Inspection of the neck (deformities/scars/postures)
Winging of the scapula (long thoracic nerve palsy)
Active movement of the neck
- Flexion (chin to chest)
- Extension (look up and back)
- Lateral bending (ear to shoulder)
- Rotation (look over shoulder to the back)
Spurling's test
Palpation:
- Spinous processes
Neurological examination of the upper limbs
Tone - Flaccid, Rigidity
Power - 0-5 (3 just more than gravity)
Reflexes:
- Biceps (C5)
- Brachioradialis (C6)
- Triceps extension (C7)
- Finger flexion (C8)
Myotomes:
- Elbow flexors (C5)
- Wrist extensors (C6)
- Elbow extensors (C7)
- Finger flexors (C8)
- Finger abductors (T1)
Dermatomes:
- C2 - Back of neck
- C3 - Lower part of neck
- C4 - Shoulder tip
- C5 - Lateral elbow
- C6 - Thumb
- C7 - Middle finger
- C8 - Little finger
- T1 - Medial elbow
- T2 - Axilla
Radian nerve - Wrist extension / Back of hand
Median nerve - Thumb flexion / Thumb and second finger anteriorly
Ulnar nerve - Paper between thumbs (U between the U bits!) - adductors / Small finger
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