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Musculoskeletal Injuries: Osteopathic Perspectives - Heritage College Seminar

Learn about humeral surgical neck fractures, axillary nerve palsy, UBP injury (Erb’s Palsy), upper and lower brachial plexus injuries. Detailed insights on diagnosis and prognosis presented on August 4, 2017. Explore clinical images and references.

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Musculoskeletal Injuries: Osteopathic Perspectives - Heritage College Seminar

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  1. Heritage College of Osteopathic Medicine Friday, 4 August 2017 Humeral Surgical Neck Fractures normal x-ray head 2005 Grant’s Atlas Surgical Neck Fracture www.gentili.net/fracture.asp?ID=61

  2. Heritage College of Osteopathic Medicine Friday, 4 August 2017 Axillary Nerve Palsy Axillary n. (C5, C6): superior lateral brachial cutaneous n. posterior view 2006 Moore & Dalley COA posterior view

  3. Heritage College of Osteopathic Medicine Friday, 4 August 2017 UBP Injury – Erb’s Palsy LBP Injury – Klumpke’s Palsy • Excessive upward pull of limb • Traction (stretching or avulsion) of lower ventral rami (e.g., C8, T1) • Increase in angle between neck & shoulder • Traction (stretching or avulsion) of upper ventral rami (e.g., C5,C6) 2006 Moore & Dalley COA erbseparese.nl/ Fotomap/Plexus.jpg 2006 Moore & Dalley COA

  4. Heritage College of Osteopathic Medicine Friday, 4 August 2017 Upper Brachial Plexus Injury – Erb’s Palsy • Appearance: drooping, wasted shoulder; pronated and extended limb hangs limply (“waiter’s tip palsy”) • Loss of innervation to abductors, flexors, & lateral rotators of shoulder and flexors & supinators of elbow • Loss of sensation to lateral aspect of UE • More common; better prognosis Bayne & Costas (1990) Netter 1997

  5. Heritage College of Osteopathic Medicine Friday, 4 August 2017 Lower Brachial Plexus Injury – Klumpke’s Palsy • Much rarer than UBPIs and Erb’s Palsy • Loss of C8 & T1 results in major motor deficits in the muscles working the hand: “claw hand” • Loss of sensation to medial aspect of UE • Sometimes ptosis or full Horner’s syndrome • Much rarer (1%) but poorer prognosis “claw hand” 2006 Moore & Dalley COA Netter 1997

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