UPPER EXTREMTY PNI AND TESTS

LONG THORACIC SPINAL ACCESSORY DORSAL SCAPULAR MUSCULOCUTANEOUS

SUPRASCAPULAR NERVE AXILLARY NERVE
NERVE NERVE NERVE NERVE
Medial winging of the Lateral winging of the Anterior shoulder Musculocutaneous nerve
Suprascapular notch fracture
scapula scapula dislocation tunnel syndrome
Open book paralysis Sliding door paralysis Humeral neck fracture Flatness of anterior arm
Posterior winging of the Most commonly entrapped *(+) ULNT 2
Knapsack/ Rucksack/ Wasting on the scapula
scapula nerve in the shoulder
Backpack injury
Radical neck dissection (+) Square Shoulder
Radical mastectomy (+) Swallow tail sign
(+) Empty-can test
(+) Punch out test *(+) ULNT 2

RADIAL NERVE
Crutch palsy
Spiral groove fracture
Saturday night palsy
Bridegroom’s palsy
Honeymooner’s palsy
Tourniquet palsy
Mid-shaft fracture of humerus
Lead neuropathy
ULTT 3
DEEP BRANCH (POSTERIOR INTEROSSEOUS NERVE) SUPERFICIAL BRANCH
Arcade/Canal of Frohse Cheiralgia paresthetica
Supinator syndrome Wartenberg syndrome
Resistant tennis elbow Handcuff neuropathy
Radial tunnel syndrome Scaphoid fracture
(+) Supinator compression test *Leprosy
 MEDIAN NERVE
Ape hand
Simian Deformity
Pronator teres syndrome
Carpal tunnel syndrome
Ligament of Struther’s
Humerus supracondylar process syndrome
Supracondylar fracture
Lacertus fibrosus/ Bicipital aponeurosis entrapment
Lunate dislocation
Active Papal sign
Possible thenar atrophy
Most commonly entrapped nerve
Screwdriver’s palsy
*Leprosy
*Focal diabetic neuropathy
Precision grip
Wrist laceration
(+) Phalen’s test
(+) Reverse Phalen’s/ Prayer sign
(+) Carpal compression test
*(+) ULNT 1 and 2
(+) Tinel sign at the wrist
(+) Hand elevation test
(+) Flick sign/ maneuver
(+) Test for pronator teres syndrome
(+) Tethered median nerve stress test
ANTERIOR INTEROSSEOUS NERVE
Kiloh-Nevin Syndrome
Gantzer muscle
Monteggia fracture
(+) Pinch grip test
*(+) ULNT 1 (plus C5-C7)
(-) OK sign
ULNAR NERVE
Bowler’s thumb
Guttering of the hand
Stick palsy
Cubital tunnel syndrome
Osborne ligament/fascia
FCU entrapment
Fracture of hook of hamate
Guyon’s tunnel syndrome
Piso-hamate canal syndrome
Biker’s palsy
Handle bar palsy
Cubitus valgus
Classic claw hand
*Leprosy
*Focal diabetic neuropathy
Hypothenar atrophy
2nd most commonly entrapped nerve
Anomalous epitrochlearis anconeus muscle
Jackhammer palsy
Posterior elbow trauma/dislocation
Passive Papal sign
Power grip
(+) elbow flexion test
(+) Froment’s (Paper) sign
(+) Wartenberg sign
(+) Egawa sign
(+) Bikele’s sign
(+) Brachial plexus tension test
(+) ULNT 4
(+) MacKinnon’s scratch collapse test
(+) Tinel sign at the elbow
(+) Hypermobile ulnar nerve test
(+) Guyon canal compression test
 LOWER EXTREMITY PNI AND TESTS

LATERAL FEMORAL
FEMORAL NERVE OBTURATOR NERVE SUPERIOR GLUTEAL NERVE INFERIOR GLUTEAL NERVE
CUTANEOUS NERVE
Anterior hip dislocation Obstetric palsy Meralgia paresthetica (+) Trendelenburg sign (+) Backward lurch at stance
Hip fracture *Diabetic amyotrophy Bernhardt-Roth syndrome (+) Trendelenburg gait
*Diabetic amyotrophy
Forward lurch at stance
(+) Slump test 3
(+) PKB 1
(+) Gluteal skyline test
(+) Femoral nerve traction test (+) Slump test 2 (+) PKB 2 (+) Waddling gait
SAPHENOUS NERVE
Vastus medialis and Adductor
magnus entrapment
(+) Prone Knee Extension Test

SCIATIC NERVE
Spindle leg atrophy
Injection palsy
Fat wallet syndrome
Piriformis syndrome
Posterior hip dislocation
Toilet seat fracture
Most commonly entrapped nerve in the hip
(+) Freiberg sign
(+) Sign of Pace and Nagel
(+) Slump test 1 and 4
(+) SLR 1/ Lasegue’s test
(+) Bowstring test/ Cram test/ Popliteal pressure sign
(+) Deyerle’s sign
(+) Flip sign
(+) Knee flexion test
(+) Sitting root test
(+) Bechterewis test
(+) Piriformis test
 SCIATIC NERVE
COMMON PERONEAL NERVE SURAL NERVE TIBIAL NERVE
Crossed-leg palsy *Leprosy Tarsal tunnel syndrome
Fibular head fracture Popliteal entrapment
Guitarist posture Baker’s cyst
Strawberry picker’s palsy Porta pedis entrapment
Indian sitting (+) Calcaneal gait
Charcot-Marie-Tooth Disease (HSMN) MEDAL PLANTAR NERVE
Peroneal Muscle Atrophy Jogger’s foot
*Leprosy MEDIAL + LATERAL PLANTAR NERVES (INTERDIGITAL NERVE)
*Focal diabetic neuropathy
(+) Inverted champagne bottle sign
(+) Stork leg deformity
Morton’s Neuroma
(+) SLR 4
SUPERFICIAL PERONEAL
DEEP PERONEAL NERVE
NERVE
Anterior compartment syndrome Lateral ankle (inversion) sprains
Ski boots palsy
Anterior tarsal tunnel syndrome *Leprosy
(+) Duchenne Test
(+) Foot drop/drag/slap
(+) Steppage gait

Combinations summary:
1. Leprosy – Ulnar, Median, Superficial Radial, Common Peroneal, Sural, and Interdigital nerves
2. Diabetic Amyotrophy – Femoral and Obturator nerves
3. Focal Diabetic Neuropathy – Median, Ulnar, Common Peroneal nerves
4. ULNT 1 – Median and AIN
5. ULNT 2 – Median, Axillary, and Musculocutaneous Nerves