Musculoskeletal · UKMLA & AKT

Thoracic radiculopathy

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise thoracic radiculopathy — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Each thoracic nerve root exits below its corresponding vertebra (e.g. T6 root exits below T6, between T6 and T7)
  • C8 nerve root is the only cervical root that exits below its named vertebra (below C7, between C7 and T1) - all other cervical roots exit above their named vertebra
  • Thoracic dermatomes form horizontal bands around the thorax and abdomen - key to localisation and explains why thoracic radiculopathy mimics visceral disease

C8 radiculopathy: weakness of DIP flexion, MCP flexion/extension, and elbow extension (shared C7/C8); reduced pin-prick over medial hand/little finger. Caused by C7-T1 disc herniation - the most common acute pathology.

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