Musculocutaneous nerve

Other differential diagnoses that can mimick the symptoms of musculocutaneous palsy are: C6 radiculopathy (pain can be produced by movement of the neck), long head of biceps tendinopathy (no motor or sensory deficits), pain of the bicipital groove (relieved by shoulder joint injection).

Electromyography test shows slight neural damage at the biceps and the brachialis muscles with slower motor and sensory conduction over the Erb's point.

Differential diagnosis includes C5 and C6 nerve root lesions of the brachial plexus where the abduction, external rotation, and elbow flexion is lost.

Rupture of the SHORT HEAD of the biceps can decrease elbow flexion strength, where the brachialis muscle is intact.

[8] In direct trauma, fracture of the humerus, gun shot, glass pieces injuries and more, can cause the musculocutaneous nerve lesion.

[8] Iatrogenic nerve injuries (for example during orthopedic surgery involving an internal fixation of the humerus) are relatively common and in a certain percentage of cases probably inevitable, though an adequate knowledge of the surgical anatomy can help to reduce its frequency.

If reconstruction of the motor function of the musculocutaneous nerve (elbow flexion) is needed then there are several options, depending on the injury pattern and timeframes.

Musculocutaneous nerve on superficial dissection.
Musculocutaneous nerve on deep dissection.