Term
Explain the origin, course, and structures innervated by the musculocutaneous nerve |
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Definition
Origin - terminal branch of lateral cord, receiving fibers from C5-C7 course - exits axilla by piercing coracobrachialis; descends between biceps brachii and brachialis, supplying both; continues as lateral cutaneous nerve of forearm structures innervated - muscles of anterior compartment of arm (coracobrachialis, biceps brachii and brachialis): skin of lateral aspect of forearm |
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Term
Explain the origin, course, and structures innervated by the median nerve |
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Definition
Origin - lateral root of median nerve is a terminal branch of lateral cord (C6,C7 fibers); medial root of median nerve is a terminal branch of medial cord (C8,T1 fibers) course - lateral and medial roots merge to form median nerve lateral to axillary artery; descends through arm adjacent to brachial artery, with nerve gradually crossing anterior to artery to lie medial to artery in cubital fossa structures innervated - muscles of anterior forearm compartment (except for flexor carpi ulnaris and ulnar half of flexor digitorum profundus), five intrinsic muscles in thenar half of palm and palmar skin |
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Term
Explain the origin, course, and structures innervated of the ulnar nerve |
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Definition
origin - larger terminal branch of medial cord, receiving fibers from C8, T1, and often C7 course - descends medial arm; passes posterior to medial epicondyle of humerus; then descends ulnar aspect of forearm to hand structures innervated - flexor carpi ulnaris and ulnar half of flexor digitorum profunds (forearm); most intrinsic muscles of hand; skin of hand medial to axial line of digit 4 |
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Term
Explain the origin, course, and structures innervated of the lateral pectoral nerve |
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Definition
origin - side branch of lateral cord, receiving fibers from C5, C6 (primarily), C7 course - pierces costocoracoid membrane to reach deep surface of pectoral muscles; a communicating branch to the medial pectoral nerve passes anterior to axillary artery and vein structures innervated - primarily pectoralis major; but some lateral pectoral nerve fibers pass to pectoralis minor via branch to medial pectoral nerve |
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Term
Explain the origin, course, and structures innervated of medial pectoral nerve |
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Definition
origin - side branches of medial cord, receiving fibers from C8, T1 course - passes between axillary artery and vein; then pierces pectoralis minor and enters deep surface of pectoralis major; although it is called medial for its origin from medial cord, it lies lateral to lateral pectoral nerve structures innervated - pectoralis minor and sternocostal part of pectoralis major |
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Term
Explain the course, origin, and structures innervated by the medial cutaneous nerve of the arm |
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Definition
origin - side branches of medial cord, receiving fibers from C8, T1 course - smallest nerve of plexus; runs along medial side of axillary and brachial veins; communicates with intercostobrachial nerve structures innervated - skin of medial side of arm, as far distal as medial epicondyle of humerus and olecranon of ulna |
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Term
Explain the origin, course, and structures innervated of medial cutaneous nerve of the forearm |
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Definition
origin - side branches of medial cord, receiving fibers from C8, T1 course - initially runs with ulnar nerve (easily confused) but pierces deep fascia with basilic vein and enters subcutaneous tissue, dividing into anterior and posterior branches structures innervated - skin of medial side of forearm, as far distal as wrist |
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Term
Explain the course, origin, and structures innervated of axillary nerve |
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Definition
origin - terminal branch of posterior cord, receiving fibers from C5 (primarily) and C6 course - exits axillary fossa posteriorly, passing through quadrangular space with posterior circumflex humeral artery; gives rise to superior lateral brachial cutaneous nerve, then winds around surgical neck of humerus deep to deltoid structures innervated - glenohumeral (shoulder) joint; teres minor and deltoid muscles; skin of superolateral arm (over inferior part of deltoid) |
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Term
Explain the origin, course, and structures innervated of radial nerve |
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Definition
origin - larger terminal branch of posterior cord (largest branch of plexus),receiving fibers from C5 - T1 course - exits axillary fossa posterior to axillary artery; passes posterior to humerus in radial groove with deep artery of arm, between lateral and medial heads of triceps; perforates lateral intermuscular septum; enters cubital fossa, dividing into superficial (cutaneous) and deep (motor) radial nerves structures innervated - all muscles of posterior compartments of arm and forearm; skin of posterior and inferolateral arm, posterior forearm,and dorsum of hand lateral to axial line of digit 4 |
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Term
Explain the origin, course, and structures innervated of the long thoracic nerve |
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Definition
origin - posterior aspect of anterior rami of C5 and C6 (primarily), C7 course - passes through cervicoaxillary canal, descending posterior to C8 and T1 roots of plexus (anterior rami); runs inferiorly on superficial surface of serratus anterior structures innervated - serratus anterior |
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Term
What is the origin, course, and structures innervated of the upper subscapular nerve? |
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Definition
origin - side branch of posterior cord, receiving fibers from C5 course - passes posteriorly, entering subscapularis directly structures innervated - superior portion of subscapularis |
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Term
What is the origin, course, and structures innervated of the lower subscapular nerve? |
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Definition
origin - side branch of posterior cord, receiving fibers from C6 course - passes inferolaterally, deep to subscapular artery and vein structures innervated - inferior portion of subscapularis and teres major |
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Term
What is the origin, course, and structures innervated of thoracodorsal nerve (middle subscapular nerve)? |
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Definition
origin - side branch of posterior cord, receiving fibers from C6, C7 (primarily), C8 course - arises between upper and lower subscapular nerves and runs inferolaterally along posterior axillary wall to apical part of latissimus dorsi structures innervated - latissimus dorsi |
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Term
What is the origin and course of superior thoracic artery? |
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Definition
origin - only branch off first part of axillary artery course - runs anteromedially along superior border of pectoralis minor; then passes between it and pectoralis major to thoracic wall; helps supply 1st and 2nd intercostal spaces and superior part of serratus anterior |
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Term
What is the origin and course of the thoracoacromial artery? |
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Definition
origin - first branch off second part of the axillary artery course - curls around superomedial border of pectoralis mino; pierces costocoracoid membrane (clavipectoral fascia); divides into four branches: pectoral, deltoid, acromial, and clavicular |
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Term
What's the origin and course of lateral thoracic artery? |
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Definition
origin - second branch off the second part of the axillary artery course - descends along axillary border of pectoralis minor; follows it onto thoracic wall, supplying lateral aspect of breast |
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Term
What's the origin and course of subscapular artery? |
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Definition
origin - third part (as largest branch of any part) of axillary artery course - descends from level of inferior border of subscapularis along lateral border of scapula, dividing within 2-3 cm into terminal branches, the circumflex scapular and thoracodorsal arteries |
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Term
What's the origin and course of the circumflex humeral arteries (anterior and posterior)? |
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Definition
origin - third part (sometimes via a common trunk) of axillary artery course - encircle surgical neck of humerus, anastomosing with each other laterally; larger posterior branch traverses quadrangular space |
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Term
What are the main branches of the axillary artery? |
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Definition
Superior thoracic artery thoracoacromial artery lateral thoracic artery circumflex humeral (anterior and posterior) arteries subscapular artery |
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Term
What nerves come off the lateral cord? |
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Definition
Musculocutaneous nerve lateral pectoral nerve lateral root of the median nerve |
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Term
What nerves come off the medial cord? |
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Definition
medial pectoral nerve medial cutaneous nerve of the arm medial cutaneous nerve of the forearm medial root of median nerve ulnar nerve |
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Term
What nerves come off the posterior cord? |
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Definition
upper subscapular nerve thoracodorsal nerve (middle subscapular nerve) lower subscapular nerve radial nerve axillary nerve |
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