Upper Extremity Anatomy Review Flashcards
The brachial plexus is comprised of what nerve roots?
C5 C6 C7 C8 T1
(5 total)
What are the components of the brachial plexus from proximal to distal?
Roots, trunks, divisions, cords, branches
What are the trunks of the brachial plexus?
Superior, middle, inferior
How many divisions are there in the brachial plexus?
6
What are the cords of the brachial plexus?
Lateral, posterior, medial
(3 - total)
What are the branches of the brachial plexus?
Musculocutaneous, median, axillary, radial, ulnar.
What roots form the superior trunk of the brachial plexus?
C5 and C6
What root forms the middle trunk of the brachial plexus?
C7
What roots form the inferior trunk of the brachial plexus?
C8 T1
What trunks form the lateral cord of the brachial plexus?
Superior and middle
What trunks form the posterior cord of the brachial plexus?
Superior, middle, inferior
What trunks form the medial cord of the brachial plexus?
inferior
What nerve roots innervate the musculocutaneous nerve of the brachial plexus?
C5-C7
What nerve roots innervate the axillary nerve of the brachial plexus?
C5 -C6
What nerve roots innervate the radial nerve of the brachial plexus?
C5-T1
What nerve roots innervate the Median nerve of the brachial plexus?
C5-T1
What nerve roots innervate the ulnar nerve of the brachial plexus?
C8-T1
The roots of the brachial plexus originate from?
The union of ventral Rami of the C5 – T1 spinal nerves
the brachial plexus roots pass between which two muscles?
The anterior and middle scalene muscles
The brachial plexus roots converge into trunks just beyond?
The lateral border of the scalene muscles
Where do the trunks of the brachial plexus diverge into anterior and posterior divisions?
Underneath the clavicle and over the first rib
The anterior divisions of the brachial plexus innervate what parts of the arm?
Anterior (Flexor)
The posterior divisions of the brachial plexus innervate what parts of the arm?
Posterior (extensor)
Divisions of the brachial plexus converge when?
The brachial plexus goes under the pectoralis minor muscle
Where do the brachial plexus cords diverge into branches?
In the axilla
Does the brachial plexus supply sensory, motor, or both innervation to nearly all of the shoulder and upper extremity?
Both
Identify the roots, trunks, divisions, cords, and terminal branch
C5-C7,
Superior and Middle Trunks,
Anterior Divisions of superior and middle trunks
Lateral Cord,
Musculocutaneous Branch
Identify the roots, trunks, divisions, cords, and terminal branch
C5-T1,
Superior, Middle, and Inferior
Anterior Divisions from all 3 trunks
Lateral and Medial Cords
Median Nerve
Identify the roots, trunks, divisions, cords, and terminal branch
C5-C6
Superior Trunk
Posterior division of superior trunk
Posterior Cord
Axillary Nerve
Identify the roots, trunks, divisions, cords, and terminal branch
C8-T1
Inferior Trunk
Anterior Division of Inferior Trunk
Medial Cord
Ulnar Nerve
Identify the roots, trunks, divisions, cords, and terminal branch
C5-T1
Superior, Middle, Inferior Trunks
Posterior divisions from all 3 trunks
Posterior Cord
Radial Nerve
Name 5 non-terminal branches of the brachial plexus. How are they categorized?
Categorized by origin in relation to the clavicle.
-Supraclavicular: Dorsal Scapular Nerve, SupraSCAPular Nerve, Long Thoracic Nerve
Infraclavicular: Lateral Pectoral Nerve and Medial Pectoral Nerve
What nerve root(s) does the dorsal scapular nerve arise from? What muscles does it innervate?
C5
Innervates levator scapula and rhomboid muscles
What nerve roots does the Suprascapular nerve arise from? What muscles does it innervate?
C5-C6
Innervates the supraspinatus and infraspinatus muscles (and acromioclavicular joint)
What nerve roots does the Long Thoracic nerve arise from? What muscles does it innervate?
C5-C7
Innervates the serratus anterior muscle
What nerve roots does the lateral pectoral nerve arise from? What muscles does it innervate?
C5-C7
Pectoralis major muscle (and acromioclavicular joint)
What nerve roots does the Medial Pectoral nerve arise from? What muscles does it innervate?
C8-T1
Pectoralis Minor and lower region of pectoralis major
The phrenic nerve originates from?
Anterior rami of C3-C5
The supraclavicular nerve arises from?
