A major nerve of the upper extremity. In humans, the fibers of the median nerve originate in the lower cervical and upper thoracic spinal cord (usually C6 to T1), travel via the brachial plexus, and supply sensory and motor innervation to parts of the forearm and hand.
Entrapment of the MEDIAN NERVE in the carpal tunnel, which is formed by the flexor retinaculum and the CARPAL BONES. This syndrome may be associated with repetitive occupational trauma (CUMULATIVE TRAUMA DISORDERS); wrist injuries; AMYLOID NEUROPATHIES; rheumatoid arthritis (see ARTHRITIS, RHEUMATOID); ACROMEGALY; PREGNANCY; and other conditions. Symptoms include burning pain and paresthesias involving the ventral surface of the hand and fingers which may radiate proximally. Impairment of sensation in the distribution of the median nerve and thenar muscle atrophy may occur. (Joynt, Clinical Neurology, 1995, Ch51, p45)
Disease involving the median nerve, from its origin at the BRACHIAL PLEXUS to its termination in the hand. Clinical features include weakness of wrist and finger flexion, forearm pronation, thenar abduction, and loss of sensation over the lateral palm, first three fingers, and radial half of the ring finger. Common sites of injury include the elbow, where the nerve passes through the two heads of the pronator teres muscle (pronator syndrome) and in the carpal tunnel (CARPAL TUNNEL SYNDROME).
A major nerve of the upper extremity. In humans, the fibers of the ulnar nerve originate in the lower cervical and upper thoracic spinal cord (usually C7 to T1), travel via the medial cord of the brachial plexus, and supply sensory and motor innervation to parts of the hand and forearm.
The propagation of the NERVE IMPULSE along the nerve away from the site of an excitation stimulus.
The electric response evoked in the CEREBRAL CORTEX by stimulation along AFFERENT PATHWAYS from PERIPHERAL NERVES to CEREBRUM.
A major nerve of the upper extremity. The fibers of the musculocutaneous nerve originate in the lower cervical spinal cord (usually C5 to C7), travel via the lateral cord of the brachial plexus, and supply sensory and motor innervation to the upper arm, elbow, and forearm.
The region of the upper limb between the metacarpus and the FOREARM.
The nerves outside of the brain and spinal cord, including the autonomic, cranial, and spinal nerves. Peripheral nerves contain non-neuronal cells and connective tissue as well as axons. The connective tissue layers include, from the outside to the inside, the epineurium, the perineurium, and the endoneurium.
A major nerve of the upper extremity. In humans the fibers of the radial nerve originate in the lower cervical and upper thoracic spinal cord (usually C5 to T1), travel via the posterior cord of the brachial plexus, and supply motor innervation to extensor muscles of the arm and cutaneous sensory fibers to extensor regions of the arm and hand.
A nerve which originates in the lumbar and sacral spinal cord (L4 to S3) and supplies motor and sensory innervation to the lower extremity. The sciatic nerve, which is the main continuation of the sacral plexus, is the largest nerve in the body. It has two major branches, the TIBIAL NERVE and the PERONEAL NERVE.
Mechanical compression of nerves or nerve roots from internal or external causes. These may result in a conduction block to nerve impulses (due to MYELIN SHEATH dysfunction) or axonal loss. The nerve and nerve sheath injuries may be caused by ISCHEMIA; INFLAMMATION; or a direct mechanical effect.
The articulations between the various CARPAL BONES. This does not include the WRIST JOINT which consists of the articulations between the RADIUS; ULNA; and proximal CARPAL BONES.
The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb.
The 2nd cranial nerve which conveys visual information from the RETINA to the brain. The nerve carries the axons of the RETINAL GANGLION CELLS which sort at the OPTIC CHIASM and continue via the OPTIC TRACTS to the brain. The largest projection is to the lateral geniculate nuclei; other targets include the SUPERIOR COLLICULI and the SUPRACHIASMATIC NUCLEI. Though known as the second cranial nerve, it is considered part of the CENTRAL NERVOUS SYSTEM.
Slender processes of NEURONS, including the AXONS and their glial envelopes (MYELIN SHEATH). Nerve fibers conduct nerve impulses to and from the CENTRAL NERVOUS SYSTEM.
Interruption of NEURAL CONDUCTION in peripheral nerves or nerve trunks by the injection of a local anesthetic agent (e.g., LIDOCAINE; PHENOL; BOTULINUM TOXINS) to manage or treat pain.
Renewal or physiological repair of damaged nerve tissue.
A branch of the tibial nerve which supplies sensory innervation to parts of the lower leg and foot.
Diagnosis of disease states by recording the spontaneous electrical activity of tissues or organs or by the response to stimulation of electrically excitable tissue.
Descriptive anatomy based on three-dimensional imaging (IMAGING, THREE-DIMENSIONAL) of the body, organs, and structures using a series of computer multiplane sections, displayed by transverse, coronal, and sagittal analyses. It is essential to accurate interpretation by the radiologist of such techniques as ultrasonic diagnosis, MAGNETIC RESONANCE IMAGING, and computed tomography (TOMOGRAPHY, X-RAY COMPUTED). (From Lane & Sharfaei, Modern Sectional Anatomy, 1992, Preface)
Injuries to the PERIPHERAL NERVES.
Surgical reinnervation of a denervated peripheral target using a healthy donor nerve and/or its proximal stump. The direct connection is usually made to a healthy postlesional distal portion of a non-functioning nerve or implanted directly into denervated muscle or insensitive skin. Nerve sprouts will grow from the transferred nerve into the denervated elements and establish contact between them and the neurons that formerly controlled another area.
Four or five slender jointed digits in humans and primates, attached to each HAND.
The medial terminal branch of the sciatic nerve. The tibial nerve fibers originate in lumbar and sacral spinal segments (L4 to S2). They supply motor and sensory innervation to parts of the calf and foot.
Use of electric potential or currents to elicit biological responses.
The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon.
Recording of the changes in electric potential of muscle by means of surface or needle electrodes.
The eight bones of the wrist: SCAPHOID BONE; LUNATE BONE; TRIQUETRUM BONE; PISIFORM BONE; TRAPEZIUM BONE; TRAPEZOID BONE; CAPITATE BONE; and HAMATE BONE.
Diseases of the peripheral nerves external to the brain and spinal cord, which includes diseases of the nerve roots, ganglia, plexi, autonomic nerves, sensory nerves, and motor nerves.
The joint that is formed by the distal end of the RADIUS, the articular disc of the distal radioulnar joint, and the proximal row of CARPAL BONES; (SCAPHOID BONE; LUNATE BONE; triquetral bone).
Disease involving the ULNAR NERVE from its origin in the BRACHIAL PLEXUS to its termination in the hand. Clinical manifestations may include PARESIS or PARALYSIS of wrist flexion, finger flexion, thumb adduction, finger abduction, and finger adduction. Sensation over the medial palm, fifth finger, and ulnar aspect of the ring finger may also be impaired. Common sites of injury include the AXILLA, cubital tunnel at the ELBOW, and Guyon's canal at the wrist. (From Joynt, Clinical Neurology, 1995, Ch51 pp43-5)
Neurons which conduct NERVE IMPULSES to the CENTRAL NERVOUS SYSTEM.
Neurons which activate MUSCLE CELLS.
Branch-like terminations of NERVE FIBERS, sensory or motor NEURONS. Endings of sensory neurons are the beginnings of afferent pathway to the CENTRAL NERVOUS SYSTEM. Endings of motor neurons are the terminals of axons at the muscle cells. Nerve endings which release neurotransmitters are called PRESYNAPTIC TERMINALS.
Area of the parietal lobe concerned with receiving sensations such as movement, pain, pressure, position, temperature, touch, and vibration. It lies posterior to the central sulcus.
A form of acupuncture with electrical impulses passing through the needles to stimulate NERVE TISSUE. It can be used for ANALGESIA; ANESTHESIA; REHABILITATION; and treatment for diseases.
The 7th cranial nerve. The facial nerve has two parts, the larger motor root which may be called the facial nerve proper, and the smaller intermediate or sensory root. Together they provide efferent innervation to the muscles of facial expression and to the lacrimal and SALIVARY GLANDS, and convey afferent information for TASTE from the anterior two-thirds of the TONGUE and for TOUCH from the EXTERNAL EAR.
Treatment of muscles and nerves under pressure as a result of crush injuries.
Paired bundles of NERVE FIBERS entering and leaving the SPINAL CORD at each segment. The dorsal and ventral nerve roots join to form the mixed segmental spinal nerves. The dorsal roots are generally afferent, formed by the central projections of the spinal (dorsal root) ganglia sensory cells, and the ventral roots are efferent, comprising the axons of spinal motor and PREGANGLIONIC AUTONOMIC FIBERS.
The first digit on the radial side of the hand which in humans lies opposite the other four.
Sensation of making physical contact with objects, animate or inanimate. Tactile stimuli are detected by MECHANORECEPTORS in the skin and mucous membranes.
A dead body, usually a human body.
Electrical responses recorded from nerve, muscle, SENSORY RECEPTOR, or area of the CENTRAL NERVOUS SYSTEM following stimulation. They range from less than a microvolt to several microvolts. The evoked potential can be auditory (EVOKED POTENTIALS, AUDITORY), somatosensory (EVOKED POTENTIALS, SOMATOSENSORY), visual (EVOKED POTENTIALS, VISUAL), or motor (EVOKED POTENTIALS, MOTOR), or other modalities that have been reported.
Neoplasms which arise from peripheral nerve tissue. This includes NEUROFIBROMAS; SCHWANNOMAS; GRANULAR CELL TUMORS; and malignant peripheral NERVE SHEATH NEOPLASMS. (From DeVita Jr et al., Cancer: Principles and Practice of Oncology, 5th ed, pp1750-1)
A nerve originating in the lumbar spinal cord (usually L2 to L4) and traveling through the lumbar plexus to provide motor innervation to extensors of the thigh and sensory innervation to parts of the thigh, lower leg, and foot, and to the hip and knee joints.
The removal or interruption of some part of the parasympathetic nervous system for therapeutic or research purposes.
The electrical response evoked in a muscle or motor nerve by electrical or magnetic stimulation. Common methods of stimulation are by transcranial electrical and TRANSCRANIAL MAGNETIC STIMULATION. It is often used for monitoring during neurosurgery.
The 31 paired peripheral nerves formed by the union of the dorsal and ventral spinal roots from each spinal cord segment. The spinal nerve plexuses and the spinal roots are also included.
Harmful and painful condition caused by overuse or overexertion of some part of the musculoskeletal system, often resulting from work-related physical activities. It is characterized by inflammation, pain, or dysfunction of the involved joints, bones, ligaments, and nerves.
Subjective cutaneous sensations (e.g., cold, warmth, tingling, pressure, etc.) that are experienced spontaneously in the absence of stimulation.
The time from the onset of a stimulus until a response is observed.
The larger of the two terminal branches of the brachial artery, beginning about one centimeter distal to the bend of the elbow. Like the RADIAL ARTERY, its branches may be divided into three groups corresponding to their locations in the forearm, wrist, and hand.
Nerve structures through which impulses are conducted from a peripheral part toward a nerve center.
Nerve fibers that are capable of rapidly conducting impulses away from the neuron cell body.
NERVE GROWTH FACTOR is the first of a series of neurotrophic factors that were found to influence the growth and differentiation of sympathetic and sensory neurons. It is comprised of alpha, beta, and gamma subunits. The beta subunit is responsible for its growth stimulating activity.
The 5th and largest cranial nerve. The trigeminal nerve is a mixed motor and sensory nerve. The larger sensory part forms the ophthalmic, mandibular, and maxillary nerves which carry afferents sensitive to external or internal stimuli from the skin, muscles, and joints of the face and mouth and from the teeth. Most of these fibers originate from cells of the TRIGEMINAL GANGLION and project to the TRIGEMINAL NUCLEUS of the brain stem. The smaller motor part arises from the brain stem trigeminal motor nucleus and innervates the muscles of mastication.
Factors which enhance the growth potentialities of sensory and sympathetic nerve cells.
Abrupt changes in the membrane potential that sweep along the CELL MEMBRANE of excitable cells in response to excitation stimuli.
Fibrous bands or cords of CONNECTIVE TISSUE at the ends of SKELETAL MUSCLE FIBERS that serve to attach the MUSCLES to bones and other structures.
A continuing periodic change in displacement with respect to a fixed reference. (McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed)
Part of the arm in humans and primates extending from the ELBOW to the WRIST.
Ulnar neuropathies caused by mechanical compression of the nerve at any location from its origin at the BRACHIAL PLEXUS to its terminations in the hand. Common sites of compression include the retroepicondylar groove, cubital tunnel at the elbow (CUBITAL TUNNEL SYNDROME), and Guyon's canal at the wrist. Clinical features depend on the site of injury, but may include weakness or paralysis of wrist flexion, finger flexion, and ulnar innervated intrinsic hand muscles, and impaired sensation over the ulnar aspect of the hand, fifth finger, and ulnar half of the ring finger. (Joynt, Clinical Neurology, 1995, Ch51, p43)
The motor nerve of the diaphragm. The phrenic nerve fibers originate in the cervical spinal column (mostly C4) and travel through the cervical plexus to the diaphragm.
The process in which specialized SENSORY RECEPTOR CELLS transduce peripheral stimuli (physical or chemical) into NERVE IMPULSES which are then transmitted to the various sensory centers in the CENTRAL NERVOUS SYSTEM.
Twelve pairs of nerves that carry general afferent, visceral afferent, special afferent, somatic efferent, and autonomic efferent fibers.
A class of nerve fibers as defined by their structure, specifically the nerve sheath arrangement. The AXONS of the myelinated nerve fibers are completely encased in a MYELIN SHEATH. They are fibers of relatively large and varied diameters. Their NEURAL CONDUCTION rates are faster than those of the unmyelinated nerve fibers (NERVE FIBERS, UNMYELINATED). Myelinated nerve fibers are present in somatic and autonomic nerves.
The absence of both hearing and vision.
Absent or reduced sensitivity to cutaneous stimulation.
Diseases of multiple peripheral nerves simultaneously. Polyneuropathies usually are characterized by symmetrical, bilateral distal motor and sensory impairment with a graded increase in severity distally. The pathological processes affecting peripheral nerves include degeneration of the axon, myelin or both. The various forms of polyneuropathy are categorized by the type of nerve affected (e.g., sensory, motor, or autonomic), by the distribution of nerve injury (e.g., distal vs. proximal), by nerve component primarily affected (e.g., demyelinating vs. axonal), by etiology, or by pattern of inheritance.
A sensory branch of the trigeminal (5th cranial) nerve. The ophthalmic nerve carries general afferents from the superficial division of the face including the eyeball, conjunctiva, upper eyelid, upper nose, nasal mucosa, and scalp.
Differentiated tissue of the central nervous system composed of NERVE CELLS, fibers, DENDRITES, and specialized supporting cells.
Area of the FRONTAL LOBE concerned with primary motor control located in the dorsal PRECENTRAL GYRUS immediately anterior to the central sulcus. It is comprised of three areas: the primary motor cortex located on the anterior paracentral lobule on the medial surface of the brain; the premotor cortex located anterior to the primary motor cortex; and the supplementary motor area located on the midline surface of the hemisphere anterior to the primary motor cortex.
A branch of the trigeminal (5th cranial) nerve. The mandibular nerve carries motor fibers to the muscles of mastication and sensory fibers to the teeth and gingivae, the face in the region of the mandible, and parts of the dura.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
The act, process, or result of passing from one place or position to another. It differs from LOCOMOTION in that locomotion is restricted to the passing of the whole body from one place to another, while movement encompasses both locomotion but also a change of the position of the whole body or any of its parts. Movement may be used with reference to humans, vertebrate and invertebrate animals, and microorganisms. Differentiate also from MOTOR ACTIVITY, movement associated with behavior.
A hereditary motor and sensory neuropathy transmitted most often as an autosomal dominant trait and characterized by progressive distal wasting and loss of reflexes in the muscles of the legs (and occasionally involving the arms). Onset is usually in the second to fourth decade of life. This condition has been divided into two subtypes, hereditary motor and sensory neuropathy (HMSN) types I and II. HMSN I is associated with abnormal nerve conduction velocities and nerve hypertrophy, features not seen in HMSN II. (Adams et al., Principles of Neurology, 6th ed, p1343)
The superior part of the upper extremity between the SHOULDER and the ELBOW.
The thoracolumbar division of the autonomic nervous system. Sympathetic preganglionic fibers originate in neurons of the intermediolateral column of the spinal cord and project to the paravertebral and prevertebral ganglia, which in turn project to target organs. The sympathetic nervous system mediates the body's response to stressful situations, i.e., the fight or flight reactions. It often acts reciprocally to the parasympathetic system.
Act of eliciting a response from a person or organism through physical contact.
The cochlear part of the 8th cranial nerve (VESTIBULOCOCHLEAR NERVE). The cochlear nerve fibers originate from neurons of the SPIRAL GANGLION and project peripherally to cochlear hair cells and centrally to the cochlear nuclei (COCHLEAR NUCLEUS) of the BRAIN STEM. They mediate the sense of hearing.
An involuntary movement or exercise of function in a part, excited in response to a stimulus applied to the periphery and transmitted to the brain or spinal cord.
The major nerves supplying sympathetic innervation to the abdomen. The greater, lesser, and lowest (or smallest) splanchnic nerves are formed by preganglionic fibers from the spinal cord which pass through the paravertebral ganglia and then to the celiac ganglia and plexuses. The lumbar splanchnic nerves carry fibers which pass through the lumbar paravertebral ganglia to the mesenteric and hypogastric ganglia.
Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.

