Saturday night palsy affects which nerve –
So, the question is asking which nerve is affected. The options aren't listed here, but based on common knowledge, the radial nerve is often involved in such cases. The radial nerve runs along the arm, and if someone sleeps with their arm bent and compressed, like hanging over the side of a chair, it can lead to radial nerve palsy. Classic signs would include wrist drop, since the radial nerve controls the extensor muscles of the wrist and fingers.
Wait, let me think again. The radial nerve is the one that's commonly associated with Saturday night palsy. Other nerves like the ulnar or median might be involved in different scenarios. For example, the ulnar nerve is affected in cubital tunnel syndrome, and the median nerve in carpal tunnel. But Saturday night palsy is specifically about the radial nerve.
Why is the radial nerve susceptible here? Because when the arm is compressed in a certain position, especially with the elbow bent, the radial nerve, which winds around the humerus in the spiral groove, gets compressed. This leads to loss of function in the muscles it innervates, causing the inability to extend the wrist and fingers. The patient would present with wrist drop, which is a classic sign of radial nerve injury.
Now, the other options. If the options included other nerves, like the ulnar, median, or musculocutaneous, they would be incorrect. The ulnar nerve issues usually affect the hand's intrinsic muscles, leading to claw hand. The median nerve is more about carpal tunnel symptoms. The musculocutaneous nerve is involved in elbow flexion, so if it's damaged, biceps function is affected, but that's not the case here.
So, the correct answer is the radial nerve. The clinical pearl here is to remember that Saturday night palsy is a radial nerve palsy from prolonged pressure, leading to wrist drop. This is a high-yield fact for exams like NEET PG or USMLE. Students should note that the term "Saturday night" refers to the scenario where someone drinks and falls asleep with their arm compressed, but the underlying nerve is radial.
**Core Concept**
Saturday night palsy refers to radial nerve injury caused by prolonged compression, typically during sleep or alcohol intoxication. The radial nerve innervates wrist and finger extensors, and its superficial course at the elbow makes it vulnerable to pressure injury.
**Why the Correct Answer is Right**
The radial nerve is affected in Saturday night palsy. Compression occurs when the arm is flexed at the elbow and compressed (e.g., sleeping with the arm over a chair). This damages the posterior interosseous nerve (a branch of the radial nerve), leading to wrist drop due to paralysis of extensor muscles (e.g., extensor carpi radialis longus, brevis, and extensor digitorum). Sensory loss is minimal because the posterior interosseous nerve is purely motor.
**Why Each Wrong Option is Incorrect**
**Option