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Orthopaedics General fe5bc21c

All of the following are affected in low radial nerve palsy except -

A
Extensor carpi radialis longus
B
Extensor carpi radialis brevis
C
Finger extensors
D
Sensation on dorsum of hand
High-Yield Explanation
In type II low radial nerve palsy ECRL, triceps, Anconeus, and brachioradialis are spared. Clinical features of radial nerve palsy Clinical features depend upon the site of the lesion. 1) 1f lesion is high Wrist drop, thumb drop and finger drop. Inability to extend elbow, wrist, thumb & fingers (MP joint) The patient can extend interphalangeal joints due to the action of lubricants and interossei. Sensory loss over posterior surface of arm & forearm and lower lateral half of forearm. 2) If the lesion is low a) Type I Wrist drop, thumb drop and finger drop. Elbow extension is preserved. Sensory loss over the dorsum of first web space. b) Type II Thumb drop and finger drop Elbow and wrist extension is preserved Sensory loss over the dorsum of first web space Clinical features of posterior interosseous nerve It is prone to be injured in injury & operations of radial head- neck . There is no sensory deficit as it is a pure motor nerve. Wrist extension is preserved (i.e. no wrist drop) due to spared extensor carpi radialis longus . Presents with loss of extension of metacarpophalangeal (MP) joints i.e., thumb & finger drop.

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