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Wrist drop

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nerve can send sensations of pain, numbness, and/or tingling to the brain. This is called nerve entrapment. Nerve entrapment most frequently occurs at the wrist (carpal tunnel syndrome) and elbow (ulnar nerve entrapment). A rare form of nerve disease in patients with rheumatoid arthritis that causes numbness and/or tingling is neuropathy. Neuropathy is nerve damage that in people with rheumatoid arthritis can result from inflammation of blood vessels (
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Persistent injury–Persistent injury to the nerve is a common cause through either repetitive motion or by applying pressure externally along the route of the radial nerve as in the prolonged use of crutches, extended leaning on the elbows, or regular upper body rope suspension. The colloquial terms
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Neuropathy in the hands and/or arms in patients with rheumatoid arthritis may in rare cases cause wrist drop. "When a joint swells, it can pinch the nerves of sensation that pass next to it. If the swelling irritates the nerve, either because of the inflammation or simply because of pressure, the
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removal of bone spurs or other anatomical defects that may be impinging on the nerve might be warranted. If the injury was the result of pressure from prolonged use of improperly fitted crutches or other similar mechanisms of injury, then the symptoms of wrist drop will most likely resolve
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Correcting dislocated shoulders–Radial nerve palsy can result from the now discredited practice of correcting a dislocated shoulder by putting a foot in the person's armpit and pulling on the arm in attempts to slide the
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that attach distal to (beyond) the wrist. If the tendons, muscles, or nerves supplying these muscles are damaged or otherwise not working as they should be, wrist drop may occur.
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studies to isolate and confirm the radial nerve as the source of the problem. Other screening tests include the inability to extend the thumb into a "hitchhiker's sign".
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is the part of the body that extends from the elbow to the wrist and is not to be confused with the arm, which extends from the shoulder to the elbow.
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General weakness of upper limb marked in deltoid, triceps, wrist extension and finger extension = corticospinal lesion
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Radial nerve palsy, musculospiral nerve palsy, crutch paralysis, Saturday night palsy, honeymoon palsy
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Raikin S, Froimson MI (1997). "Bilateral brachial plexus compressive neuropathy (crutch palsy)".
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of the forearm. As a result, the extensor muscles in the posterior compartment remain paralyzed.
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can help identify bone spurs and fractures that may have injured the nerve. Sometimes
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Dedeken P, Louw V, Vandooren AK, Verstegen G, Goossens W, Dubois B (June 2006).
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Weakness of finger extension and radial deviation of the wrist on extension =
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Wrist extension is achieved by muscles in the forearm contracting, pulling on
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Textbook of Orthopedics: With Clinical Examination Methods in Orthopedics
981:. Other muscles in the forearm that are innervated by this nerve are the 187:. The wrist remains partially flexed due to an opposing action of flexor 1381: 1017:
are all innervated by muscular branches of the radial nerve in the arm.
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Weakness of triceps, finger extensors and flexors = c7,8 lesion
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at The Anatomy Lesson by Wesley Norman (Georgetown University)
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Types of wrist drop are distinguished by the nerves affected:
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Hereditary neuropathy with liability to pressure palsy
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Anatomy and Physiology: The Unity of Form and Function
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Broken humerus–The radial nerve can be damaged if the
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Klippel JH, Crofford LJ, Stone JH, White PH (2008).
1264:(6th ed.). New York: McGraw-Hill. p. 497. 1153:
imaging is required to differentiate subtle causes.
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is the terminal branch of the posterior cord of the
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for radial nerve palsy are derived from this cause.
