Upper and Lower Limb Innervations Flashcards
Neck Anatomy: Posterior Triangle
SCM, trapezium, clavicle
inside: brachial plexus, external jugular, inferior omohyoid, subclavian vein
Anterior triangle
midline of neck (trachea), SCM, mandible
Inside: posterior digastric, superior omohyoid, sternothyroid, sternohyoid
Long Thoracic Nerve innervates
serrates anterior
suprascapular nerve innervates
infraspinatus and supraspinatus
lateral pectoralis nerve innervates
pectorals major
upper subscapular innervates
subscapularis
thoracodorsal nerve innervates
lattismus dorsi
lower sub scapular nerve innervates
teres major
axillary nerve innervates
deltoid, and teres minor
radial nerve innervates
triceps
extensors of wrist and hand (fingers)
median nerve innervates
pronators and thenar muscles of the hand
musculocutaneous nerve innervates
biceps, brachialis, coracobrachialis, flexors of arm and forearm
ulnar nerve innervates
interosseous muscles and hypothenar muscles
Erb Duchenne palsy
Injury to superior trunk
“waiters tip syndrome”
-complete or partial paralysis of UE
-bruising, stretching, and tearing of nerves
- nerves affected are suprascapular nerve, axillary nerve and musculocutaneous nerve (pronation due to loss of biceps)
Klumpke palsy
-atrophy of the thenar and hypothenar eminences
and atrophy of the interosseous muscles
-sensory deficits of the medial side of the forearm and hand
-disappearance of the radial pulse with moving head forward ipsilateral side
Long head of triceps brachii
Lateral head of triceps brachii
Medial head of triceps brachii
radial nerve
Supinator muscle
Brachioradialis muscle
deep branch of radial nerve
Skin of posterior forearm
Skin of lateral, posterior hand
radial nerve
Saturday night palsy (compression of what nerve against the spiral groove of the humerus)
radial nerve
injury: shaft of the humerus
radial nerve
Injury: Spiral fracture to mid shaft of the humerus
radial nerve
Injury: anterior dislocation of the humerus
axillary nerve
Injury: Torn and displaced annular ligament; no pain until elbow is moved
Radial head subluxation (nursemaid’s elbow)
sacral genesis causing lower extremity paralysis and urinary incontinence a/w poorly controlled maternal diabetes
caudal regression syndrome
flexor capri ulnari
flexor digitorum profundus ( works to flex and adduct the arm)
ulnar nerve
adductor pollicis muscle (adduct the thumb), interosseous muscles and 3rd/4th lumbrical muscles ( abduct and adduct the fingers)
ulnar nerve
flexed at ICP
extended at MCP
ulnar claw
flexors of forearm include: pronator teres, palmaris longs, flexor carpi radials, flexor digitorum superficialis, pronator quadratus and the lateral half of flexor digitorum profundus
median nerve
Helps to flex and pronate the wrist
median nerve
Injury: cannot abduct the thumb ( will see thenar eminence wasting)
ape hand (median nerve)