Wrist drop pathophysiology: Difference between revisions
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Latest revision as of 20:00, 28 January 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Pathophysiology
Wrist extension is achieved by muscles in the forearm contracting, pulling on tendons that attach distal to (beyond) the wrist. If the tendons, the muscles, or the nerves supplying these muscles, are not working as they should be, wrist drop may occur. The following situations may result in wrist drop:
Stab wounds to the chest at or below the clavicle may result in wrist drop. The radial nerve is the terminal branch of the posterior cord of the brachial plexus. A stab wound may damage the posterior cord and result in neurological deficeits including an inability to abduct the shoulder beyond 15 degrees, an inability to extend the forearm, reduced ability to supinate the hand, reduced ability to abduct the thumb and sensory loss to the posterior surface of the arm and hand.
The radial nerve can be damaged if the humerus (the bone of the arm) is broken, because it runs through the radial groove on the lateral border of this bone.
Wrist drop is also associated with lead poisoning because of the effect of lead on the radial nerve.[1]
Persistent injury to the nerve is also a common cause through either repetitive motion or by applying pressure externally along the route of the radial nerve as in the prolonged use of crutches or extended leaning on the elbows.
References
- ↑ Dedeken P, Louw V, Vandooren AK, Geert V, Goossens W, Dubois B (2006). "Plumbism or lead intoxication mimicking an abdominal tumor". Journal of general internal medicine : official journal of the Society for Research and Education in Primary Care Internal Medicine. 21 (6): C1–3. doi:10.1111/j.1525-1497.2006.00328.x. PMID 16808730.