Download Differential Diagnosis 6-9, 13-21

[Type text]
Differential Diagnosis 6-9, 13-21
Subjective
History
Axillary
Neuropathy
“Unhappy Triad”
Quadrilateral
Space Syndrome
(QSS)
Combination Peripheral
Nerve Dysfunction
Posterior Cord of
the Brachial Plexus
Injury
C5-6
Radiculopathy
Parsonage-Turner
Syndrome (PTS)
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
Pain to the
deep or
lateral
shoulder
N/T in a
nondermatomal
pattern
History of
trauma OR
overuse
injury with
overhead
sports
Weakness &
fatigue
TTP at the
quadrilatera
l space
Symptoms
present in
overhead
activities

Varies, depending
on the peripheral
nerve involvement,
to include: axillary,
suprascapular,
musculocutaneous,
& long thoracic
nerves

Varies,
depending on
the site of the
lesion, to
include: radial,
axillary, upper
& lower
subscapular, &
thoracodorsal
nerves


Insidious onset
Symptoms
RELATED to
neck
movements
N/T of the
lateral arm and
webspace of
the hand
(dermatomal
pattern)

Atrophy of
the deltoid &
teres minor
muscles

Atrophy to the
muscles innervated
by the nerves listed
above
Atrophy of the
muscles innervated
by the nerves listed
above

Limited c-spine
ROM
Atrophy to the
muscles
supplied by the
C5 & C6 nerve
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Pain to the
deep or
lateral
shoulder
N/T of the
lateral arm
Feeling of
instability
History of
trauma
Weakness &
fatigue
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Pain to the
deep or
lateral
shoulder
N/T of the
lateral arm
Feeling of
instability
History of
trauma
Weakness &
fatigue
TTP at the
insertion of
the muscle
involved
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Observation

Atrophy of
the deltoid &
teres minor
muscles

Atrophy of
the deltoid,
and any
combination
of the
rotator cuff

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Acute onset of
intense pain
No MOI
Residual
weakness/
paralysis
Symptoms
NOT related to
neck
movements
Limited c-spine
ROM
Atrophy to the
UE muscles
supplied,
usually those
[Type text]
muscles
MMT
Neurologic
Testing
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Special Tests
Weakness of
the deltoids &
teres minor
Reflexes:
Intact
Myotomes:
Weak deltoid
& teres minor
Dermatomes:
decreased
sensation
along the
lateral
shoulder
(+) Deltoid
Extension Lag




Weakness of
the deltoids,
teres minor,
& any
combination
of the
rotator cuff
muscles
Reflexes:
Intact
Myotomes:
Weak
deltoid &
teres minor
Dermatomes
: decreased
sensation
along the
lateral
shoulder
(+) Deltoid
Extension Lag
(+) Painful Arc
(+) Infraspinatus
test
(+) Drop arm
sign
roots

Weakness of
the deltoids
& teres
minor

Weakness to the
muscles innervated
by the nerves listed
above
Weakness to the
muscles innervated
by the nerves listed
above

Myotomal
weakness to
the muscles
supplied by C5
& C6


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
Reflexes:
Intact
Myotomes:
Weak
deltoid &
teres minor
Dermatomes
: decreased
sensation
along the
lateral
shoulder
(+) Deltoid
Extension Lag



Reflexes: Intact
Myotomes: Weak
muscles innervated
by the nerves listed
above
Dermatomes:
decreased sensation
in the dermatomal
pattern of the
nerves listed above


Reflexes:
diminished to
biceps,
brachioradialis,
& triceps
Peripheral
nerve
weakness &
sensation
deficits: in the
dermatomal
pattern of the
nerves listed
above



Reflexes:
diminished to
biceps &
brachioradialis
Myotomes:
weaknessusually to the
C5-6 muscles
Dermatomes:
mild sensory
deficits in the
C5-6
dermatomal
pattern
(+) ULTT
(+) Spurling’s
(+) Rotation <60
degrees
(+) Distraction Test
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
supplied by
the C5 & C6
nerve roots
Weakness in
the muscles
innervated by
the nerve
involved
Commonly,
weakness of
C5-6 muscles
Reflexes:
diminished to
biceps &
brachioradialis
Myotomes:
weakness usually to the
C5-6 muscles
Dermatomes:
mild sensory
deficits in the
C5-6
dermatomal
pattern