Nerves, Muscles, and Tests for the Arm Flashcards
Cutaneous innervation of the Axillary nerve
C5, C6
-Lateral aspect of the shoulder and upper arm
Cutaneous innervation of the Musculocutaneus nerve
C5, C6, C7
-Lateral forearm
Cutaneous innervation of the Radial nerve
C5, C6, C7, C8, T1
-Posterior compartments of the arm and forearm. Lateral arm
Cutaneous innervation of the Ulnar nerve
C8, T1
-Medial part of the 4th and all of the 5th digit down to the medial wrist
Cutaneous innervation of the Median nerve
C6, C7, C8, T1
-Lateral palm and digits 1, 2, 3 and lateral 1/2 of 4.
Biceps Reflex segmental innervation
C5
Brachioradialis Reflex segmental innervation
C6
Triceps Reflex segmental innervation
C7
Finger Flexion Reflex segmental innervation
C8
C5 Myotomes
Supraspinatus, Deltoid, Biceps, Brachioradialis
C6 Myotomes
Wrist extenders, biceps, brachioradialis
C7 Myotomes
Triceps, Wrist flexion, finger extension
C8 Myotomes
Finger flexion
Objectify of the sensory testing protocol
Introduce light and sharp touch to the patient
Sensory testing protocol
- Patient closes eyes. Mix in light and sharp touch, patient identifies location and sharp or light touch after each touch
- Touch with light on right side and compare with left then use sharp in the same manner
T/F When conducting a sensory test, travel through each dermatome and peripheral nerve distribution
True
Last component of the sensory testing protocol
Test vibration sensation at the wrist, elbow, and shoulder
Motor C5
- Supraspinatus
- Brachioradialis
- Deltoid
- Biceps
Sensory C5
Lateral aspect of the upper arms
Reflex C5
Biceps Reflex
Motor Axillary nerve
(C5, C6)
- Deltoid
- Teres Minor
Sensory Axillary nerve
(C5, C6)
Skin covering the inferior part of the deltoid muscle
Motor C6
Wrist extension muscles
Sensory C6
Tip of the thumb and lateral forearm
Reflex C6
Brachioradialis
Motor Musculocutaneous nerve
(C5, C6, C7)
-All muscles in the anterior compartment of the arm (coracobrachialis, biceps, brachiallis)
Sensory Musculocutaneous nerve
(C5, C6, C7)
-Skin on the lateral side of the forearm
Reflex for Musculocutaneous
Biceps reflex
Motor C7
- Triceps
- Wrist flexion muscles
- Finger extension muscles
Sensory C7
Tip of the middle finger and median part of the hand and forearm
Reflex C7
Triceps
Motor Radial Nerve
(C5, C6, C7, C8)
-All muscles in the posterior compartment of the arm and forearm (extension muscles)
Sensory Radial Nerve
(C5, C6, C7, C8)
-Skin on the posterior aspect of the arm and forearm, lower lateral surface of the arm, and dorsal lateral surface of the hand
Reflex Radial Nerve
- Brachioradialis
- Triceps
Motor C8
Finger Flexion muscles
Sensory C8
Tip of the 5th digit and medial aspect of the hand and forearm
Reflex C8
Finger Flexion
Motor Ulnar Nerve
(C8, T1)
- All intrinsic muscles of the hand
- Flexor carpi ulnaris
- 1/2 of flexor digitorium profundus
Sensory Ulnar Nerve
(C8, T1)
-Skin over the palmar surface of the medial 1 and 1/2 digits and associated palm and wrist, and skin over the dorsal surface of the medial one and one half digits.
Reflex Ulnar Nerve
Finger Flexion
Motor for T1
- Finger Abductors
- Finger Adductors
Sensory T1
Medial aspect of the lower arms