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MEDIAN
NERVE
INTRODUCTION
FORMATION
COURSE & RELATIONS
BRANCHES
 Muscular branches :
• In the Arm : Nerve to Pronator Teres
• In the Forearm :
1. Nerve to Pronator Teres, Flexor carpi Radialis,
FDS
2. To Flexor Pollicis Longus, Lateral half of Flexor
Digitorum Profundus, Pronator Quadratus.
• In the Palm :
• To Abductor Pollicis Brevis, Flexor Pollicis Brevis,
Opponens Pollicis, 1st and 2nd Lumbricals.
BRANCHES
 Cutaneous branches :
• In the Forearm : Palmar cutaneous branch
• In the Palm : Palmar digital nerves
 Articular branches : To Elbow, superior and
inferior radio-ulnar joints & wrist joints.
 Vascular branches : Axillary, Brachial and
neighbouring arteries.
APPLIED ANATOMY
 Also called as Labourer’s nerve / Eye of Hand
 Section of nerve :
1. Above the level of Elbow Joint :
• Paralysis of FDS, Flexor Pollicis Longus and
Lateral ½ of FDF, hence
• Thumb remains Extended and Adducted.
• Forearm is in Supine position
• Hand is adducted
• Wasting of Thenar eminence
APPLIED ANATOMY
• Ape thumb deformity
• Pointing Index Finger Deformity
• Sensory loss :
• Sensor loss of Palmar surface of lateral 3 ½ digits
• Sensory loss of Dorsal surface of same digits over
middle and distal phalanges
• Sensory loss of Dorsal surface of distal phalanx of
thumb
• Vasomotor and Trophic changes.
CARPAL TUNNEL SYNDROME :
 Cause :
 Occurs in both males and females between 25 to
70.
 Intermittent Attacks of pain along the distribution
of median nerve and occur mostly at night.
 pain may refer to forearm or arm.
 On examination :
• Weakness and Wasting of Thenar muscles &
Eminence
• Hypo-aesthesia over palmar aspect of lateral 3 ½
digits.
CARPAL TUNNEL SYNDROME :
 Motor symptoms : Ape Thumb deformity,
Pointing Index finger
Sensory symptoms :
• Loss of sensation on Palmar surface of Lateral 3
½ digits
• Loss of sensation on Dorsal surface of Distal
phalanges of Lateral 3 ½ fingers.
Vasomotor changes : Skin area with sensory loss
is warmer and dry.
 Trophic changes : Skin is dry, scaly and Nails
crack easily.
APPLIED ANATOMY
• Complete Claw Hand :
THANK YOU
RADIAL
NERVE
INTRODUCTION
• It the largest branch of Brachial plexus and is
the nerve of Extensor Compartment of Arm
and Forearm.
FORMATION
COURSE & RELATIONS
BRANCHES
APPLIED ANATOMY
THANK YOU

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Storyboard on Acne-Innovative Learning-M. pharm. (2nd sem.) Cosmetics
 

Median nerve.pptx

  • 5. BRANCHES  Muscular branches : • In the Arm : Nerve to Pronator Teres • In the Forearm : 1. Nerve to Pronator Teres, Flexor carpi Radialis, FDS 2. To Flexor Pollicis Longus, Lateral half of Flexor Digitorum Profundus, Pronator Quadratus. • In the Palm : • To Abductor Pollicis Brevis, Flexor Pollicis Brevis, Opponens Pollicis, 1st and 2nd Lumbricals.
  • 6. BRANCHES  Cutaneous branches : • In the Forearm : Palmar cutaneous branch • In the Palm : Palmar digital nerves  Articular branches : To Elbow, superior and inferior radio-ulnar joints & wrist joints.  Vascular branches : Axillary, Brachial and neighbouring arteries.
  • 7. APPLIED ANATOMY  Also called as Labourer’s nerve / Eye of Hand  Section of nerve : 1. Above the level of Elbow Joint : • Paralysis of FDS, Flexor Pollicis Longus and Lateral ½ of FDF, hence • Thumb remains Extended and Adducted. • Forearm is in Supine position • Hand is adducted • Wasting of Thenar eminence
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  • 9. APPLIED ANATOMY • Ape thumb deformity • Pointing Index Finger Deformity • Sensory loss : • Sensor loss of Palmar surface of lateral 3 ½ digits • Sensory loss of Dorsal surface of same digits over middle and distal phalanges • Sensory loss of Dorsal surface of distal phalanx of thumb • Vasomotor and Trophic changes.
  • 10. CARPAL TUNNEL SYNDROME :  Cause :  Occurs in both males and females between 25 to 70.  Intermittent Attacks of pain along the distribution of median nerve and occur mostly at night.  pain may refer to forearm or arm.  On examination : • Weakness and Wasting of Thenar muscles & Eminence • Hypo-aesthesia over palmar aspect of lateral 3 ½ digits.
  • 11. CARPAL TUNNEL SYNDROME :  Motor symptoms : Ape Thumb deformity, Pointing Index finger Sensory symptoms : • Loss of sensation on Palmar surface of Lateral 3 ½ digits • Loss of sensation on Dorsal surface of Distal phalanges of Lateral 3 ½ fingers. Vasomotor changes : Skin area with sensory loss is warmer and dry.  Trophic changes : Skin is dry, scaly and Nails crack easily.
  • 15. INTRODUCTION • It the largest branch of Brachial plexus and is the nerve of Extensor Compartment of Arm and Forearm.
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