Brachial Plexus Flashcards
Brachial Plexus
5 Roots (C5-T1) 3 Trunks (superior, middle, inferior) 6 Divisions (each trunk into anterior and posterior) 3 cords (lateral, medial, posterior) 5 terminal branches
5 roots give off what nerves?
Dorsal scapular (C5) Phrenic (C3,4,5) Long Thoracic (C5,6,7)
Superior Trunk
Union of C5 and C6
Superior trunk gives off what nerves?
Subclavius (C5)
Suprascapular (C4,5,6)
Middle Trunk
Continuation of C7
Inferior Trunk
Union of C8 and T1
Anterior Division
Innervates flexor muscles
Posterior Division
Innervates extensor muscles
Lateral Cord
Union of anterior division of superior and middle trunks
Carry C5,6,7 fibers
What branches off the lateral cord?
Lateral pectoral (C5,6,7)
Medial Cord
Continuation of anterior division of inferior trunk
Carry C8 and T1 fibers
What branches off the medial cord?
Medial pectoral (C8-T1)
Medial cutaneous of arm (C8-T1)
Medial cutaneous of forearm (C8-T1)
Medial cutaneous of arm provides sensation where?
Medial side of arm
Superior part of forearm
Medial cutaneous of forearm provides sensation where?
Medial side of forearm
Posterior Cord
Union of all three posterior divisions
Carry C5-T1 Fibers
What branches does the posterior cord give off?
Upper subscapular (C5,6) Thoracodorsal (C6,7) Lower sub scapular (C6,7)
5 Terminal Branches
Axillary - posterior cord Musculocutaneous - lateral cord Median - lateral and medial cord Radial - posterior cord Ulnar - medial cord
What clinical sign comes from superior BP injury?
Erb’s palsy - separation of head and neck with fall, stretching during baby delivering
What clinical sign comes from inferior BP injury?
Claw hand
Sudden pull of arm superiorly trying to grab something
What clinical sign comes from median nerve injury?
Pronator syndrome
Hand of benediction
What clinical sign comes from radial nerve injury?
Wrist drop
What clinical sign comes from a biceps tendon rupture?
Popeye deformity
What is the clinical sign of Erb’s palsy?
Waiter’s tip
What is in the triangular space?
Circumflex scapular artery
What is in the quadrangular space?
Axillary
Posterior circumflex humeral
What is in the triceps hiatus?
Radial nerve
Thumb abduction test what nerves?
Median
Radial
Thumb adduction test what nerve?
Ulnar
Thumb extension test what nerve?
Radial
Thumb flexion test what nerve?
Median
Thumb opposition test what nerve?
Median
Cubital fossa contains
Terminal branch of brachial artery Radial/ulnar arteries Biceps brachii tendon Median nerve Radial nerve branches