brachial plexus and axillary artery Flashcards
Which spinal nerves form the brachial plexus?
C5-T1
How many trunks do the spinal nerves form?
3
How many divisions are formed by each trunk?
2 each; 6 total
The anterior and posterior divisions join to form how many cords?
3
Name the cords of the brachial plexus.
Medial cord, lateral cord, and posterior cord.
The cords are named in relation to which structure?
Axillary artery
Which brachial plexus nerves branch directly off of spinal nerves?
Long thoracic nerve and dorsal scapular nerve.
Segmental innervation of long thoracic nerve.
C5-C7
Segmental innervation of dorsal scapular nerve.
C5
What structures does the long thoracic nerve supply?
Serratus anterior
What structures does the dorsal scapular nerve supply?
Rhomboid major and minor, levator scapula, acromioclavicular joint
Which nerves branch off of the medial cord?
Medial pectoral nerve, medial brachial cutaneous nerve, medial antebrachial cutaneous nerve, ulnar nerve, part of median nerve.
Which spinal nerves form the upper trunk?
C5 and C6
Which spinal nerves form the middle trunk?
C7
Which spinal nerves form the lower trunk?
C8 and T1
Which divisions form the lateral cord?
The anterior divisions of the upper and middle trunks.
Which divisions form the medial cord?
The anterior division of the lower trunk.
Which divisions form the posterior cord?
The posterior divisions of all three trunks.
What is the segmental innervation of the lateral cord?
C5, C6, and C7
What is the segmental innervation of the medial cord?
C8 and T1
What is the segmental innervation of the posterior cord?
C5-T1
Which nerves branch directly off of the upper trunk?
The suprascapular nerve and the nerve to the subclavius.
Which structures does the suprascapular nerve supply?
The supraspinatus, the infraspinatus, and the shoulder joint.
What is the segmental innervation of the suprascapular nerve?
C5 and C6
What is the segmental innervation of the nerve to the subclavius?
C5 and C6
Which structures does the nerve to the subclavius supply?
The subclavius, the diaphragm, and the sternoclavicular joint
What is the name of the branch off of the nerve to the subclavian leading to the diaphragm?
The accessory phrenic nerve.
Which cords form the median nerve?
The lateral and medial cords?
What is the segmental innervation of the median nerve?
C6-T1
Which muscles are supplied by the median nerve?
Pronator teres, flexor carpi radialis, palmaris longus, flexor digitorum superficialis, flexor pollicis longus, pronator quadratus, half of flexor digitorum profundus, and most of the thenar muscles.
The median nerve supplies which joints?
Elbow and wrist
Which skin areas are supplied by the median nerve?
Lateral 3/4 of the palmar surface of the hand and palmar and dorsal aspects of the first 3 1/2 digits.
Which nerve branch exclusively off of the lateral cord?
The lateral pectoral nerve and the musculocutaneous nerve.
What is the segmental innervation of lateral pectoral nerve?
C5-C7
Which structures are supplied by the lateral pectoral nerve?
Pectoralis major
What is the segmental innervation of the musculocutaneous nerve?
C5-C7
What is the name of the muscles the musculocutaneous nerve runs through?
The coracobrachialis
What is the name of the musculocutaneous nerve when it continues into the forearm?
The lateral antebrachial cutaneous nerve.
Motor supply of the the musculocutaneous nerve?
Coracobrachialis, biceps brachii, brachialis.
Articular supply of the musculocutaneous nerve?
Elbow joint
Cutaneous supply of the musculocutaneous nerve?
Lateral aspect of the forearm.
Which nerves exclusively branch off the medial cord?
Medial pectoral nerve, medial brachial cutaneous nerve, medial antebrachial cutaneous nerve, ulnar nerve.
Segmental innervation of the medial pectoral nerve?
C8 and T1
Structures supplied by the medial pectoral nerve?
Pectoralis major and pectoralis minor
Segmental innervation of the medial brachial nerve?
