Lecture 11 Flashcards
(45 cards)
What is the brachial plexus made up of?
Anterior rami of 5 nerve roots (C5, C6, C7, C8 and T1)
What do nerve roots successively form?
- Trunks
- Divisions
- Cords
- Nerves
Nerve roots of brachial plexus:
C5-C6 = form the upper/superior
C7 = forms middle trunk
C8-T1 = forms lower/inferior trunks
What is the rule for combining nerve roots in the Brachial Plexus?
“The top 2 combine.”
Which nerve roots form the upper/superior trunk of the Brachial Plexus?
C5 and C6.
Which nerve root forms the middle trunk of the Brachial Plexus?
C7
Which nerve roots form the lower/inferior trunk of the Brachial Plexus?
C8 and T1.
How do the trunks of the Brachial Plexus divide?
Each trunk divides into anterior and posterior divisions.
What forms the lateral cord of the Brachial Plexus?
The combination of two anterior divisions from the upper and middle trunks.
What forms the posterior cord of the Brachial Plexus?
The combination of the three posterior divisions.
What forms the medial cord of the Brachial Plexus?
The anterior division from the inferior trunk.
How are the medial and lateral cords named?
According to their position around the axillary artery.
Nerve branches originating
from Roots
1.Dorsal Scapular
2.Phrenic nerve
3. Long thoracic
Dorsal Scapular Nerve Branch
Origin: Root – branches of C5 rami
Innervates: Rhomboid muscles and levator scapulae
Phrenic Nerve Branch
Origin: Root- C3-C5 (C4 main contributor)
Innervates:
Motor supply to the diaphragm
Sensation to the central tendon
In the thorax - the mediastinal pleura and pericardium
Long Thoracic Nerve Branch
Origin: Root - From anterior rami of C5-C7
Innervates: Serratus anterior muscle
Nerve branches originating from Trunks
1.Suprascapular
2.Subclavius
Suprascapular Nerve Branch
Origin: Trunk (Upper) – C5-C6
Innervates: Supraspinatus and infraspinatus muscle
Subclavius Nerve Branch
Origin: Trunk (Upper) – C5-C6
Innervates: Subclavius muscle
Nerve Branches from posterior cord
- Subscapular superior
- Subscapular inferior
Nerve branches from lateral cord
- Lateral pectoral
Nerve branches from medial cord
- Medial Pectoral
- Medial cutaneous nerve of arm
- Medial cutaneous nerve of forearm
Nerve branches that innervate muscles that move GH joint: Subscapular superior and inferior
Origin: Posterior cord
branches of C5 and C6 rami
Innervates: Subscapularis muscles and Teres major
Nerve branches that innervate muscles that move GH joint: Lateral pectoral
Origin: Branches of lateral cords
(C5 – C7)
Innervate: Pectoralis major