Exam 3 Quiz 4- Brachial Plexus Flashcards
Each root recieves gray ramus communicans from the
Sympathetic trunk
Where two structures do the roots pass by
Between anterior and middle scalene muscles into posterior triangle
Posterior and superior to the subclavian artery
What root combines to form the superior trunk
C5/C6
What root makes up the middle trunk
C7
What roots make up the inferior trunk
C8 and T1
The lateral cord is formed by
The superior and middle trunks
What fibers are in the lateral cord
C5,6,7
Where is the lateral cord located?
LATERAL to the second part of the axillary artery
Medial cord is formed by the
Anterior division of the inferior trunk
Medial cord contains fibers from
C8, T1
The medial cord is located where
Medial to the second part of the axillary artery
The posterior cord is made up of
The posterior division of all three trunks
Posterior trunk contains fibers from
C5,6,7,8 and T1
The posterior cord lies
Posterior to the second part of the axillary artery
The dorsal scapular nerve is branches off the
C5 root, contains C5 FIBERS ONLY
What three muscles does the dorsal scapular nerve suppply
Rhomboid major/minor
Levator scapula (C3,C4 fibers)
Long thoracic nerve is formed from roots
C5,6,7
What does long thoracic nerve supply
Serratus anterior, fibers C5,6,7
What are the two nerves which branch off the superior trunk
Suprascapular nerve, nerve to subclavius
Suprascapular nerve contains fibers from
C5,C6
What two muscles does suprascapular nerve supply
Supraspinatus
Infraspinatus
Nerve to subclavius contains fibers from ______ and supplies ______
C5,6 subclavius
What other two nerves branch off the lateral cord
Lateral pectoral nerve
Musculocutaneous
Lateral pectoral nerve contains fibers from
C5,6,7 and supplies Pec major
Musculocutaneous nerve contains fibers from
C5,6,7
What nerve supplies 3/4 muscles of the anterior arm
Musculocutaneous nerve
What three muscles does musculocutaneous supply
Coracobrachialis
Biceps brachii
Brachialis
What nerve pierces coracobrachialis
Musculocutaneous
What nerve continues into the forearm as the lateral cutaneous nerve of the forearm
Musculocutaneous
The ______________ is a branch of the musculocutaneous that goes into the forearm
Lateral cutaneous nerve of the forearm, supplies skin over the lateral aspect of the forearm
What are the two terminal branches of the lateral cord?
Median nerve
Musculocutaneous nerve
The medial pectoral nerve contains fibers from
C8, T1
What two muscles does the medial pectoral nerve supply
Pec major/minor
Medial cutaneous nerve of the arm contains fibers from
C8, T1, can receive fibers from T2
Medial cutaneous nerve of the arm can receive fibers fromT2 via
Intercostobrachial nerve
The medial cutaneous nerve of the arm supplies skin over
The medial arm between the axilla and elbow
Medial cutaneous nerve of the forearm contains fibers from
C8 and T1
MEdial cutaneous nerve of the forearm supplies skin
Over biceps brachii, anterior and medial aspects of forearm distal to the wrist
Ulnar nerve contains fibers from
C8 and T1 sometimes C7
The ulnar nerve travels
Medial to the brachial artery, in the medial bicipital sulcus
True or False
The ulnar nerve gives branches off in the arm
FALSE
Where does the ulnar nerve pass
Crosses posterior side of the medial epicondyle aka Funny BONE
The ulnar nerve travels in the forearm between
The two heads of flexor Capri ulnaris
What two muscles does the ulnar nerve innervate
Flexor Capri ulnaris
Flexor digitorum profundus
The ulnar nerve gives off two sensory branches in the forearm the
Dorsal branch- ulnar side, posterior hand
Palmar branch- skin over the hypothenar eminence
When the ulnar nerve travels into the wrist it divides into two branches
Superficial- supply palmer aspect of little finer and half of ring finger
Deep
What nerve causes claw hand?
Ulnar nerve
Aka ape hand
What are the three muscles of the hypothenar eminence
Abductor digiti minimi
Flexor digiti minimi brevis
Opponents digiti minimi
The ulnar nerve passes superior to the ______________ before dividing in the wrist
Flexor retinaculum
Median nerve contains fibers from
C6,7,8 and T1
Contains contributions from lateral and medial cord
The median nerve travels in the _______________ through the arm
Medial bicipital sulcus
GIVES OFF NO BRANCHES IN THE ARM
Median nerve crosses the elbow _________ and between ________
Anterior side of elbow, two heads of pronator teres
The median nerve supplies how many muscles
7 in the forearm
Pronator teres, flexor Carpi radialis, palmaris longus, flexor digitorum superficialis, pronator quadratus, flexor pollicis longus
What nerve is given off by the median nerve in the elbow
Anterior interosseous nerve of the forearm
The palmar branch of the median nerve supplies
Skin over thenar eminence, lateral wrist, palm
Median nerve travels
Deep to flexor retinaculum
Each common palmar digital nerve splits into
Two proper palmar digital nerves
SENSORY FUNCTION ONLY
Hand of oath/ benediction is causes
Compression of median nerve and is present when patient makes a fist
How many branches are off the posterior cord
5, superior subscapular nerve, thoracodorsal, inferior subscapular, axillary, radial nerves
Superior subscapular nerve contains branches from
C5,6
The superior subscapular nerve supplies
Subscapularis
Thoracodorsal nerve contains fibers from
C6,7,8
What does thoracodorsal nerve supply
Latissimus dorsi, travels along posterior axillary wall
The inferior subscapular nerve contains fibers
C5,6
Inferior subscapular nerve supplies
Subscapularis and teres major
Axillary nerve contains fibers from
C5,6
Axillary nerve travels
Posterior around surgical neck of humerus
Axillary nerve supplies
Deltoid
Teres minor
Axillary nerve gives off a sensory branch called
Superior lateral cutaneous nerve of the arm, supplies skin over the lateral shoulder and upper arm
Radial nerve contains fibers from
C5,6,7,8, T1
What supplies all the muscles of the posterior compartment of the arm and forearm
Radial nerve
Radial nerve spirals around
To posterior of humerus from the medial bicipital sulcus
The radial nerve passes on the _______ side if the elbow
Anterior and travels between brachialis and brachioradialis
Where does the radial nerve divide into superior and deep branch
At the level of the radial head
What branch of the radial nerve terminates as the posterior interosseous nerve
Deep branch of radial nerve
Deep branch of the ulnar nerve gives off the
Posterior interosseous nerve
The posterior cutaneous nerve of the arm branches off in the ________ and supplies __________.
Upper arm, posterior side of the upper arm
The inferior lateral cutaneous nerve of the arm and branches off in the
Radial in the middle arm
Radial nerve supplies
Triceps brachii
Anconeus
The posterior cutaneous nerve of the forearm supplies
The narrow area of skin on the lateral side of the posterior forearm
Posterior cutaneous nerve of the forearm branch off at the LATERAL EPICONDYLE to supply
Brachioradialis
Extensor carpi radialis longus
The superficial branch of the radial nerve in the hand gives off
Dorsal digital nerves which provide sensory info
Also gives off communicating branch with the ulnar nerve
The radial nerve sends _______ to the shoulder and wrist
Articular branches
Supraclavicular damage mc occurs from
Birth trauma part of C5,6 roots
What nerves does Erb-Duchenne involve
Suprascapular, musculocutaneous, axillary
Infraclavicular nerve damage involves
C8, T1
Aka Klumpke
Infraclavicular damage can result in
Horner’s syndrome- because of sympathetic at T1. Ptosis and miosis