Lecture 14: Peripheral Nervous System Flashcards
what is the cervical plexus?
contains nerve roots C1 - C5
what the mnemoic for the cervical plexus?
C3, C4 and C5 keep the diaphragm alive
what happens if a spinal cord injury occurs above C3?
- a person will require a respirator to help them breathe
- this is because the nerve roots that supply the phrenic nerve no longer have a connection to the brainstem and the brain
- if the injury is inferior to C5 nerve root, the person should be able to breathe independently
what is the importance of the phrenic nerve?
- is the sole motor nerve supply for the diaphragm to help with breathing
- has sensory and motor fibres
what is the brachial plexus?
contains nerve roots C5 - T1
what are the major branches of the brachial plexus?
- median nerve
- ulnar nerve
- radial nerve
- musculocutaneous nerve
- axillary nerve
how do brachial plexus divide?
roots –> trunks –> divisions –> cords –> branches
mnemonic for the brachial plexus
Rugby Teams Drink Cold Beer
53635 (roots, trunks, divisions, cords, branches)
My Aunt Rescued my Uncle (nerves)
nerve root origin of radial nerve
c5, c6, c7, c8, t1
nerve root origin of axillary nerve
c5, c6
nerve root origin of musculocutaneous nerve
c5, c6, c7
nerve root origin of median nerve
c5, c6, c7, c8, t1
nerve root origin of ulnar nerve
c8, t1
function/supply of radial nerve
- entire posterior aspect of arm
- triceps brachii
- all extensors (elbow, forearm, wrist, fingers)
function/supply of axillary nerve
- teres minor and deltoid
function/ supply of musculocutaneous nerve
- coracobrachialis, biceps brachii, brachialis
- flexors of the elbow
function/supply of median nerve
- flexors of forearm and hand
- NOTHING proximal to elbow
function/supply of ulnar nerve
- NOTHING proximal to elbow
- medial epicondyle of humerus (funny bone = ulnar nerve)
how does Carpal Tunnel Syndrome develop?
- when the bones and ligaments of wrist compress on the median nerve
- this is because the median nerve goes through the carpal tunnel and branches off to supply parts of the hand
what is Claw Hand?
- a deformity caused by a lesion to the ulnar nerve
- occurs because the ulnar nerve is superficial
- numbness of the fourth and fifth fingers and hand muscle weakness.
what is Wrist Drop?
- occurs if there is a lesion of radial nerve
- this is because the radial nerve supplies motor to the extensors of the elbow, wrist and hand
- if injured, wrist drop occurs when flexors do not have an active antagonist so flexors overtake extensors
what is the lumbar plexus?
L1 - L4
what are the major branches of the lumbar plexus?
- iliohypogastric
- ilioinguinal
- genitofemoral
- lateral femoral cutaneous
- obturator
- femoral