Peripheral Nerve Injuries · NEET PG Preparation Orthopaedics
A 30-year-old construction worker falls from a height and presents with a flail upper limb. He has absence of the biceps reflex, loss of shoulder abd…
Practice question from Peripheral Nerve Injuries (NEET PG Preparation Orthopaedics), with the correct answer and a step-by-step solution.
easy · MCQ · Q-CDD995
A 30-year-old construction worker falls from a height and presents with a flail upper limb. He has absence of the biceps reflex, loss of shoulder abduction and external rotation, and sensory loss over the lateral aspect of the arm and forearm. His hand intrinsics and finger movements are intact. What is the classic term for this type of brachial plexus injury?
- A.Klumpke palsy
- B.Erb-Duchenne palsyCorrect answer
- C.Total brachial plexus palsy
- D.Guyon canal syndrome
Solution
Erb-Duchenne palsy involves the upper roots of the brachial plexus (C5, C6). Clinically, it presents with the classic 'waiter's tip' deformity due to paralysis of shoulder abductors, external rotators, and elbow flexors. Hand function (C8, T1) remains intact.
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