1032:The following situations may result in wrist drop: 46:. Unsourced material may be challenged and removed. 2222:Chronic inflammatory demyelinating polyneuropathy 2354: 1334: 973:. These extensor muscles are supplied by the 1853: 1472: 1062:Lead poisoning–Wrist drop is associated with 221: 1448:: CS1 maint: multiple names: authors list ( 949:The extensor muscles in the forearm are the 1204: 1860: 1846: 1479: 1465: 1328: 228: 214: 1236: 1036:Stab wounds to the chest at or below the 106:Learn how and when to remove this message 1309: 1259: 2355: 1434:William C. Shiel Jr., MD, FACP, FACR. 235: 2295: 2143: 1880: 1841: 1460: 1165:of the wrist for support, along with 209: 175:is a medical condition in which the 44:adding citations to reliable sources 15: 1141:for wrist drop frequently includes 13: 1881: 194: 14: 2374: 1632:Slipped capital femoral epiphysis 1367: 1182:spontaneously within 8–12 weeks. 2020:lateral cutaneous nerve of thigh 1349:10.1097/00005131-199702000-00014 1287:Primer on the Rheumatic Diseases 1229:10.1111/j.1525-1497.2006.00328.x 137: 20: 31:needs additional citations for 2314:Complex regional pain syndrome 2123:Template:Cranial nerve disease 1303: 1278: 1253: 1015:extensor carpi radialis longus 971:extensor carpi radialis longus 967:extensor carpi radialis brevis 616:extensor carpi radialis longus 543:flexor digitorum superficialis 1: 2185:Hereditary spastic paraplegia 1197: 1698:Patellofemoral pain syndrome 1156: 1132: 1120:posterior interosseous nerve 975:posterior interosseous nerve 7: 2195:Familial amyloid neuropathy 2170:Charcot–Marie–Tooth disease 1185: 1161:Initial treatment includes 826:flexor digiti minimi brevis 10: 2379: 2324:Nerve compression syndrome 568:flexor digitorum profundus 185:metacarpophalangeal joints 2306: 2302: 2296: 2291: 2267: 2249:Pectoralis minor syndrome 2230: 2203: 2160: 2156: 2139: 2112: 2090: 2072: 2054: 2036: 2018: 2011: 1984: 1956: 1923: 1900: 1893: 1889: 1876: 1870:peripheral nervous system 1868:Diseases relating to the 1785: 1758: 1706: 1663: 1640: 1607: 1598: 1561: 1538: 1505: 1496: 1375: 1260:Saladin, Kenneth (2012). 1143:nerve conduction velocity 1020: 913: 888: 879: 846: 808: 770: 761: 736: 696: 645: 594: 585: 551: 511: 502: 487: 450: 405: 377: 349: 334: 301: 256: 247: 158: 145: 136: 128: 123: 2275:Alcoholic polyneuropathy 2254:Thoracic outlet syndrome 1102: 995:abductor pollicis longus 991:extensor pollicis longus 987:extensor pollicis brevis 793:abductor pollicis brevis 677:extensor pollicis longus 672:extensor pollicis brevis 667:abductor pollicis longus 2217:Guillain–BarrĂ© syndrome 2175:Dejerine–Sottas disease 1976:Cheiralgia paresthetica 1673:Chondromalacia patellae 2319:Mononeuritis multiplex 2244:Brachial plexus injury 2150:Polyradiculoneuropathy 2074:superior gluteal nerve 2046:Tarsal tunnel syndrome 2028:Meralgia paraesthetica 1933:Ulnar nerve entrapment 1910:Carpal tunnel syndrome 1650:Angular limb deformity 1428:clinicalconsiderations 1310:Ebnezar, John (2010). 1289:. New York: Springer. 