Brachial Plexus Flashcards
Label the 5 parts of the brachiel plexus in order
Rami
Trunk
Divisions
Cords
Branches
The brachial plexus includes what nerve levels?
C5 to T1, but also gets help from C4
The brachial plexus eventually becomes ___ periphrial nerves
5 periphrial nerves
musculocutaneous, median, ulnar, axillary, and radial nerves
The parent structure of the Musculocutaneous nerve is the
Lateral Cord of brachial plexus
The parent structure of the radial nerve is the
Posterior Cord of brachial plexus
The parent structure of the axillary nerve is the
Posterior Cord of the brachial plexus
The parent structure of the median nerve is the
Lateral and Medial cords of the brachial plexus
The parent structure of the ulnar nerve is the
Medial cord of the brachial plexus
Identify 3 (it’s a peripheral nerve)
Musculocutaneous Nerve
Identify 4 (it’s a peripheral nerve)
Axillary Nerve
Identify 6
Long Thoracic Nerve
Identify 7
Radial Nerve
Identify 8
Median Nerve
Identify 9
Ulnar Nerve
Identify 1
Posterior Cord
Identify 2
Subclavian artery
Identify 3
Lateral cord
Identify 5
Musculocutaneous nerve
Identify 6
Median Nerve
The brachial plexus comes out of the neck between what two muscles?
Anterior and middle scalene
The anterior scalene AND the middle scalene Inferiorly attaches to the
First rib
The anterior scalene superiorly attaches to the
TP of C3-6
The anterior scalene is innervated by
Cervical spinal nerve C4 to C6
The two muscle actions of the anterior scalene and middle scalene are….
Flex the neck laterally
Elevates the first rib during forced inhalation
The superior attachment of the middle scalene AND the Posterior scalene is…
TP of C5-7
The posterior scalene inferiorly attaches to the _____ and it’s muscle actions are _____
second rib.
Elevate the second rib with forced inhalation, and flex the neck laterally
The innervation of the posterior scalene is…
Anterior rami of cervical spinal nerves C7 and C8
Quadrangular Space’s four borders include the…
the inferior margin of the teres minor
the surgical neck of the humerus
the superior margin of the teres major
the lateral margin of the long head of the
triceps brachii.
The contents of the quadrangular space include
axillary nerve and the posterior
circumflex humeral artery
The 3 borders of the triangular space are..
the medial margin of the long
head of the triceps brachii
the superior margin of the teres
major
the inferior margin of the teres
minor
What two structures run through the triangular space
circumflex scapular artery and vein
What are the borders of the triangular interval
the lateral margin of the long
head of the triceps brachii
the shaft of the humerus
the inferior margin of the
teres major
What structures run through the Triangular interval
profunda brachii artery and radial nerve
Will compression of a periphrial nerve present in a dermatome pattern?
No, it will only effect the areas supplied by that specific periphrial nerve
What is the ONLY synovial joint between the axial and appendicular skeleton
Sternoclavicular joint
The main blood supply of the upper extremity is the
Brachial artery
What are the 3 muscles of the flexor compartment?
Biceps brachii
Coracobrachialis
Brachialis
What nerve Usually pierces coracobrachialis?
Musculocutaneous Nerve
The brachial artery is found in the _____ compartment
Flexor compartment
What are the muscle actions of the Biceps Brachii
Supinates forearm
Flexes elbow
Short head resists dislocation of shoulder
Where does the Biceps Brachii SHORT HEAD proximally attach
coracoid process of scapula
Where does the Biceps Brachii LONG HEAD proximally attach
supraglenoid tubercle of scapula
what is the clinical sign of a Proximal bicep rupture called?
Popeyes sign
sidenote: You do not always need surgery for this, depends on your age.
What is the muscle action of the brachialis
Flexes the elbow in all positions
What is the proximal attachment of the Brachialis
Distal half of anterior surface of humerus
What is the DISTAL attachment of the brachialis
Ulnar tuberosity and coronoid process of ulna
What is the innervation of the brachialis
Musculocutaneous nerve C5 C6
What is this muscle and the structure it attaches to?
Brachialis, Tuberosity of Ulna
The brachioradialis is innervated by the
Radial nerve C5 (C6) C7
The actions of the brachioradialis are…
Flex the elbow in a mid-pronated position (at the Humero-ulnar joint)
Assist to pronate and supinate the forearm when the movements are resisted from end range. (at the humero-radial joint)
What is the proximal attachment of the Brachioradialis
The lateral supra-epicondylar ridge of humerus
What is the distal attachment of the brachioradialis
Lateral Surface of distal end of radius (proximal to styloid process)
What nerve provides motor innervation to all muscles of the anterior upper arm, and sensory information to the skin of lateral forearm
Musculocutaneous
What artery and what nerve is found in the extensor compartment of the upper arm?
Deep Brachial Artery, Radial Nerve (C5 to T1)
What 3 nerves make the M in the Brachial Plexus? Name them from Medial to Lateral.
Most Medial: Ulnar Nerve
Median Nerve
Most Lateral: Musculocutaneous Nerve
What Rami feed into the Lateral Cord of the Brachial Plexus
C5 C6 and C7
What Rami feeds into the Medial cord of the Brachial Plexus
C8 and T1
True or false: The posterior Cord has connection to every Rami in the brachial plexus.
True. It is fed from the poterior cord of every Division.
What nerves arise from the poserior cord of the brachial plexus?
Lower Subscapular
Thoracodorsal
Upper Subscapular
Additionally: Axillary and Radial Nerve
What nerves arise from the medial cord of the brachial plexus? (not branches)
Medial Antebrachial Cutaneous Nerve
Medial Brachial Cutaneous Nerve
Medial Pectoral Nerve
What nerves arises from the lateral cord of the Brachial Plexus
Lateral Pectoral Nerve
Musculocutaneous Nerve
And the Median Nerve
What muscle is innervated by the entire Brachial Plexus Rami?
Pectoralis Major
C8 and T1 supply the _____ cord of the brachial plexus
Medial cord
And the Posterior Cord
What is the most lateral nerve of the Brachial Plexus
Musculocutaneous nerve
Identify the sternal and the acromial end of the clavicle