Aids to the Examination of the Peripheral Nervous System 4th ed - D. Riddoch (Saunders, 2000) WW

67 Pages·2000·5 MB·English

FOURTH EDITION

AIDS TO THE
EXAMINATION

OF THE PERIPHERAL
NERVOUS SYSTEM

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PREFACE

1 1940 Te George Reais wat Comsullant Noucongist the Arig. eel the
eceisg’ ct protding ventres to deal wil petip.ietal neve injaies daria tve wax
collaboration with Projets JR. bnothiatth, Bees of Suigety at he diversity a
Ldintaral, peripheral terve iniury Govthox nore tabled al Cogatbui ear
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ACKNOWLEDGEMENTS

“The Guarantors of un are ery grate

Patricia Avehex nw forthe dhowings of the achral peru ard amano plore
Ratph Hutch ing fothe phate
Paul

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ao Jr the

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‘Michael Hutchins 90 for aa he manana

Sarah Reee-Recr (Haroount Publishes) fr her lp nl emt cneagrmmcr
CONTENTS

Iewadaction 1
Spinal auceswory nerve
Brauhial plewus 4
usculucu remus nerve 12.
auillay verse 14

Radial nerve 16

Mecian nerve 24

Ulnar nee 30

Lunbrsacral pleats 37
ewes of he ewer limbs 38
Dermatames 56

ors and root supply of muscles 60)

Comminly tested mievements 62
INTRODUCTION

Tosa ine as agide othe esam-et io of sms will ins of petipheral
ew exons shoul, il posible, br sacle on unt eam where patent
scl eine: il fe nee pou: eiazeion, Ft baal nr sl sensing leon

tnporlan cha the pa:isnt sould sc Le warn. Thentaveaned objec af he tts sould
heap sined le tbe patie: that his ruses anal cv peratn ae seuuned [ether
sles yt of jgus theses shomndl be li ontune! geet ae

Motor testing
Srl way eu asa prin aie 3640 a a aeons
Sailer seta. prim ner ore ety and cus he srl ae aor whet it
imrohtirs (re piso base duving camleactin of the iartie dig ai a8
sevegema whoa 5 rssts exteson ul the wise some we Ue dis ue Ho
Theis ae een,

Auras possible the action ofeach russ sha he sere separaely and 3 ete
veal of sr i wie peace hay 2¢eh to dw we Fo we Thal ane Beak oF

pera. Ife esal (@ ezamire the privet ofa ice # mt eelavon le Ihe woreatent of &
Single ki has Heng bee canta ary une af ke 9 ae ered scle power,
Tati genes recopaised rt sulle sno gre ry fe hea

W hotomnstion
Wicker ese of eatteacin

2 Ale oreuen, with aeiy im-atal

3 Aube rome ayaing: erie

1 Aulieemovomest aging prvi and ves tame

> Normal power

Powis 1. and may be used te indie cement gata slight, mda and

sheony essanse eespecty

Me rudes employed in chs work mis nul lane Merause Uy showed unusual
vrnetlee Uevelosrten: the sase with hich tes rataon uf mas ented waiee
he ile ol the peat, and ici s-.al al the een chou bos leak 0 and
vest Gel the core on a an aeons ele muvee ander fle BOREL ois

Tenn st of she usta hs primary ea ni is ben marked
‘gee ase beon arranged the mae he nen of thes ator ep fom nese
Ins, ich 6 eeaveaien: in many exouivataas Thually ony axe meld of testing

‘oh muscle “schown but. were neces ulliple Ulusrivions howe hee inetd it
imal has moe than one nportar tation. The saariner should app the tit ath
lysed, bscanse the cliques sures wl nine acy wf Uae aps for the
ienerienceecsied by Wie? mowes-en Isle he tel That wae he meheds
nv ts ele the set ec ausles a4 gle

"Shen esting aotement, the Tinh seal hell support prcinal tke selene
nl. the Le test e confined to Hh chisen aasele grup and docs aot weguze the
tien Uo fx sen prosimally he aos ev ati. I bis eon is prince“
SPINAL ACCESSORY NERVE,

Fig. 1“rapeaus (spinal acestony neve and C2
The pation is elevang the shoulder aoainstresitance
Arr: he thick poe par of the muscle can be ser and fh

Fig.2.‘Wapeciue Spinal seressary nerve and €3, 2)
“The patients pushing the pal of te hands hard agsest a wall wth the elbows fully
fended vow the lowor fore of tapeciue canbe seen an el

a
Fig.3- Diagram ofthe brachial pons, ts aches and

SAXH 1d ‘IVIHOVUd
BRACTIALPLAXUS 5:

Fig.4 The approximate area within which sensory change ray be fourd in complete
lesions of the brachial plows 5, C6, 7, C8, T9),

ig.5_The approximate area within which sensory changes may be fered in lesions of the
Ppa 005 (5,08) of the brachial plesus