Multiple point electrical stimulation of ulnar and median nerves. (1/637)

A computer-assisted method of isolating single motor units (MUs) by multiple point stimulation (MPS) of peripheral nerves is described. MPS was used to isolate 10-30 single MUs from thenar and hypothenar muscles of normal subjects and patients with entrapment neuropathies, with the original purpose of obtaining a more representative mean motor unit potential for estimating the number of MUs in a muscle. The two important results that evolved from MPS however, were: (1) in the absence of 'alternation' MUs were recruited in an orderly pattern from small to large, and from longer to shorter latencies by graded electrical stimulation in both normal and pathological cases, (2) a comparison of the sizes of MUs recruited by stimulation proximal and distal to the elbow suggested that axonal branching can occur in the forearm 200 mm or more proximal to the motor point in intrinsic hand muscles.  (+info)

The Thr124Met mutation in the peripheral myelin protein zero (MPZ) gene is associated with a clinically distinct Charcot-Marie-Tooth phenotype. (2/637)

We observed a missense mutation in the peripheral myelin protein zero gene (MPZ, Thr124Met) in seven Charcot-Marie-Tooth (CMT) families and in two isolated CMT patients of Belgian ancestry. Allele-sharing analysis of markers flanking the MPZ gene indicated that all patients with the Thr124Met mutation have one common ancestor. The mutation is associated with a clinically distinct phenotype characterized by late onset, marked sensory abnormalities and, in some families, deafness and pupillary abnormalities. Nerve conduction velocities of the motor median nerve vary from <38 m/s to normal values in these patients. Clusters of remyelinating axons in a sural nerve biopsy demonstrate an axonal involvement, with axonal regeneration. Phenotype-genotype correlations in 30 patients with the Thr124Met MPZ mutation indicate that, based on nerve conduction velocity criteria, these patients are difficult to classify as CMT1 or CMT2. We therefore conclude that CMT patients with slightly reduced or nearly normal nerve conduction velocity should be screened for MPZ mutations, particularly when additional clinical features such as marked sensory disturbances, pupillary abnormalities or deafness are also present.  (+info)

Relationships between lead absorption and peripheral nerve conduction velocities in lead workers. (3/637)

The motor sensory, and mixed nerve conduction velocities of median and posterior tibial nerves were measured in 39 lead workers whose blood lead (PbB) concentrations ranged from 2 to 73 mug/100 g with anaverage of 29 mug/100 g. The PbB concentrations significantly correlated with the maximal motor nerve conduction velocities (MCV) and mixed nerve conduction velocities (MNCV) of the median nerve in the forearm and with the MCV of the posterior tibial nerve. Erythrocyte delta-aminolevulinic acid dehydratase (ALAD) activity correlated similarly with the MCV and MNCV of the median nerve in the forearm, and the 24-hour urinary lead excretion following the intravenous administration of CaEDTA (20 mg/kg) (lead mobilization test) correlated with the MNCV. But no parameter correlated with the sensory nerve conduction velocities. By multiple regression analysis, a combination of the three parameters of lead absorption was found to correlate significantly with the MCV and MNCV of the median nerve in the forearm. The MCVs of the median and posterior tibial nerves in lead workers were significantly delayed in the PbB range of 29-73 mug/100 g (mean 45), in the lead mobilization test range from 173 to 3,540 mug/day (mean 973), and the ALAD activity range from 4.4 to 19.4 u. (mean 14.0), respectively.  (+info)

Simultaneous early processing of sensory input in human primary (SI) and secondary (SII) somatosensory cortices. (4/637)

Simultaneous early processing of sensory input in human primary (SI) and secondary (SII) somatosensory cortices. The anatomic connectivity of the somatosensory system supports the simultaneous participation of widely separated cortical areas in the early processing of sensory input. We recorded evoked neuromagnetic responses noninvasively from human primary (SI) and secondary (SII) somatosensory cortices to unilateral median nerve stimulation. Brief current pulses were applied repetitively to the median nerve at the wrist at 2 Hz for 800-1,500 trials. A single pulse was omitted from the train at random intervals (15% of omissions). We observed synchronized neuronal population activity in contralateral SII area 20-30 ms after stimulation, coincident in time with the first responses generated in SI. Both contra- and ipsilateral SII areas showed prominent activity at 50-60 ms with an average delay of 13 ms for ipsilateral compared with contralateral responses. The refractory behavior of the early SII responses to the omissions differed from those observed at approximately 100 ms, indicative of distinct neuronal assemblies responding at each latency. These results indicate that SII and/or associated cortices in parietal operculum, often viewed as higher-order processing areas for somatosensory perception, are coactivated with SI during the early processing of intermittent somatosensory input.  (+info)

Evidence for brainstem and supra-brainstem contributions to rapid cortical plasticity in adult monkeys. (5/637)

Cortical maps can undergo amazingly rapid changes after injury of the body. These changes involve functional alterations in normal substrates, but the cortical and/or subcortical location(s) of these alterations, and the relationships of alterations in different substrates, remain controversial. The present study used neurophysiological approaches in adult monkeys to evaluate how brainstem organization of tactile inputs in the cuneate nucleus (CN) changes after acute injury of hand nerves. These data were then compared with analogous data from our earlier cortical area 3b studies, which used the same approaches and acute injury, to assess relationships of cuneate and cortical changes. The results indicate that cuneate tactile responsiveness, receptive field locations, somatotopic organization, and spatial properties of representations (i.e., location, continuity, size) change during the first minutes to hours after injury. The comparisons of cuneate and area 3b organization further show that some cuneate changes are preserved in area 3b, whereas other cuneate changes are transformed before being expressed in area 3b. The findings provide evidence that rapid reorganization in area 3b, in part, reflects mechanisms that operate from a distance in the cuneate nucleus and, in part, reflects supracuneate mechanisms that modify brainstem changes.  (+info)

Modified activation of somatosensory cortical network in patients with right-hemisphere stroke. (6/637)

To study the effects of parietal lesions on activation of the human somatosensory cortical network, we measured somatosensory evoked fields to electric median nerve stimuli, using a whole-scalp 122-channel neuromagnetometer, from six patients with cortical right-hemisphere stroke and from seven healthy control subjects. In the control subjects, unilateral stimuli elicited responses which were satisfactorily accounted for by modelled sources in the contralateral primary (SI) and bilateral secondary (SII) somatosensory cortices. In all patients, stimulation of the right median nerve also activated the SI and SII cortices of the healthy left hemisphere. However, the activation pattern was altered, suggesting diminished interhemispheric inhibition via callosal connections after right-sided stroke. Responses to left median nerve stimuli showed large interindividual variability due to the different extents of the lesions. The strength of the 20-ms response, originating in the SI cortex, roughly reflected the severity of the tactile impairment. Right SII responses were absent in patients with abnormal right SI responses, whereas the left SII was active in all patients, regardless of the responsiveness of the right SI and/or SII. Our results suggest that the human SI and SII cortices may be sequentially activated within one hemisphere, whereas SII ipsilateral to the stimulation may receive direct input from the periphery, at least when normal input from SI is interrupted.  (+info)

Factors contributing to preferential motor reinnervation in the primate peripheral nervous system. (7/637)

Functional recovery after nerve lesions in the peripheral nervous system requires the accurate regeneration of axons to their original target end organs. This paper examines axonal regeneration of the primate median nerve lesioned at the wrist over nerve gap distances of up to 50 mm. Nerve gaps were bridged by either a sural nerve graft or a biodegradable collagen nerve guide tube, and recovery was followed for up to 1100 d. Nondestructive physiological methods were used to serially examine the number of regenerated motor units, and binomial statistics were used to compare the observed number of regenerated motor units with that expected if axonal regeneration of motor neurons were random. We found up to twice the number of motor units expected by random regeneration in direct suture and sural cable graft groups but not in nerve guide repairs of 20 or 50 mm. In all repaired nerves, aberrant motor axon collaterals were detected in digital sensory nerve territory. The results support the contention that the aberrant fibers represent collaterals of an alpha-motor axon, which also innervates muscle. Although the aberrant motor axon collaterals remained in digital sensory nerve territory for long periods, they remained relatively immature compared with their sibling collateral projecting to muscle, or sensory axons within the digital nerve. The number of such aberrant motor axon collaterals decreased over time in some repair groups, suggesting a selective pruning of the inappropriate collateral under certain conditions.  (+info)

Abnormal central integration of a dual somatosensory input in dystonia. Evidence for sensory overflow. (8/637)

Several observations suggest impaired central sensory integration in dystonia. We studied median and ulnar nerve somatosensory evoked potentials (SEPs) in 10 patients who had dystonia involving at least one upper limb (six had generalized, two had segmental and two had focal dystonia) and in 10 normal subjects. We compared the amplitude of spinal N13, brainstem P14, parietal N20 and P27 and frontal N30 SEPs obtained by stimulating the median and ulnar nerves simultaneously (MU), the amplitude value being obtained from the arithmetic sum of the SEPs elicited by stimulating the same nerves separately (M + U). Throughout the somatosensory system, the MU : (M + U) ratio indicates the interaction between afferent inputs from the two peripheral nerves. No significant difference was found between SEP amplitudes and latencies for individually stimulated median and ulnar nerves in dystonic patients and normal subjects, but recordings in patients yielded a significantly higher percentage ratio [MU : (M + U)x100] for spinal N13 brainstem P14 and cortical N20, P27 and N30 components. The SEP ratio of central components obtained in response to stimulation of the digital nerves of the third and fifth fingers was also higher in patients than in controls but the difference did not reach a significant level. The possible contribution of subliminal activation was ruled out by recording the ratio of SEPs in six normal subjects during voluntary contraction. This voluntary contraction did not change the ratio of SEP suppression. These findings suggest that the inhibitory integration of afferent inputs, mainly proprioceptive inputs, coming from adjacent body parts is abnormal in dystonia. This inefficient integration, which is probably due to altered surrounding inhibition, could give rise to an abnormal motor output and might therefore contribute to the motor impairment present in dystonia.  (+info)

The median nerve is one of the major nerves in the human body, providing sensation and motor function to parts of the arm and hand. It originates from the brachial plexus, a network of nerves that arise from the spinal cord in the neck. The median nerve travels down the arm, passing through the cubital tunnel at the elbow, and continues into the forearm and hand.

In the hand, the median nerve supplies sensation to the palm side of the thumb, index finger, middle finger, and half of the ring finger. It also provides motor function to some of the muscles that control finger movements, allowing for flexion of the fingers and opposition of the thumb.

Damage to the median nerve can result in a condition called carpal tunnel syndrome, which is characterized by numbness, tingling, and weakness in the hand and fingers.

Carpal Tunnel Syndrome (CTS) is a common peripheral nerve disorder that affects the median nerve, which runs from the forearm into the hand through a narrow tunnel-like structure in the wrist called the carpal tunnel. The condition is caused by compression or pinching of the median nerve as it passes through this tunnel, leading to various symptoms such as numbness, tingling, and weakness in the hand and fingers.

The median nerve provides sensation to the thumb, index finger, middle finger, and half of the ring finger. It also controls some small muscles in the hand that allow for fine motor movements. When the median nerve is compressed or damaged due to CTS, it can result in a range of symptoms including:

1. Numbness, tingling, or burning sensations in the fingers (especially the thumb, index finger, middle finger, and half of the ring finger)
2. Pain or discomfort in the hand, wrist, or forearm
3. Weakness in the hand, leading to difficulty gripping objects or making a fist
4. A sensation of swelling or inflammation in the fingers, even if there is no visible swelling present
5. Nighttime symptoms that may disrupt sleep patterns

The exact cause of Carpal Tunnel Syndrome can vary from person to person, but some common risk factors include:

1. Repetitive hand and wrist motions (such as typing, writing, or using tools)
2. Prolonged exposure to vibrations (from machinery or power tools)
3. Wrist trauma or fractures
4. Pregnancy and hormonal changes
5. Certain medical conditions like diabetes, rheumatoid arthritis, and thyroid disorders
6. Obesity
7. Smoking

Diagnosis of Carpal Tunnel Syndrome typically involves a physical examination, medical history review, and sometimes specialized tests like nerve conduction studies or electromyography to confirm the diagnosis and assess the severity of the condition. Treatment options may include splinting, medication, corticosteroid injections, and in severe cases, surgery to relieve pressure on the median nerve.

Median neuropathy, also known as Carpal Tunnel Syndrome, is a common entrapment neuropathy caused by compression of the median nerve at the wrist level. The median nerve provides sensation to the palm side of the thumb, index finger, middle finger, and half of the ring finger. It also innervates some of the muscles that control movement of the fingers and thumb.

In median neuropathy, the compression of the median nerve can cause symptoms such as numbness, tingling, and weakness in the affected hand and fingers. These symptoms may be worse at night or upon waking up in the morning, and can be exacerbated by activities that involve repetitive motion of the wrist, such as typing or using tools. If left untreated, median neuropathy can lead to permanent nerve damage and muscle wasting in the hand.

The Ulnar nerve is one of the major nerves in the forearm and hand, which provides motor function to the majority of the intrinsic muscles of the hand (except for those innervated by the median nerve) and sensory innervation to the little finger and half of the ring finger. It originates from the brachial plexus, passes through the cubital tunnel at the elbow, and continues down the forearm, where it runs close to the ulna bone. The ulnar nerve then passes through the Guyon's canal in the wrist before branching out to innervate the hand muscles and provide sensation to the skin on the little finger and half of the ring finger.

Neural conduction is the process by which electrical signals, known as action potentials, are transmitted along the axon of a neuron (nerve cell) to transmit information between different parts of the nervous system. This electrical impulse is generated by the movement of ions across the neuronal membrane, and it propagates down the length of the axon until it reaches the synapse, where it can then stimulate the release of neurotransmitters to communicate with other neurons or target cells. The speed of neural conduction can vary depending on factors such as the diameter of the axon, the presence of myelin sheaths (which act as insulation and allow for faster conduction), and the temperature of the environment.

Somatosensory evoked potentials (SEPs) are electrical signals generated in the brain and spinal cord in response to the stimulation of peripheral nerves. These responses are recorded and measured to assess the functioning of the somatosensory system, which is responsible for processing sensations such as touch, temperature, vibration, and proprioception (the sense of the position and movement of body parts).

SEPs are typically elicited by applying electrical stimuli to peripheral nerves in the arms or legs. The resulting neural responses are then recorded using electrodes placed on the scalp or other locations on the body. These recordings can provide valuable information about the integrity and function of the nervous system, and are often used in clinical settings to diagnose and monitor conditions such as nerve damage, spinal cord injury, multiple sclerosis, and other neurological disorders.

SEPs can be further categorized based on the specific type of stimulus used and the location of the recording electrodes. For example, short-latency SEPs (SLSEPs) are those that occur within the first 50 milliseconds after stimulation, and are typically recorded from the scalp over the primary sensory cortex. These responses reflect the earliest stages of sensory processing and can be used to assess the integrity of the peripheral nerves and the ascending sensory pathways in the spinal cord.

In contrast, long-latency SEPs (LLSEPs) occur after 50 milliseconds and are typically recorded from more posterior regions of the scalp over the parietal cortex. These responses reflect later stages of sensory processing and can be used to assess higher-level cognitive functions such as attention, memory, and perception.

Overall, SEPs provide a valuable tool for clinicians and researchers seeking to understand the functioning of the somatosensory system and diagnose or monitor neurological disorders.

