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Extremity Fracture, Long Bone Open Fracture — Vascular Function of Upper Extremity — Clinical Pathway: Emergency

Extremity Fracture, Long Bone Open Fracture — Vascular Function of Upper Extremity — Clinical Pathway: Emergency

Vascular Function of Upper Extremity

Pulse Radial, brachial (present, weak, absent)
Compare to opposite extremity
Perfusion Capillary refill
Color
Temperature

*Contact Orthopaedics immediately for weak or absent pulse perfusion.


Motor and Sensory Function Upper Extremity

NERVE MOTOR FUNCTION SENSORY FUNCTION
MEDIAN Wrist flexion, abduction
Thumb, index finger
Palmar thumb, index finger
ULNAR Wrist flexion, adduction
Finger spread
Flexion distal phalanx 5th digit
Ulnar side of 4th digit
5th digit
RADIAL Wrist extension
Supination
Thumb extension
Dorsal web space between thumb, index finger
MUSCULOCUTANEOUS Elbow flexion Lateral forearm

Additional Tests UE Motor Exam


Wrist Extension:
Radial nerve
Wrist Drop
(Radial Nerve injury)
 Wrist Extension: Radial nerve Wrist Drop (Radial Nerve injury)

Anterior Interosseous Nerve (Branch of Median Nerve)
OK sign:
Thumb IP joint flexion
NOT OK:
Thumb IPJ not flexed
OK sign: Thumb IP joint flexion NOT OK: Thumb IPJ not flexed

Posterior Interosseous Nerve (Branch of Radial Nerve)
Thumb extension
Thumb extension

Sensory Exam of the Upper Extremity
Sensory Exam of the Upper Extremity

 

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