BIO2300 Unit 3 Brachial Plexus of Nerves Concept E
which portion of the brachial plexus is most distal
terminal branches
the axillary nerve cutaneous innervation consists of
superolateral arm superficial to the deltoid
the few anterior muscles not innervated by the median nerve
- flexor carpi ulnaris - medial 1/2 of flexor digitorum profundis
the medial consists of
the anterior division of the inferior trunk
the lateral cord consists of
the anterior division of the superior & middle trunk
the posterior cord consist of
the posterior division of all 3 trunks
the brachial plexus segments into 3 seperate _____________
trunks
the medial cord forms what nerve as it branches distally
ulnar nerve
what nerve is not a part of carpal tunnel syndrom
ulnar nerve
impingement of medial nerve at the flexor retinaculum results in
carpal tunnel
what function do the terminal branches of the brachial plexus perform
carry named nerves to & from upper limb structures
signs/symptoms if the musculotaneous nerve is injured
decreased ability to perform flexion & supination at elbow
ulnar nerve is aka
funny bone nerve
path of the ulnar nerve
- passes posterior to medial epicondyle - travels along medial forearm - into the hand (outside of the carpal tunnel)
path of the musculocutaneous nerve
- pierces coracobrachialis muscle - deep to biceps brachii
the radial nerve cutaneous innervation consists of
- posterior arm - posterior forearm - posterior hand & lateral 3.5 digits
the 3 cords of the anterior and posterior divisions are
- posterior cord - lateral cord - medial cord
list the 5 segments of the brachial plexus in oder from proximal to distal
- roots - trunks - divisions - cords - terminal branches
list the 3 trunks of the brachial plexus
- superior trunk - middle trunk - inferior trunk
path of the median nerve
- through the cubital fossa - through the carpal tunnel at the wrist
physical signs/symptoms that the median nerve is injured
- weakness in hand grip & opposition in thumb - abnormal sensation in lateral 3.5 digits
when identifying the branches of the medial and lateral cords look for this identifying feature
"m" nerve
when identifying the axillary and radial nerve you should look for the
"y" nerve
the radial nerve motor innervation consists of which muscles
- all posterior arm muscles - all posterior forearm muscles
what are the 2 divisions of the brachial trunks?
- anterior - posterior
motor innervation of the median nerve
- anterior forearm (excepting a few muscles) thenar muscles
name the 2 structures each spinal nerve branches into
- anterior ramus - posterior ramus
the posterior cord branches distally into what two nerves
- axillary - radial
physical signs/symptoms that the axillary nerve is injured
- decreased ability to abduct at shoulder - overall weakness in shoulder movement
physical signes/symptoms that the radial nerve is injured
- decreased ability to perform extension at the elbow, wrist & digits - "wrist drop"
the axillary nerve motor innervation consists of which muscles
- deltoid - teres minor
each of the 3 trunks of the brachial plexus branches ____________ into 2 _____________
- distally - divisions
motor innervation of the ulnar nerve
- flexor carpi ulnaris - medial 1/2 of flexor digitorum profundis
cutaneous innervation of the median nerve
- lateral 3.5 digits & associated palm - posterior tips of same fingers
cutaneous innervation of the ulnar nerve
- medial 1.5 digits - associated palmar and dorsal surfaces of the hand
the total number of anterior divisions of each brachial plexus
3
the total number of posterior divisions of each brachial plexus
3
which nerve roots communicate with the superior trunk of the brachial plexus
C5 & 6
brachial plexus is aka
C5 - T1 anterior rami
which nerve root communicates with the middle trunk of the brachial plexus
C7
which nerve roots communicate with the inferior trunk of the brachial plexus
C8 & T1
motor innervation of the musculocutaneous nerve
all anterior arm muscles
the anterior division of the brachial plexus builds nerves for the ___________ _______________ of the upper limbs
anterior compartment
the plexus is composed of a collection of multiple ______________ ________________ which innervate the upper and lower limbs
anterior rami
a bundle of nerves which connects the spinal cord to the upper limbs
brachial plexus
origin of the median nerve
lateral & medial cord
origin of the musculocutaneous nerve
lateral & medial cord
cutaneous innervation of the musculocutaneous nerve
lateral forearm
origin of the ulnar nerve
medial cord
both the lateral and medial cord branch together distally into what combined structure
median nerve (Me)
the lateral cord forms what nerve as it branches distally
musculocutaneus nerve (Mu)
path of the radial nerve
passes posterior to the humerus w/in the radial groove
path of the axillary nerve
passes posterior to the surgical neck of the humerus
both the axillary and radial nerve pass ___________________ to the humerus
posterior
the posterior division of the brachial plexus builds nerves for the ___________ _______________ of the upper limbs
posterior compartment
origin of the axillary nerve
posterior cord
origin of the radial nerve
posterior cord
which portion of the brachial plexus is most proximal
roots