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Evaluation of the Spine in a Child
Published in Nirmal Raj Gopinathan, Clinical Orthopedic Examination of a Child, 2021
Ashish Dagar, Sarvdeep Singh Dhatt, Deepak Neradi, Vijay G Goni
The triceps reflex appears after 6 months of age. A sudden tap is given to the triceps tendon near the olecranon process with the elbow placed in flexion (Figure 12.20). Look for a contraction of the triceps muscle.
Neurology
Published in Shibley Rahman, Avinash Sharma, A Complete MRCP(UK) Parts 1 and 2 Written Examination Revision Guide, 2018
Shibley Rahman, Avinash Sharma
Examination might reveal winging of the right scapula with weakness of right shoulder abduction and elbow extension. There could be some sensory loss over the lateral aspect of the right shoulder and right triceps reflex was absent.
Peripheral nerve disorders
Published in Ashley W. Blom, David Warwick, Michael R. Whitehouse, Apley and Solomon’s System of Orthopaedics and Trauma, 2017
Michael Fox, David Warwick, H. Srinivasan
Very high lesion may be caused by trauma or operations around the shoulder. More often, though, they are due to chronic compression in the axilla; this is seen in drink and drug addicts who fall into a stupor with the arm dangling over the back of a chair (‘Saturday night palsy’) or in thin elderly patients using crutches (‘crutch palsy’). In addition to weakness of the wrist and hand, the triceps is paralysed and the triceps reflex is absent.
Clinico-radiological correlation and surgical outcome of idiopathic spinal cord herniation: A single centre retrospective case series
Published in The Journal of Spinal Cord Medicine, 2021
Deepak Menon, Sruthi S. Nair, Bejoy Thomas, K. Krishna Kumar, Muralidharan Nair
This 54-year-old gentleman had subacute onset lancinating pain, along left arm and forearm with no sensory loss or motor complaints since two months prior to presentation. There was minimal weakness of left elbow extension with sluggish triceps reflex on the left side. There was no sensory loss in any limbs or any long tract signs. His MRI revealed anterior displacement of spinal cord T2 with syrinx noted cephalic to it at T1 level. Electrophysiological study showed normal compound muscle action potentials (CMAPs) and sensory nerve action potentials (SNAPs) with active denervation and reinnervation potentials, suggestive of a preganglionic axonopathic process, from C7 segment. At 8 months review he had 70% relief of symptoms with Amitryptilline with no further clinical worsening.