UE Neurology Flashcards
What comes from the cervical plexus of nerves?
3 Supraclavicular nerves (C3 and C4)
What does the supraclavicular nerves innervate?
Skin of neck and shoulder
What spinal roots are involved in the brachial plexus?
Anterior rami of C5, C6, C7, C8, T1
What nerve does the root C5 create?
Dorsal scapular N. - Layer 2 back muscles
What nerve does the root of C5, C6, C7 create?
Long thoracic N. - Serratus Anterior m.
What are the trunks?
Superior trunk, middle trunk, inferior trunk
What anterior rami create the superior trunk?
C5, C6
What anterior rami create the middle trunk?
C7
What anterior rami create the inferior trunk?
C8, T1
What nerves does the superior trunk create?
Suprascapular and nerve to subclavius
What is included in the lateral cord?
C5, C6, C7
What is included in the posterior cord?
C5, C6, C7, C8, T1
What is included in the medial cord?
C8, T1
What is created from the lateral cord?
Lateral pectoral N. (C5, C6, C7)- Pectoralis Major
What is created from the posterior cord?
Superior subscapular and inferior subscapular (C5,C6)
Thoracodorsal N. (C6,C7,C8)
What does the superior subscapular nerve innervate?
Subscapularis
What does the inferior subscapular nerve innervate?
Subscapularis and teres major
What does the thoracodorsal nerve innervate?
Latissimus dorsi
What is created from the medial cord?
(C8, T1) - medial pectoral nerve, medial brachial cutaneous nerve and medial antebrachial cutaneous nerve
What does the medial pectoral nerve innervate?
Pectoralis minor and pectoralis major
What does the medial brachial cutaneous nerve innervate?
Medial skin of arm
What does the medial antebrachial cutaneous nerve innervate?
Medial skin of the forearm
What are the terminal branches of the lateral cord?
Musculocutaneous nerve and the lateral antebrachial cutaneous nerve
What does the musculocutaneous nerve innervate?
Coracobrachialis, biceps brachii, brachialis
What does the lateral antebrachial cutaneous nerve innervate?
Skin of lateral forearm
What are the terminal branches of the posterior cord?
Axillary nerve and radial nerve
What does the axillary nerve create?
Superior lateral brachial cutaneous nerve
What does the axillary nerve innervate?
Deltoid and teres minor
What are the terminal branches of the medial cord?
Ulnar nerve
What does a terminal branch of the lateral cord and a terminal branch of the medial cord join to create?
Median Nerve
What makes up the “M”
Musculocutaneous nerve, median nerve, ulnar nerve
Upper plexus injury is caused from what and affects what?
Increasing angle between neck and shoulder; C5 and C6
What is an upper plexus injury known as
Erb-duchenne palsy - arm is ADducted, medially rotated and elbow extended = waiter’s tip position
Lower plexus injury is caused from what?
Increasing angle between trunk and upper limb
What results from a lower plexus injury?
Klumpke paralysis when trying to make a fist = claw hand
Brachial cord compression
Results from working for an extended amount of time with the upper limb over head; results in pain, loss of sensation, weakness in limb
Musculocutaneous nerve injury
Results from trauma; renders anterior brachial muscles paralyzed
Axillary nerve injury
Renders deltoid, teres minor paralyzed and results in loss of sensation at superolateral arm due to the axillary nerve creating the superior lateral brachial cutaneous nerve
Median nerve injury
Results in thumb ADducted, thenar eminence atrophy and if injury is at elbow, will not be able to flex 2nd and 3rd digits = apes hand or hand of benediction
What results from ulnar nerve injury?
Klumpke paralysis = claw hand
Handlebar neuropathy
Results from pressure on hamulus of hamate like when riding a bike = loss of sensation on medial side of hand
Radial nerve injury
Wrist drop = loss of elbow extension, thumb abduction and extension
What provides sensation at the uppermost medial brachial aspect and is from T2?
Intercostobrachial nerve
C8 dermatome
Medial hand and 5th digit
C7 dermatome
Central hand
C6 dermatome
Lateral hand including pollex and lateral antebrachium
C5 dermatome
Over deltoid
T1 dermatome
medial brachium