955:extensor digiti minimi 951:extensor carpi ulnaris 831:abductor digiti minimi 821:opponens digiti minimi 788:flexor pollicis brevis 637:extensor carpi ulnaris 632:extensor digiti minimi 573:flexor pollicis longus 2334:Peripheral neuropathy 2209:demyelinating disease 1943:Ulnar tunnel syndrome 1571:Boutonniere deformity 1066:due to the effect of 706:bicipital aponeurosis 533:flexor carpi radialis 183:cannot extend at the 2082:Trendelenburg's sign 1807:Abnormal angulation 1731:Bunion/hallux valgus 1525:Subacromial bursitis 1175:occupational therapy 1167:osteopathic medicine 1070:on the radial nerve. 1057:deep brachial artery 900:extensor retinaculum 538:flexor carpi ulnaris 154:, and radial nerves. 40:improve this article 2100:Piriformis syndrome 1986:long thoracic nerve 1627:Protrusio acetabuli 1581:Swan neck deformity 1515:Adhesive capsulitis 999:anatomical position 728:antebrachial fascia 662:anatomical snuffbox 473:triangular interval 430:intermuscular septa 322:infraspinous fascia 317:supraspinous fascia 1915:Ape hand deformity 1803:Ligamentous laxity 1655:Unequal leg length 977:, a branch of the 959:extensor digitorum 930:palmar aponeurosis 925:flexor retinaculum 905:extensor expansion 749:osborne's ligament 627:extensor digitorum 563:pronator quadratus 463:quadrangular space 397:articularis cubiti 2350: 2349: 2346: 2345: 2342: 2341: 2287: 2286: 2283: 2282: 2135: 2134: 2131: 2130: 2108: 2107: 2007: 2006: 1966:Radial neuropathy 1835: 1834: 1827:Joint dislocation 1754: 1753: 1594: 1593: 1520:Rotator cuff tear 1423: 1422: 1192:Radial neuropathy 1177:. In some cases, 946: 945: 942: 941: 938: 937: 800:adductor pollicis 783:opponens pollicis 757: 756: 692: 691: 581: 580: 483: 482: 330: 329: 170: 169: 118:Medical condition 116: 115: 108: 90: 2370: 2304: 2303: 2293: 2292: 2180:Refsum's disease 2158: 2157: 2141: 2140: 2064:Morton's neuroma 2016: 2015: 1898: 1897: 1891: 1890: 1878: 1877: 1862: 1855: 1848: 1839: 1838: 1822:Bone malrotation 1811:Valgus deformity 1683:Luxating patella 1605: 1604: 1503: 1502: 1481: 1474: 1467: 1458: 1457: 1453: 1447: 1439: 1373: 1372: 1361: 1360: 1332: 1326: 1325: 1307: 1301: 1300: 1282: 1276: 1275: 1257: 1251: 1250: 1240: 1217:J Gen Intern Med 1208: 963:extensor indicis 918: 893: 886: 885: 768: 767: 684:extensor indicis 650: 599: 592: 591: 556: 516: 509: 508: 500: 499: 468:triangular space 359:coracobrachialis 347: 346: 254: 253: 230: 223: 216: 207: 206: 141: 121: 120: 111: 104: 100: 97: 91: 89: 48: 24: 16: 2378: 2377: 2373: 2372: 2371: 2369: 2368: 2367: 2353: 2352: 2351: 2338: 2298: 2279: 2263: 2226: 2199: 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1926: 1922: 1916: 1913: 1911: 1908: 1907: 1905: 1903: 1899: 1896: 1892: 1888: 1884: 1879: 1875: 1871: 1863: 1858: 1856: 1851: 1849: 1844: 1843: 1840: 1828: 1825: 1823: 1820: 1816: 1812: 1809: 1808: 1806: 1804: 1801: 1799: 1796: 1794: 1791: 1790: 1788: 1786:General terms 1784: 1778: 1775: 1773: 1770: 1769: 1767: 1765: 1761: 1757: 1747: 1744: 1742: 1739: 1737: 1734: 1732: 1729: 