The musculocutaneous nerve is a peripheral nerve that originates from the lateral cord of the brachial plexus, composed of contributions from the ventral rami of spinal nerves C5-C7. It provides motor innervation to the muscles in the anterior compartment of the upper arm: the coracobrachialis, biceps brachii, and brachialis. Additionally, it gives rise to the lateral antebrachial cutaneous nerve, which supplies sensory innervation to the skin on the lateral aspect of the forearm.

A medical definition of the wrist is the complex joint that connects the forearm to the hand, composed of eight carpal bones arranged in two rows. The wrist allows for movement and flexibility in the hand, enabling us to perform various activities such as grasping, writing, and typing. It also provides stability and support for the hand during these movements. Additionally, numerous ligaments, tendons, and nerves pass through or near the wrist, making it susceptible to injuries and conditions like carpal tunnel syndrome.

Peripheral nerves are nerve fibers that transmit signals between the central nervous system (CNS, consisting of the brain and spinal cord) and the rest of the body. These nerves convey motor, sensory, and autonomic information, enabling us to move, feel, and respond to changes in our environment. They form a complex network that extends from the CNS to muscles, glands, skin, and internal organs, allowing for coordinated responses and functions throughout the body. Damage or injury to peripheral nerves can result in various neurological symptoms, such as numbness, weakness, or pain, depending on the type and severity of the damage.

The Radial nerve is a major peripheral nerve in the human body that originates from the brachial plexus, which is a network of nerves formed by the union of the ventral rami (anterior divisions) of spinal nerves C5-T1. The radial nerve provides motor function to extensor muscles of the upper limb and sensation to parts of the skin on the back of the arm, forearm, and hand.

More specifically, the radial nerve supplies motor innervation to:

* Extensor muscles of the shoulder (e.g., teres minor, infraspinatus)
* Rotator cuff muscles
* Elbow joint stabilizers (e.g., lateral head of the triceps)
* Extensors of the wrist, fingers, and thumb

The radial nerve also provides sensory innervation to:

* Posterior aspect of the upper arm (from the lower third of the humerus to the elbow)
* Lateral forearm (from the lateral epicondyle of the humerus to the wrist)
* Dorsum of the hand (skin over the radial side of the dorsum, including the first web space)

Damage or injury to the radial nerve may result in various symptoms, such as weakness or paralysis of the extensor muscles, numbness or tingling sensations in the affected areas, and difficulty with extension movements of the wrist, fingers, and thumb. Common causes of radial nerve injuries include fractures of the humerus bone, compression during sleep or prolonged pressure on the nerve (e.g., from crutches), and entrapment syndromes like radial tunnel syndrome.

The sciatic nerve is the largest and longest nerve in the human body, running from the lower back through the buttocks and down the legs to the feet. It is formed by the union of the ventral rami (branches) of the L4 to S3 spinal nerves. The sciatic nerve provides motor and sensory innervation to various muscles and skin areas in the lower limbs, including the hamstrings, calf muscles, and the sole of the foot. Sciatic nerve disorders or injuries can result in symptoms such as pain, numbness, tingling, or weakness in the lower back, hips, legs, and feet, known as sciatica.

Nerve compression syndromes refer to a group of conditions characterized by the pressure or irritation of a peripheral nerve, causing various symptoms such as pain, numbness, tingling, and weakness in the affected area. This compression can occur due to several reasons, including injury, repetitive motion, bone spurs, tumors, or swelling. Common examples of nerve compression syndromes include carpal tunnel syndrome, cubital tunnel syndrome, radial nerve compression, and ulnar nerve entrapment at the wrist or elbow. Treatment options may include physical therapy, splinting, medications, injections, or surgery, depending on the severity and underlying cause of the condition.

The carpal joints are a group of articulations in the wrist region of the human body. They consist of eight bones, which are arranged in two rows. The proximal row includes the scaphoid, lunate, triquetral, and pisiform bones, while the distal row includes the trapezium, trapezoid, capitate, and hamate bones.

The carpal joints can be further divided into several smaller joints, including:
1. The midcarpal joint: This joint is located between the proximal and distal rows of carpal bones and allows for flexion, extension, and circumduction movements of the wrist.
2. The radiocarpal joint: This joint is located between the distal end of the radius bone and the scaphoid and lunate bones in the proximal row. It allows for flexion, extension, radial deviation, and ulnar deviation movements of the wrist.
3. The intercarpal joints: These are the joints located between the individual carpal bones within each row. They allow for small gliding movements between the bones.

The carpal joints are surrounded by a fibrous capsule, ligaments, and muscles that provide stability and support to the wrist. The smooth articular cartilage covering the surfaces of the bones allows for smooth movement and reduces friction during articulation.

In medical terms, a hand is the part of the human body that is attached to the forearm and consists of the carpus (wrist), metacarpus, and phalanges. It is made up of 27 bones, along with muscles, tendons, ligaments, and other soft tissues. The hand is a highly specialized organ that is capable of performing a wide range of complex movements and functions, including grasping, holding, manipulating objects, and communicating through gestures. It is also richly innervated with sensory receptors that provide information about touch, temperature, pain, and proprioception (the sense of the position and movement of body parts).

The optic nerve, also known as the second cranial nerve, is the nerve that transmits visual information from the retina to the brain. It is composed of approximately one million nerve fibers that carry signals related to vision, such as light intensity and color, from the eye's photoreceptor cells (rods and cones) to the visual cortex in the brain. The optic nerve is responsible for carrying this visual information so that it can be processed and interpreted by the brain, allowing us to see and perceive our surroundings. Damage to the optic nerve can result in vision loss or impairment.

Nerve fibers are specialized structures that constitute the long, slender processes (axons) of neurons (nerve cells). They are responsible for conducting electrical impulses, known as action potentials, away from the cell body and transmitting them to other neurons or effector organs such as muscles and glands. Nerve fibers are often surrounded by supportive cells called glial cells and are grouped together to form nerve bundles or nerves. These fibers can be myelinated (covered with a fatty insulating sheath called myelin) or unmyelinated, which influences the speed of impulse transmission.

A nerve block is a medical procedure in which an anesthetic or neurolytic agent is injected near a specific nerve or bundle of nerves to block the transmission of pain signals from that area to the brain. This technique can be used for both diagnostic and therapeutic purposes, such as identifying the source of pain, providing temporary or prolonged relief, or facilitating surgical procedures in the affected region.

The injection typically contains a local anesthetic like lidocaine or bupivacaine, which numbs the nerve, preventing it from transmitting pain signals. In some cases, steroids may also be added to reduce inflammation and provide longer-lasting relief. Depending on the type of nerve block and its intended use, the injection might be administered close to the spine (neuraxial blocks), at peripheral nerves (peripheral nerve blocks), or around the sympathetic nervous system (sympathetic nerve blocks).

While nerve blocks are generally safe, they can have side effects such as infection, bleeding, nerve damage, or in rare cases, systemic toxicity from the anesthetic agent. It is essential to consult with a qualified medical professional before undergoing this procedure to ensure proper evaluation, technique, and post-procedure care.

Nerve regeneration is the process of regrowth and restoration of functional nerve connections following damage or injury to the nervous system. This complex process involves various cellular and molecular events, such as the activation of support cells called glia, the sprouting of surviving nerve fibers (axons), and the reformation of neural circuits. The goal of nerve regeneration is to enable the restoration of normal sensory, motor, and autonomic functions impaired due to nerve damage or injury.

The sural nerve is a purely sensory peripheral nerve in the lower leg and foot. It provides sensation to the outer ( lateral) aspect of the little toe and the adjacent side of the fourth toe, as well as a small portion of the skin on the back of the leg between the ankle and knee joints.

The sural nerve is formed by the union of branches from the tibial and common fibular nerves (branches of the sciatic nerve) in the lower leg. It runs down the calf, behind the lateral malleolus (the bony prominence on the outside of the ankle), and into the foot.

The sural nerve is often used as a donor nerve during nerve grafting procedures due to its consistent anatomy and relatively low risk for morbidity at the donor site.

Electrodiagnosis, also known as electromyography (EMG), is a medical diagnostic procedure that evaluates the health and function of muscles and nerves. It measures the electrical activity of skeletal muscles at rest and during contraction, as well as the conduction of electrical signals along nerves.

The test involves inserting a thin needle electrode into the muscle to record its electrical activity. The physician will ask the patient to contract and relax the muscle while the electrical activity is recorded. The resulting data can help diagnose various neuromuscular disorders, such as nerve damage or muscle diseases, by identifying abnormalities in the electrical signals.

Electrodiagnosis can be used to diagnose conditions such as carpal tunnel syndrome, peripheral neuropathy, muscular dystrophy, and amyotrophic lateral sclerosis (ALS), among others. It is a valuable tool in the diagnosis and management of neuromuscular disorders, helping physicians to develop appropriate treatment plans for their patients.

Cross-sectional anatomy refers to the study and visualization of the internal structures of the body as if they were cut along a plane, creating a two-dimensional image. This method allows for a detailed examination of the relationships between various organs, tissues, and structures that may not be as easily appreciated through traditional observation or examination.

In cross-sectional anatomy, different imaging techniques such as computed tomography (CT) scans, magnetic resonance imaging (MRI), and ultrasound are used to create detailed images of the body's internal structures at various depths and planes. These images can help medical professionals diagnose conditions, plan treatments, and assess the effectiveness of interventions.

Cross-sectional anatomy is an important tool in modern medicine, as it provides a more comprehensive understanding of the human body than traditional gross anatomy alone. By allowing for a detailed examination of the internal structures of the body, cross-sectional anatomy can help medical professionals make more informed decisions about patient care.

Peripheral nerve injuries refer to damage or trauma to the peripheral nerves, which are the nerves outside the brain and spinal cord. These nerves transmit information between the central nervous system (CNS) and the rest of the body, including sensory, motor, and autonomic functions. Peripheral nerve injuries can result in various symptoms, depending on the type and severity of the injury, such as numbness, tingling, weakness, or paralysis in the affected area.

Peripheral nerve injuries are classified into three main categories based on the degree of damage:

1. Neuropraxia: This is the mildest form of nerve injury, where the nerve remains intact but its function is disrupted due to a local conduction block. The nerve fiber is damaged, but the supporting structures remain intact. Recovery usually occurs within 6-12 weeks without any residual deficits.
2. Axonotmesis: In this type of injury, there is damage to both the axons and the supporting structures (endoneurium, perineurium). The nerve fibers are disrupted, but the connective tissue sheaths remain intact. Recovery can take several months or even up to a year, and it may be incomplete, with some residual deficits possible.
3. Neurotmesis: This is the most severe form of nerve injury, where there is complete disruption of the nerve fibers and supporting structures (endoneurium, perineurium, epineurium). Recovery is unlikely without surgical intervention, which may involve nerve grafting or repair.

Peripheral nerve injuries can be caused by various factors, including trauma, compression, stretching, lacerations, or chemical exposure. Treatment options depend on the type and severity of the injury and may include conservative management, such as physical therapy and pain management, or surgical intervention for more severe cases.

A nerve transfer is a surgical procedure where a functioning nerve is connected to an injured nerve to restore movement, sensation or function. The functioning nerve, called the donor nerve, usually comes from another less critical location in the body and has spare nerve fibers that can be used to reinnervate the injured nerve, called the recipient nerve.

During the procedure, a small section of the donor nerve is carefully dissected and prepared for transfer. The recipient nerve is also prepared by removing any damaged or non-functioning portions. The two ends are then connected using microsurgical techniques under a microscope. Over time, the nerve fibers from the donor nerve grow along the recipient nerve and reinnervate the muscles or sensory structures that were previously innervated by the injured nerve.

Nerve transfers can be used to treat various types of nerve injuries, including brachial plexus injuries, facial nerve palsy, and peripheral nerve injuries. The goal of the procedure is to restore function as quickly and efficiently as possible, allowing for a faster recovery and improved quality of life for the patient.

In medical terms, fingers are not specifically defined as they are common anatomical structures. However, I can provide you with a general anatomy definition:

Fingers are the terminal parts of the upper limb in primates, including humans, consisting of four digits (thumb, index, middle, and ring fingers) and one opposable thumb. They contain bones called phalanges, connected by joints that allow for movement and flexibility. Each finger has a nail, nerve endings for sensation, and blood vessels to supply nutrients and oxygen. Fingers are crucial for various activities such as grasping, manipulating objects, and tactile exploration of the environment.

The Tibial nerve is a major branch of the sciatic nerve that originates in the lower back and runs through the buttock and leg. It provides motor (nerve impulses that control muscle movement) and sensory (nerve impulses that convey information about touch, temperature, and pain) innervation to several muscles and skin regions in the lower limb.

More specifically, the Tibial nerve supplies the following structures:

1. Motor Innervation: The Tibial nerve provides motor innervation to the muscles in the back of the leg (posterior compartment), including the calf muscles (gastrocnemius and soleus) and the small muscles in the foot (intrinsic muscles). These muscles are responsible for plantarflexion (pointing the foot downward) and inversion (turning the foot inward) of the foot.
2. Sensory Innervation: The Tibial nerve provides sensory innervation to the skin on the sole of the foot, as well as the heel and some parts of the lower leg.

The Tibial nerve travels down the leg, passing behind the knee and through the calf, where it eventually joins with the common fibular (peroneal) nerve to form the tibial-fibular trunk. This trunk then divides into several smaller nerves that innervate the foot's intrinsic muscles and skin.

Damage or injury to the Tibial nerve can result in various symptoms, such as weakness or paralysis of the calf and foot muscles, numbness or tingling sensations in the sole of the foot, and difficulty walking or standing on tiptoes.

Electric stimulation, also known as electrical nerve stimulation or neuromuscular electrical stimulation, is a therapeutic treatment that uses low-voltage electrical currents to stimulate nerves and muscles. It is often used to help manage pain, promote healing, and improve muscle strength and mobility. The electrical impulses can be delivered through electrodes placed on the skin or directly implanted into the body.

In a medical context, electric stimulation may be used for various purposes such as:

1. Pain management: Electric stimulation can help to block pain signals from reaching the brain and promote the release of endorphins, which are natural painkillers produced by the body.
2. Muscle rehabilitation: Electric stimulation can help to strengthen muscles that have become weak due to injury, illness, or surgery. It can also help to prevent muscle atrophy and improve range of motion.
3. Wound healing: Electric stimulation can promote tissue growth and help to speed up the healing process in wounds, ulcers, and other types of injuries.
4. Urinary incontinence: Electric stimulation can be used to strengthen the muscles that control urination and reduce symptoms of urinary incontinence.
5. Migraine prevention: Electric stimulation can be used as a preventive treatment for migraines by applying electrical impulses to specific nerves in the head and neck.

It is important to note that electric stimulation should only be administered under the guidance of a qualified healthcare professional, as improper use can cause harm or discomfort.

The brachial plexus is a network of nerves that originates from the spinal cord in the neck region and supplies motor and sensory innervation to the upper limb. It is formed by the ventral rami (branches) of the lower four cervical nerves (C5-C8) and the first thoracic nerve (T1). In some cases, contributions from C4 and T2 may also be included.

The brachial plexus nerves exit the intervertebral foramen, pass through the neck, and travel down the upper chest before branching out to form major peripheral nerves of the upper limb. These include the axillary, radial, musculocutaneous, median, and ulnar nerves, which further innervate specific muscles and sensory areas in the arm, forearm, and hand.

Damage to the brachial plexus can result in various neurological deficits, such as weakness or paralysis of the upper limb, numbness, or loss of sensation in the affected area, depending on the severity and location of the injury.

Electromyography (EMG) is a medical diagnostic procedure that measures the electrical activity of skeletal muscles during contraction and at rest. It involves inserting a thin needle electrode into the muscle to record the electrical signals generated by the muscle fibers. These signals are then displayed on an oscilloscope and may be heard through a speaker.

EMG can help diagnose various neuromuscular disorders, such as muscle weakness, numbness, or pain, and can distinguish between muscle and nerve disorders. It is often used in conjunction with other diagnostic tests, such as nerve conduction studies, to provide a comprehensive evaluation of the nervous system.

EMG is typically performed by a neurologist or a physiatrist, and the procedure may cause some discomfort or pain, although this is usually minimal. The results of an EMG can help guide treatment decisions and monitor the progression of neuromuscular conditions over time.

