Comparison between tract and nerve

  Comparison between tract and nerve Nerve Nerve contain bundle of axons (nerve fibers) in the peripheral nervous system (PNS) that transmits signals between the central nervous system (CNS) and other parts of the body. It is the most important part of peripheral nervous system Location: Peripheral nervous system. Structure: Made of axons, connective tissue layers (endoneurium: axon is surrounded by it , perineurium: bundle of axons are surrounded by it, epineurium: whole nerve trunk is surrounded by it), and blood vessels. It gets myelination by Schwann cell   Function: Carries sensory signals to the CNS (afferent) from peripheral part of body or motor signals carry from from the CNS (efferent) to target organs like skeletal muscle, cardiac muscle, smooth muscle or glands Example: Sciatic nerve, median nerve, except optic nerve (though optic nerve is technically part of CNS in develop...

Difference between Erb's paralysis and Klumpke's paralysis

Topics
Erb’s or Erb–Duchenne  paralysis
Klumpke’s paralysis
Nerve roots involved

C5 & C6

C8 and T1
Trunk
Upper trunk of brachial plexus is involved
Lower trunk of brachial plexus is involved
Muscles paralyzed
Deltoid , supra spinatus , biceps brachii, brachialis, brachioradialis , supinator and extensor carpi radialis longus
All intrinsic muscles of the hand
Position of upper limb or hand
Policeman’s tip / porter’s tip/waiter’s tip position
Claw hand
Disability
Abduction and lateral rotation of the arm , flexion and supination of forearm is lost
Flexion of the fingers are lost and partially loss flexion of wrist joint
Some additional  finding , vision disturb due to loss of  dilatation of pupil and elevation of upper lid
Sensory loss
Along the outer aspect of the arm
Along the medial border of forearm and hand
Autonomic signs
Absent
Present (Horner’s syndrome)





The most commonly involved nerve
The suprascapular nerve, musculocutaneous nerve and axillary nerve
Ulnar nerve
Cause
Difficult childbirth, accident increase the angle between head and shoulder
Childbirth (traumatic vaginal delivery with hand prolapsed, breech presentation ) . catching a branch of tree during accidental fall .( increase angle between abducted upper limb and trunk )
Common / rare clinical condition
Relatively common
It is very rare clinical condition

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