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) |
---|---|
![]() |
![]() |
Anterior Interosseous Nerve (Branch of Median Nerve) | |
---|---|
OK sign: Thumb IP joint flexion |
NOT OK: Thumb IPJ not flexed |
![]() |
![]() |
Posterior Interosseous Nerve (Branch of Radial Nerve) |
---|
Thumb extension |
![]() |
Sensory Exam of the Upper Extremity |
![]() |