By;Mr. Adeel Abbas

Which is the Largest Branch of Brachial Plexus?

Which Nerve is the Nerve of Flexor Compartment of Forearm?

Which Nerve is the Nerve of Extensor Compartment of Forearm?

Which Nerve is the “Eye of Hand”?

Median NerveRoot Value?

•C5-8 & T1

Median Nerve Entrapment

Carpal Tunnel SyndromeWhat is it?

What is Carpal Tunnel?

What are the Causes?• MEDIAN TRAPS•Median Artery (Persistant).•Edema of Pregnancy.•Diabetes.•Idiopathic.•Acromegaly.•Neoplasm.•Thyroid (Myxedema).•Rheumatoid Arthritis.•Amyloid.•Pneumatic Drill Use.•SLE.

What are the Symptoms?

Pain.

Numbness.

Signs of Median Nerve Injury

Cigarette Burns

Hand of Benediction

Ape’s Hand

How You Should Manage?Workup;

EMG / Nerve Conduction Study.Initial Treatment;

Rest.Wrist Splint.NSAIDs.

Surgery;Release Transverse Carpal Ligament.

Clinical ExaminationWash Hand.

Introduce Yourself.

Take Informed Consent.

Proper Exposure (Sleeves Rolled Up) .

Ulnar NerveRoot Value?

•C5-7.

Signs of Ulnar Nerve InjuryClaw Hand…Froment’s Sign…

Sever Claw Hand

Radial NerveRoot Value?

•C5-8 & T1

Signs of Radial Nerve Injury

Thank youThank you