Page 1 of 2: anat-carpal tunnel syndrome

manpreet108 · Credits: 30702 My Scrapbook

when median n is paralysed in carpal tunnel synd what occurs--

1.adductor policis paralysis.
2.FPL paralysis.
3.FPB paralysis.
4.loss of sensation over thenar eminence.

bhavu · Credits: 9491 My Scrapbook

answer should be 3.beacause 1 and 2 are supplied by ulnar nerve right.

about 4 remember median nerve gives plamar cuteanous nerve before entering into the carple tunnle. and palmar cutaneous branch of median nerve passes superficial to the flexor retinaculum. so it is noot involved in carple tunnle syndrome.

so answer is 3 fpb paralysis.

draditithegreat · Credits: 1248020 My Scrapbook

bhavu how do u manage to remember the supllies to muscles..
i m too bad at it!

bhavu · Credits: 9491 My Scrapbook

frankly speaking i was also bad but my brothr had taught me beautifully.you know he is orthopaedics surgeon and he has to deal with each and every nerveinjury.now i am theek theek at this topic. still not very good.

draditithegreat · Credits: 1248020 My Scrapbook

mujh agyaani ko bhi kuch gyan dijiye.......

bhavu · Credits: 9491 My Scrapbook

nerve muscle supply is just about imaging.when you read it.read like you are in a car and nerve is your road.its brances are braches of the high way just drive your car one by one thorugh them. and muscleas are like differnt restorant at which you stop.one in chineese,one is osuth indian. and you want to taste all that.so naturally you would stop at it. so take your car and satart diriving. really you would enjoy very much.this is the way i remember.sounds to be funny but it really helps.same way arteies and its braches.be a person sitting on the rbs. and enjoy a great travel.

i know me thoda pagal hu.but that isa the way i am.

bhavu · Credits: 9491 My Scrapbook

carple tunnel strucutres passing above the carple tunnel( superficial to flexor retinal culum.
1.palamaris lonus
2.palamar cutaneous branch of median
3.palmar cutaneous branch of ulnar nerve
4.ulnar vessels and the ulnar nerve

structures passing deep to it
medain nerve
tendons of fds
fdp
fpl
ulnar and readila bursa

bhavu · Credits: 9491 My Scrapbook

nerve supplies of hand:

all intaosse supplied by ulnar nerve

all thenar muscles i.e
abductor pollicis
flexor pollis bravis
oppnens pollices supplied by median nerve
excepr adductor aupplied by ulnar nerve

all hypothernal muscles supplied by deep branch of ulnar nerve
that is palmaris bravis
flexor digit minimi
abductor digiti minimi
oppnens digiti minimi

long muscles fds--medain
fdp -first 2 slip median and other slips ulnar
fpl-ulnar

lumricoids
first 3 an half medain
other ulnar

all extensor muscles of fore arm
post.introcees brach of radial
dorsal intra osse --also ulnar

draditithegreat · Credits: 1248020 My Scrapbook

bhavu toooooooooooooooooooooooooooooooooooooooooooooooooo ooooooooooooooooooooooooooooo gooooooooooooooooooooooooooooooooooooooood

bhavu · Credits: 9491 My Scrapbook

it ne sare ooooooooyeh kya hai bhai????????/
ok though i have posted othe important thing is taht fdp has dual nerve supply( you know that it devides in to five slip and then iserted in to corrosponding disal phalynx of the finder.)
slips of ring and little finger by ulnar and rest are from median.

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