Brachial Plexus Flashcards

1
Q

What are the divisions of the brachial plexus

A
Roots
Trunks
Divisions
Cords
Branches
Read That Damn Cadaver Book
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2
Q

What forms the roots of the brachial plexus

A

Anterior divisions of spinal nerves C5-T1

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3
Q

What do the posterior divisions of C5-T1 do

A

Innervate skin and musculature of trunk

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4
Q

Where do the roots of the brachial plexus pass

A

Between anterior and medial scalene muscles to enter base of neck

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5
Q

What are the three trunks of the brachial plexus

A

Superior trunk
Middle trunk
Inferior trunk

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6
Q

Where do the roots of the brachial plexus converge and form trunks

A

Base of the neck

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7
Q

What forms the superior trunk of the brachial plexus

A

Combination of C5 and C6 roots

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8
Q

What forms the middle trunk of the brachial plexus

A

Continuation of C7 root

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9
Q

What forms the inferior trunk of the brachial plexus

A

Combination of C8 and T1 roots

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10
Q

Where do the trunks of the brachial plexus move once formed

A

Laterally, crossing posterior triangle of the neck

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11
Q

What happens to the brachial plexus in the posterior triangle of the neck

A

Each trunk divides into two branches - anterior and posterior divisions

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12
Q

Where do the divisions of the brachial plexus then pass

A

Leave the posterior triangle and pass into the axilla

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13
Q

When do the divisions of the brachial plexus recombine to form cords

A

Once they have entered the axilla

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14
Q

What are the cords of the brachial plexus

A

Lateral cord
Posterior cord
Medial cord

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15
Q

What forms the lateral cord of the brachial plexus

A

Anterior division of superior trunk

Anterior division of middle trunk

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16
Q

What forms the posterior cord of the brachial plexus

A

Posterior division of superior trunk
Posterior division of middle trunk
Posterior division of inferior trunk

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17
Q

What forms the medial cord of the brachial plexus

A

Anterior division of the inferior trunk

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18
Q

Where do the cords give rise to the branches of the brachial plexus

A

In the axilla and proximal aspect of the upper limb

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19
Q

What are the branches of the brachial plexus

A
Musculocutaneous
Axillary
Median
Radial 
Ulnar
20
Q

What roots form musculocutaneous nerve

A

C5, C6, C7

21
Q

What are the motor functions of musculocutaneous nerve

A

Innervates brachialis, biceps brachii and coracobrachialis

22
Q

What are the sensory functions of the musculocutaneous nerve

A

Gives off lateral cutaneous branch of the forearm:-
Innervates lateral half of anterior forearm
Innervates small lateral portion of posterior forearm

23
Q

What roots make up the axillary nerve

24
Q

What are the motor functions of the axillary nerve

A

Innervates teres minor and deltoid muscles

25
What are the sensory functions of the axillary nerve
Gives off superior lateral cutaneous nerve of the arm:- | Innervates inferior region of deltoid
26
What are the roots of the median nerve
C6-T1
27
What are the motor functions of the median nerve
Flexor muscles of the forearm Thenar muscles Two lateral lumbricals
28
What are the sensory functions of the median nerve
Gives off palmar cutaneous branch - innervates lateral part of palm Gives off digital cutaneous branch - innervates lateral three and a half fingers on palmar surface of hand
29
What are the roots of the radial nerve
C5-8 and T1
30
What are the motor functions of the radial nerve
Triceps brachii | Extensor muscle in the posterior compartment of the forearm
31
What are the sensory functions of the radial nerve
Posterior aspect of arm and forearm | Posterior, lateral aspect of hand
32
What are the roots of the ulnar nerve
C8 and T1
33
What are the motor functions of the ulnar nerve
Muscles of the hand (except thenar muscles and lateral two lumbricals) Flexor carpi ulnaris Medial half of flexor digitorum profundus
34
What are the sensory functions of the ulnar nerve
Anterior and posterior surfaces of medial one and a half fingers Associated palm area
35
What minor branches arise from the roots of the brachial plexus
Dorsal scapular nerve | Long thoracic nerve
36
What minor branches arise from the trunks of the brachial plexus
Suprascapular nerve | Nerve to subclavius
37
What minor branches arise from the lateral cord of the brachial plexus
Lateral pectoral nerve
38
What minor branches arise from the medial cord of the brachial plexus
Medial pectoral nerve Medial cutaneous nerve of arm Medial cutaneous nerve of forearm
39
What minor branches arise from the posterior cord of the brachial plexus
Superior subscapular nerve Thoracodorsal nerve Inferior subscapular nerve
40
What nerves are affected in an Erb's palsy
``` Nerves from C5 and C6 roots: Musculocutaneous nerve Axillary nerve Suprascapular nerve Nerve to subclavius ```
41
What muscles are paralysed in Erb's palsy
``` Supraspinatus Infraspinatus Subclavius Biceps brachii Brachialis Coracobrachialis Deltoid Teres minor ```
42
Which movements are lost/greatly weakened
Abduction at shoulder Exteral rotation of arm Supination of forearm Flexion at shoulder
43
Where is the sensation loss in Erb's palsy
Down lateral side of arm
44
What mechanism of injury causes Klumpke palsy
Excessive abduction of the arm
45
What nerves are affected in Klumpke palsy
Nerves from T1 root: Ulna nerve Median nerve
46
What muscles are paralysed in Klumpke palsy
All small muscles of the hand | MCPJs hyperextended and IPJs are flexed giving clawed appearance
47
What sensory loss is associated with Klumpke palsy
Loss of sensation along medial side of arm