Monday, April 30, 2007
Nerves from the medial cord (5):
Medial pectoral nerve (C8, T1): Supplies the sternal head of the pectoralis major muscle. Sternal head is also supplied by the lateral pectoral nerve)
Medial cutaneous nerve of the arm (T1): supplies the medial arm
Medial cutaneous nerve of the forearm (T1): Supplies the medial forearm
Medial head of the [...]
Wednesday, April 18, 2007
Patients with neck pain can present with pain in the arm also. Many patients may also present with arm pain without complaints of neck pain.
In such a situation, a careful history will reveal past history of neck pain and almost always a past history of trauma.
Also, patients may not volunteer a history [...]
Tuesday, April 17, 2007
Peripheral nerves from the lateral cord (3):
Lateral head of the median nerve (C5, C6, C7 supplies the pronator teres, flexor carpi radialis, palmaris longus).
The median nerve supplies sensation to the skin over the thenar eminence, lateral three and a half fingers including the dorsal aspect of these fingertips).
Lateral pectoral nerve (C5, [...]
Monday, April 16, 2007
Neck pain| Brachial Plexus| Upper limb pain
Patients with neck pain often also have pain in the upper limb. In fact, they may present initially with upper limb pain and often, irritation of the brachial plexus is considered in the absence of complaints of neck pain.
Whether the patient's primary complaints are in the [...]
Saturday, April 14, 2007
Neck pain| fist tightening
Patients with neck pain have difficulty with making a fist, especially a tight fist secondary to pain in the wrists and fingers.
To have a powerful grip while tightening the fist, the following conditions have to be present:
- the thumb must be able to bend across the fingers curled into [...]
Friday, April 13, 2007
Neck pain| fist- making| thumb flexion
Patients with neck pain can present also with pain in the hand and fingers. They may have difficulty with making a fist with the thumb in flexion. This movement is needed for turning a key.
The flexion of the fingers is performed the flexor digitorum profundus and flexor [...]
Thursday, April 12, 2007
Neck pain| finger flexion| thumb extension
Patients with neck pain can have pain in the fingers with difficulty in making a fist. The fingers need to be folded into the hand to make a fist.
This movement is performed by the flexor digitorum superficialis which bends the joints between the first and second phalanges. [...]
Wednesday, April 11, 2007
Neck pain| hand pain| intrinsic hand muscles
Patients with neck pain due to cervical nerve root irritation can have pain in the hands and difficulty with manipulation of fine objects such as turning a key, cutting meat, picking up small objects or holding onto flat and thin objects.
They may have difficulty picking up [...]
Tuesday, April 10, 2007
Neck pain| fist-making| flexor digitorum superficialis
Patients with neck pain due to cervical nerve root irritation may have accompanying wrist, hand and finger pain.
Pain and spasm or stiffness in the flexor digitorum superficialis muscle will lead to difficulty in making a fist. Both the flexor digitorum superficialis and flexor digitorum profundus muscles must [...]
Monday, April 09, 2007
Neck pain| hand pain| fist-making
Patients with neck pain due to cervical nerve root irritation may have hand pain significant enough that they may have difficulty making a fist.
The joints of the fingertips may have a hard time bending. This most peripheral joint of the fingertips is known as the distal interphalangeal joint. Bending [...]