D1nerve root damage

D1 nerve root damage causes deep aching pain in shoulder, axilla & medial olecranon. It is rare but normally a consequence of: Pancoast tumor, metastatic growth deep cervical nodes or cervical rib

Pediatrics: Face presentation at birth

What is face presentation and what mark does it leave on the baby?

Common locations for peripheral nerve injury in the arm

Vulnerable locations for peripheral nerves along the arm.

Angina versus musculo-skeletal chest pain - osteopathy studies

The most characteristic feature of angina is chest pain occurring predominantly during exertion and alleviated almost as soon as the patient rests. This is unlike musculoskeletal chest pain which is associated with a particular movement or twist and localized tenderness.

Ulnar nerve and D1 root lesion - differential diagnosis

Ulnar nerve lesions cause wasting of the small muscles of the hand but spares the adbuctor pollicis brevis muscle. D1 root lesions also causes wasting of the small muscles of the hand including the abductor pollicis brevis muscle.

Test - Abduct thumb against resistance.

Axillary nerve + C5 nerve root test

Radial Nerve and C6 test

http://www.palmm.org

Summary root lesions

Common causes of root lesions cervical spine

C8 nerve root pain

C7 nerve root pain

Ulnar nerve palsy

C6 Nerve root lesion

Radial nerve - sensory loss

Compression of the radial nerve causes sensory loss and/or pain at the dorsum of the thumb and index finger. The cause is often either incorrect use of crutches, Saturday night palsy or fractured humerus.

Trendelenberg test - hip exam

When is The Trendelenburg test useful?
The Trendelenburg test is a test to show the efficiency of the hip abductors, specifically gluteus medius.

Anything making gluteus medius work extra hard, compromises its function and results in a positive Trendelenburg. For example, CDH, osteoarthritis, hip fracture. For this reason the Trendelenburg test is not differential. It will not tell you what condition is causing the test to be positive, however, when negative, it can be useful as it helps the practitioner know there is no fracture for example.

Osteopathy studies - the elbow joint

By virtue of a modified hinge and an accessory rolling joint, the elbow is capable of almost all movements of a ball & socket joint, only with more stability. Why do you think the elbow needs so much stability?

www.palmm.org