Nerves of the Upper Limb Flashcards
What types of nerves make up the brachial plexus?
ventral rami of the spinal nerves
What does the brachial plexus provide?
somatomotor and somatosenstory innervation to the upper extremity
What is the cervical enlargement?
ventral rami of spinal nerves C5-T1
-gives rise to brachial plexus
What muscles does the brachial plexus pass through?
the anterior and middle scalene muscles
What is the space in which the brachial plexus passes through the scalene muscles called?
the interscalene space
What is the supraclavicular region?
the region that above the clavicle
Where does the subclavian artery run?
posterior to the anterior scalene with the brachial plexus
-not with the subclavian v.
What is an interscalene block?
administration of anesthesia into the interscalene space to block the brachial plexus
What nerve can also be affected by an interscalene block?
the phrenic nerve
-affect breathing
where does the axillary artery travel?
runs in the middle of the brachial plexus
does the brachial plexus travel anterior or posterior to clavicle?
posterior
where does the axillary vein travel?
“entangled” with branches of the brachial plexus
what surrounds the brachial plexus along with the axillary a. and v. as it runs into the axilla?
axillary sheath
(concentration of fascia NOT a tube)
what is an area of cutaneous sensory innervation supplied by a single spinal nerve?
dermatome
what dermatome is supplied by C4?
supraclavicular and upper shoulder region
what dermatome is supplied by C5?
upper lateral arm and shoulder
what dermatome is supplied by C6?
posterolateral arm and lateral forearm
what dermatome is supplied by C7?
middle of forearm and hand
what dermatome is supplied by C8?
posteromedial forearm and medial hand
what dermatome is supplied by T1?
medial arm
what dermatome is supplied by T2-T4?
axillary region
why is there not a 1:1 correspondence between named cutaneous nerves and dermatomes?
bc names nerves may be comprised of more than 1 spinal nerve and thus will span more than one dermatome
an individual named muscle in limbs are supplied by how many spinal nerves?
more than one spinal nerve
what is a group of muscles that receive motor innervation from a single spinal nerve?
myotome
can myotomes overlap?
yes
what myotome is supplied by C4?
shoulder elevation
what myotome is supplied by C5?
shoulder abduction; elbow flexion
what myotome is supplied by C6?
elbow flexion; wrist extension
what myotome is supplied by C7?
elbow extension; wrist flexion
what myotome is supplied by C8?
thumb and finger extension
what myotome is supplied by T1?
intrinsic hand muscles
what myotome is supplied by T2?
intercostal muscles