Week 6 Flashcards
The brachial plexus is the innervation to the __ and ___
The brachial plexus is the innervation to the shoulder and upper extremity
What forms the brachial plexus?
Formed by ventral primary rami C5 – C8 and part of T1
What are the parts that the brachial plexus can be divided into?
- Roots (ventral primary rami)
- Trunks
- Divisions
- Cords
- Terminal Branches
The cords of the brachial plexus are named in relationship to the ___
The cords of the brachial plexus are named in relationship to the axillary artery in the axilla
What are the terminal branches of the brachial plexus?
- Musculocutaneous
- Axillary
- Radial
- Median
- Ulnar
What roots in the brachial plexus forms the superior trunks?
Ventral primary rami of C5 and C6
What roots in the brachial plexus forms the middle trunks?
Ventral primary rami of C7
What roots in the brachial plexus forms the inferior trunks?
Ventral primary rami of C8 and T1
The 3 posterior divisions of the brachial plexus, forms the ___ cord
The 3 posterior divisions of the brachial plexus, forms the posterior cord
The anterior division of the upper and middle trunks of the brachial plexus forms the ___ cord
The anterior division of the upper and middle trunks of the brachial plexus forms the lateral cord
The anterior division of the lower trunk of the brachial plexus forms the ____ cord
The anterior division of the lower trunk of the brachial plexus forms the medial cord
What terminal branches does the lateral cord give rise to?
- Musculocutaneous nerve
- Lateral part of the Median nerve
What terminal branches does the medial cord give rise to?
- Medial part of the Median nerve
- Ulnar nerve
What terminal branches does the posterior cord give rise to?
- Axillary nerve
- Radial nerve
What are the nerve roots of the phrenic nerve?
C3, C4, and C5
Why do we think of the phrenic nerve as part of the brachial plexus?
Because of its C5 nerve root
What is the nerve root of the dorsal scapular nerve?
C5
What is the nerve root of the long thoracic nerve?
C5, C6, C7
What are the other branches of the ventral primary rami?
- Phrenic nerve
- Dorsal scapular nerve
- Long thoracic nerve
What are the branches that comes off the upper trunk of the brachial plexus?
- Suprascapular nerve
- Nerve to the subclavius
What are the branches that comes off the middle and lower trunk of the brachial plexus?
NONE
What are the branches that comes off the medial cord of the brachial plexus?
- Medial pectoral nerve
- Medial brachial(arm) cutaneous
- Medial antebrachial(forearm) cutaneous
What are the branches that comes off the lateral cord of the brachial plexus?
- Lateral pectoral nerve
What are the branches that comes off the posterior cord of the brachial plexus?
- Upper/superior subscapular nerve
- Lower/inferior subscapular nerve
- Thoracodorsal nerve
The medial pectoral nerve sends branches to the ____
The medial pectoral nerve sends branches to the pec minor
What 2 structures does the lateral pectoral nerve tend to send branches to?
- Deep branch – sternal head of pec major
- Sup branch – clavic head of pec major
What are the nerve roots of the musculocutaneous nerve?
C5-C7
What are the nerve roots of the median nerve?
C6-C8, T1
What are the nerve roots of the radial nerve?
C5- C8, T1
What are the nerve roots of the ulnar nerve?
C7-C8, T1
Where do you mostly see the trunks of the brachial plexus?
In the inter-scalene space, between middle and anterior scalene
When do the trunks of the brachial plexus becomes divisions?
When they pass over the 1st rib
When do the divisions of the brachial plexus becomes cords?
Relative to the 2nd part of the axillary artery, behind the 2nd part of pec minor
The musculocutaneous nerve terminates as the ____
The musculocutaneous nerve terminates as the lateral antebrachial cutaneous nerve
What type of joint does the interosseous membrane between the radius and ulnar bones create?
A fibrous joint
What type of joints are the superior radio-ulnar joint and inferior radio-ulnar joint?
Synovial joints
What does the presence of the superior radio-ulnar joint and inferior radio-ulnar joint along with the joint created by the interosseous joint allow?
Allows for the radius to rotate around the stationary ulnar, during pronation and supination
The arm is enclosed in a sheath of fascia known as the ___
The arm is enclosed in a sheath of fascia known as the brachial fascia
The brachial fascia is continuous with the fascia of the ____ superiorly/proximally and the fascia of the ____ inferiorly/ distally.
The brachial fascia is continuous with the fascia of the *axilla superiorly/proximally and the fascia of the forearm inferiorly/ distally. *
The brachial fascia gives rise to ___ and ___ septa that divides the arm into anterior and posterior compartments.
The brachial fascia gives rise to medial and lateral intermuscular septa that divides the
arm into anterior and posterior compartments.
The anterior compartment of the arm is the ___ compartment, while the posterior compartment is the ___ compartment
The anterior compartment of the arm is the flexor compartment, while the posterior compartment is the extensor compartment
The nerve in the posterior compartment of the arm is the arm is the ___ nerve
The nerve in the posterior compartment of the arm is the arm is the radial nerve
The medial intermuscular septum separates the ___ from the ___
The medial intermuscular septum separates the basilic vein from the brachial vein and artery
How many muscles are in the arm and where are they?