T1
Structures supplied by the medial brachial nerve?
Skin of medial aspect of the arm
Segmental innervation of the medial antebrachial cutaneous nerve?
C8 and T1
Structures supplied by the medial antebrachial nerve?
Medial aspect of the forearm.
Segmental innervation of the ulnar nerve?
C8 and T1
Structures supplied by the ulnar nerve?
Flexor carpi ulnaris, 1/2 flexor digitorum profundus, hypothenar mucles, elbow and wrist joints, 1/4 medial palm, dorsum of hand, digit 5 and 1/2 of 4.
Which nerves branch off the posterior cord?
The upper subscapular nerve, lower subscapular nerve, thoracodorsal nerve, axillary nerve, radial nerve.
Segmental innervation of the upper subscapular nerve?
C5
Structures supplied by the upper subscapular nerve?
Subscapularis
Segmental innervation of the lower subscapular nerve?
C6
Structures supplied by the lower subscapular nerve?
Subscapularis and teres major
Segmental innervation of the thoracodorsal nerve?
C6, C7, C8
Structures supplied by the thoracodorsal nerve?
Latissimus dorsi
Segmental innervation of the axillary?
C5 and C6
Structures supplied by the axillary nerve?
Deltoid, teres minor, shoulder joint, skin of lateral arm.
Branch of axillary nerve supplying the skin of the lateral arm?
Lateral brachial cutaneous nerve.
Segmental innervation of the radial nerve?
C5-T1
Motor supply of the radial nerve?
Triceps brachii, aconeus, all posterior forearm muscles.
Articular supply of radial nerve?
Elbow and wrist joints
Cutaneous supply of the radial nerve?
Posterior arm and forearm, dorsum of hand, small area below thumb on palm.
Dermatome of C4
Skin over acromion process
Dermatome of C5
Lateral arm
Dermatome of C6
Lateral forearm and digits one and two
Dermatome of C7
Skin of palm, digits 2-4
Dermatome of C8
Medial forearm, digit five
Dermatome of T1
Medial arm
Dermatome of T2
Skin of axilla
Spinal nerves forming a prefixed brachial plexus?
C4-C8
Spinal nerves forming a postfixed brachial plexus?
C6-T2
Cause of Erb-Duchenne palsy
Traction injury of excessive increase of angle between neck and shoulder; damage to C5 and/or C6
Symptoms of Erb-Duchenne palsy?
Disabled shoulder movements, loss of sensation in C5 and/or C6 dermatomes
Cause of Klumpke’s palsy?
Injury to C8 and/or T1; forceful abduction of humerus
Symptoms of Klumpke’s palsy?
Disabled hand and digit movement, loss of sensation in C8 and T1 dermatomes.
Condition in which the cords of the brachial plexus and the axillary artery are compressed.
Thoracic outlet syndrome
The name of the axillary artery before the axilla?
Subclavian artery
The name of the axillary artery after the axilla?
The brachial artery
What are the braches of the axillary artery?
Superior thoracic, thracoacromial, lateral thoracic, subscapular, anterior humeral circumflex, posterior humeral circumflex.
Which structures are supplied by the superior thoracic artery?
Pectoralis major and minor, subclavius, thoracic wall.
Branches of the thoracoacromial artery
Acromial, pectoral, clavicular, and deltoid.
Structures supplied by the lateral thoracic artery?
Serratus anterior, pectorals, mammary glands, intercostal muscles
What are the branches of the subscapular artery?
Thoracodorsal and circumflex scapular
Structures supplied by the thoracodorsal branch of the subscapular artery
Latissimus dorsi and the subscapularis muscles.
Structures supplied by the circumflex scapular?
Supraspinatus, infraspinatus, teres major and minor, triceps brachii and part of the deltoid
Structures supplied by the anterior and posterior humeral circumflex arteries?
Deltoid, shoulder joint, teres muscles, and proximal humerus.