Klumpke's Paralysis
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Klumpke's Paralysis
Klumpke's paralysis is a variety of partial palsy of the lower roots of the brachial plexus. p.1046 The brachial plexus is a network of spinal nerves that originates in the back of the neck, extends through the axilla (armpit), and gives rise to nerves to the upper limb.Warwick, R., & Williams, P.L. (1973). pp.1037-1047 pp.370-374 pp.76-77Shenaq S.M., & Spiegel A.J. Hand, Brachial Plexus Surgery. eMedicine.com. URLhttp://www.emedicine.com/plastic/topic450.htm Accessed on: April 13, 2007. The paralytic condition is named after Augusta Déjerine-Klumpke. Signs and symptoms Symptoms include intrinsic minus hand deformity, paralysis of intrinsic hand muscles, and C8/T1 Dermatome distribution numbness. Involvement of T1 may result in Horner's syndrome, with ptosis, and miosis. Weakness or lack of ability to use specific muscles of the shoulder or arm. pp.576, 667 It can be contrasted to Erb-Duchenne's palsy, which affects C5 and C6. Cause Klumpke's paralysis is a form of paraly ...
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Brachial Plexus
The brachial plexus is a network () of nerves formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in the neck, over the first rib, and into the armpit, it supplies afferent and efferent nerve fibers the to chest, shoulder, arm, forearm, and hand. Structure The brachial plexus is divided into five ''roots'', three ''trunks'', six ''divisions'' (three anterior and three posterior), three ''cords'', and five ''branches''. There are five "terminal" branches and numerous other "pre-terminal" or "collateral" branches, such as the subscapular nerve, the thoracodorsal nerve, and the long thoracic nerve, that leave the plexus at various points along its length. A common structure used to identify part of the brachial plexus in cadaver dissections is the M or W shape made by the musculocutaneous nerve, lateral cord, median nerve, medial cord, and ...
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Cervical Spinal Nerve 6
The cervical spinal nerve 6 (C6) is a spinal nerve of the cervical segment. It originates from the spinal column from above the cervical vertebra 6 (C6). The C6 nerve root shares a common branch from C5, and has a role in innervating many muscles of the rotator cuff and distal arm, including: *Subclavius *Supraspinatus *Infraspinatus * Biceps Brachii * Brachialis * Deltoid *Teres Minor *Brachioradialis *Serratus Anterior *Subscapularis *Pectoralis Major *Coracobrachialis *Teres Major * Supinator *Extensor Carpi Radialis Brevis * Extensor Carpi Radialis Longus * Latissimus Dorsi Damage to the C6 motor neuron, by way of impingement, ischemia, trauma, or degeneration of nerve tissue, can cause denervation Denervation is any loss of nerve supply regardless of the cause. If the nerves lost to denervation are part of the neuronal communication to a specific function in the body then altered or a loss of physiological functioning can occur. Denervati ... of one or more of the asso ...
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Proprioception
Proprioception ( ), also referred to as kinaesthesia (or kinesthesia), is the sense of self-movement, force, and body position. It is sometimes described as the "sixth sense". Proprioception is mediated by proprioceptors, mechanosensory neurons located within muscles, tendons, and joints. Most animals possess multiple subtypes of proprioceptors, which detect distinct kinematic parameters, such as joint position, movement, and load. Although all mobile animals possess proprioceptors, the structure of the sensory organs can vary across species. Proprioceptive signals are transmitted to the central nervous system, where they are integrated with information from other sensory systems, such as the visual system and the vestibular system, to create an overall representation of body position, movement, and acceleration. In many animals, sensory feedback from proprioceptors is essential for stabilizing body posture and coordinating body movement. System overview In vertebrates, limb ve ...
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Occupational Therapy
Occupational therapy (OT) is a global healthcare profession. It involves the use of assessment and intervention to develop, recover, or maintain the meaningful activities, or ''occupations'', of individuals, groups, or communities. The field of OT consists of health care practitioners trained and educated to improve mental and physical performance. Occupational therapists specialize in teaching, educating, and supporting participation in any activity that occupies an individual's time. It is an independent health profession sometimes categorized as an allied health profession and consists of occupational therapists (OTs) and occupational therapy assistants (OTAs). While OTs and OTAs have different roles, they both work with people who want to improve their mental and or physical health, disabilities, injuries, or impairments. The American Occupational Therapy Association defines an occupational therapist as someone who "helps people across their lifespan participate in the thing ...
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Electromyography
Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by skeletal muscles. EMG is performed using an instrument called an electromyograph to produce a record called an electromyogram. An electromyograph detects the electric potential generated by muscle cells when these cells are electrically or neurologically activated. The signals can be analyzed to detect abnormalities, activation level, or recruitment order, or to analyze the biomechanics of human or animal movement. Needle EMG is an electrodiagnostic medicine technique commonly used by neurologists. Surface EMG is a non-medical procedure used to assess muscle activation by several professionals, including physiotherapists, kinesiologists and biomedical engineers. In Computer Science, EMG is also used as middleware in gesture recognition towards allowing the input of physical action to a computer as a form of human-computer interaction. Clinical uses EMG testing has a variety of ...