1727: 1724: 1722: 1719: 1717: 1714: 1713: 1711: 1709: 1705: 1699: 1696: 1694: 1691: 1689: 1686: 1684: 1681: 1679: 1676: 1674: 1671: 1670: 1668: 1666: 1662: 1656: 1653: 1651: 1648: 1647: 1645: 1643: 1639: 1633: 1630: 1628: 1625: 1623: 1620: 1618: 1615: 1614: 1612: 1610: 1606: 1603: 1601: 1597: 1587: 1584: 1582: 1579: 1577: 1576:Mallet finger 1574: 1572: 1569: 1568: 1566: 1564: 1560: 1554: 1553:Cubitus varus 1551: 1549: 1546: 1545: 1543: 1541: 1537: 1531: 1528: 1526: 1523: 1521: 1518: 1516: 1513: 1512: 1510: 1508: 1504: 1501: 1499: 1495: 1490: 1482: 1477: 1475: 1470: 1468: 1463: 1462: 1459: 1451: 1445: 1437: 1432: 1429: 1426: 1425: 1415: 1411: 1410: 1406: 1402: 1400: 1396: 1395: 1391: 1387: 1386: 1383: 1378: 1374: 1358: 1354: 1350: 1346: 1343:(2): 136–38. 1342: 1338: 1331: 1323: 1317: 1313: 1306: 1298: 1296:9780387685663 1292: 1288: 1281: 1273: 1271:9780073378251 1267: 1263: 1256: 1248: 1244: 1239: 1234: 1230: 1226: 1222: 1218: 1214: 1207: 1203: 1193: 1190: 1189: 1183: 1180: 1176: 1172: 1171:physiotherapy 1168: 1164: 1154: 1152: 1148: 1144: 1140: 1127: 1124: 1121: 1117: 1114: 1110: 1109: 1108: 1097: 1092: 1089: 1085: 1081: 1076: 1072: 1069: 1065: 1061: 1058: 1054: 1050: 1047: 1043: 1039: 1035: 1034: 1033: 1030: 1028: 1018: 1016: 1012: 1008: 1004: 1001:). Also, the 1000: 996: 992: 988: 984: 980: 976: 972: 968: 964: 960: 956: 952: 931: 928: 926: 923: 922: 920: 917: 912: 906: 903: 901: 898: 897: 895: 892: 887: 884: 882: 878: 870: 867: 865: 862: 861: 860: 857: 855: 852: 851: 849: 845: 839: 836: 832: 829: 827: 824: 822: 819: 818: 817: 814: 813: 811: 807: 801: 798: 794: 791: 789: 786: 784: 781: 780: 779: 776: 775: 773: 771:lateral volar 769: 766: 764: 760: 750: 747: 745: 742: 741: 739: 735: 729: 726: 722: 719: 717: 714: 713: 712: 709: 707: 704: 703: 701: 699: 695: 685: 682: 678: 675: 673: 670: 668: 665: 664: 663: 660: 658: 655: 654: 652: 649: 644: 638: 635: 633: 630: 628: 625: 621: 617: 614: 612: 609: 608: 607: 604: 603: 601: 598: 593: 590: 588: 584: 574: 571: 569: 566: 564: 561: 560: 558: 555: 550: 544: 541: 539: 536: 534: 531: 529: 526: 524: 521: 520: 518: 515: 510: 507: 505: 501: 498: 495: 490: 486: 474: 471: 469: 466: 464: 461: 460: 459: 456: 455: 453: 449: 441: 438: 436: 433: 432: 431: 428: 426: 423: 421: 418: 416: 413: 412: 410: 408: 404: 398: 395: 393: 390: 388: 385: 384: 382: 380: 376: 370: 367: 365: 362: 360: 357: 356: 354: 352: 348: 345: 342: 337: 333: 323: 320: 318: 315: 313: 310: 309: 307: 304: 300: 294: 291: 287: 286:subscapularis 284: 282: 279: 277: 276:infraspinatus 274: 272: 271:supraspinatus 269: 268: 267: 264: 262: 259: 258: 255: 252: 250: 246: 242: 238: 231: 226: 224: 219: 217: 212: 211: 208: 204: 202: 192: 190: 186: 182: 178: 174: 166: 163: 161: 157: 153: 149: 148:suprascapular 144: 140: 135: 131: 127: 122: 110: 107: 99: 88: 85: 81: 78: 74: 71: 67: 64: 60: 57: â€“  56: 52: 51:Find sources: 45: 41: 35: 34: 29:This article 27: 23: 18: 17: 2259:Phantom limb 2038:tibial nerve 1970: 1958:radial nerve 1902:median nerve 1736:Hallux varus 1693:Patella baja 