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Brachial Plexus/Axilla
Brachial Plexus and Axilla arteries
22
Anatomy
Professional
09/25/2008

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Cards

Term
Explain the origin, course, and structures innervated by the musculocutaneous nerve
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

Term
Explain the origin, course, and structures innervated by the median nerve
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

Term
Explain the origin, course, and structures innervated of the ulnar nerve
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

Term
Explain the origin, course, and structures innervated of the lateral pectoral nerve
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

Term
Explain the origin, course, and structures innervated of medial pectoral nerve
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

Term
Explain the course, origin, and structures innervated by the medial cutaneous nerve of the arm
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

Term
Explain the origin, course, and structures innervated of medial cutaneous nerve of the forearm
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

Term
Explain the course, origin, and structures innervated of axillary nerve
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)

Term
Explain the origin, course, and structures innervated of radial nerve
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

Term
Explain the origin, course, and structures innervated of the long thoracic nerve
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

Term
What is the origin, course, and structures innervated of the upper subscapular nerve?
Definition

origin - side branch of posterior cord, receiving fibers from C5

 

course - passes posteriorly, entering subscapularis directly

 

structures innervated - superior portion of subscapularis

Term
What is the origin, course, and structures innervated of the lower subscapular nerve?
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

Term
What is the origin, course, and structures innervated of thoracodorsal nerve (middle subscapular nerve)?
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

Term
What is the origin and course of superior thoracic artery?
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

Term
What is the origin and course of the thoracoacromial artery?
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

Term
What's the origin and course of lateral thoracic artery?
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

Term
What's the origin and course of subscapular artery?
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

Term
What's the origin and course of the circumflex humeral arteries (anterior and posterior)?
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

Term
What are the main branches of the axillary artery?
Definition

Superior thoracic artery

 

thoracoacromial artery

 

lateral thoracic artery

 

circumflex humeral (anterior and posterior) arteries

 

subscapular artery

Term
What nerves come off the lateral cord?
Definition

Musculocutaneous nerve

 

lateral pectoral nerve

 

lateral root of the median nerve

Term
What nerves come off the medial cord?
Definition

medial pectoral nerve

 

medial cutaneous nerve of the arm

 

medial cutaneous nerve of the forearm

 

medial root of median nerve

 

ulnar nerve

Term
What nerves come off the posterior cord?
Definition

upper subscapular nerve

 

thoracodorsal nerve (middle subscapular nerve)

 

lower subscapular nerve

 

radial nerve

 

axillary nerve

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