Clinical Skills and Approaches
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Radial Tunnel Syndrome (RTS) – Anatomy and Clinical Examination
Synonyms: Radial pronator syndrome, Treatment resistant lateral epicondylitis (tennis elbow) Anatomy of Radial Tunnel The anatomic radial tunnel (~5 cm) extends from the radial head to the inferior border of the supinator muscle. Mnemonic: FREAS Fibrous bands anterior to radiocapitellar joint Radial recurrent vessels (leash of Henry) ECRB medial edge…
Clinical Skills and Approaches
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Inverted Reflexes
An inverted tendon reflex refers to the elicitation of the movement opposite to that normally seen when the reflex is elicited. Mechanism of Inverted Reflexes A lesion which simultaneously affects: This leads to 2 components: Mechanisms of hyperactive response: Types of Inverted Reflexes 1. Inverted supinator reflex: 2. Paradoxical triceps…
Clinical Skills and Approaches
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Lhermitte’s Sign
Synonym: Lhermitte’s phenomenon, Barber chair phenomenon Definition of Lhermitte’s Sign Lhermitte’s sign (pronounced Ler-meets) is an electric shock-like sensations, spreading along the spine in a cervico-caudal direction and into the arms and legs felt upon active or passive flexion of the neck. Reverse Lhermitte’s Sign is defined when symptoms are…
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