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Extensor Digitorum Reflex
The extensor digitorum reflex is tested as part of the neurological examination to assess the sensory and motor pathways within the C6 and C7 spinal nerves. It is also known as Braunecker-Effenberg reflex, or BER. Testing The test is performed by tapping the extensor digitorum muscle while the fingers are light or half flexed. A sudden contraction of the musculus extensor digitorum and extension of the fingers indicate a normal reflex. Absence of reflex An absence of reflex can be an indicator for radiculopathy within the C6 and C7 or neuropathy within the deep branch of the radial nerve The radial nerve divides into a superficial (sensory) and deep (motor) branch at the cubital fossa. The deep branch of the radial nerve winds to the back of the forearm around the lateral side of the radius between the two planes of fibers of the .... References External links * Extensor-Digitorum-ReflexApplying the Extensor Digitorum Reflex to Neurological Examination {{DEFAULTSORT:Extensor ...
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Neurological Examination
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history, but not deeper investigation such as neuroimaging. It can be used both as a screening tool and as an investigative tool, the former of which when examining the patient when there is no expected neurological deficit and the latter of which when examining a patient where you do expect to find abnormalities. If a problem is found either in an investigative or screening process, then further tests can be carried out to focus on a particular aspect of the nervous system (such as lumbar punctures and blood tests). In general, a neurological examination is focused on finding out whether there are lesions in the central and peripheral nervous systems or there is another diffuse process that is troubling the patient. Once the patient has been ...
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Spinal Nerves
A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system. Structure Each spinal nerve is a mixed nerve, formed from the combination of nerve fibers from its dorsal and ventral roots. The dorsal root is the afferent sensory root and carries sensory information to the brain. The ventral root is the efferent motor root and carries motor information from the brain. The spinal nerve emerges from the spinal column through an opening (intervertebral foramen) between adjacent vertebrae. Th ...
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Extensor Digitorum Muscle
The extensor digitorum muscle (also known as extensor digitorum communis) is a muscle of the posterior forearm present in humans and other animals. It extends the medial four digits of the hand. Extensor digitorum is innervated by the posterior interosseous nerve, which is a branch of the radial nerve. Structure The extensor digitorum muscle arises from the lateral epicondyle of the humerus, by the common tendon; from the intermuscular septa between it and the adjacent muscles, and from the antebrachial fascia. It divides below into four tendons, which pass, together with that of the extensor indicis proprius, through a separate compartment of the dorsal carpal ligament, within a mucous sheath. The tendons then diverge on the back of the hand, and are inserted into the middle and distal phalanges of the fingers in the following manner.''Gray's anatomy'' (1918), see infobox Opposite the metacarpophalangeal articulation each tendon is bound by fasciculi to the collateral ligaments an ...
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Deep Branch Of The Radial Nerve
The radial nerve divides into a superficial (sensory) and deep (motor) branch at the cubital fossa. The deep branch of the radial nerve winds to the back of the forearm around the lateral side of the radius between the two planes of fibers of the Supinator, and is prolonged downward between the superficial and deep layers of muscles, to the middle of the forearm. The deep branch provides motor function to the muscles in the posterior compartment of the forearm, which is mostly the extensor muscles of the hand. The radial nerve arises from the posterior cord of the brachial plexus. The posterior cord takes nerves from the upper, lower, and middle trunk, so ultimately the radial nerve is formed from the anterior rami of C5 through T1. The radial nerve passes through the axilla, which makes it susceptible to injury. It can be compressed against the humerus by crutches, causing crutch paralysis. Symptoms of damage to the deep branch of the radial nerve typically include "wrist drop", w ...
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