- 4.
- 3 in the anterior compartment and 1 in the posterior
What are the muscles in the anterior compartment of the arm?
- Biceps brachii
- Coracobrachialis
- Brachialis
What are the muscles in the posterior compartment of the arm?
Triceps brachii
What is the origin of the biceps long head?
Supraglenoid tubercle of the scapula
What is the insertion of the biceps long head?
Tuberosity of the radius and bicipital aponeurosis
What is the origin of the biceps short head?
Coracoid process of the scapula
What is the insertion of the biceps short head?
Tuberosity of the radius and bicipital aponeurosis
What is the innervation of the biceps?
Musculocutaneous nerve
What is the action of the biceps?
Flexes and supinates forearm
What is the origin of Coracobrachialis?
Coracoid process of the scapula
What is the insertion of Coracobrachialis?
Middle third of the medial side of the humerus
What is the innervation of Coracobrachialis?
Musculocutaneous nerve
What is the action of Coracobrachialis?
Flexion and adduction of the arm
What is the origin of brachialis?
Distal half of anterior surface of the humerus
What is the insertion of brachialis?
Coronoid process and tuberosity of the ulna
What is the innervation of brachialis?
Musculocutaneous nerve
What is the action of brachialis?
Flexes forearm (elbow)
What is the origin of the long head of the triceps brachii?
– Infraglenoid tubercle of the scapula
What is the origin of the medial head of the triceps brachii?
Posterior surface of the humerus, inferior to the spiral groove
What is the origin of the lateral head of the triceps brachii?
Posterior surface of the humerus, superior to the spiral groove
What is the insertion of the triceps brachii?
Olecranon process of the ulna
What is the innervation of the triceps brachii?
Radial nerve
What is the action of the triceps brachii?
Extends the forearm
___ muscle is a very strong supinator of the arm
Biceps brachii muscle is a very strong supinator of the arm
The ___ muscle helps pull down the coracoid process, and tips the scapula. If it overworks, it’ll cause a winging of the scapula
The coracobrachialis muscle helps pull down the coracoid process, and tips the scapula. If it overworks, it’ll cause a winging of the scapula
___ muscle is the work horse of the arm
Brachialis muscle is the work horse of the arm
The ___ muscle is tested with the forearm supinated
The biceps muscle is tested with the forearm supinated
The ___ muscle is tested with the forearm pronated
The brachialis muscle is tested with the forearm pronated
The ___ muscle is tested with the forearm mid-pronated/supinated
The coracobrachialis muscle is tested with the forearm mid-pronated/supinated
___ muscle is not considered a muscle of the posterior compartment of the arm, because it sits further down below the elbow joint
Anconeus muscle is not considered a muscle of the posterior compartment of the arm, because it sits further down below the elbow joint
What is the origin of anconeus?
Lateral epicondyle of the humerus
What is the insertion of anconeus?
Lateral surface of the Olecranon process and posterior surface of the ulna
What is the innervation of anconeus?
Radial n.
What is the action of anconeus?
Extension of the forearm
What does the anconeus also help to do?
It pulls of capsule of elbow joint to prevent it being pinched during extension
___ nerve supplies all the muscles of the anterior brachium
Musculocutaneous nerve supplies all the muscles of the anterior brachium
Where does the musculocutaneous nerve arise from?
Arises from the lateral cord of the brachial plexus
___ nerve supplies the posterior muscles of the brachium and continues into the forearm
Radial nerve supplies the posterior muscles of the brachium and continues into the forearm
Where does the radial nerve arise from?
Arises from the posterior cord of the brachial plexus
The brachial artery gives rise to the ___ artery, which travels to the posterior brachium with the radial nerve to supply the posterior compartment
The brachial artery gives rise to the profunda brachii artery, which travels to the posterior brachium with the radial nerve to supply the posterior compartment
How many brachial veins accompanies the brachial artery?
2
Where does the terminal branch of the musculocutaneous nerve come out through?
Between brachialis and biceps
What are the venous drainage of the arm?
Cephalic and basilic veins
__ and ___ are two superficial veins that are located along the lateral and medial
borders of the arm
Cephalic and basilic veins are two superficial veins that are located along the lateral and medial borders of the arm
___ vein runs along the anterior lateral surface of the biceps and empties into
the axillary vein near the deltopectoral triangle
Cephalic veins runs along the anterior lateral surface of the biceps and empties into the axillary vein near the deltopectoral triangle
___ vein runs along the inferior, medial surface. It enters deep to the brachial fascia at the middle of the arm and becomes the axillary vein
Basilic vein runs along the inferior, medial surface. It enters deep to the brachial fascia at the middle of the arm and becomes the axillary vein
___ is the communication of the cephalic and basilic in the cubital fossa
Median cubital vein is the communication of the cephalic and basilic in the cubital fossa