Brachial Plexus Flashcards
Trunk of Brachial Plexus with Root value
Upper Trunk ~ C5, C6
Middle Trunk ~ C7
Lower Trunk ~ C8, T1
Each trunk is divided into
Anterior and Posterior Divisions
Lateral Cord is formed by
Anterior Divisions of Upper and Middle Trunk
Anterior Division of Lower Trunk forms
Medial Cord
All the posterior division join together and forms
Posterior Cord
Root of the Brachial plexus is emerging between
Scalenus anterior and Scalenus medius
Trunk of Brachial Plexus is located in
Posterior Triangle of Neck
Divisions of Brachial Plexus are located
Before entering the Axilla
Cords and Branches are located
In the Axilla
Branches from Root of Brachial Plexus
C5 — Dorsal Scapular Nerve
C5, C6, C7 — Long Thoracic Nerve(Nerve of Bell)
C5 — Dorsal Scapular Nerve Supplies
Rhomboid Major
Rhomboid Minor
Levator Scapulae
Branches from the Upper Trunk of Brachial Plexus
Nerve to Subclavius > Suprascapular Nerve
Suprascapular Nerve as 1st branch of Upper Trunk but it frequently springs from the Ventral primary ramus of C5
Branches from Medial Cord;
Five -
- Medial pectoral nerve
- Medial cutaneous nerve of arm
- Medial cutaneous nerve of forearm
- Ulnar nerve
- Medial root of Median nerve
Branches from Lateral Cord;
Three
- Lateral pectoral nerve
- Musculocutaneous nerve
- Lateral root of Median nerve
Lateral Pectoral Nerve Pierces ___________ Fascia
Clavipectoral Fascia
Musculocutaneous nerve pierces
Coracobrachialis muscle
Nerve of Anterior Compartment of Arm
Musculocutaneous nerve
Muscles in Anterior Compartment of Arm
- Coracobrachialis muscle
- Brachialis muscle
- Biceps
Supplied by Musculocutaneous nerve
Muscle with Intracapsular origin;
In upper limb -
In lower limb -
In upper limb - Long head of biceps
In lower limb - Popliteus muscle
After supplying the Anterior Compartment of Arm; Musculocutaneous nerve continues as →
Lateral cutaneous nerve of forearm
Branches of Radial Nerve
Posterior cutaneous branch of arm
Posterior cutaneous branch of forearm
Lower lateral cutaneous nerve of arm
Posterior cutaneous nerves of arm and forearm
Are branches of;
Radial nerve
Medial cutaneous nerve of arm and forearm are branches of;
Medial cord of brachial plexus
Upper lateral cutaneous nerve of arm; branch of
Axillary nerve
Lateral cutaneous nerve of forearm; branch of
Musculocutaneous nerve
Branches of Posterior Cord;
- Upper subscapular nerve
- Thoracodorsal nerve
- Lower subscapular nerve
- Axillary nerve
- Radial nerve
Upper subscapular nerve supplies
Upper part of subscapularis
Thoracodorsal nerve supplies
Latissimus dorsi muscle
Lower subscapular nerve supplies
Lower part of Subscapularis and Teres Mojor
Axillary nerve supplies
Deltoid and Teres minor
Cutaneous branch - upper lateral cutaneous nerve of arm
Humerus bone relation with 3 nerves are;
Neck of humerus -
Spiral groove of humerus -
Behind medial epicondyle -
Neck of humerus - Axillary
Spiral groove of humerus - Radial
Behind medial epicondyle - Ulnar
Fracture at Neck of Humerus;
Nerve affected -
C/F -
Fracture at Neck of Humerus;
Nerve affected - Axillary nerve
C/F - Deltoid and Teres minor affected
Loss of sensation over the upper lateral aspect of the arm - Regimental badge anaesthesia
Regimental badge anaesthesia is
Loss of sensation over the upper lateral aspect of the arm
Injury to Axillary nerve
Largest branch of Brachial Plexus
Radial Nerve
Nerve supply to Teres major
Lower Subscapular Nerve
Nerve supply of Teres minor
Axillary nerve
Erb’s point is
Meeting point of 6 nerves;
C5
C6
Suprascapular nerve
Nerve to Subclavius
Anterior division
Posterior division
Causes of Erb’s palsy
- Falling on outstretched hand
2. Obstetric complications
Klumpke’s paralysis is due -
Cause -
Deformity -
Lower trunk injury - C8, T1
Cause - Hyperabduction injury
Deformity - Claw hand
Nerves affected in Klumpke’s paralysis
C8, T1 —
Median nerve and Ulnar nerve
Muscle of Palm Paralysed
If T1 Sympathetic Fibres affected → Horner’s Syndrome
Division of Brachial Plexus will not give any branch.
True / False
True
Deformities seen in Erb’s Palsy
Should Joint -
Elbow Joint -
Forearm -
Should Joint - adducted and medially rotated
Elbow Joint - extended
Forearm - Pronated
Nerves and Muscles affected in Erb’s Palsy
Suprascapular nerve
- Supraspinatus
- Infraspinatus
Radial Nerve
- Brachioradialis
- Extensor carpi radialis longus
- Supinator
Musculocutaneous Nerve
- Biceps
- Brachialis
- not affected ~ Coracobrachialis
Axillary Nerve
- Deltoid
- Teres minor
Nerve to Subclavius