Brachial Plexus/Nerves of Upper Limb Flashcards
what does brachial plexus provide?
motor, sensory, and sympathetic innervation to upper limb
what is brachial plexus composed of?
ventral rami of spinal nerves C5-T1
how is brachial plexus organized?
Rami Trunks Divisions Cords Branches
**Roy T Drinks Cold Beer
trunks of brachial plexus?
upper - C5/C6
middle - C7
lower - C8/T1
division of brachial plexus?
anterior - medial and lateral cords
posterior - posterior cord
(6 total)
cords of brachial plexus?
first portion located in axilla**
-named in relation to axillary artery
lateral cord formation?
union of two anterior divisions
-one from upper trunk and one from middle trunk
C5, C6, C7
medial cord formation
direct continuation of anterior portion of lower trunk (C8/T1)
posterior cord formation
posterior division of all three trunk
all spinal nerves participate
C5-T1
terminal branches of brachial plexus?
musculocutaneous, median, ulnar, radial, axillary
??
lateral pectoral nerve
branch of lateral cord
innervates pectoralis major
musculocutaneous nerve
terminal branch of lateral cord
innervates anterior compartment of arm (flexors)
C5 C6 C7
medial pectoral nerve
branch of medial cord
innervates pectoralis major and minor
medial brachial cutaneous nerve
branch of medial cord
cutaneous innervation to medial arm
medial antebrachial cutaneous nerve
branch of medial cord
cutaneous innervation to medial forearm
ulnar nerve
terminal branch of medial cord
C8 T1
upper subscapular nerve
branch of posterior cord
innervates subscapularis
thoracodorsal nerve
branch of posterior cord
aka middle subscapular nerve
innervates latissimus dorsi
lower subscapular nerve
branch of posterior cord
innervates subscapularis and teres major
axillary nerve
one of terminal branches of posterior cord
innervates the deltoid and teres minor
C5 and C6
radial nerve
one of terminal branches of posterior cord
innervates all muscle of dorsal surface of upper limb (extensors)
C5-T1
median nerve
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
what are the supraclavicular branches?
dorsal scapular nerve
suprascapular nerve
nerve to subclavius
long thoracic nerve
what does each ventral rami in the brachial plexus receive?
gray ramus postganglionic sympathetic fiber distributed via the nearly adjacent cervical sympathetic trunk
dorsal scapular nerve
direct from C5
innervates levator scapulae, rhomboid major and minor
suprascapular nerve
forms at junction of C5 C6
-innervates supra and infraspinatus
nerve to subclavius
from upper trunk (C5 C6)
-innervates subclavius
long thoracic nerve
from C5, C6, C7
innervates serratus anterior
dermatomal innervation of the upper limb?
C4-T3
- C5-T1 from brachial plexus
- C4 from supraclavicular nerves of cervical plexus
- T1,T2, and sometimes T3 from intercostal brachial cutaneous nerves
how does brachial plexis get to upper limb?
through the cervicoaxillary canal through the axilla