Carpal bones are the eight small bones that make up the wrist joint in humans and other primates. These bones are arranged in two rows, with four bones in each row. The proximal row includes the scaphoid, lunate, triquetral, and pisiform bones, while the distal row includes the trapezium, trapezoid, capitate, and hamate bones.

The carpal bones play an essential role in the function of the wrist joint by providing stability, support, and mobility. They allow for a wide range of movements, including flexion, extension, radial deviation, ulnar deviation, and circumduction. The complex structure of the carpal bones also helps to absorb shock and distribute forces evenly across the wrist during activities such as gripping or lifting objects.

Injuries to the carpal bones, such as fractures or dislocations, can be painful and may require medical treatment to ensure proper healing and prevent long-term complications. Additionally, degenerative conditions such as arthritis can affect the carpal bones, leading to pain, stiffness, and decreased mobility in the wrist joint.

Peripheral Nervous System (PNS) diseases, also known as Peripheral Neuropathies, refer to conditions that affect the functioning of the peripheral nervous system, which includes all the nerves outside the brain and spinal cord. These nerves transmit signals between the central nervous system (CNS) and the rest of the body, controlling sensations, movements, and automatic functions such as heart rate and digestion.

PNS diseases can be caused by various factors, including genetics, infections, toxins, metabolic disorders, trauma, or autoimmune conditions. The symptoms of PNS diseases depend on the type and extent of nerve damage but often include:

1. Numbness, tingling, or pain in the hands and feet
2. Muscle weakness or cramps
3. Loss of reflexes
4. Decreased sensation to touch, temperature, or vibration
5. Coordination problems and difficulty with balance
6. Sexual dysfunction
7. Digestive issues, such as constipation or diarrhea
8. Dizziness or fainting due to changes in blood pressure

Examples of PNS diseases include Guillain-Barre syndrome, Charcot-Marie-Tooth disease, diabetic neuropathy, and peripheral nerve injuries. Treatment for these conditions varies depending on the underlying cause but may involve medications, physical therapy, lifestyle changes, or surgery.

The wrist joint, also known as the radiocarpal joint, is a condyloid joint that connects the distal end of the radius bone in the forearm to the proximal row of carpal bones in the hand (scaphoid, lunate, and triquetral bones). It allows for flexion, extension, radial deviation, and ulnar deviation movements of the hand. The wrist joint is surrounded by a capsule and reinforced by several ligaments that provide stability and strength to the joint.

Ulnar neuropathies refer to conditions that cause damage or dysfunction to the ulnar nerve, which is one of the major nerves in the arm. The ulnar nerve runs down the forearm and through the wrist to the hand, where it provides sensation to the pinky finger and half of the ring finger, as well as motor function to the muscles that control finger movements.

Ulnar neuropathies can result from various causes, including trauma, compression, entrapment, or inflammation. Common symptoms include numbness, tingling, or weakness in the hand and fingers, particularly in the pinky and ring fingers. In more severe cases, muscle wasting and loss of dexterity may occur.

There are several types of ulnar neuropathies, depending on the location and cause of the nerve damage. For example, cubital tunnel syndrome is a type of ulnar neuropathy that results from compression of the ulnar nerve at the elbow, while ulnar nerve entrapment at the wrist (also known as Guyon's canal syndrome) can also cause ulnar neuropathies. Treatment options for ulnar neuropathies may include physical therapy, medication, or surgery, depending on the severity and underlying cause of the condition.

Afferent neurons, also known as sensory neurons, are a type of nerve cell that conducts impulses or signals from peripheral receptors towards the central nervous system (CNS), which includes the brain and spinal cord. These neurons are responsible for transmitting sensory information such as touch, temperature, pain, sound, and light to the CNS for processing and interpretation. Afferent neurons have specialized receptor endings that detect changes in the environment and convert them into electrical signals, which are then transmitted to the CNS via synapses with other neurons. Once the signals reach the CNS, they are processed and integrated with other information to produce a response or reaction to the stimulus.

Motor neurons are specialized nerve cells in the brain and spinal cord that play a crucial role in controlling voluntary muscle movements. They transmit electrical signals from the brain to the muscles, enabling us to perform actions such as walking, talking, and swallowing. There are two types of motor neurons: upper motor neurons, which originate in the brain's motor cortex and travel down to the brainstem and spinal cord; and lower motor neurons, which extend from the brainstem and spinal cord to the muscles. Damage or degeneration of these motor neurons can lead to various neurological disorders, such as amyotrophic lateral sclerosis (ALS) and spinal muscular atrophy (SMA).

Nerve endings, also known as terminal branches or sensory receptors, are the specialized structures present at the termination point of nerve fibers (axons) that transmit electrical signals to and from the central nervous system (CNS). They primarily function in detecting changes in the external environment or internal body conditions and converting them into electrical impulses.

There are several types of nerve endings, including:

1. Free Nerve Endings: These are unencapsulated nerve endings that respond to various stimuli like temperature, pain, and touch. They are widely distributed throughout the body, especially in the skin, mucous membranes, and visceral organs.

2. Encapsulated Nerve Endings: These are wrapped by specialized connective tissue sheaths, which can modify their sensitivity to specific stimuli. Examples include Pacinian corpuscles (responsible for detecting deep pressure and vibration), Meissner's corpuscles (for light touch), Ruffini endings (for stretch and pressure), and Merkel cells (for sustained touch).

3. Specialised Nerve Endings: These are nerve endings that respond to specific stimuli, such as auditory, visual, olfactory, gustatory, and vestibular information. They include hair cells in the inner ear, photoreceptors in the retina, taste buds in the tongue, and olfactory receptors in the nasal cavity.

Nerve endings play a crucial role in relaying sensory information to the CNS for processing and initiating appropriate responses, such as reflex actions or conscious perception of the environment.

The somatosensory cortex is a part of the brain located in the postcentral gyrus of the parietal lobe, which is responsible for processing sensory information from the body. It receives and integrates tactile, proprioceptive, and thermoception inputs from the skin, muscles, joints, and internal organs, allowing us to perceive and interpret touch, pressure, pain, temperature, vibration, position, and movement of our body parts. The somatosensory cortex is organized in a map-like manner, known as the sensory homunculus, where each body part is represented according to its relative sensitivity and density of innervation. This organization allows for precise localization and discrimination of tactile stimuli across the body surface.

Electroacupuncture is a form of acupuncture where a small electric current is passed between pairs of acupuncture needles. This technique is used to stimulate the acupoints more strongly and consistently than with manual acupuncture. The intensity of the electrical impulses can be adjusted depending on the patient's comfort level and the desired therapeutic effect. Electroacupuncture is often used to treat conditions such as chronic pain, muscle spasms, and paralysis. It may also be used in the treatment of addiction, weight loss, and stroke rehabilitation.

The facial nerve, also known as the seventh cranial nerve (CN VII), is a mixed nerve that carries both sensory and motor fibers. Its functions include controlling the muscles involved in facial expressions, taste sensation from the anterior two-thirds of the tongue, and secretomotor function to the lacrimal and salivary glands.

The facial nerve originates from the brainstem and exits the skull through the internal acoustic meatus. It then passes through the facial canal in the temporal bone before branching out to innervate various structures of the face. The main branches of the facial nerve include:

1. Temporal branch: Innervates the frontalis, corrugator supercilii, and orbicularis oculi muscles responsible for eyebrow movements and eyelid closure.
2. Zygomatic branch: Supplies the muscles that elevate the upper lip and wrinkle the nose.
3. Buccal branch: Innervates the muscles of the cheek and lips, allowing for facial expressions such as smiling and puckering.
4. Mandibular branch: Controls the muscles responsible for lower lip movement and depressing the angle of the mouth.
5. Cervical branch: Innervates the platysma muscle in the neck, which helps to depress the lower jaw and wrinkle the skin of the neck.

Damage to the facial nerve can result in various symptoms, such as facial weakness or paralysis, loss of taste sensation, and dry eyes or mouth due to impaired secretion.

A nerve crush injury is a type of peripheral nerve injury that occurs when there is excessive pressure or compression applied to a nerve, causing it to become damaged or dysfunctional. This can happen due to various reasons such as trauma from accidents, surgical errors, or prolonged pressure on the nerve from tight casts, clothing, or positions.

The compression disrupts the normal functioning of the nerve, leading to symptoms such as numbness, tingling, weakness, or pain in the affected area. In severe cases, a nerve crush injury can cause permanent damage to the nerve, leading to long-term disability or loss of function. Treatment for nerve crush injuries typically involves relieving the pressure on the nerve, providing supportive care, and in some cases, surgical intervention may be necessary to repair the damaged nerve.

Spinal nerve roots are the initial parts of spinal nerves that emerge from the spinal cord through the intervertebral foramen, which are small openings between each vertebra in the spine. These nerve roots carry motor, sensory, and autonomic fibers to and from specific regions of the body. There are 31 pairs of spinal nerve roots in total, with 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal pair. Each root has a dorsal (posterior) and ventral (anterior) ramus that branch off to form the peripheral nervous system. Irritation or compression of these nerve roots can result in pain, numbness, weakness, or loss of reflexes in the affected area.

In medical terms, the thumb is referred to as "pollex" and it's the first digit of the hand, located laterally to the index finger. It's opposable, meaning it can move opposite to the other fingers, allowing for powerful gripping and precise manipulation. The thumb contains two phalanges bones - the distal and proximal - and is connected to the hand by the carpometacarpal joint, which provides a wide range of motion.

I'm sorry for any confusion, but "touch" is not a term that has a specific medical definition in the context you've provided. In a general sense, touch refers to the ability to perceive things through physically contacting them, which is a function of our nervous system. However, it's not a term used to describe a specific medical condition, diagnosis, treatment, or procedure. If you have any more specific context or question in mind, I'd be happy to try and help further!

A cadaver is a deceased body that is used for medical research or education. In the field of medicine, cadavers are often used in anatomy lessons, surgical training, and other forms of medical research. The use of cadavers allows medical professionals to gain a deeper understanding of the human body and its various systems without causing harm to living subjects. Cadavers may be donated to medical schools or obtained through other means, such as through consent of the deceased or their next of kin. It is important to handle and treat cadavers with respect and dignity, as they were once living individuals who deserve to be treated with care even in death.

Evoked potentials (EPs) are medical tests that measure the electrical activity in the brain or spinal cord in response to specific sensory stimuli, such as sight, sound, or touch. These tests are often used to help diagnose and monitor conditions that affect the nervous system, such as multiple sclerosis, brainstem tumors, and spinal cord injuries.

There are several types of EPs, including:

1. Visual Evoked Potentials (VEPs): These are used to assess the function of the visual pathway from the eyes to the back of the brain. A patient is typically asked to look at a patterned image or flashing light while electrodes placed on the scalp record the electrical responses.
2. Brainstem Auditory Evoked Potentials (BAEPs): These are used to evaluate the function of the auditory nerve and brainstem. Clicking sounds are presented to one or both ears, and electrodes placed on the scalp measure the response.
3. Somatosensory Evoked Potentials (SSEPs): These are used to assess the function of the peripheral nerves and spinal cord. Small electrical shocks are applied to a nerve at the wrist or ankle, and electrodes placed on the scalp record the response as it travels up the spinal cord to the brain.
4. Motor Evoked Potentials (MEPs): These are used to assess the function of the motor pathways in the brain and spinal cord. A magnetic or electrical stimulus is applied to the brain or spinal cord, and electrodes placed on a muscle measure the response as it travels down the motor pathway.

EPs can help identify abnormalities in the nervous system that may not be apparent through other diagnostic tests, such as imaging studies or clinical examinations. They are generally safe, non-invasive procedures with few risks or side effects.

Peripheral nervous system (PNS) neoplasms refer to tumors that originate in the peripheral nerves, which are the nerves outside the brain and spinal cord. These tumors can be benign or malignant (cancerous). Benign tumors, such as schwannomas and neurofibromas, grow slowly and do not spread to other parts of the body. Malignant tumors, such as malignant peripheral nerve sheath tumors (MPNSTs), can invade nearby tissues and may metastasize (spread) to other organs.

PNS neoplasms can cause various symptoms depending on their location and size. Common symptoms include pain, weakness, numbness, or tingling in the affected area. In some cases, PNS neoplasms may not cause any symptoms until they become quite large. Treatment options for PNS neoplasms depend on several factors, including the type, size, and location of the tumor, as well as the patient's overall health. Treatment options may include surgery, radiation therapy, chemotherapy, or a combination of these approaches.

The femoral nerve is a major nerve in the thigh region of the human body. It originates from the lumbar plexus, specifically from the ventral rami (anterior divisions) of the second, third, and fourth lumbar nerves (L2-L4). The femoral nerve provides motor and sensory innervation to various muscles and areas in the lower limb.

Motor Innervation:
The femoral nerve is responsible for providing motor innervation to several muscles in the anterior compartment of the thigh, including:

1. Iliacus muscle
2. Psoas major muscle
3. Quadriceps femoris muscle (consisting of four heads: rectus femoris, vastus lateralis, vastus medialis, and vastus intermedius)

These muscles are involved in hip flexion, knee extension, and stabilization of the hip joint.

Sensory Innervation:
The sensory distribution of the femoral nerve includes:

1. Anterior and medial aspects of the thigh
2. Skin over the anterior aspect of the knee and lower leg (via the saphenous nerve, a branch of the femoral nerve)

The saphenous nerve provides sensation to the skin on the inner side of the leg and foot, as well as the medial malleolus (the bony bump on the inside of the ankle).

In summary, the femoral nerve is a crucial component of the lumbar plexus that controls motor functions in the anterior thigh muscles and provides sensory innervation to the anterior and medial aspects of the thigh and lower leg.

Parasympathectomy is a surgical procedure that involves the interruption or removal of part of the parasympathetic nervous system, which is a division of the autonomic nervous system. This type of surgery is typically performed to help manage certain medical conditions such as hyperhidrosis (excessive sweating), Raynaud's disease, and some types of chronic pain.

The parasympathetic nervous system helps regulate many automatic functions in the body, including heart rate, digestion, and respiration. By interrupting or removing portions of this system, a parasympathectomy can help to reduce excessive sweating, improve circulation, or alleviate pain. However, it's important to note that this type of surgery carries risks and potential complications, and is typically only considered as a last resort when other treatments have failed.

Evoked potentials, motor, are a category of tests used in clinical neurophysiology to measure the electrical activity generated by the nervous system in response to a stimulus that specifically activates the motor pathways. These tests can help assess the integrity and function of the motor neurons, which are responsible for controlling voluntary muscle movements.

During a motor evoked potentials test, electrodes are placed on the scalp or directly on the surface of the brain or spinal cord. A stimulus is then applied to the motor cortex or peripheral nerves, causing the muscles to contract. The resulting electrical signals are recorded and analyzed to evaluate the conduction velocity, amplitude, and latency of the motor responses.

Motor evoked potentials tests can be useful in diagnosing various neurological conditions, such as multiple sclerosis, spinal cord injuries, and motor neuron diseases. They can also help monitor the progression of these conditions and assess the effectiveness of treatments.

Spinal nerves are the bundles of nerve fibers that transmit signals between the spinal cord and the rest of the body. There are 31 pairs of spinal nerves in the human body, which can be divided into five regions: 8 cervical, 12 thoracic, 5 lumbar, 5 sacral, and 1 coccygeal. Each spinal nerve carries both sensory information (such as touch, temperature, and pain) from the periphery to the spinal cord, and motor information (such as muscle control) from the spinal cord to the muscles and other structures in the body. Spinal nerves also contain autonomic fibers that regulate involuntary functions such as heart rate, digestion, and blood pressure.

Cumulative Trauma Disorders (CTDs) are a group of conditions that result from repeated exposure to biomechanical stressors, often related to work activities. These disorders can affect the muscles, tendons, nerves, and joints, leading to symptoms such as pain, numbness, tingling, weakness, and reduced range of motion.

CTDs are also known as repetitive strain injuries (RSIs) or overuse injuries. They occur when there is a mismatch between the demands placed on the body and its ability to recover from those demands. Over time, this imbalance can lead to tissue damage and inflammation, resulting in chronic pain and functional limitations.

Examples of CTDs include carpal tunnel syndrome, tendonitis, epicondylitis (tennis elbow), rotator cuff injuries, and trigger finger. Prevention strategies for CTDs include proper ergonomics, workstation design, body mechanics, taking regular breaks to stretch and rest, and performing exercises to strengthen and condition the affected muscles and joints.

