Upper Limbs Flashcards
Motor and sensory innervation of the branchial plexus
ventral rami of C5 through T1 spinal nerves
Five major nerves arise from the branchial plexus
- Musculocutaneous
- Median
- Ulnar
- Axillary
- Radial
Anterior division fibers from the brachial plexus
- Musculocutaneous
- Median
- Ulnar
Posterior division fibers from the brachial plexus
- Axillary
- Radial
What innervates the anterior division fibers of the brachial plexus?
muscles in the anterior arm, anterior forearm and palmar
Main function of the anterior division fibers of the brachial plexus?
Flexors
What innervates the posterior division fibers of the brachial plexus?
muscles in the posterior arm and forearm
Main function of the posterior division fibers of the brachial plexus?
Extensors
Roots of the brachial plexus
5 (C5, C6, C7, C8 AND T1)
Trunks of the brachial plexus
3 (supperior, middle, inferior)
Divisions of the brachial plexus
6
Cords of the brachial plexus
3: Lateral, posterior, medial
Terminal branches of the brachial plexus
5: Musculocutaneous, axilar, radial, median, ulnar
Musculocutaneous roots
C5-C6
Median nerve roots
C5-T1
Ulnar nerve roots
C8-T1
Axillary nerve roots
C5-C6
Radial nerve roots
C5-T1
Muscles innervated by the musculocutaneous nerve
all the muscles of the anterior compartment of the arm
Nerve incharged of Flex elbow
Musculocutaneous nerve (C5-C6)
Nerve that innevates the hand thenar compartment, and central compartment (lumbricals digits 2-3)
Median nerve (C5-T1)
Nerve that innervates the anterior compartment of the forearm except 1 1/2 muscles innervated by the median nerve
Ulnar nerve (C8-T1)
Nerve that innervates the hand:
* Hypothenar compartment
* Central comaprtment: interossei muscles (palmar and dorsal)
* Lumbricals: Digits 4-5
* Adductor pollicis
Ulnar nerve (C8-T1)
Nerve that innervates the deltoid and teres minor
Axillary nerve (C5-C6)
Nerve that innervates the posterior compartment muscles of the arm and forearm
Radial nerve (C5-T1)
Nerve incharged of
Supination (biceps brachii)
Musculocutaneuos nerve (C5-T6)
Nerve that innevates the anterior compartment of the Forearm except for the flexor carpi ulnaris and the ulnar half of the flexor digitorium profundus.
Median nerve (C5-T1)
Nerve in charged of flex wrist and all digits
Median nerve (forearm)
Nerve in charged of pronation
Median nerve (forearm)
Nerve in charged of opposition of the thumb
Median nerve (hand)
Nerve in charged of flex metacarpophalangeal (MP) joints of digits 2-3
Median nerve (hand)
Nerve in charged of extend interphalangeal (PIPand DIP) joints of digits 2-3
Median nerve (hand)
Nerve in charged of flex wrist (weak) and digits 4-5
Ulnar nerve (C8-T1)
Nerve incharged of dorsal - abduct digits 2-5 (DAB)
ulnar nerve (hand, C8-T1)
Nerve incharged of palmar adduction digits 2-5 (PAD)
Ulnar nerve (hand)
Nerve incharged of assist lumbricals in MP flexion and IP extension digits 2-5
Ulnar nerve (hand)
Nerve incharged of flex MP and extend PIP and DIP joints of digits 4-5
ulnar nerve
Nerve incharged of adduct the thumb
ulnar nerve
Nerve incharged of abduct shoulder -15º-110º
Axillary nerve
Nerve incharged of lateral rotation of shoulder
axillary nerve
Nerve incharged of extend MP, wrist, and elbow
radial nerve (C5-T1)
Damage root nerves of the Erb-duchenne Palsy (Waiter’s Tip Syndrome)
C5 - C6 (or the superior trunk)
Damage nerves of the Erb-duchenne Palsy (Waiter’s Tip Syndrome)
Axillary
Suprascapular
Musculocutaneous
The **tuperior trunk **of the brachial plexus is formed by which roots?
C5-C6
The **middle trunk **of the brachial plexus is formed by which roots?
C7
The **Inferior trunk **of the brachial plexus is formed by which roots?
C8-T1
What paralysis is?
* Arm medially rotated and adducted at the shoulder.
* Forearm extended and pronated
* Sign of waiters tip
Erb-duchenne Palsy
Damage root nerves of the Klumpke’s paralysis
C8 and T1 (or inferior trunk)
Clinical characteristics of Klumpke’s paralysis
Forearm supinated with wrist extended.
Hand flexed at interphalangeal joint and hyperextended at metacarpophalangeal joing (claw hand)
Can Horner’s syndrome may be part of the Kplumpke’s paralysis? why?
Yes, because it’s caused by a lession on T1
Dermatome paresthesia of a C5 root lession
Lateral borded of upper arm
Dermatome paresthesia of a C6 root lession
Laterak forearm to thumb
Dermatome paresthesia of a C8 root lession
Medial forearm to little finger
Dermatome paresthesia of a T1 root lession
Medial arm to elbox
Muscles affected by a C5 root lession
Deltod
Rotator cuff
Serratus Superior
Biceps
Brachioradiallis
Muscles affected by a C6 root lession
Biceps
Brachioradialis
Brachialis
Supinator
Muscles affected by a C8 root lession
Finger flexors
Wrist flexor
Hand muscles
Muscles affected by a T1 root lession
Hand muscles
Reflex test on a C5 root lession
None
Reflex test on a C6 root lession
Biceps tendon
Reflex test on a C8 root lession
None
Reflex test on a T1 root lession
None
Causes of lession on C5
Upper trunk compression
Causes of lession on C6
Upper trunk compression
Causes of lession on C8
Lower trunk compression
Causes of lession on T1
Lower trunk compression