C3-C4 of the cervical plexus
Fxn of the supraclavicular nerve
Provides sensory innervation to the lateral portion of the clavicle.
Superior aspect of the scapula posteriorly
Midline to deltoid along with 2nd rib anteriorly
What is the acromioclavicular joint?
Where the clavicle and scapula join
A Dermatome describes an area of skin innervated by?
A dorsal (sensory) spinal nerve root
What dermatome provides sensory innervation to the superior aspect of the shoulder?
C4
What dermatome provides sensory innervation to the lateral shoulder?
C6
What dermatome provides sensory innervation to the 3rd digit?
C7
What dermatome provides sensory innervation to the 5th digit (pinky)? why do we care about this one so much
C8
In neuraxial anesthesia, if a pts pinky starts to get numb, the block is spreading too high/cephalad
What dermatome provides sensory innervation to the medial aspect of the arm?
T1
What dermatome provides sensory innervation to the axilla?
T2
What nerve provides sensory innervation to the yellow region? What nerve roots does it arise from?
Supraclavicular (C3-C4)
What nerve provides sensory innervation to the lateral upper arm at the shoulder (the green region)? What nerve roots does it arise from?
Axillary (C5-C6)
What nerve provides sensory innervation to the dark blue region? What nerve roots does it arise from?
SupraSCAPular (C5-C6)
What nerves provide sensory innervation to the medial upper arm to elbow (dark orange region)? What nerve roots does it arise from?
Intercostalbrachial (2nd intercostal nerve) and Medial brachial cutaneous (T1)
What nerve provides sensory innervation to the purple region? What nerve roots does it arise from?
Radial (C5-T1)
What nerve provides sensory innervation to the anterior upper arm, anterior & medial forearm to wrist (maroon region)? What nerve roots does it arise from?
Medial Antebrachial Cutaneous N. (C8-T1)
What nerve provides sensory innervation to the lateral forearm to wrist (light blue region)? What nerve roots does it arise from?
Musculocutaneous (C5-C7)
What nerve provides sensory innervation to the plamer side of the hand + dorsal side of digits 1, 2, 3. Along with the radial side of the 4th digit (light orange region)? What nerve roots does it arise from?
Median N. (C5-T1)
What nerve provides sensory innervation to the hypothenar eminence along with the ulnar side of the 4th digit and entire 5th digit (pink region)? What nerve roots does it arise from?
Ulnar n. (C8-T1)
A myotome describes muscles intervated by?
Ventral (motor) spinal nerve roots
What nerve provides motor innervation to the green region? What is the motor fxn?
Axillary N.
Shoulder aBduction (deltoid contraction)
What nerve provides motor innervation to the light blue region? What is the motor fxn?
Musculocutaneous
Elbow flexion (bicep contraction)
Forearm supination (palm faces up)
What nerve provides motor innervation to the lavender region? What is the motor fxn?
Subscapular
medially rotate and adduct the humerus.
What nerve provides motor innervation to the dark blue region? What is the motor fxn?
SupraSCAPular
Enables shoulder abduction (supraspinatus) and external rotation (infraspinatus
What nerve provides motor innervation to the purple region? What is the motor fxn?
Radial
elbow extension (tricep contraction)
wrist extension
finger extension
thumb aBduction
What nerve provides motor innervation to the orange region? What is the motor fxn?
Median
forearm pronation (palm faces down)
finger flexion (first 3.5 digits)
thumb opposition
What nerve provides motor innervation to the pink region? What is the motor fxn?
Ulnar N.
Wrist flexion
5th digit opposition to thumb
Finger flexion (4th and 5th digit)
Thumb aDDuction (Think nerve stimulation and NMBs for a adductor pollicis contraction)
What nerve provides sensory innervation to the pink region?
Ulnar nerve
What nerve provides sensory innervation to the orange region?
Median
What nerve provides sensory innervation to the purple region?
radial
What nerve provides sensory innervation to the light blue region?
musculocutaneous
An osteotome describes bones and joints innervated by?
Dorsal (sensory) spinal nerve root(s)
What nerve provides sensory innervation to the lavender region?
subscapular
What nerve provides sensory innervation to the green region?
axillary
What nerve provides sensory innervation to the dark blue region?
supraSCAPular
What nerve provides sensory innervation to the red region?
supraclavicular
What nerve provides sensory innervation to the dark yellow region?
subclavius