Leprosy Training Module for Medical Officers

Nerves in Hand
Ulnar Nerves :
Best palpated at the inner aspect of the elbow in the olecranon grooves with
the elbow semi – flexed. Feel for thickening, irregularity, hardness and
tenderness. Run your hands down the ulnar border of the forearms and the
hands, feeling for dryness of skin and wasting of hypothenar muscles.
Median Nerves :
It may be felt proximal to the wrist, deep to the palmaris tendon when the
wrist joint is semi – flexed.
Radial Nerves :
The radial nerve should be rolled in its groove on the humerus posterior to
the deltoid muscle insertion.
Nerves in Feet
Lateral Popliteal Nerves :
It should be palpated behind the neck of the fibula while the knee joint is
semi – flexed.
Posterior Tibial Nerves :
It should be palpated near the medial malleolus of the tibia.
Nerve in Neck
Great Auricular Nerve :
To examine this nerve, the head should be turned to the opposite side,
thus stretching the nerve across the sternomastoid muscle.
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