1688:Patella alta 1585: 1403: 1388: 1340: 1336: 1330: 1311: 1305: 1286: 1280: 1261: 1255: 1220: 1216: 1206: 1160: 1136: 1111:Weakness of 1106: 1042:radial nerve 1031: 1024: 979:radial nerve 948: 915: 890: 858: 847:intermediate 809:medial volar 710: 647: 597:superficial: 596: 553: 514:superficial: 513: 494:compartments 457: 429: 341:compartments 266:rotator cuff 198: 172: 171: 102: 93: 83: 76: 69: 62: 55:"Wrist drop" 50: 38:Please help 33:verification 30: 1925:ulnar nerve 1798:Contracture 1777:Torticollis 1491:deformities 1223:(6): C1–3. 1147:Plain films 293:teres major 281:teres minor 129:Other names 2236:plexopathy 2205:Autoimmune 1971:Wrist drop 1948:Ulnar claw 1746:Hammer toe 1617:Coxa valga 1600:Lower limb 1586:Wrist drop 1498:Upper limb 1198:References 1096:vasculitis 891:posterior: 859:interossei 816:hypothenar 606:mobile wad 369:brachialis 173:Wrist drop 124:Wrist drop 66:newspapers 2329:Neuralgia 1726:Foot drop 1721:Flat feet 1716:Club foot 1622:Coxa vara 1487:Acquired 1163:splinting 1157:Treatment 1133:Diagnosis 983:supinator 916:anterior: 854:lumbrical 657:supinator 587:posterior 379:posterior 165:Neurology 160:Specialty 2357:Category 1507:shoulder 1444:cite web 1247:16808730 1186:See also 1179:surgical 1038:clavicle 1007:anconeus 716:extensor 504:anterior 392:anconeus 351:anterior 249:Shoulder 179:and the 152:axillary 2307:General 1357:9057152 1238:1924641 1088:scapula 1086:of the 1080:humerus 1053:humerus 1027:tendons 489:Forearm 435:lateral 261:deltoid 239:of the 237:Muscles 201:forearm 189:muscles 181:fingers 80:scholar 1414:736.05 1355:  1318:  1293:  1268:  1245:  1235:  1139:workup 1122:lesion 1021:Causes 969:, and 881:fascia 869:palmar 864:dorsal 778:thenar 721:flexor 698:fascia 620:brevis 458:spaces 440:medial 407:fascia 364:biceps 303:fascia 82:  75:  68:  61:  53:  2297:Other 2268:Other 1540:elbow 1399:M21.3 1103:Types 1040:–The 737:other 648:deep: 554:deep: 451:other 177:wrist 87:JSTOR 73:books 2234:and 2207:and 2162:HMSN 2148:and 2121:See 1764:neck 1762:and 1760:Head 1708:foot 1665:knee 1563:hand 1450:link 1409:9-CM 1353:PMID 1316:ISBN 1291:ISBN 1266:ISBN 1243:PMID 1173:and 1137:The 1068:lead 1013:and 993:and 763:Hand 618:and 199:The 146:The 59:news 2012:Leg 1894:Arm 1642:leg 1609:hip 1405:ICD 1390:ICD 1345:doi 1233:PMC 1225:doi 1151:MRI 1098:)." 336:Arm 241:arm 42:by 2359:: 1446:}} 1442:{{ 1412:: 1397:: 1394:10 1351:. 1341:11 1339:. 1241:. 1231:. 1221:21 1219:. 1215:. 1169:, 1009:, 1005:, 989:, 985:, 965:, 961:, 957:, 953:, 150:, 1861:e 1854:t 1847:v 1813:/ 1480:e 1473:t 1466:v 1452:) 1438:. 1407:- 1392:- 1382:D 1359:. 1347:: 1324:. 1299:. 1274:. 1249:. 1227:: 1090:. 1059:. 496:) 492:( 343:) 339:( 305:: 229:e 222:t 215:v 109:) 103:( 98:) 94:( 84:· 77:· 70:· 63:· 36:.

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suprascapular
axillary
Specialty
Neurology
wrist
fingers
metacarpophalangeal joints
muscles
forearm
v
t
e
Muscles
arm
Shoulder
deltoid
rotator cuff
supraspinatus

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