Paresthesia is a medical term that describes an abnormal sensation such as tingling, numbness, prickling, or burning, usually in the hands, feet, arms, or legs. These sensations can occur without any obvious cause, often described as "pins and needles" or falling asleep in a limb. However, persistent paresthesia can be a sign of an underlying medical condition, such as nerve damage, diabetes, multiple sclerosis, or a vitamin deficiency. It is important to consult with a healthcare professional if experiencing persistent paresthesia to determine the cause and appropriate treatment.

Reaction time, in the context of medicine and physiology, refers to the time period between the presentation of a stimulus and the subsequent initiation of a response. This complex process involves the central nervous system, particularly the brain, which perceives the stimulus, processes it, and then sends signals to the appropriate muscles or glands to react.

There are different types of reaction times, including simple reaction time (responding to a single, expected stimulus) and choice reaction time (choosing an appropriate response from multiple possibilities). These measures can be used in clinical settings to assess various aspects of neurological function, such as cognitive processing speed, motor control, and alertness.

However, it is important to note that reaction times can be influenced by several factors, including age, fatigue, attention, and the use of certain medications or substances.

The Ulnar Artery is a major blood vessel that supplies the forearm, hand, and fingers with oxygenated blood. It originates from the brachial artery in the upper arm and travels down the medial (towards the body's midline) side of the forearm, passing through the Guyon's canal at the wrist before branching out to supply the hand and fingers.

The ulnar artery provides blood to the palmar aspect of the hand and the ulnar side of the little finger and half of the ring finger. It also contributes to the formation of the deep palmar arch, which supplies blood to the deep structures of the hand. The ulnar artery is an important structure in the circulatory system, providing critical blood flow to the upper limb.

Afferent pathways, also known as sensory pathways, refer to the neural connections that transmit sensory information from the peripheral nervous system to the central nervous system (CNS), specifically to the brain and spinal cord. These pathways are responsible for carrying various types of sensory information, such as touch, temperature, pain, pressure, vibration, hearing, vision, and taste, to the CNS for processing and interpretation.

The afferent pathways begin with sensory receptors located throughout the body, which detect changes in the environment and convert them into electrical signals. These signals are then transmitted via afferent neurons, also known as sensory neurons, to the spinal cord or brainstem. Within the CNS, the information is further processed and integrated with other neural inputs before being relayed to higher cognitive centers for conscious awareness and response.

Understanding the anatomy and physiology of afferent pathways is essential for diagnosing and treating various neurological conditions that affect sensory function, such as neuropathies, spinal cord injuries, and brain disorders.

An axon is a long, slender extension of a neuron (a type of nerve cell) that conducts electrical impulses (nerve impulses) away from the cell body to target cells, such as other neurons or muscle cells. Axons can vary in length from a few micrometers to over a meter long and are typically surrounded by a myelin sheath, which helps to insulate and protect the axon and allows for faster transmission of nerve impulses.

Axons play a critical role in the functioning of the nervous system, as they provide the means by which neurons communicate with one another and with other cells in the body. Damage to axons can result in serious neurological problems, such as those seen in spinal cord injuries or neurodegenerative diseases like multiple sclerosis.

Nerve Growth Factor (NGF) is a small secreted protein that is involved in the growth, maintenance, and survival of certain neurons (nerve cells). It was the first neurotrophin to be discovered and is essential for the development and function of the nervous system. NGF binds to specific receptors on the surface of nerve cells and helps to promote their differentiation, axonal growth, and synaptic plasticity. Additionally, NGF has been implicated in various physiological processes such as inflammation, immune response, and wound healing. Deficiencies or excesses of NGF have been linked to several neurological disorders, including Alzheimer's disease, Parkinson's disease, and pain conditions.

The trigeminal nerve, also known as the fifth cranial nerve or CNV, is a paired nerve that carries both sensory and motor information. It has three major branches: ophthalmic (V1), maxillary (V2), and mandibular (V3). The ophthalmic branch provides sensation to the forehead, eyes, and upper portion of the nose; the maxillary branch supplies sensation to the lower eyelid, cheek, nasal cavity, and upper lip; and the mandibular branch is responsible for sensation in the lower lip, chin, and parts of the oral cavity, as well as motor function to the muscles involved in chewing. The trigeminal nerve plays a crucial role in sensations of touch, pain, temperature, and pressure in the face and mouth, and it also contributes to biting, chewing, and swallowing functions.

Nerve Growth Factors (NGFs) are a family of proteins that play an essential role in the growth, maintenance, and survival of certain neurons (nerve cells). They were first discovered by Rita Levi-Montalcini and Stanley Cohen in 1956. NGF is particularly crucial for the development and function of the peripheral nervous system, which connects the central nervous system to various organs and tissues throughout the body.

NGF supports the differentiation and survival of sympathetic and sensory neurons during embryonic development. In adults, NGF continues to regulate the maintenance and repair of these neurons, contributing to neuroplasticity – the brain's ability to adapt and change over time. Additionally, NGF has been implicated in pain transmission and modulation, as well as inflammatory responses.

Abnormal levels or dysfunctional NGF signaling have been associated with various medical conditions, including neurodegenerative diseases (e.g., Alzheimer's and Parkinson's), chronic pain disorders, and certain cancers (e.g., small cell lung cancer). Therefore, understanding the role of NGF in physiological and pathological processes may provide valuable insights into developing novel therapeutic strategies for these conditions.

An action potential is a brief electrical signal that travels along the membrane of a nerve cell (neuron) or muscle cell. It is initiated by a rapid, localized change in the permeability of the cell membrane to specific ions, such as sodium and potassium, resulting in a rapid influx of sodium ions and a subsequent efflux of potassium ions. This ion movement causes a brief reversal of the electrical potential across the membrane, which is known as depolarization. The action potential then propagates along the cell membrane as a wave, allowing the electrical signal to be transmitted over long distances within the body. Action potentials play a crucial role in the communication and functioning of the nervous system and muscle tissue.

A tendon is the strong, flexible band of tissue that connects muscle to bone. It helps transfer the force produced by the muscle to allow various movements of our body parts. Tendons are made up of collagen fibers arranged in parallel bundles and have a poor blood supply, making them prone to injuries and slow to heal. Examples include the Achilles tendon, which connects the calf muscle to the heel bone, and the patellar tendon, which connects the kneecap to the shinbone.

In the context of medicine and physiology, vibration refers to the mechanical oscillation of a physical body or substance with a periodic back-and-forth motion around an equilibrium point. This motion can be produced by external forces or internal processes within the body.

Vibration is often measured in terms of frequency (the number of cycles per second) and amplitude (the maximum displacement from the equilibrium position). In clinical settings, vibration perception tests are used to assess peripheral nerve function and diagnose conditions such as neuropathy.

Prolonged exposure to whole-body vibration or hand-transmitted vibration in certain occupational settings can also have adverse health effects, including hearing loss, musculoskeletal disorders, and vascular damage.

The forearm is the region of the upper limb between the elbow and the wrist. It consists of two bones, the radius and ulna, which are located side by side and run parallel to each other. The forearm is responsible for movements such as flexion, extension, supination, and pronation of the hand and wrist.

Ulnar nerve compression syndromes refer to a group of conditions characterized by the entrapment or compression of the ulnar nerve, leading to various symptoms. The ulnar nerve provides motor function to the hand muscles and sensation to the little finger and half of the ring finger.

There are several sites along the course of the ulnar nerve where it can become compressed, resulting in different types of ulnar nerve compression syndromes:

1. Cubital Tunnel Syndrome: This occurs when the ulnar nerve is compressed at the elbow, within the cubital tunnel - a narrow passage located on the inner side of the elbow. Symptoms may include numbness and tingling in the little finger and half of the ring finger, weakness in gripping or pinching, and pain or discomfort in the elbow.

2. Guyon's Canal Syndrome: This type of ulnar nerve compression syndrome happens when the nerve is compressed at the wrist, within the Guyon's canal. Causes can include ganglion cysts, bone fractures, or repetitive motion injuries. Symptoms may include numbness and tingling in the little finger and half of the ring finger, weakness or paralysis in the hand muscles, and muscle wasting in severe cases.

Treatment for ulnar nerve compression syndromes depends on the severity and location of the compression. Conservative treatments such as physical therapy, bracing, or anti-inflammatory medications may be recommended for milder cases. Severe or persistent symptoms may require surgical intervention to relieve the pressure on the ulnar nerve.

The phrenic nerve is a motor nerve that originates from the cervical spine (C3-C5) and descends through the neck to reach the diaphragm, which is the primary muscle used for breathing. The main function of the phrenic nerve is to innervate the diaphragm and control its contraction and relaxation, thereby enabling respiration.

Damage or injury to the phrenic nerve can result in paralysis of the diaphragm, leading to difficulty breathing and potentially causing respiratory failure. Certain medical conditions, such as neuromuscular disorders, spinal cord injuries, and tumors, can affect the phrenic nerve and impair its function.

In medical terms, sensation refers to the ability to perceive and interpret various stimuli from our environment through specialized receptor cells located throughout the body. These receptors convert physical stimuli such as light, sound, temperature, pressure, and chemicals into electrical signals that are transmitted to the brain via nerves. The brain then interprets these signals, allowing us to experience sensations like sight, hearing, touch, taste, and smell.

There are two main types of sensations: exteroceptive and interoceptive. Exteroceptive sensations involve stimuli from outside the body, such as light, sound, and touch. Interoceptive sensations, on the other hand, refer to the perception of internal bodily sensations, such as hunger, thirst, heartbeat, or emotions.

Disorders in sensation can result from damage to the nervous system, including peripheral nerves, spinal cord, or brain. Examples include numbness, tingling, pain, or loss of sensation in specific body parts, which can significantly impact a person's quality of life and ability to perform daily activities.

Cranial nerves are a set of twelve pairs of nerves that originate from the brainstem and skull, rather than the spinal cord. These nerves are responsible for transmitting sensory information (such as sight, smell, hearing, and taste) to the brain, as well as controlling various muscles in the head and neck (including those involved in chewing, swallowing, and eye movement). Each cranial nerve has a specific function and is named accordingly. For example, the optic nerve (cranial nerve II) transmits visual information from the eyes to the brain, while the vagus nerve (cranial nerve X) controls parasympathetic functions in the body such as heart rate and digestion.

Myelinated nerve fibers are neuronal processes that are surrounded by a myelin sheath, a fatty insulating substance that is produced by Schwann cells in the peripheral nervous system and oligodendrocytes in the central nervous system. This myelin sheath helps to increase the speed of electrical impulse transmission, also known as action potentials, along the nerve fiber. The myelin sheath has gaps called nodes of Ranvier where the electrical impulses can jump from one node to the next, which also contributes to the rapid conduction of signals. Myelinated nerve fibers are typically found in the peripheral nerves and the optic nerve, but not in the central nervous system (CNS) tracts that are located within the brain and spinal cord.

'Deaf-blind disorders' is a term used to describe conditions that result in significant hearing and vision loss. This combination of sensory impairments can have a profound impact on an individual's ability to communicate, access information, and navigate their environment. It's important to note that the term 'deaf-blind' encompasses a wide range of severity and types of hearing and vision loss, and may be present from birth or acquired later in life due to factors such as illness, injury, or aging.

There is no single medical definition for deaf-blind disorders, but the term is often used to refer to individuals who have a significant combined visual and auditory impairment, defined as:

1. A visual acuity of less than 20/200 in the better eye with best correction, or a field restriction in both eyes to such an extent that the widest diameter of the visual field subtends an angle no greater than 20 degrees.
2. A hearing loss of 55 decibels or greater in the better ear, which is severe enough to require the use of amplification devices (such as hearing aids) or cochlear implants.

Deaf-blind disorders can be categorized into two main types: congenital and acquired. Congenital deaf-blindness refers to individuals who are born with both significant vision and hearing loss, often due to genetic factors, prenatal infections, or birth defects. Acquired deaf-blindness occurs when an individual develops significant vision and hearing loss later in life due to illness, injury, or aging.

Examples of conditions that can lead to deaf-blind disorders include:

* Usher syndrome: A genetic disorder that causes both hearing loss and retinitis pigmentosa, a degenerative eye condition leading to vision loss.
* CHARGE syndrome: A rare genetic disorder that can cause hearing loss, vision loss, and other developmental issues.
* Cerebral palsy: A neurological disorder that can result in both visual and auditory impairments due to brain damage during fetal development or birth.
* Age-related macular degeneration (AMD) and presbycusis: Both are common age-related conditions that can lead to vision and hearing loss, respectively.
* Infections such as meningitis, encephalitis, or cytomegalovirus (CMV) can cause both vision and hearing loss if they affect the brain or nervous system.
* Traumatic injuries, such as those caused by accidents or violence, can result in deaf-blindness if they damage the eyes, ears, or brain.

Deaf-blind individuals often face significant challenges in communication, mobility, and access to information. Specialized services, assistive technology, and support from professionals trained in deaf-blindness are crucial for helping these individuals lead fulfilling lives and reach their full potential.

Hyperesthesia is a medical term that refers to an increased sensitivity to sensory stimuli, including touch, pain, or temperature. It can affect various parts of the body and can be caused by different conditions, such as nerve damage, multiple sclerosis, or complex regional pain syndrome. Hyperesthesia can manifest as a heightened awareness of sensations, which can be painful or uncomfortable, and may interfere with daily activities. It is essential to consult a healthcare professional for an accurate diagnosis and appropriate treatment if experiencing symptoms of hyperesthesia.

Polyneuropathy is a medical condition that refers to the damage or dysfunction of peripheral nerves (nerves outside the brain and spinal cord) in multiple areas of the body. These nerves are responsible for transmitting sensory, motor, and autonomic signals between the central nervous system and the rest of the body.

In polyneuropathies, this communication is disrupted, leading to various symptoms depending on the type and extent of nerve damage. Commonly reported symptoms include:

1. Numbness or tingling in the hands and feet
2. Muscle weakness and cramps
3. Loss of reflexes
4. Burning or stabbing pain
5. Balance and coordination issues
6. Increased sensitivity to touch
7. Autonomic dysfunction, such as bowel, bladder, or digestive problems, and changes in blood pressure

Polyneuropathies can be caused by various factors, including diabetes, alcohol abuse, nutritional deficiencies, autoimmune disorders, infections, toxins, inherited genetic conditions, or idiopathic (unknown) causes. The treatment for polyneuropathy depends on the underlying cause and may involve managing underlying medical conditions, physical therapy, pain management, and lifestyle modifications.

The ophthalmic nerve, also known as the first cranial nerve or CN I, is a sensory nerve that primarily transmits information about vision, including light intensity and color, and sensation in the eye and surrounding areas. It is responsible for the sensory innervation of the upper eyelid, conjunctiva, cornea, iris, ciliary body, and nasal cavity. The ophthalmic nerve has three major branches: the lacrimal nerve, frontal nerve, and nasociliary nerve. Damage to this nerve can result in various visual disturbances and loss of sensation in the affected areas.

Nerve tissue, also known as neural tissue, is a type of specialized tissue that is responsible for the transmission of electrical signals and the processing of information in the body. It is a key component of the nervous system, which includes the brain, spinal cord, and peripheral nerves. Nerve tissue is composed of two main types of cells: neurons and glial cells.

Neurons are the primary functional units of nerve tissue. They are specialized cells that are capable of generating and transmitting electrical signals, known as action potentials. Neurons have a unique structure, with a cell body (also called the soma) that contains the nucleus and other organelles, and processes (dendrites and axons) that extend from the cell body and are used to receive and transmit signals.

Glial cells, also known as neuroglia or glia, are non-neuronal cells that provide support and protection for neurons. There are several different types of glial cells, including astrocytes, oligodendrocytes, microglia, and Schwann cells. These cells play a variety of roles in the nervous system, such as providing structural support, maintaining the proper environment for neurons, and helping to repair and regenerate nerve tissue after injury.

Nerve tissue is found throughout the body, but it is most highly concentrated in the brain and spinal cord, which make up the central nervous system (CNS). The peripheral nerves, which are the nerves that extend from the CNS to the rest of the body, also contain nerve tissue. Nerve tissue is responsible for transmitting sensory information from the body to the brain, controlling muscle movements, and regulating various bodily functions such as heart rate, digestion, and respiration.

The motor cortex is a region in the frontal lobe of the brain that is responsible for controlling voluntary movements. It is involved in planning, initiating, and executing movements of the limbs, body, and face. The motor cortex contains neurons called Betz cells, which have large cell bodies and are responsible for transmitting signals to the spinal cord to activate muscles. Damage to the motor cortex can result in various movement disorders such as hemiplegia or paralysis on one side of the body.

