Brachial Plexus/Nerves of Upper Limb Flashcards

1
Q

what does brachial plexus provide?

A

motor, sensory, and sympathetic innervation to upper limb

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2
Q

what is brachial plexus composed of?

A

ventral rami of spinal nerves C5-T1

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3
Q

how is brachial plexus organized?

A
Rami
Trunks
Divisions
Cords
Branches

**Roy T Drinks Cold Beer

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4
Q

trunks of brachial plexus?

A

upper - C5/C6
middle - C7
lower - C8/T1

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5
Q

division of brachial plexus?

A

anterior - medial and lateral cords
posterior - posterior cord

(6 total)

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6
Q

cords of brachial plexus?

A

first portion located in axilla**

-named in relation to axillary artery

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7
Q

lateral cord formation?

A

union of two anterior divisions
-one from upper trunk and one from middle trunk
C5, C6, C7

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8
Q

medial cord formation

A

direct continuation of anterior portion of lower trunk (C8/T1)

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9
Q

posterior cord formation

A

posterior division of all three trunk
all spinal nerves participate
C5-T1

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10
Q

terminal branches of brachial plexus?

A

musculocutaneous, median, ulnar, radial, axillary

??

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11
Q

lateral pectoral nerve

A

branch of lateral cord

innervates pectoralis major

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12
Q

musculocutaneous nerve

A

terminal branch of lateral cord

innervates anterior compartment of arm (flexors)

C5 C6 C7

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13
Q

medial pectoral nerve

A

branch of medial cord

innervates pectoralis major and minor

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14
Q

medial brachial cutaneous nerve

A

branch of medial cord

cutaneous innervation to medial arm

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15
Q

medial antebrachial cutaneous nerve

A

branch of medial cord

cutaneous innervation to medial forearm

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16
Q

ulnar nerve

A

terminal branch of medial cord

C8 T1

17
Q

upper subscapular nerve

A

branch of posterior cord

innervates subscapularis

18
Q

thoracodorsal nerve

A

branch of posterior cord
aka middle subscapular nerve
innervates latissimus dorsi

19
Q

lower subscapular nerve

A

branch of posterior cord

innervates subscapularis and teres major

20
Q

axillary nerve

A

one of terminal branches of posterior cord
innervates the deltoid and teres minor
C5 and C6

21
Q

radial nerve

A

one of terminal branches of posterior cord
innervates all muscle of dorsal surface of upper limb (extensors)
C5-T1

22
Q

median nerve

A

terminal branch of brachial plexus

  • receives C6 and C7 from lateral cord (C5 rare)
  • receives C8 and T1 from medial cord

innervates ventral antebrachial muscles as well as thenar muscles of hand

23
Q

what are the supraclavicular branches?

A

dorsal scapular nerve
suprascapular nerve
nerve to subclavius
long thoracic nerve

24
Q

what does each ventral rami in the brachial plexus receive?

A

gray ramus postganglionic sympathetic fiber distributed via the nearly adjacent cervical sympathetic trunk

25
Q

dorsal scapular nerve

A

direct from C5

innervates levator scapulae, rhomboid major and minor

26
Q

suprascapular nerve

A

forms at junction of C5 C6

-innervates supra and infraspinatus

27
Q

nerve to subclavius

A

from upper trunk (C5 C6)

-innervates subclavius

28
Q

long thoracic nerve

A

from C5, C6, C7

innervates serratus anterior

29
Q

dermatomal innervation of the upper limb?

A

C4-T3

  • C5-T1 from brachial plexus
  • C4 from supraclavicular nerves of cervical plexus
  • T1,T2, and sometimes T3 from intercostal brachial cutaneous nerves
30
Q

how does brachial plexis get to upper limb?

A

through the cervicoaxillary canal through the axilla