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Brachial Plexus
brachial plexus
24
Anatomy
Graduate
09/25/2013

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Cards

Term
Types of Nerves in the Plexus
Definition
  • All brachial plexus named nerves contain sensory axons and sympathetic autonomic axons, most contain voluntary motor axons
Term
Anatomy of the Plexus
Definition
  • The ventral rami pass between the anterior and middle scalene muscle
  • The ventral rami of C5 & C6 and C8 & T1 unite to form trunks before there is a separation of the anterior and posterior nerve fibers (C7 is a trunk by itself)
  • Each of the 3 trunks divide into anterior and posterior divisions
  • All posterior divisions combine to form the posterior cord
  • The anterior divisions from the upper (superior) and middle trunks join to form the lateral cord while the anterior division from the lower (inferior) trunk remains independent and becomes the medial cord
Term
5 Major Branches of the Plexus
Definition
  • Musculocutaneous nerve
  • Axillary nerve
  • Median nerve
  • Ulnar nerve
  • Radial nerve
Term
Musculocutaneous Nerve
Definition
  • Anterior division
  • C5-7
  • Lateral cord
Term
Median Nerve
Definition
  • Anterior division
  • C5-T1
  • Merger of Medial and Lateral cords
Term
Ulnar Nerve
Definition
  • Anterior division
  • C8-T1
  • Medial cord
Term
Axillary Nerve
Definition
  • Posterior division
  • C5-6
  • Posterior cord
Term
Radial Nerve
Definition
  • Posterior Division
  • C5-C8 (T1)
  • Posterior cord
Term
11 Small Branches of the Plexus
Definition
  • Dorsal Scapular Nerve
  • Nerve to Subclavius
  • Suprascapular Nerve
  • Long Thoracic Nerve
  • Lateral Pectoral Nerve
  • Upper Subscapular Nerve
  • Thoracodorsal Nerve
  • Lower Subscapular Nerve
  • Medial Pectoral Nerve
  • Medial Brachial Cutaneous Nerve
  • Medial Antebrachial Cutaneous Nerve
Term
Dorsal Scapular Nerve
Definition
  • Posterior division
  • C5
  • C5 Ventral Ramus
Term
Nerve to Subclavius
Definition
  • Anterior division
  • C5-C6
  • Superior Trunk
Term
Suprascapular Nerve
Definition
  • Posterior division
  • C5-6
  • Superior trunk
Term
Long Thoracic Nerve
Definition
  • Posterior division
  • C5-7
  • Ventral Rami C5-7
Term
Lateral Pectoral Nerve
Definition
  • Anterior Division
  • C5-C7
  • Lateral Cord
Term
Upper Subscapular Nerve
Definition
  • Posterior division
  • C5-6
  • Posterior cord
Term
Thoracodorsal Nerve
Definition
  • Posterior division
  • C6-8
  • Posterior cord
Term
Lower Subscapular Nerve
Definition
  • Posterior division
  • C5-6
  • Posterior cord
Term
Medial Pectoral Nerve
Definition
  • Anterior division
  • C8-T1
  • Medial cord
Term
Medial Brachial Cutaneous Nerve
Definition
  • Anterior division
  • T1
  • Medial cord
Term
Medial Antebrachial Cutaneous Nerve
Definition
  • Anterior Division
  • C8-T1
  • Medial Cord
Term
Erb's Palsy
Definition
  • C5-6 Injury (ventral rami, possibly superior trunk)
  • Usually due to violent separation of neck and shoulder (ex: motorcycle injury, difficult delivery)
  • Primary involvement --> Musculocutaneous Nerve
  • Limb held in shoulder adduction, IR, elbow extension, pronation, and wrist flexion; may have scapular winging; grip intact
Term
Klumpke's Palsy
Definition
  • C8-T1 injury (ventral rami, possibly inferior trunk)
  • Usually due to forcible abduction of shoulder
  • Weak triceps, pronation, wrist and finger movements; no hand function
Term
Thoracic Outlet Syndrome
Definition
  • Brachial plexus is situated between anterior and middle scalenes and can be compressed by tightness or spasm of these muscles
  • Compression of nerves & blood vessels
  • Other Causes: Cervical rib, pectoralis minor tightness
Term
Stinger / Burner
Definition
  • Stretching of brachial plexus nerves by forcible injury or prolonged positioning (sports injury, sleeping with arm overhead)
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