Question

Question . Your patient presents 4 months after severing the median nerve at the wrist. Their motor function is gradually improving. You have been asked to assess the strength of the muscles that have been affected by the injury (i.e., those distal to the injury).

a. List the muscle(s) innervated by the median nerve that are located distal to the wrist.

b. For each muscle, outline the specific patient position for the grade 3 manual muscle test, including where resistance is applied.

Question A patient presents with a recovering lesion of the long thoracic nerve.

a) Outline the active movements of the shoulder girdle you would assess to determine the effect of this nerve lesion on function and indicate what you are likely to observe and why.

Answer 1

Median nerve gives 2 branches after passing the carpel tunnel

1recurrent branch-innervates thenar muscles

2palmar digital branch-innervates two lumbricles of index and middle finger

numbness, tingling, or burning sensations in the thumb and fingers, in particular the index and middle fingers and radial half of the ring finger, because these receive their sensory and motor function (muscle control) from the median nerve. Ache and discomfort can possibly be felt more proximally in the forearm or even the upper arm.[9] Less-specific symptoms may include pain in the wrists or hands, loss of grip strength,[10] and loss of manual dexterity.

Phalen's sign test. You hold your arms out in front of you and then flex your wrists, letting your hands hang down for about 60 seconds. If you feel tingling, numbness, or pain in the fingers within 60 seconds

It cause partial flexion at shoulder joit