The mandibular nerve is a branch of the trigeminal nerve (the fifth cranial nerve), which is responsible for sensations in the face and motor functions such as biting and chewing. The mandibular nerve provides both sensory and motor innervation to the lower third of the face, below the eye and nose down to the chin.

More specifically, it carries sensory information from the lower teeth, lower lip, and parts of the oral cavity, as well as the skin over the jaw and chin. It also provides motor innervation to the muscles of mastication (chewing), which include the masseter, temporalis, medial pterygoid, and lateral pterygoid muscles.

Damage to the mandibular nerve can result in numbness or loss of sensation in the lower face and mouth, as well as weakness or difficulty with chewing and biting.

Treatment outcome is a term used to describe the result or effect of medical treatment on a patient's health status. It can be measured in various ways, such as through symptoms improvement, disease remission, reduced disability, improved quality of life, or survival rates. The treatment outcome helps healthcare providers evaluate the effectiveness of a particular treatment plan and make informed decisions about future care. It is also used in clinical research to compare the efficacy of different treatments and improve patient care.

In the context of medicine and healthcare, "movement" refers to the act or process of changing physical location or position. It involves the contraction and relaxation of muscles, which allows for the joints to move and the body to be in motion. Movement can also refer to the ability of a patient to move a specific body part or limb, which is assessed during physical examinations. Additionally, "movement" can describe the progression or spread of a disease within the body.

Charcot-Marie-Tooth disease (CMT) is a group of inherited disorders that cause nerve damage, primarily affecting the peripheral nerves. These are the nerves that transmit signals between the brain and spinal cord to the rest of the body. CMT affects both motor and sensory nerves, leading to muscle weakness and atrophy, as well as numbness or tingling in the hands and feet.

The disease is named after the three physicians who first described it: Jean-Martin Charcot, Pierre Marie, and Howard Henry Tooth. CMT is characterized by its progressive nature, meaning symptoms typically worsen over time, although the rate of progression can vary significantly among individuals.

There are several types of CMT, classified based on their genetic causes and patterns of inheritance. The two most common forms are CMT1 and CMT2:

1. CMT1: This form is caused by mutations in the genes responsible for the myelin sheath, which insulates peripheral nerves and allows for efficient signal transmission. As a result, demyelination occurs, slowing down nerve impulses and causing muscle weakness, particularly in the lower limbs. Symptoms usually begin in childhood or adolescence and include foot drop, high arches, and hammertoes.
2. CMT2: This form is caused by mutations in the genes responsible for the axons, the nerve fibers that transmit signals within peripheral nerves. As a result, axonal degeneration occurs, leading to muscle weakness and atrophy. Symptoms usually begin in early adulthood and progress more slowly than CMT1. They primarily affect the lower limbs but can also involve the hands and arms.

Diagnosis of CMT typically involves a combination of clinical evaluation, family history, nerve conduction studies, and genetic testing. While there is no cure for CMT, treatment focuses on managing symptoms and maintaining mobility and function through physical therapy, bracing, orthopedic surgery, and pain management.

In medical terms, the arm refers to the upper limb of the human body, extending from the shoulder to the wrist. It is composed of three major bones: the humerus in the upper arm, and the radius and ulna in the lower arm. The arm contains several joints, including the shoulder joint, elbow joint, and wrist joint, which allow for a wide range of motion. The arm also contains muscles, blood vessels, nerves, and other soft tissues that are essential for normal function.

The sympathetic nervous system (SNS) is a part of the autonomic nervous system that operates largely below the level of consciousness, and it functions to produce appropriate physiological responses to perceived danger. It's often associated with the "fight or flight" response. The SNS uses nerve impulses to stimulate target organs, causing them to speed up (e.g., increased heart rate), prepare for action, or otherwise respond to stressful situations.

The sympathetic nervous system is activated due to stressful emotional or physical situations and it prepares the body for immediate actions. It dilates the pupils, increases heart rate and blood pressure, accelerates breathing, and slows down digestion. The primary neurotransmitter involved in this system is norepinephrine (also known as noradrenaline).

Physical stimulation, in a medical context, refers to the application of external forces or agents to the body or its tissues to elicit a response. This can include various forms of touch, pressure, temperature, vibration, or electrical currents. The purpose of physical stimulation may be therapeutic, as in the case of massage or physical therapy, or diagnostic, as in the use of reflex tests. It is also used in research settings to study physiological responses and mechanisms.

In a broader sense, physical stimulation can also refer to the body's exposure to physical activity or exercise, which can have numerous health benefits, including improving cardiovascular function, increasing muscle strength and flexibility, and reducing the risk of chronic diseases.

The cochlear nerve, also known as the auditory nerve, is the sensory nerve that transmits sound signals from the inner ear to the brain. It consists of two parts: the outer spiral ganglion and the inner vestibular portion. The spiral ganglion contains the cell bodies of the bipolar neurons that receive input from hair cells in the cochlea, which is the snail-shaped organ in the inner ear responsible for hearing. These neurons then send their axons to form the cochlear nerve, which travels through the internal auditory meatus and synapses with neurons in the cochlear nuclei located in the brainstem.

Damage to the cochlear nerve can result in hearing loss or deafness, depending on the severity of the injury. Common causes of cochlear nerve damage include acoustic trauma, such as exposure to loud noises, viral infections, meningitis, and tumors affecting the nerve or surrounding structures. In some cases, cochlear nerve damage may be treated with hearing aids, cochlear implants, or other assistive devices to help restore or improve hearing function.

A reflex is an automatic, involuntary and rapid response to a stimulus that occurs without conscious intention. In the context of physiology and neurology, it's a basic mechanism that involves the transmission of nerve impulses between neurons, resulting in a muscle contraction or glandular secretion.

Reflexes are important for maintaining homeostasis, protecting the body from harm, and coordinating movements. They can be tested clinically to assess the integrity of the nervous system, such as the knee-j jerk reflex, which tests the function of the L3-L4 spinal nerve roots and the sensitivity of the stretch reflex arc.

The splanchnic nerves are a set of nerve fibers that originate from the thoracic and lumbar regions of the spinal cord and innervate various internal organs. They are responsible for carrying both sensory information, such as pain and temperature, from the organs to the brain, and motor signals, which control the function of the organs, from the brain to the organs.

There are several splanchnic nerves, including the greater, lesser, and least splanchnic nerves, as well as the lumbar splanchnic nerves. These nerves primarily innervate the autonomic nervous system, which controls the involuntary functions of the body, such as heart rate, digestion, and respiration.

The greater splanchnic nerve arises from the fifth to the ninth thoracic ganglia and passes through the diaphragm to reach the abdomen. It innervates the stomach, esophagus, liver, pancreas, and adrenal glands.

The lesser splanchnic nerve arises from the tenth and eleventh thoracic ganglia and innervates the upper part of the small intestine, the pancreas, and the adrenal glands.

The least splanchnic nerve arises from the twelfth thoracic ganglion and innervates the lower part of the small intestine and the colon.

The lumbar splanchnic nerves arise from the first three or four lumbar ganglia and innervate the lower parts of the colon, the rectum, and the reproductive organs.

Medical Definition:

Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic imaging technique that uses a strong magnetic field and radio waves to create detailed cross-sectional or three-dimensional images of the internal structures of the body. The patient lies within a large, cylindrical magnet, and the scanner detects changes in the direction of the magnetic field caused by protons in the body. These changes are then converted into detailed images that help medical professionals to diagnose and monitor various medical conditions, such as tumors, injuries, or diseases affecting the brain, spinal cord, heart, blood vessels, joints, and other internal organs. MRI does not use radiation like computed tomography (CT) scans.

