Brachial and Lumbo-Sacral Plexuses Flashcards
What does the anterior wall of the axilla consist of?
+ Pectoralis major
+ Pectoralis minor/subclavius
+ Clavipectoral fascia (deep)
What is pectoralis major palpable as?
The anterior axillary fold
What is the movement of the humerus at the GH joint?
+ Adduction
+ Medial rotation
+ Flexion
+ Extension
Where does pectoralis minor attach?
+ Ribs 3-5
+ Coracoid process of the scapula
What supplies pectoralis minor?
Medial pectoral nerves
Where does the subclavius attach?
from superior border of 1st rib to inferior surface of middle 1/3 of clavicle
What is the medial wall of the axilla composed of?
+ Ribs and intercostal spaces
+ Serratus anterior
Where does serratus anterior attach?
Ribs 1-9 to medial margin of scapula
What are the movements and functions of serratus anterior?
+ Superior external rotation of scapula
+ Draws scapula internally and forwards
+ Lowers the arm from a raised position
+ Elevation of ribs
What parts of the biceps and coracobrachialis are sometimes included in the contents of the axilla?
The proximal parts
What structures form the lateral wall of the axilla?
+ bicipital wall
+ proximal parts of biceps and coracobrachialis
What structures from the posterior wall of the axilla?
+ subscapularis
+ latissimus dorsi
+ teres major
+ scapula
where does the radial nerve pass?
posteriorly through lower triangular space with profunda brachii artery
what does the radial nerve supply?
+ all extensor muscles of arm and forearm
+ posterior skin of arm, forearm and hand
what are the roots of the radial nerve?
C5-8, T1
what are the roots of the axillary nerve?
C5-6
where does the axillary nerve pass?
through quadrilateral space and lies on surgical neck of humerus with posterior circumflex humeral artery
what does the axillary nerve supply?
+ deltoid
+ teres minor
+ skin over lower part of deltoid
what are the roots of the musculocutaneous nerve?
C5-7
where does musculocutaneous lie?
- it pierces coracobrachialis
- travels between brachialis and biceps brachii
what does musculocutaneous supply?
flexor compartment of arm (BBC)
- biceps brachii, brachialis, coracobrachialis
what does muculocutaneous become in the forearm?
lateral cutaneous nerve
what are the roots of the median nerve?
C5-8 (lateral cord)
T1 (medial cord)
where does the median nerve lie?
in the cubital fossa - travels with brachial artery
what does the median nerve supply?
+ all flexor muscles of forearm (except 1.5)
+ thumb (thenar) muscles except 1 and lateral 2 lumbricals
+ skin over lateral palm
+ latter 3 1/2 digits including nail beds
what are the roots of the ulnar nerve?
C8, T1
where does the ulnar nerve lie?
passes posterior to the elbow
what does the ulnar nerve supply?
\+ 1.5 flexors of forearm \+ majority of intrinsic muscles in hand (1 thenar muscle, all hypothenar and interosseal muscles and medial 2 luumbricals) \+ skin over palm \+ medial 1.5 digits