• Gradually Start Of Active Assisted And Then Active Movement.
• Followed Progression to Strengthen of affected Muscle
• CARE OF ANESTHETIC HAND
• SPLINTAGE

 Other Nerve Injury Related Post :

         

Radial Nerve Injury Detail