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Childbirth
Childbirth, also known as labour and delivery, is the ending of pregnancy where one or more babies exits the internal environment of the mother via vaginal delivery or caesarean section. In 2019, there were about 140.11 million births globally. In the developed countries, most deliveries occur in hospitals, while in the developing countries most are home births. The most common childbirth method worldwide is vaginal delivery. It involves four stages of labour: the shortening and opening of the cervix during the first stage, descent and birth of the baby during the second, the delivery of the placenta during the third, and the recovery of the mother and infant during the fourth stage, which is referred to as the postpartum. The first stage is characterized by abdominal cramping or back pain that typically lasts half a minute and occurs every 10 to 30 minutes. Contractions gradually becomes stronger and closer together. Since the pain of childbirth correlates with contractions ...
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Flexor Digitorum Profundus
The flexor digitorum profundus is a muscle in the forearm of humans that flexes the fingers (also known as digits). It is considered an extrinsic hand muscle because it acts on the hand while its muscle belly is located in the forearm. Together the flexor pollicis longus, pronator quadratus, and flexor digitorum profundus form the deep layer of ventral forearm muscles.Platzer 2004, p 162 The muscle is named . Structure Flexor digitorum profundus originates in the upper 3/4 of the anterior and medial surfaces of the ulna, interosseous membrane and deep fascia of the forearm. The muscle fans out into four tendons (one to each of the second to fifth fingers) to the palmar base of the distal phalanx. Along with the flexor digitorum superficialis, it has long tendons that run down the arm and through the carpal tunnel and attach to the palmar side of the phalanges of the fingers. Flexor digitorum profundus lies deep to the superficialis, but it attaches more distally. Therefore, ...
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Flexor Carpi Ulnaris
The flexor carpi ulnaris (FCU) is a muscle of the forearm that flexes and adducts at the wrist joint. Structure Origin The flexor carpi ulnaris has two heads; a humeral head and ulnar head. The humeral head originates from the medial epicondyle of the humerus via the common flexor tendon. The ulnar head originates from the medial margin of the olecranon of the ulnar and the upper two-thirds of the dorsal border of the ulnar by an aponeurosis. Between the two heads passes the ulnar nerve and ulnar artery. Insertion The flexor carpi ulnaris inserts onto the pisiform, hook of the hamate (via the pisohamate ligament) and the anterior surface of the base of the fifth metacarpal (via the pisometacarpal ligament). Action The flexor carpi ulnaris flexes and adducts at the wrist joint. Innervation The flexor carpi ulnaris is innervated by the ulnar nerve. The corresponding spinal nerves are C8 and T1. Tendon The tendon of flexor carpi ulnaris can be seen on the anterior surface of th ...
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Hypothenar Muscles
The hypothenar muscles are a group of three muscles of the palm that control the motion of the little finger. The three muscles are: * Abductor digiti minimi * Flexor digiti minimi brevis * Opponens digiti minimi Structure The muscles of hypothenar eminence are from medial to lateral: * Opponens digiti minimi * Flexor digiti minimi brevis * Abductor digiti minimi The intrinsic muscles of hand can be remembered using the mnemonic, "A OF A OF A" for, Abductor pollicis brevis, Opponens pollicis, Flexor pollicis brevis (the three thenar muscles), Adductor pollicis, and the three hypothenar muscles, Opponens digiti minimi, Flexor digiti minimi brevis, Abductor digiti minimi. Clinical significance "Hypothenar atrophy" is associated with the lesion of the ulnar nerve, which supplies the three hypothenar muscles. Hypothenar hammer syndrome is a vascular occlusion of this region. See also * Thenar eminence * Palmaris brevis Palmaris brevis muscle is a thin, quadrilateral muscle, ...
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Thenar Muscles
The thenar eminence is the mound formed at the base of the thumb on the palm of the hand by the muscles of the thumb#Intrinsic, intrinsic group of muscles of the thumb. The skin overlying this region is the area stimulated when trying to elicit a palmomental reflex. The word thenar comes . Structure The following three muscles are considered part of the thenar eminence: * Abductor pollicis brevis abduction (anatomy), abducts the thumb. This muscle is the most superficial (anatomy), superficial of the thenar group. * Flexor pollicis brevis, which lies next to the abductor, will flexion, flex the thumb, curling it up in the palm. (The Flexor pollicis longus, which is inserted into the distal phalanx of the thumb, is not considered part of the thenar eminence.) * Opponens pollicis lies deep to abductor pollicis brevis. As its name suggests it Anatomical terms of motion, opposes the thumb, bringing it against the fingers. This is a very important movement, as most of human hand dexte ...
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Interossei
{{short description, Muscles between certain bones Interossei refer to muscles between certain bones. There are many interossei in a human body. Specific interossei include: On the hands * Dorsal interossei muscles of the hand * Palmar interossei muscles File:Gray428.png, Dorsal interossei muscles of the hand File:Gray429.png, Palmar interossei muscles On the feet * Dorsal interossei muscles of the foot * Plantar interossei muscles In human anatomy, plantar interossei muscles are three muscles located between the metatarsal bones in the foot. Structure The three plantar interosseous muscles are unipennate, as opposed to the bipennate structure of dorsal interosseous muscles ... File:Gray446.png, Dorsal interossei muscles of the foot File:Gray447.png, Plantar interossei muscles Muscular system ...
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Cervical Spinal Nerve 8
The cervical spinal nerve 8 (C8) is a spinal nerve of the cervical segment.American Medical Association
Nervous System -- Groups of Nerves It originates from the spinal column from below the (C7).


Innervation

The C8 nerve forms part of the and s via the , and ther ...
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