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Kaplan Qbank USMLE



Author9 Posts
  #1

A rock hits a child below axilla. Several days later child has difficulty doing push -ups. Identify the nerve injured-
1Median Nerve

2 ulnar nerve
3 Axillary nerve
4 radial nerve
5 musculocutaneous nerve
6 long thoracic nerve

Can someone explain the answer to this question?

  #2

3 Axillary nerve ?? Push ups Deltoid have some role in extension of the arm. ??

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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #3

Why not long thoracic nerve.......since there is overhead abduction

  #4

U dont protract ur shoulders in the Push Ups u retract them n Second th erock hit the pt below the axilla i dont think there is a route of Long Thoracic nerve over there.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #5

CAn u Post the Explanation n the Source of the Question

Thank U


___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #6

Classical long thoracic nerve injury, resulting winged scalpula while pushing an immovable object.

The nerve innervates m. serratus anterior which together with m rhomboideus major forms a muscle belt and pulls the scalpula towards the trunk. During pushing you need to immobilize your scalp in order to transform the momentum from the shoulder to the albue, to the hand. If case of lesion of LT nerve everytime you push your scalps pull away from the trunk and no momentum is generated.

Also boxers have very strong m. seratus anterior muscles because of the same reason.


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There are many things in this world that can’t be changed no matter how hard you try. That’s why you must not hesitate when the time comes where you have to give it all you’ve got.

  #7

confusedconfused Looks like i have to go n start my Anatomy again.

___________________
FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #8

So this means that the correct answer is Axillary nerve.
But the answer given in book is Long thoracic N

  #9

6. long thoracic n







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