Table Of Content
FOURTH EDITION
AIDS TO THE
EXAMINATION
OF THE PERIPHERAL
NERVOUS SYSTEM
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PREFACE
1 1940 Te George Reais wat Comsullant Noucongist the Arig. eel the
eceisg’ ct protding ventres to deal wil petip.ietal neve injaies daria tve wax
collaboration with Projets JR. bnothiatth, Bees of Suigety at he diversity a
Ldintaral, peripheral terve iniury Govthox nore tabled al Cogatbui ear
[dinawrth and ar Kllearn ness Glasgow. Proteanr Lassmanth ished 00 have atl
laste guide on wriphe wer nrc Whe uA seegeons wrk oF genta
Aospital In cllabotation with Dy Richie Ruse.» tex photoaeaphe detonating the
“Eling ol fill sulin wt tt 1984. Di Rit hi Ras wre Fs Oa
12 unl yas plc I DM. [Melle sn Nuns ha tails Conn The
Dhongiohs sete conmpled bye Br Meanlle ot Gugsthaow wlth che: fey the
Depart Missal Mactan ei teaver oF Rah ah Moat fers once
Toute
Ae gee sale surgeon in Sulla
Ti [O45 Poukasos “seroma chin th: Hig tet he
imercatane of astlne be sathats periea verics ified Ths Pures atl esta
es un Schemas. vn, aris, PS) ah ahr “he dations ruta sen
AiseiBuly ated deviate. This wink was publi) by Yh Ble Reneaih
Coun r4 IM am A oa wrgetine of Preistinal Nore ores = Merson
Niue 7h fe busane a stank wd ourh al ewer he rest ey years any Uhounands af
Woe Hons evel twee G92 a 9% a ew plage any
Slings al wa replied ce he ile Ay the min of dbs Pps
ans Slim Pelemorandiin No. 133, ef ating the wale we made of thin buoklet by
Mucrits and pas Hones anal ts mone eslensne ne hr val wmode. nbc 35
rather fren! fom the war tee eunphasion snc Files
ws OR the Mc Retest Counter Fey ily tort gaan
be Caucasus Bon kr whine rn wa gepired Mahle alive neve me
Sirve ihe diana ana snc dager of te nner plans mail
Most fle pote fr fr 1943, 192% a 1A altos seam De Meine ol
Mod in 189. a8 he manor phsiek. nee amt ef alee phase be
ites Gr sein ie sagein sf ele penta Wai eas ve
tesa toa ul he he lige he ba ann,
ACKNOWLEDGEMENTS
“The Guarantors of un are ery grate
Patricia Avehex nw forthe dhowings of the achral peru ard amano plore
Ratph Hutch ing fothe phate
Paul
shy
ao Jr the
fork diagram
‘Michael Hutchins 90 for aa he manana
Sarah Reee-Recr (Haroount Publishes) fr her lp nl emt cneagrmmcr
CONTENTS
Iewadaction 1
Spinal auceswory nerve
Brauhial plewus 4
usculucu remus nerve 12.
auillay verse 14
Radial nerve 16
Mecian nerve 24
Ulnar nee 30
Lunbrsacral pleats 37
ewes of he ewer limbs 38
Dermatames 56
ors and root supply of muscles 60)
Comminly tested mievements 62
INTRODUCTION
Tosa ine as agide othe esam-et io of sms will ins of petipheral
ew exons shoul, il posible, br sacle on unt eam where patent
scl eine: il fe nee pou: eiazeion, Ft baal nr sl sensing leon
tnporlan cha the pa:isnt sould sc Le warn. Thentaveaned objec af he tts sould
heap sined le tbe patie: that his ruses anal cv peratn ae seuuned [ether
sles yt of jgus theses shomndl be li ontune! geet ae
Motor testing
Srl way eu asa prin aie 3640 a a aeons
Sailer seta. prim ner ore ety and cus he srl ae aor whet it
imrohtirs (re piso base duving camleactin of the iartie dig ai a8
sevegema whoa 5 rssts exteson ul the wise some we Ue dis ue Ho
Theis ae een,
Auras possible the action ofeach russ sha he sere separaely and 3 ete
veal of sr i wie peace hay 2¢eh to dw we Fo we Thal ane Beak oF
pera. Ife esal (@ ezamire the privet ofa ice # mt eelavon le Ihe woreatent of &
Single ki has Heng bee canta ary une af ke 9 ae ered scle power,
Tati genes recopaised rt sulle sno gre ry fe hea
W hotomnstion
Wicker ese of eatteacin
2 Ale oreuen, with aeiy im-atal
3 Aube rome ayaing: erie
1 Aulieemovomest aging prvi and ves tame
> Normal power
Powis 1. and may be used te indie cement gata slight, mda and
sheony essanse eespecty
Me rudes employed in chs work mis nul lane Merause Uy showed unusual
vrnetlee Uevelosrten: the sase with hich tes rataon uf mas ented waiee
he ile ol the peat, and ici s-.al al the een chou bos leak 0 and
vest Gel the core on a an aeons ele muvee ander fle BOREL ois
Tenn st of she usta hs primary ea ni is ben marked
‘gee ase beon arranged the mae he nen of thes ator ep fom nese
Ins, ich 6 eeaveaien: in many exouivataas Thually ony axe meld of testing
‘oh muscle “schown but. were neces ulliple Ulusrivions howe hee inetd it
imal has moe than one nportar tation. The saariner should app the tit ath
lysed, bscanse the cliques sures wl nine acy wf Uae aps for the
ienerienceecsied by Wie? mowes-en Isle he tel That wae he meheds
nv ts ele the set ec ausles a4 gle
"Shen esting aotement, the Tinh seal hell support prcinal tke selene
nl. the Le test e confined to Hh chisen aasele grup and docs aot weguze the
tien Uo fx sen prosimally he aos ev ati. I bis eon is prince“
SPINAL ACCESSORY NERVE,
Fig. 1“rapeaus (spinal acestony neve and C2
The pation is elevang the shoulder aoainstresitance
Arr: he thick poe par of the muscle can be ser and fh
Fig.2.‘Wapeciue Spinal seressary nerve and €3, 2)
“The patients pushing the pal of te hands hard agsest a wall wth the elbows fully
fended vow the lowor fore of tapeciue canbe seen an el
a
Fig.3- Diagram ofthe brachial pons, ts aches and
SAXH 1d ‘IVIHOVUd
BRACTIALPLAXUS 5:
Fig.4 The approximate area within which sensory change ray be fourd in complete
lesions of the brachial plows 5, C6, 7, C8, T9),
ig.5_The approximate area within which sensory changes may be fered in lesions of the
Ppa 005 (5,08) of the brachial plesus
