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Hamstring muscles: Semimenimnosus - • Semit&xdinosus.....j -Sciatic n. Aiductor me^gnus •Common peroneal a -Sural n. ""-Ned£,laLcal&anean n's Plate VI. Sciatic Nerve Supply affecting roots L4, 5 or Si. However, the sciatic nerve is susceptible to injury at various sites in the buttocks area causing identical symptoms and signs. Local trauma to the buttocks area, such as pressure during surgery, excessive bicycle riding, wallet pressure, injections, and infections can injure the sciatic nerve in the buttocks.^^ 4. Treatment If a disc is found by myelography it is usually removed surgically. However, conservative bed rest is often the initial therapy. Brachial Plexus I. Symptoms and Signs Idiopathic inflammation of the brachial plexus (cryptogenic brachial plexopathy, Parsonage-Turner, neuralgic amyotrophy) predominantly affects the superior trunk of the brachial plexus.A deep aching and pain in the axilla or shoulder is followed within a few days by weakness of muscles supplied by the superior brachial trunk, i.e., the supra- and infraspinatus, deltoid and biceps. Rhomboids, serratus anterior and other very proximal girdle muscles are sometimes involved, causing weakness of abduction and elevation of the shoulder, and weakness of external rotation (figure 8). The plexus may be affected in a spotty manner so that along with the predominant weakness of the muscles of the upper portion of the arm (Erb's palsy), muscles of the hand may also be weak. Figure 8. Brachial plexopathy with focal weakness producing scapular winging. 2. Diagnostic Aids EMG may assist in localization several weeks after the onset of symptoms. Although shoulder pain is common, bursitis or cervical root injury can be distinguished from plexus lesions by virtue of the distribution of particular shoulder muscles, involvement of the rhomboid and serratus anterior, and relative paucity of sensory findings. Cervical spine, shoulder and chest x-rays are important to eliminate local disease or fractures. 3. Etiologies Stretching or blunt trauma from automobile accidents or motorcycle accidents are common among adults. Carrying rifles or army rucksacks may cause stretching, especially of the superior trunk of the plexus.^^ Inflammatory plexopathy may be related to infection and to immunization; many cases have occurred after large-scale inoculations in the military. 4. Treatment Treatment includes oral steroids, if painful, and physical therapy. Prognosis is excellent (80-90% improve). Truncal Mononeuropathy 1. Symptoms and Signs Localized truncal sensory loss is the primary sign. 2. Etiologies Lumbar and thoracic radiculopathy is seen most commonly due to Herpes Zoster infection. Skin lesions are almost always present. In diabetes mellitus, diabetic truncal mononeuropathy^^ occurs and may be at multiple levels. 3. Other Locations Localized sensory loss on the back medial to the scapula at the T2-T6 spine level occurs with notalgia paresthetica^^ (Greek notos — back). This is very common and pruritis is frequent (figure 9). January 1985, NCMJ 13
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-Present] |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1985 |
Identifier | NCHH-17-046 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 46 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-046.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-046 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 13 (images) |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1985 |
Identifier | NCHH-17-046-0021 |
Form General | Periodicals |
Page Type | all; all images; photo; all images; diagram; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | ncmed461985medi1_0021.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 46 |
Issue Number | 1 |
Page Number | 13 |
Health Discipline | Medicine |
Full Text | Hamstring muscles: Semimenimnosus - • Semit&xdinosus.....j -Sciatic n. Aiductor me^gnus •Common peroneal a -Sural n. ""-Ned£,laLcal&anean n's Plate VI. Sciatic Nerve Supply affecting roots L4, 5 or Si. However, the sciatic nerve is susceptible to injury at various sites in the buttocks area causing identical symptoms and signs. Local trauma to the buttocks area, such as pressure during surgery, excessive bicycle riding, wallet pressure, injections, and infections can injure the sciatic nerve in the buttocks.^^ 4. Treatment If a disc is found by myelography it is usually removed surgically. However, conservative bed rest is often the initial therapy. Brachial Plexus I. Symptoms and Signs Idiopathic inflammation of the brachial plexus (cryptogenic brachial plexopathy, Parsonage-Turner, neuralgic amyotrophy) predominantly affects the superior trunk of the brachial plexus.A deep aching and pain in the axilla or shoulder is followed within a few days by weakness of muscles supplied by the superior brachial trunk, i.e., the supra- and infraspinatus, deltoid and biceps. Rhomboids, serratus anterior and other very proximal girdle muscles are sometimes involved, causing weakness of abduction and elevation of the shoulder, and weakness of external rotation (figure 8). The plexus may be affected in a spotty manner so that along with the predominant weakness of the muscles of the upper portion of the arm (Erb's palsy), muscles of the hand may also be weak. Figure 8. Brachial plexopathy with focal weakness producing scapular winging. 2. Diagnostic Aids EMG may assist in localization several weeks after the onset of symptoms. Although shoulder pain is common, bursitis or cervical root injury can be distinguished from plexus lesions by virtue of the distribution of particular shoulder muscles, involvement of the rhomboid and serratus anterior, and relative paucity of sensory findings. Cervical spine, shoulder and chest x-rays are important to eliminate local disease or fractures. 3. Etiologies Stretching or blunt trauma from automobile accidents or motorcycle accidents are common among adults. Carrying rifles or army rucksacks may cause stretching, especially of the superior trunk of the plexus.^^ Inflammatory plexopathy may be related to infection and to immunization; many cases have occurred after large-scale inoculations in the military. 4. Treatment Treatment includes oral steroids, if painful, and physical therapy. Prognosis is excellent (80-90% improve). Truncal Mononeuropathy 1. Symptoms and Signs Localized truncal sensory loss is the primary sign. 2. Etiologies Lumbar and thoracic radiculopathy is seen most commonly due to Herpes Zoster infection. Skin lesions are almost always present. In diabetes mellitus, diabetic truncal mononeuropathy^^ occurs and may be at multiple levels. 3. Other Locations Localized sensory loss on the back medial to the scapula at the T2-T6 spine level occurs with notalgia paresthetica^^ (Greek notos — back). This is very common and pruritis is frequent (figure 9). January 1985, NCMJ 13 |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-046.pdf |
Document Sort | all; nchh-17 |
Article Title | Common Mononeuropathies |
Article Author | E. Wayne Massey |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-046 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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