Lower Limb
Tarsal tunnel syndrome is an entrapment neuropathy affecting this nerve
Posterior Tibial Nerve
33 year old lady who is experiencing LBP. She reports urgency, frequency and burning on urination. Low back ROM is normal on physical exam. What are 2 Ddx to consider.
Bladder infection, Kidney Infection
A group of disorders that occur when blood vessels or nerves in the space between your collarbone and your first rib are compressed.
Thoracic Outlet Syndrome
The most common cause of dizziness and vertigo. This condition is characterized by brief episodes of dizziness, nausea, and/or nystagmus triggered by head movement.
BPPV
Patient experiences a painful locking of the middle finger when moving into full flexion (full name)
Stenosing Tenosynovitis
The tendons of these three muscles joint to form the PES Tendon
Sartorious, Gracillis, Semitendonosis
28-year-old receptionist experiencing right arm/hand tingling after playing floor hockey last night. Feels stiff/tight through neck/shoulder. Describes tingling into R 4th and 5th fingers. What is the most likely dx?
Neurogenic TOS
The most common site of compression within the radial tunnel is beneath this thickened, fibrous proximal edge of the supinator muscle
45 year old man is woken up in the middle of the night with intense unilateral pain around one eye. He reports episodes can last from weeks to months, usually followed by remission periods.
Cluster Headaches
Effort-induced thrombosis of the axillary and subclavian veins associated with compression of the subclavian vein at the thoracic outlet.
Padget Schroetter Syndrome
This nerve provides sensory innervation of the medial leg and calf, terminating distally at the “ball” of the great toe.
Saphenous Nerve
What are the 4 areas to palpate as per the Ottawa Ankle Rules
- 6 cm of posterior edge of fibula or tip of lateral malleolus
- distal 6 cm of posterior edge of tibia/tip of medial malleolus
- base of 5th metatarsal
- navicular
Bonus: inability to bear weight both immediately after injury and for 4 steps during intial evaluation
A tear or detachment of the shoulder's superior glenoid labrum; generally originating at the anchor site for the long head of the biceps tendon
SLAP Lesion
74 year old patient reports that his hat size has been increasing over the past year.
Padget's Disease
Sinding-Larsen-Johansson Syndrome
Softening, erosion, fragmentation or scarring of articular surface of the patella.
Chondromalacia Patella
52 year old male has begun experiencing numbness and tingling into the right anteriolateral thigh. Recently started umpiring softball. Denies any pain with coughing or sneezing.
Meralgia Paresthetica
This nerve innervates the anterior-superior shoulder, and can cause diffuse/ache pain within this region
Supraclavicular nerve
A rare neurological disorder that typically affects adults over 60 years of age. The disorder is characterized by facial weakness or paralysis of the facial nerve (facial palsy) and a rash affecting the ear or mouth. Symptoms are usually on one side of the face
Ramsey Hunt Syndrome
Lesion to his nerve causes weakness in the muscles of mastication.
CN V - Trigeminal
This 'uncommon' neuropathy and cause of heel pain is reported to case up to 20% of cases (Hint - it's not plantar fasciitis)
Baxters Neuropathy (entrapment of Baxter's nerve at quadratus plantae and abductor hallucis)
A 53 year old woman is experiencing unilateral pain, numbness, and paresthesia over the lumbosacral region, iliac crest, and into the groin. Her symptoms are provoked by extension. There are no leg symotoms. There are no red flags.
Maigne's Syndrome
This nerve provides motor innervation to the sternocleidomastoid (SCM) and upper trapezius muscles.
Spinal Accessory Nerve CN XI
This term refers to extremely low (life threatening) thyroid hormone levels.
Myxedema
This condition results from elevated levels of cortisol for long periods of time
Cushings Syndrome