3A - brachial plexus and compartments Flashcards
brachial plexus
network of interlacing nerves found in the upper arm area. clinically important for diagnosing upper limb injury and disease
Roots
C5-T1
Trunks
upper, middle, lower
divisions
anterior, posterior
cords
lateral, medial, posterior
branches
axillary, radial, musculocutaneous, median, ulnar
mnemonic for remembering the levels of the brachial plexus
Really
Thirsty
Drink
Cold
Beer
anterior rami
separation of flexor and extensor nerves at the division level (extensors to the back, flexors to the front)
extensor
muscle that straightens a joint
flexor
the muscle that closes a joint
long thoracic nerve
C5-C7
suprascapular nerve
innervates supraspinatus and infraspinatus, C5-C6
lateral pectoral nerve
innervates pectorals major, C5-C7
medial pectoral nerve
innervates pectoralis minor, C8-T1
medial cutaneous arm
innervates skin on medial side of arm
medial cutaneous forearm
innervates skin of medial forearm
upper subscapular nerve
innervates subscapularis
Lower subscapular nerve
innervates teres major
thoracodorsal nerve
innervation of latissimus dorsi
axillary nerve
innervates deltoid and teres minor
radial nerve
nerve that runs along the thumb side of the arm and the back of the hand. Innervates everything on the extensor side of upper limb
extensor compartment nerves
axillary, radial nerves
flexor compartment nerves
musculocutaneous, medial, ulnar nerves
musculocutaneous nerve
only innervates muscles in the arm:
coracobrachialis, biceps brachii, brachialis
medial nerve
innervates the anterior forearm (flexors and pronators of wrist, fingers, and thumb)
ulnar nerve
sensory-motor nerve that affects the little finger side of the arm and palm of the hand
Erb-Duchenne palsy
excess angle between neck and shoulder, stretching the top roots (C5/C6) and resulting in waiters tip
- IRREVERSIBLE
- baby pulled out by head, or fall on shoulder
what muscles are paralyzed with erb-duchenne palsy
deltoid, biceps, and brachialis
which nerves are impaired with erb-duchenne palsy
musculocutaneous and axillary
Klumpke paralysis
excess angle between arm and body, usually overhead. Lower roots are stretched (C8/T1), resulting in poor ulnar nerve function, decreased arm and hand movement, loss of sensation to medial/distal hand
- REVERSIBLE