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This suggested direct involvement of the median nerve at the fracture site, so magnetic resonance imaging (MRI) of the forearm ... This report highlights the utility of MRI for detecting median nerve entrapment at a fracture site, allowing immediate surgical ... Short tau inversion recovery MRI visualized significant deviation and entrapment of the median nerve at the fracture site. ... Median nerve entrapment with forearm fracture is rare, and surgical exploration in the early stage is rarely performed. We ...
... CME Vital covers the diagnosis of Carpal Tunnel Syndrome (CTS). ... Recall the scan techniques and protocols for evaluating the median nerve.. *Identify the bony and muscular landmarks when ... Ultrasound Evaluation of the Median Nerve CME Vital covers the diagnosis of Carpal Tunnel Syndrome (CTS). Topics include Carpal ... or other medical professionals performing and/or interpreting ultrasound evaluation of the median nerve. Physician participants ...
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Compared to local anesthesia, nerve blocks provide greater efficacy and coverage of anesthesia useful for more complicated ... either alone or in combination with blockade of the ulnar and radial nerves, are useful emergency department (ED) procedures. ... encoded search term (Median Nerve Block) and Median Nerve Block What to Read Next on Medscape ... Median nerve blocks at the wrist, either alone or in combination with blockade of the ulnar and radial nerves, are useful ...
Compared to local anesthesia, nerve blocks provide greater efficacy and coverage of anesthesia useful for more complicated ... either alone or in combination with blockade of the ulnar and radial nerves, are useful emergency department (ED) procedures. ... encoded search term (Median Nerve Block) and Median Nerve Block What to Read Next on Medscape ... Median nerve blocks at the wrist, either alone or in combination with blockade of the ulnar and radial nerves, are useful ...
Images of the median nerve were obtained in the transverse plane at the level of pisiform with the fingers resting, gripping, ... An Ultrasound Study of the Mobility of the Median Nerve during Composite Finger Movement in the Healthy Young Wrist Cite ... Yao, Buwen and Roll, Shawn C. "An Ultrasound Study of the Mobility of the Median Nerve during Composite Finger Movement in the ... Yao, Buwen and Roll, Shawn C. "An Ultrasound Study of the Mobility of the Median Nerve during Composite Finger Movement in the ...
Axillary Nerve Musculocutaneous Nerve Surgical Techniques for Nerve Tumors Sural Nerve Radial Nerve Brachial Plexus Injury ... The Median Nerve Passing Through the Pronator Teres. • After giving off a few branches to the pronator teres, the median nerve ... The median nerve runs between the two heads of PT; the muscle is supplied by a specific branch of the median nerve, which ... The surgeon must distinguish the median, ulnar, radial, and cutaneous nerves in the proximal arm. The median nerve is lateral ...
Median Nerve Diseases. On-line free medical diagnosis assistant. Ranked list of possible diseases from either several symptoms ...
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R, radial nerve; M, median nerve; U, ulnar nerve; *, olecranon process at the elbow. A: left shoulder-level radial, median, and ... Insertion support (subsequently removed) is seen below the median nerve. B: right elbow-level arm nerves, just proximal to the ... Surgical access to all 3 target nerves was achieved through a single surgical site at either the elbow or the shoulder. In both ... High-count microelectrode arrays implanted in peripheral nerves could restore motor function after spinal cord injury or ...
There are several causes of a pinched nerve, such as carpal tunnel syndrome. Discover other causes, their signs and symptoms, ... The anterior interosseous nerve is a motor nerve branch of the median nerve. A motor nerve is involved with muscle function. ... Median nerve compression. Carpal tunnel syndrome (CTS) is the most common nerve compression syndrome. In this condition, the ... The median nerve is a sensory nerve for your thumb, index finger, middle finger, and half of your ring finger. ...
How To Do a Median Nerve Block - Etiology, pathophysiology, symptoms, signs, diagnosis & prognosis from the MSD Manuals - ... Nerves appear as an echogenic (white), honeycombed, triangular shape, often adjacent to an artery (the median nerve, however, ... To anesthetize the entire palm, also do an ulnar nerve block How To Do an Ulnar Nerve Block An ulnar nerve block anesthetizes ... Median nerve block, ultrasound-guided *. Set the ultrasound machine to 2-D mode or B mode. Adjust the screen settings and probe ...
Nerve sliders or neural flossing provide an effective strategy to alleviate neural tension within the muscle interface that ...
Its also important to keep in mind that the median nerve doesnt exist only in the wrist and hand. The median nerve originates ... Worse, there could be median nerve entrapment at the wrist and one or more of these other areas. This is why doctors of ... Carpal Tunnel Syndrome and the Median Nerve. Published on 1 November 2022. under Carpal Tunnel Syndrome ... and anything that causes swelling or inflammation can result in an even tighter space that the median nerve must pass through ...
Carpal tunnel syndrome - median nerve compression. Carpal tunnel syndrome is the most common compression neuropathy and is ... caused by mechanical pressure on the central nerve - n. median. It is characterized by a feeling of tingling and pain in the ... The treatment is usually surgical, and involves nerve decopression. The operation is performed under regional anesthesia, which ...
Incisions used to access proximal median nerve with lazy-S across. elbow, and zig-zag incision distally. The median nerve is ... The anterior interosseous nerve (AIN) arises from the median nerve 5 to 8 cm distal to the medial epicondyle [22] at the level ... In the remaining 19 (61%) the nerve arose in the classically described fashion from the radial border of the median nerve, of ... Operating on nerves: Surgical approaches, primary and secondary repair, nerve grafting and nerve transfer ...
... is a test to see how fast electrical signals move through a nerve. This test is done along with electromyography (EMG) to ... is a test to see how fast electrical signals move through a nerve. This test is done along with electromyography (EMG) to ... Common peroneal/fibular nerve dysfunction. *Distal median nerve dysfunction. *Femoral nerve dysfunction ... Nerve conduction velocity (NCV) is a test to see how fast electrical signals move through a nerve. This test is done along with ...
Suprascapular nerve. −. −. +. +. +. Brachial nerve plexus. −. −. +. +. +. Median nerve. −. −. +. +. −. Radial nerve. −. −. +. + ... Accumulation of L-type Bovine Prions in Peripheral Nerve Tissues Yoshifumi Iwamaru. , Morikazu Imamura, Yuichi Matsuura, ... Accumulation of L-type Bovine Prions in Peripheral Nerve Tissues. ...
The cost of the MRI Left Median Nerve Scan can vary. Check out our website for the latest price & other details. ... MRI Left Median Nerve Test is available at Ganesh Diagnostics. ... MRI Left Median Nerve. Includes. MRI Left Median Nerve Test ( ... MRI Left Median Nerve The median nerve provides functions to the forearm, wrist, and hand. An MRI left median nerve is an ... An MRI left median nerve is an imaging procedure performed to visualize the median nerve for lesions, nerve compression, etc. ...
... in the median nerve should be classed as abnormal when the difference between conduction velocities in the little and index ... CONCLUSIONS: Our definition of abnormal median SNC distinguished a subset of patients who appeared to benefit from surgical ... In hands with abnormal median SNC, surgery was associated with resolution of numbness, tingling and pain (PRR 1.5, 95% CI 1.0- ... no association was apparent for either outcome when median SNC was classed as normal. ...
MSK Section 20 - Common Peripheral Nerve Injuries: Median, Ulnar & Radial Nerve Injury. This content is for Early Access - 2 ...
Ultrasound and Electrodiagnosis (EMG) of the Median Nerve. Ultrasound and Electrodiagnosis (EMG) of the Median Nerve training ... List routine electrodiagnostic techniques for assessment of the median nerve.. *Recognize sonographic appearance of the median ... Identify commonly seen median nerve pathology recognized with ultrasound and apply diagnostic criteria for accurate diagnosis. ... List ultrasound examination protocols and scan techniques for evaluation of the median nerve including post-surgical assessment ...
The interfascicular nerve-grafting of median and ulnar nerves. Millesi, H.; Meissl, G.; Berger, A. ...
Transient forearm conduction block in the median nerve.. Watson BV, Parkes AW, Brown JD ... Over 3500 patients are studied in the EMG laboratory each year with a full variety of studies ranging from simple nerve ...
  • The median nerve is the only nerve that passes through the carpal tunnel. (wikipedia.org)
  • Carpal tunnel syndrome is the disability that results from the median nerve being pressed in the carpal tunnel. (wikipedia.org)
  • The median nerve enters the hand through the carpal tunnel, deep to the flexor retinaculum along with the tendons of flexor digitorum superficialis, flexor digitorum profundus, and flexor pollicis longus. (wikipedia.org)
  • however, in a small percentage (5-10%) of individuals, the median nerve bifurcates more proximal in the carpal tunnel, wrist, or forearm. (wikipedia.org)
  • After branching, the median nerve continues into the hand via the carpal tunnel. (medscape.com)
  • In the carpal tunnel, the median nerve runs anteriorly and laterally to the tendons of the FDS. (medscape.com)
  • The carpal tunnel is a narrow fibro-osseous tunnel through which the median nerve passes, along with nine tendons. (medscape.com)
  • The median nerve passes through the carpal tunnel and gives rise to the palmar digital nerves supplying sensation to the lateral digits and motor innervation of the lateral two lumbricals. (medscape.com)
  • 9 mink skinners had decreases in nerve conduction, 5 fulfilled electrodiagnostic criteria and 4 fulfilled electrodiagnostic and clinical criteria (a positive Katz hand diagram) for carpal tunnel syndrome (CTS). (sjweh.fi)
  • Carpal tunnel syndrome (CTS) is an impairment of the median nerve at the wrist with symptoms including numbness, tingling, and pain in the radial part of the hand ( 1 ). (sjweh.fi)
  • Occupational mechanical exposures may lead to increased pressure in the carpal tunnel and traction of the median nerve, which may initiate a series of changes such as ischemic microcirculation injury, edema, alterations in the blood-nerve barrier, thinning of myelin, altered ion channel dynamics and expression, and axonal degeneration ( 1 , 6 , 7 ). (sjweh.fi)
  • Carpal tunnel syndrome (CTS) is the most common nerve compression syndrome. (healthline.com)
  • In this condition, the carpal tunnel compresses the median nerve as it travels through the carpal tunnel in your wrist. (healthline.com)
  • The carpal tunnel itself is very small in diameter, and anything that causes swelling or inflammation can result in an even tighter space that the median nerve must pass through to innervate the thumb, index finger, middle finger, half the ring finger, and much of the palm. (drtonyimbesiblog.com)
  • The median nerve originates in the neck and is made up of branches from the C6 to T1 nerve roots and it passes through the shoulder, elbow, and forearm before reaching the carpal tunnel. (drtonyimbesiblog.com)
  • Proximal compression or neuropathy of the median nerve is rare compared with carpal tunnel syndrome but recognition and management of these conditions is important. (publisso.de)
  • Impact of carpal tunnel surgery according to pre-operative abnormality of sensory conduction in median nerve: a longitudinal study. (ox.ac.uk)
  • Ultrasound and Electrodiagnosis (EMG) of the Median Nerve training video is designed to provide a comprehensive approach to the use of ultrasound for the assessment of the median nerve and carpal tunnel. (aanem.org)
  • While making a loose fist, symptomatic participants showed significantly less median nerve displacement within the carpal tunnel and significantly greater compression of the median nerve compared to asymptomatic participants. (pitt.edu)
  • Carpal Tunnel - Bifid Median Nerve. (sonosite.com)
  • The right median nerve CSA and depth from the level of the scaphoid bone (at the level of the carpal tunnel) and from the mid-forearm were also measured. (ksbu.edu.tr)
  • Additionally, 31 individuals with complaints of carpal tunnel syndrome symptoms and 20 normal controls were evaluated to see what effect the reverse Phalen's maneuver would have on median sensory latency and amplitude. (nih.gov)
  • Resolution of symptoms including pain, numbness, and tingling outside of the median nerve distribution has been shown to occur following carpal tunnel release. (openorthopaedicsjournal.com)
  • We hypothesized that a similar effect would be found after combined release of the ulnar nerve at the elbow with simultaneous release of the median nerve at the carpal tunnel. (openorthopaedicsjournal.com)
  • This study documents resolution of symptoms in both extra-ulnar and extra-median distributions after combined cubital and carpal tunnel release. (openorthopaedicsjournal.com)
  • This rare entity is often associated with persistent median artery, aberrant muscles, and carpal tunnel syndrome (CTS). (thenerve.net)
  • MRI revealed a typical bifid median nerve proximal to the carpal tunnel. (thenerve.net)
  • Median nerve variation should be considered when performing open or endoscopic carpal tunnel release to prevent iatrogenic injuries. (thenerve.net)
  • Carpal tunnel syndrome(CTS) is a common neuropathy caused by entrapment of the median nerve by a thickened flexor retinaculum in the wrist 4 , 9 , 14) . (thenerve.net)
  • By direct visualization of the swollen, bifid median nerve proximal to the carpal tunnel, we could prevent an occurrence of inadvertent median nerve injury and incomplete decompression of the median nerve. (thenerve.net)
  • Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy of the upper extremity and its diagnosis is based on clinical symptoms, physical examination, and nerve conduction studies (NCS). (archivesofrheumatology.org)
  • 5 ] We consider that the increase in radial deviation of the wrist may impair balance in the carpal tunnel, thereby increasing the pressure on the median nerve. (archivesofrheumatology.org)
  • Carpal tunnel syndrome happens when your median nerve, which runs along the underside of your forearm and up your hand through a tunnel of nine tendons called the carpal tunnel, gets squeezed or compressed. (drbadia.com)
  • If your carpal tunnel is really mechanically compressing median nerve, there's really not a ton you can do to really and permanently relieve that pressure," says Badia. (drbadia.com)
  • Conclusion: The automated NC-stat device showed excellent agreement with traditional EDS for detecting median nerve conduction abnormalities in a general population of workers, suggesting that this automated nerve conduction device can be used to ascertain research case definitions of carpal tunnel syndrome in population health studies. (wustl.edu)
  • Carpal tunnel syndrome is the compression of the median nerve at the wrist, which may result in numbness, tingling, weakness, or muscle atrophy in the hand and fingers. (cdc.gov)
  • NIOSH researchers found that 76% of tested employees had abnormal results from a nerve conduction test while 34% had evidence of carpal tunnel syndrome. (cdc.gov)
  • Electrophysiology in distal median nerve compression syndrome--the so-called carpal tunnel syndrome]. (bvsalud.org)
  • Carpal tunnel syndrome is the most common compressive peripheral neuropathy of the upper extremity, Evolución clínica en which is caused by compression of the median nerve. (bvsalud.org)
  • En severidad, valorada con el cuestionario de Boston para túnel carpal, con infiltración se obtuvieron dos casos asintomáticos y ninguno con ultrasonido. (bvsalud.org)
  • Results: Neural Prolotherapy and Platelet Rich Plasma (PRP) have improved all measured parameters like visual analogue scale (VAS), nerve conduction studies and neuromuscular ultrasonography parameters in carpal tunnel syndrome secondary to rheumatoid arthritis. (bvsalud.org)
  • Median nerve entrapment syndrome is a mononeuropathy that affects movement of or sensation in the hand. (medscape.com)
  • Median nerve entrapment with forearm fracture is rare, and surgical exploration in the early stage is rarely performed. (hindawi.com)
  • This suggested direct involvement of the median nerve at the fracture site, so magnetic resonance imaging (MRI) of the forearm was performed to identify any entrapment. (hindawi.com)
  • Short tau inversion recovery MRI visualized significant deviation and entrapment of the median nerve at the fracture site. (hindawi.com)
  • This report highlights the utility of MRI for detecting median nerve entrapment at a fracture site, allowing immediate surgical release. (hindawi.com)
  • However, symptoms in some cases persist for several months, with median nerve entrapment only found after bone union has been established [ 1 - 11 ]. (hindawi.com)
  • The reason for the delay in diagnosis is that median nerve entrapment is only suspected based on indirect evidence such as clinical findings and nerve conduction velocity. (hindawi.com)
  • We encountered a case with median nerve entrapment associated with a simple radius shaft fracture. (hindawi.com)
  • Median nerve entrapment at the fracture site was therefore suspected, and MRI was performed on day 7 after injury to depict the median nerve in the forearm and clarify the indications for surgical exploration. (hindawi.com)
  • The median nerve was constricted at the site of entrapment, but continuity was maintained. (hindawi.com)
  • Median nerve entrapment in association with forearm fractures is uncommon. (hindawi.com)
  • The medical terms for a pinched nerve are nerve compression or nerve entrapment. (healthline.com)
  • Worse, there could be median nerve entrapment at the wrist and one or more of these other areas. (drtonyimbesiblog.com)
  • A survey of 1,001 individuals in a metropolitan area in 2017 found that nearly 6% experienced symptoms associated with ulnar nerve entrapment. (drtonyimbesiblog.com)
  • We also developed methodology for assessing dynamic characteristics of median nerve entrapment and compression during finger movements. (pitt.edu)
  • In a subsample of subjects, we found dynamic signs of median nerve entrapment and compression in individuals with symptoms of CTS. (pitt.edu)
  • We report a case of median nerve entrapment at the left wrist associated with bifid median nerve and ramification of a persistent median artery. (thenerve.net)
  • Extra articular pathology includes bursitis, tendonitis and neuritis, which results from entrapment, nerve ischemia due to vasculitis or drugs used to treat this condition. (bvsalud.org)
  • The median nerve arises from the branches from lateral and medial cords of the brachial plexus, courses through the anterior part of arm, forearm, and hand, and terminates by supplying the muscles of the hand. (wikipedia.org)
  • The main trunk of the median nerve innervates the superficial and deep groups of the muscles in the anterior compartment of the forearm with the exception of flexor carpi ulnaris. (wikipedia.org)
  • The median nerve does this by giving off two branches as it courses through the forearm: Muscular branches are given off in the cubital fossa to supply flexor carpi radialis, palmaris longus, and flexor digitorum superficialis. (wikipedia.org)
  • The anterior interosseous branch is given off in the upper part of the forearm, courses with the anterior interosseous artery and innervates flexor pollicis longus and the lateral half of flexor digitorum profundus (the ulnar half is supplied by ulnar nerve, as is the flexor carpi ulnaris muscle). (wikipedia.org)
  • The median nerve also gives off sensory and other branches in the forearm. (wikipedia.org)
  • The palmar cutaneous branch of the median nerve arises at the distal part of the forearm. (wikipedia.org)
  • The median nerve, colloquially known as the "eye of the hand," is one of the three major nerves of the forearm and hand. (medscape.com)
  • It is caused by compression of the median nerve in the elbow or distally in the forearm or wrist, with symptoms in the median nerve distribution. (medscape.com)
  • As the nerve enters the forearm, it branches to the pronator teres, the flexor carpi radialis (FCR), the palmaris longus, and the flexor digitorum superficialis (FDS). (medscape.com)
  • The median nerve continues its course in the distal forearm, under the FDS and on the FDP. (medscape.com)
  • Sensation in the palm is supplied by superficial branches of the median nerve arising in the distal forearm. (medscape.com)
  • Ultrasound-guided forearm nerve blocks are effective for pediatric patients in the ED. (medscape.com)
  • Closed forearm fracture sometimes leads to complaints of severe pain, numbness, and/or weakness of the muscle in the territory of median nerve innervation. (hindawi.com)
  • The median nerve then enters the forearm by passing between the two heads of pronator teres and adheres to the deep surface of the flexor digitorum superficialis. (clinicalgate.com)
  • The median nerve passes between the two heads of the pronator teres as it enters the forearm. (clinicalgate.com)
  • The median nerve can be compressed by the muscles in your forearm below your elbow. (healthline.com)
  • Compression of this nerve can occur at one or more sites in your forearm. (healthline.com)
  • Pronator syndrome refers to compression of the median nerve around the elbow, which may present with pain in the forearm and paraesthesia in the hand. (publisso.de)
  • The median nerve provides functions to the forearm, wrist, and hand. (ganeshdiagnostic.com)
  • Transient forearm conduction block in the median nerve. (lhsc.on.ca)
  • The right ulnar nerve CSA and depth from the level of the hook of hamate and the mid-forearm were evaluated. (ksbu.edu.tr)
  • Decompression of the median nerve was carefully performed with extended forearm incision. (thenerve.net)
  • Using ultrasonography, the median nerve cross-sectional areas (CSAs) were measured from the four levels of the distal one third of the forearm, radioulnar joint, pisiform bone, and hook of hamate, while the ulnar nerve CSAs were measured from the pisiform bone. (archivesofrheumatology.org)
  • A case of a traumatic forearm amputation and associated complete avulsions of the ulnar and median nerves from the brachial plexus due to a crush-traction injury of the distal part of the right forearm is reported. (uludag.edu.tr)
  • In addition to its supply to muscles, this nerve also supplies the distal radioulnar joint and wrist joint. (wikipedia.org)
  • B , Distal to the flexor retinaculum, the median nerve divides into the recurrent motor branch and sensory digital nerves. (clinicalgate.com)
