10/8 Brachial Plexus - Carter 2017 (Completed) Flashcards

1
Q

What does the brachial plexus originate from? How many trunks are there?

A

Ventral primary rami (C5 - T1)

These five roots become three trunks

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2
Q

What forms the upper trunk of the brachial plexus?

A

The union of C5 and C6

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3
Q

What forms the middle trunk of the brachial plexus?

A

The continuation of the C7 ventral rami root

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4
Q

What forms the lower trunk of the brachial plexus?

A

The union of ventral rami roots C8 and T1

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5
Q

How many division are there of the brachial plexus?

A

There is an anterior and posterior division for each trunk, therefore, there are 6 divisions of the brachial plexus

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6
Q

After 3 trunks are given away from the five rootlets (C5 - T1) these trunks divide into anterior and posterior divisions (6). What do they form next?

A

Anterior divisions of the upper and medial trunk form the lateral cord (C5 - C7)

Anterior division of the lower trunk continues to become the medial cord (C8 - T1)

The posterior divisions of all three trunks form the posterior cord (C5 - T1)

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7
Q

After the rootlets of the ventral rami form trunks and those trunks form divisions and those divisions give way to cords what are we left with?

A

Terminal divisions

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8
Q

What are the divisions of the lateral cord?

A

Lateral pectoral n. (C5 - C7)

Musculocutaneous n. (C5 - C7) (terminal)

Lateral root of median n.

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9
Q

What are the divisions of the medial cord?

A

Medial pectoral n. (C8 - T1)

Medial brachial cutaneous n. (C8 - T1)

Medial antebrachial cutaneous n. (C8 -T1)

Ulnar n. (C8 - T1) (terminal)

Medial root of median n.

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10
Q

What are the divisions of the posterior cord?

A

Thoracodorsal n. (C6 - C8)

Axillary n. (C5 - C6) (terminal)

Upper subscapular n. (C5 - C6)

Lower subscapular n. (C5 - C6)

Radial n. (C5 - T1) (terminal)

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11
Q

What does the lateral root of the median n. From the lateral cord and the medial root of the median n. From the medial cord form?

A

Forms the median n. Terminal branch

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12
Q

What is Erb-Duchenne Paralysis (Erb’s Palsy)?

A

Effects the upper trunk (C5 - C6) affecting the shoulder and arm

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13
Q

In Erb’s Palsy what muscles are effected?

A

Deltoid m.

Supraspinatus m.

Infraspinatus m.

Subscapularis m.

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14
Q

What’s Klumpke’s Paralysis (Klumpke-Dejerine)?

A

Effects the lower trunk (C8 - T1) affecting the forearm and hand

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15
Q

What occurs as a result of Klumpke’s paralysis?

A

Paralysis of the muscles and skin innervated by the ulnar n.

If it occurs at birth the upper extremity does not grow t the proper length

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16
Q

What is Cervical Rib Syndrome (Thoracic Outlet Syndrome)?

A

Chronic injury to brachial plexus in lower part of neck and often subclavian a.

17
Q

What occurs as a result of Cervical Rib Syndrome (Thoracic Outlet Syndrome)

A

Lower trunk injury by the apex of the axilla