Nerve supply of upper arm: Brachial plexus Flashcards
Does the brachial plexus supply the upper limbs or lower limbs?
Upper limbs
Does the brachial plexus innervate the skin or muscles of upper limbs?
Innervates muscles and skin
Which 5 spinal segmental levels form the brachial plexus, and do the nerves originate from the anterior or posterior rami roots?
C5
C6
C7
C8
T1
Nerves originate from anterior rami of each segmental level
What are the 5 parts of the brachial plexus, and what are the functional differences between these divisions?
Roots, trunks, divisions, cords, branches
No functional differences, just easier to explain routes of brachial plexus
What are the 5 anterior roots that form the brachial plexus?
C5
C6
C7
C8
T1
What are the names of the 3 trunks of the brachial plexus, and how do they relate to the 5 roots?
Superior trunk: Formed by combination of C5 and C6
Middle trunk: Formed by C7
Inferior trunk: Formed by combination of C8 and T1
Which brachial plexus trunk is not formed by a combination of multiple anterior roots?
Middle trunk: Only formed by C7
How are the divisions of the brachial plexus formed from trunks?
Each trunk splits into anterior (move towards front of body) and posterior division (moves towards back of body)
How many divisions are in the brachial plexus in total, and which ones supply the front/back of body?
6 divisions in total, as each trunk splits into anterior and posterior divisions
3 anterior divisions to supply front
3 posterior divisions to supply back
Where in the body do the cords of the brachial plexus form from divisions, and how are they named?
In axilla, divisions combine to form lateral, posterior, medial cord
Named in relative position to axillary artery
Which 2 brachial plexus divisions combine to form the lateral cord, and where is this positioned relative to the axillary artery?
Anterior division of superior trunk
Anterior division of middle trunk
Furthest and behind axillary artery (closest to back of body)
Which 3 brachial plexus divisions combine to form the posterior cord, and where is this positioned relative to the axillary artery?
Posterior divisions of superior, middle, inferior trunks
Directly behind axillary artery, in front of lateral cord
Which brachial plexus divisions combine to form the medial cord, and where is this positioned relative to the axillary artery?
Only anterior division of inferior trunk
In front of axillary artery
Which 5 major nerves are formed from the cords of the brachial plexus, to innervate the upper arm?
Musculocutaneous
Axillary
Ulnar
Radial
Median
Which brachial plexus cord forms the musculocutaneous nerve, and what roots innervate it?
Formed from terminal branch of lateral cord, only carries nerves from C5,C6,C7
Which compartment of the upper arm is innervated by musculocutaneous nerve, and what 3 muscles are these?
Anterior (flexor) compartment muscles:
Coracobrachialis
Biceps brachii
Brachialis
Does the musculocutaneous nerve only supply the upper arm?
No
Emerges lateral to biceps brachii and brachialis to enter forearm, becomes lateral cutaneous nerve
In which part of the forearm does the musculocutaneous nerve become the lateral cutaneous nerve and provide sensory innervation?
Lateral half of anterior forearm
Small part of posterior forearm