  • were implanted in nerves just distal to the brachial plexus (Fig. 1A) and near the elbow (Fig. 1B) by means of a high-speed insertion system (Rousche and Normann 1992). (researchgate.net)
  • [ 29 ] An increasing wrist ratio correlates with prolongation of the median nerve sensory latencies and distal motor latencies. (medscape.com)
  • Determination of distal latency of the motor nerves of the hand]. (bvsalud.org)
  • It is one of the five main nerves originating from the brachial plexus. (wikipedia.org)
  • The median nerve originates from the lateral and medial cords of the brachial plexus, and has contributions from ventral roots of C5-C7 (lateral cord) and C8 and T1 (medial cord). (wikipedia.org)
  • After receiving inputs from both the lateral and medial cords of the brachial plexus, the median nerve enters the arm from the axilla at the inferior margin of the teres major muscle. (wikipedia.org)
  • Inside the cubital fossa, the median nerve passes medial to the brachial artery. (wikipedia.org)
  • The median nerve continues in the cubital fossa medial to the brachial artery and passes between the two heads of the pronator teres, deep to the bicipital aponeurosis (aponeurosis of biceps) and superficial the brachialis muscle. (wikipedia.org)
  • It is formed in the axilla by the lateral and medial cords of the brachial plexus, which arise on opposite sides of the axillary artery and fuse to form the median nerve anterior to the artery (see the image below). (medscape.com)
  • As the nerve courses to the elbow, it lies close to the brachial artery, crossing it anteriorly to medially. (medscape.com)
  • Bier blocks or nerve blocks at the brachial plexus are more effective but require additional expertise to employ. (medscape.com)
  • In the midarm level (the level of insertion of the coracobrachialis), the median nerve crosses the brachial artery anteriorly from the lateral to medial side. (clinicalgate.com)
  • The median nerve descends in the groove between the biceps brachii and brachialis, with at first a lateral relationship to the brachial artery. (clinicalgate.com)
  • In the upper arm and near the shoulder, the median nerve branches off of the brachial plexus. (healthline.com)
  • The medial brachial cutaneous and medial antebrachial cutaneous nerves come off the medial cord. (medscape.com)
  • Anatomic variation: Median nerve block may be contraindicated in the presence of prior surgery or injury at the wrist, proximal vascular grafts, or arteriovenous (AV) fistula . (medscape.com)
  • Additional injuries: The presence of additional injuries proximal to the wrist may necessitate a more proximal nerve block. (medscape.com)
  • At the proximal arm level, the ulnar and radial nerves occupy the flexor compartment posterior to the median nerve. (clinicalgate.com)
  • The median nerve gives off several vascular branches but has no motor innervation in the arm despite its proximal origin. (clinicalgate.com)
  • Muscular branches to the pronator teres arise from the median nerve just proximal to the cubital fossa. (clinicalgate.com)
  • B: right elbow-level arm nerves, just proximal to the elbow. (researchgate.net)
  • Pronator syndrome is the most proximal compression neuropathy of the median nerve. (publisso.de)
  • Magnetic resonance imaging (MRI) of the left wrist showed a swollen, enlarged bifid median nerve proximal to the flexor retinaculum. (thenerve.net)
  • It will not anesthetize the axilla or the proximal medial arm, missing the intercostal and medium cutaneous brachii nerves. (medscape.com)
  • The median nerve gives off an articular branch to the elbow joint. (wikipedia.org)
  • A branch to pronator teres muscle arise from the median nerve immediately above the elbow joint. (wikipedia.org)
  • The radial nerve spirals posteriorly around the humerus, and the ulnar nerve pierces the medial intermuscular septum en route to the elbow. (clinicalgate.com)
  • Surgical access to all 3 target nerves was achieved through a single surgical site at either the elbow or the shoulder. (researchgate.net)
  • In this study, we implanted Utah Slanted Electrode Arrays (USEAs) intrafascicularly, at the elbow or shoulder in arm nerves of rhesus monkeys (n = 4) under isoflurane anesthesia. (researchgate.net)
  • Areas where nerves travel through a narrow space, such as your elbow or wrist, can be more prone to nerve compression. (healthline.com)
  • This often occurs near your elbow or wrist, where bones and other structures form tunnels and small passageways your nerves must travel through. (healthline.com)
  • Cubital tunnel syndrome can also happen as the nerve goes through another tight spot in the elbow area. (healthline.com)
  • The radial nerve is located near your elbow and branches into the posterior interosseous and superficial nerves. (healthline.com)
  • Cubital tunnel syndrome is also compression of the ulnar nerve, but the compression happens around the elbow, not the wrist. (healthline.com)
  • Originally described by Seyffarth in 1951 [ 1 ], pronator syndrome (PS) is a somewhat misleading name as the syndrome encompasses compression of the median nerve around the elbow at more anatomical sites than just the pronator teres. (publisso.de)
  • The palmar cutaneous branch emerges as the median nerve becomes superficial, just above the wrist. (medscape.com)
  • Median nerve blocks at the wrist, either alone or in combination with blockade of the ulnar and radial nerves, are useful emergency department (ED) procedures. (medscape.com)
  • A median nerve block at the wrist provides anesthesia and analgesia to the palmar surfaces of the lateral two-thirds of the palm, the thumb, the index and middle fingers, and one half of the ring finger (see image below). (medscape.com)
  • For simple lacerations, nerve blocks at the wrist may be slower and less reliable than local infiltration or digital block. (medscape.com)
  • In many of these situations, the median nerve block can be combined with ulnar or radial blocks at the wrist to achieve the desired coverage. (medscape.com)
  • Mink skinning was characterized by a median angle of wrist flexion/extension of 16º extension, a median velocity of wrist flexion/extension of 22 °/s, and force exertions of 11% of maximal voluntary electrical activity. (sjweh.fi)
  • Conclusions In this natural experiment, impaired median nerve conduction developed during 22 days of repetitive industrial work with moderate wrist postures and limited force exertion. (sjweh.fi)
  • Little is known about the time relation between entry into a job that entails high mechanical exposures to the wrist and the development and course of median nerve impairment. (sjweh.fi)
  • A median nerve block, done at the wrist, anesthetizes the volar surface of the thenar half of the hand (from the thumb through the radial half of the ring finger) as well as the dorsal surfaces of the corresponding fingertips, excluding the thumb. (msdmanuals.com)
  • This uncommon condition occurs when the ulnar nerve is compressed in a tunnel on the pinkie side of your wrist. (healthline.com)
  • In the area of your wrist, there is a sensory nerve branch of the radial nerve. (healthline.com)
  • Anything that fits tightly around your wrist, such as handcuffs or a watch, can compress the radial nerve here. (healthline.com)
  • It's also important to keep in mind that the median nerve doesn't exist only in the wrist and hand. (drtonyimbesiblog.com)
  • We were unable to determine any significant relationships between median nerve changes and propulsion biomechanics variables, including resultant force, stroke frequency, and wrist joint angles. (pitt.edu)
  • METHODS: Six research groups collected prospective data at >50 workplaces including symptoms characteristic of CTS and electrodiagnostic studies (EDS) of the median and ulnar nerves across the dominant wrist. (cdc.gov)
  • However, various causes of secondary CTS have been reported, including vascular anomalies involving persistent median artery, variations of the median nerve, and space-occupying lesions in the wrist and palm 1 - 4 , 7 - 9 , 13) . (thenerve.net)
  • Is Radial Deviation of Wrist Related With Median Nerve Swelling in Patients With Rheumatoid Arthritis? (archivesofrheumatology.org)
  • This study aims to investigate whether or not radial deviation developing after wrist involvement of rheumatoid arthritis (RA) is a cause of median nerve swelling. (archivesofrheumatology.org)
  • Our hypothesis was that the increase in radial deviation of the wrist may increase the median nerve CSAs and the decrease in radial deviation of wrist may increase the ulnar CSA. (archivesofrheumatology.org)
  • Methods: Sixty-two subjects received bilateral median and ulnar nerve conduction testing across the wrist with a traditional device and the NC-stat automated device. (wustl.edu)
  • The intervention involves rhythmic pulse trains of median nerve stimulation delivered via a device worn at the wrist. (medscape.com)
  • The study showed that if you stimulate the median nerve at the wrist, you can train brain oscillations that are linked to the suppression of movement," Joyce said. (medscape.com)
  • After entering the cubital fossa lateral to the brachialis tendon, the median nerve passes between the two heads of the pronator teres, a possible site of compression. (medscape.com)
  • The median nerve also gives off a significant branch within the pronator teres, the AIN, which supplies the flexor pollicis longus (FPL), the pronator quadratus, and the lateral half of the flexor digitorum profundus (FDP). (medscape.com)
  • The median nerve is accompanied by the median artery (a branch of anterior interosseous artery) during this course. (wikipedia.org)
  • During gestation, a median artery that serves the hand retracts. (wikipedia.org)
  • 2001 and 31 December 2003 to identify and radial nerves presents as acute periph- potential cases of TIN, using multiple diag- eral neuropathy with flaccid paralysis of nostic terms such as traumatic injection, the injected limb within 24 hours after in- traumatic neuritis, injection injury, etc. (who.int)
  • The palmar nerves also give off branches to supply the two lateral lumbrical muscles. (medscape.com)
  • A recurrent branch of the median nerve also provides motor function to the thenar muscles. (medscape.com)
  • The recurrent motor branch to the thenar muscles arises from the radial surface of the median nerve. (clinicalgate.com)
  • Adhesive patches called surface electrodes are placed on the skin over nerves or muscles at different spots. (medlineplus.gov)
  • In addition, the clinical basis for utilizing ultrasound for assessment of both normal / abnormal sonographic characteristics of the nerves, muscles, and other related anatomy is included. (aanem.org)
  • The superficial nerve simply sits closer to the skin than the deep nerve, but they each connect to different muscles and tissue. (healthline.com)
  • The accessory nerve is a cranial nerve that controls the movement of certain neck muscles. (healthline.com)
  • Ultrasound orientation of the muscles, arteries, and nerves in a transverse view. (medscape.com)
  • In the other study, which followed newly hired pork processing employees, nerve conduction studies (NCS) showed signs of impaired median nerve conduction after an average of 64 work days ( 9 ). (sjweh.fi)
  • Experimental animal studies have shown that 12 weeks of repetitive work with either high- or low-force exertion led to impaired median nerve conduction in rats ( 11 , 12 ). (sjweh.fi)
  • This contribution outlines the anatomic and histomorphometric basis for the transfer of the superficial branch of the radial nerve (SBRN) to the median nerve (MN) and the superficial branch of the ulnar nerve (SBUN). (uzh.ch)
  • The superficial nerve is closer to the surface of your skin. (healthline.com)
  • This is when the superficial branch (which is close to the surface) of the radial nerve gets pinched. (healthline.com)
  • The nerve then splits inside the neck of the fibula into two parts: the deep peroneal nerve and the superficial peroneal nerve. (healthline.com)
  • The superficial nerve, however, mainly affects the skin in the calf and on top of the foot. (healthline.com)
  • Results Pigs received intramuscular dexmedetomidine, midazolam, and butorphanol for SEP assessment with peroneal nerve stimulation. (researchgate.net)
  • It is based on a median nerve stimulation experiment recorded at the Montreal Neurological Institute in 2011 with a CTF MEG 275 system. (usc.edu)
  • We investigated the sensitivity of the temporal correlations in sensorimotor 10- and 20-Hz oscillations to median nerve stimulation that is known to have immediate effects on ongoing oscillations. (nih.gov)
  • Emerging therapies included deep brain stimulation and the new median nerve stimulation approach. (medscape.com)
  • The device was programmed to deliver rhythmic (10 Hz) trains of low-intensity (1-19 mA) electrical stimulation to the median nerve at home once daily, 5 days a week for 4 weeks. (medscape.com)
  • The tibial nerve at the level of the ___ is usually the site of stimulation for somatosensory evoked potential monitoring. (studystack.com)
  • The critical electrode for detecting the evoked potential after stimulation of the tibial nerve must be placed over the primary sensory cortex where on the scalp? (studystack.com)
  • After mild electrical stimulation of the nerve occurs, the electrical information reaches the cortex and what occurs? (studystack.com)
  • This technique was most commonly used with nerve stimulation. (medscape.com)
  • Both groups demonstrated a prolongation of the median sensory revoked response after 1 minute of this maneuver. (nih.gov)
  • BACKGROUND: It remains a surgical challenge to treat high-grade nerve injuries of the upper extremity. (uzh.ch)
  • The various types of nerve injuries possible during rope bondage. (theduchy.com)
  • These symptoms are often transient and attributable to stretching of the median nerve near the fracture site. (hindawi.com)
  • The compressed nerve then becomes inflamed, which causes symptoms. (healthline.com)
  • If the mobility of the nerve is affected at any of these sites, the patient may report many of the same symptoms as CTS. (drtonyimbesiblog.com)
  • Comparing individuals with and without symptoms of CTS, we found no significant differences at baseline, but did see significantly different and opposite median nerve changes in response to propulsion. (pitt.edu)
  • Pre-operative patient counseling may therefore include the likelihood of symptomatic improvement in a non-expected nerve distribution after this procedure, assuming no other concomitant pathology which may cause persistent symptoms. (openorthopaedicsjournal.com)
  • The classic motor and sensory signs of CTS including the provocative bedside tests, but do not reliably distinguish among patients with suggestive CTS symptoms between focal median nerve neuropathy as confirmed by electrophysiological testing and other conditions with similar complaints and negative electrophysiological results. (medscape.com)
  • It should be noted that these fractures may be complicated by a median nerve injury. (aafp.org)
  • Almost all of the median nerve was trapped within the fracture site, but release was successfully achieved with a surgical procedure on day 10 after injury (Figure 3 ). (hindawi.com)
  • High-count microelectrode arrays implanted in peripheral nerves could restore motor function after spinal cord injury or sensory function after limb loss. (researchgate.net)
  • This means any injury to this nerve causes ankle and toe weakening along with numbness between the big toe and second toe. (healthline.com)
  • Thenar muscle atrophy indicates axonal nerve injury in more advanced CTS. (medscape.com)
  • Therefore, it is important that everyone involved recognize that this risk is always present, and that even if both Top and bottom do what they can to reduce the risk, nerve injury may still occur. (theduchy.com)
  • The Bureau of Labor Statistics reported 26,794 CTS cases involving days away from work in 2001, representing a median of 25 days away from work compared with 6 days for all nonfatal injury and illness cases. (cdc.gov)
  • Injury to the median nerve. (who.int)
  • Secondary end points were minor access vascular complications, transient peripheral nerve injury, stroke, and influence on periprocedural outcomes of puncture technique. (lu.se)
  • Temporary nerve injury and stroke were observed in 2% and 4% of patients, respectively. (lu.se)
  • It is caused by pressure on the median nerve where it passes into the hand. (emofree.com)
  • Results: Median motor and sensory latency comparisons showed excellent agreement (intraclass correlation coefficients 0.85 and 0.80, respectively). (wustl.edu)
  • The median nerve is a nerve in humans and other animals in the upper limb. (wikipedia.org)
  • The common peroneal nerve runs alongside the sciatic nerve, from the femur to the buttocks. (healthline.com)
  • The sciatic nerve branches into which two nerves? (studystack.com)
  • Ultrasonography provides the means necessary to study the median nerve characteristics and physiologic changes associated with wheelchair propulsion. (pitt.edu)
  • The cross-sectional area (CSA) and depth of the right median and ulnar nerve were measured using ultrasonography before and after 20-min hot pack application. (ksbu.edu.tr)
  • 2 ] In recent years, ultrasonography (US) has also been used for the diagnosis of CTS, because US tracking of the median nerve helps detect morphological changes and external compression. (archivesofrheumatology.org)
  • Several techniques for infraclavicular nerve blocks have been described. (medscape.com)
  • Damage to the spinal cord and disk herniation (herniated nucleus pulposus) with nerve root compression can also cause abnormal results. (medlineplus.gov)
  • The U.S. Department of Labor defines CTS as a disorder associated with the peripheral nervous system, which includes nerves and ganglia located outside the spinal cord and brain. (cdc.gov)
  • Cubital tunnel syndrome happens when the ulnar nerve gets compressed as it runs through the cubital tunnel. (healthline.com)
  • The measurements show feasibility of this procedure and shall help in planning this sensory nerve transfer. (uzh.ch)
  • The posterior interosseous nerve is the branch that travels deeper into your arm. (healthline.com)
  • Anatomy of median nerve along its course in upper extremity. (medscape.com)
  • The median nerve can be blocked at multiple sites along its passage through the upper extremity. (medscape.com)
  • High-resolution ultrasound facilitates selective nerve blocks at nearly every level of the upper extremity. (bmj.com)
  • Reliable techniques for selective nerve blocks of the upper extremity can expand the capabilities for ultrasound-guided regional anesthesia. (bmj.com)
  • Nerve conduction velocity (NCV) is a test to see how fast electrical signals move through a nerve. (medlineplus.gov)
  • Nerves travel down your arm, and there's potential for the nerve to be pinched by a bone, muscle, or tendon. (healthline.com)
  • Objective: To investigate the validity of automated nerve conduction studies compared to traditional electrodiagnostic studies (EDS) for testing median nerve abnormalities in a working population. (wustl.edu)
  • A device that stimulates the median nerve and a D1 receptor antagonist are among the promising new treatment approaches for patients with Tourette syndrome (TS), according to an overview of new therapies presented at the XXVI World Congress of Neurology (WCN). (medscape.com)
  • Nerve sliders or neural 'flossing' provide an effective strategy to alleviate neural tension within the muscle interface that is passes through. (peak-physio.com.au)
  • An MRI left median nerve is an imaging procedure performed to visualize the median nerve for lesions, nerve compression, etc. (ganeshdiagnostic.com)
  • In future studies, the relationship between morphological changes in healthy and pathological nerves and electrodiagnostic findings should be investigated. (ksbu.edu.tr)
  • Safe and effective application of the median nerve block requires a thorough understanding of the regional anatomy (see images below). (medscape.com)
  • The presentation is structured to review the nerve anatomy, clinical assessment, the relative value and technical approach of routine electrophysiologic techniques, scanning techniques, and image optimization with ultrasound. (aanem.org)
  • Recognize sonographic appearance of the median nerve anatomy. (aanem.org)
  • The anterior interosseous nerve is a motor nerve branch of the median nerve. (healthline.com)
  • State clinical indications for ultrasound of the median nerve. (aanem.org)
  • List ultrasound examination protocols and scan techniques for evaluation of the median nerve including post-surgical assessment. (aanem.org)
  • Identify commonly seen median nerve pathology recognized with ultrasound and apply diagnostic criteria for accurate diagnosis. (aanem.org)
  • In this research, we used ultrasound and image analysis techniques to quantify median nerve shape and size characteristics. (pitt.edu)
  • Specifically, the three most common ultrasound characteristics previously related to CTS, including median nerve cross-sectional area at the pisiform level, flattening ratio at the hamate level, and swelling ratio, were significantly different between symptom groups. (pitt.edu)
  • In conclusion, quantitative ultrasound measures of the median nerve are useful for studying CTS and assessing the nerve response to activity. (pitt.edu)
  • In this article, fresh cadaver dissections with corresponding ultrasound images are used to demonstrate stepwise fascial plane techniques for the radial, median, and ulnar nerves. (bmj.com)
  • JDS developed nerve blockade technique, obtained ultrasound images, devised and edited manuscript. (bmj.com)
  • The median nerve has a V -shaped configuration, formed by the contributions from the lateral cord and the medial cord. (clinicalgate.com)
  • In hands with abnormal median SNC, surgery was associated with resolution of numbness, tingling and pain (PRR 1.5, 95% CI 1.0-2.2), and of numbness and tingling specifically (PRR 1.8, 95% CI 1.3-2.6). (ox.ac.uk)
  • CONCLUSIONS: Our definition of abnormal median SNC distinguished a subset of patients who appeared to benefit from surgical treatment. (ox.ac.uk)
  • Compression or 'pinching' of one of the main arm nerves can cause tingling, numbness, and nerve pain in the arm. (healthline.com)
  • Bifid median nerve is a cause of secondary CTS due to its relatively higher cross-sectional area compared to a non-bifid median nerve. (thenerve.net)
  • They are performed using low anesthetic volumes and without proximity to nerves or vascular structures. (bmj.com)
  • Extra-anatomic reconstructions through the transfer of peripheral nerves have gained clinical importance over the past decades. (uzh.ch)
  • Median nerve block can be done using anatomic landmarks or ultrasonographic guidance. (msdmanuals.com)
  • These selective nerve blocks can match sensory loss with the anatomic pain distribution in each patient. (bmj.com)
  • The skin incision usually exposes antebrachial cutaneous nerve branches. (clinicalgate.com)
  • The medial cutaneous nerve is located in the arm. (healthline.com)

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