All of the following are affected in low radial nerve palsy except –
Correct Answer: Extensor carpi radialis longus
Description: In type II low radial nerve palsy ECRL, triceps, Anconeus, and brachioradialis are spared.
Clinical features of radial nerve palsy
Clinical features depend upon the site of the lesion.
1) 1f lesion is high
Wrist drop, thumb drop and finger drop.
Inability to extend elbow, wrist, thumb & fingers (MP joint)
The patient can extend interphalangeal joints due to the action of lubricants and interossei.
Sensory loss over posterior surface of arm & forearm and lower lateral half of forearm.
2) If the lesion is low
a) Type I
Wrist drop, thumb drop and finger drop.
Elbow extension is preserved.
Sensory loss over the dorsum of first web space.
b) Type II
Thumb drop and finger drop
Elbow and wrist extension is preserved
Sensory loss over the dorsum of first web space
Clinical features of posterior interosseous nerve
It is prone to be injured in injury & operations of radial head- neck .
There is no sensory deficit as it is a pure motor nerve.
Wrist extension is preserved (i.e. no wrist drop) due to spared extensor carpi radialis longus .
Presents with loss of extension of metacarpophalangeal (MP) joints i.e., thumb & finger drop.
Category:
Orthopaedics
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