p.5
Main Terminal Branches of the Brachial Plexus
In the forearm, the musculocutaneous nerve becomes the ___ nerve.
lateral antebrachial cutaneous
p.3
Nerve Injuries and Neuropathies
Injury to the suprascapular nerve leads to wasting of the ___ and ___ muscles.
supraspinatus, infraspinatus
p.3
Specific Nerves: Axillary, Radial, Median, Ulnar
What muscles does the dorsal scapular nerve innervate?
Rhomboid major, rhomboid minor, and levator scapulae.
p.2
Divisions and Cords of the Brachial Plexus
What are the three cords of the brachial plexus named for?
Their position in relation to the axillary artery.
p.2
Divisions and Cords of the Brachial Plexus
What forms the lateral cord of the brachial plexus?
The anterior division of the superior and middle trunks.
p.7
Specific Nerves: Axillary, Radial, Median, Ulnar
Where does the median nerve run in the arm?
Anteromedial aspect of the arm.
p.1
Anatomy of Brachial Plexus Trunks
What mnemonic can help remember the components of the Brachial Plexus?
'Robert Taylor Drinks Cold Beer' or 'Remember To Drink Cold Beer'.
p.2
Specific Nerves: Axillary, Radial, Median, Ulnar
What muscles does the dorsal scapular nerve innervate?
Levator scapulae, rhomboides major, and rhomboides minor.
p.4
Nerve Injuries and Neuropathies
What are the symptoms of an injury to the musculocutaneous nerve?
Weakness of supination and flexion of the forearm, and loss of sensation on the lateral side of the forearm.
p.5
Main Terminal Branches of the Brachial Plexus
What are the main terminal branches of the brachial plexus?
Musculocutaneous nerve, Axillary nerve, Radial nerve, Median nerve, Ulnar nerve.
p.9
Anatomy of Brachial Plexus Trunks
Where does the ulnar nerve run in the forearm?
Down the medial aspect of the forearm.
p.9
Common Injuries and Symptoms Related to Brachial Plexus
What is the difference between claw hand and sign of benediction?
In sign of benediction, you can still fold the medial 2 lumbricals; in claw hand, the medial 2 lumbricals are affected.
p.1
Anatomy of Brachial Plexus Trunks
Which rami are the largest and smallest in the Brachial Plexus?
Largest: C7 & C8; Smallest: C5 & T1.
p.1
Common Questions and Tips for Brachial Plexus Anatomy
The mnemonic for remembering the components of the Brachial Plexus is '___ ___ ___ ___ ___'.
Robert Taylor Drinks Cold Beer
p.9
Nerve Injuries and Neuropathies
What are the main symptoms of ulnar nerve injury?
Loss of pronation, loss of opposition of the thumb, and characteristic flattening of the thenar eminence.
p.5
Nerve Injuries and Neuropathies
What is crutch palsy?
A condition caused by pressure from the crosspiece of a crutch, resulting in arm paralysis due to radial nerve pressure.
p.5
Main Terminal Branches of the Brachial Plexus
What does the musculocutaneous nerve innervate?
The anterior compartment of the arm, including Biceps brachii, Brachialis, and Coracobrachialis.
p.4
Anatomy of Brachial Plexus Trunks
What happens to each trunk in the brachial plexus?
Each trunk divides into two branches within the posterior triangle of the neck.
p.9
Common Injuries and Symptoms Related to Brachial Plexus
What functions are lost due to ulnar nerve injury?
Loss of abduction and adduction of fingers.
p.10
Modified Radical Mastectomy and Nerve Considerations
Where is the long thoracic nerve identified during surgery?
Deep to the axillary vein.
p.6
Common Injuries and Symptoms Related to Brachial Plexus
How do patients with Radial Nerve Palsy present?
Loss of extension of fingers, thumb, and wrist; numbness over the 1st dorsal interosseous muscles.
p.1
Anatomy of Brachial Plexus Trunks
Where does the Brachial Plexus begin and extend?
It begins in the neck and extends into the axilla.
p.9
Common Injuries and Symptoms Related to Brachial Plexus
What injury can occur due to fractures of the medial epicondyle?
Damage to the ulnar nerve, resulting in a claw hand.
p.10
Specific Nerves: Axillary, Radial, Median, Ulnar
Where does the ulnar nerve enter the hand?
Superficial to the flexor retinaculum and lateral to the pisiform bone.
p.4
Divisions and Cords of the Brachial Plexus
How many posterior and anterior nerve fibers are formed from the divisions?
3 posterior nerve fibers and 3 anterior nerve fibers.
p.7
Specific Nerves: Axillary, Radial, Median, Ulnar
Which muscles does the median nerve lie between as it enters the forearm?
Between flexor digitorum superficialis and flexor digitorum profundus.
p.4
Main Terminal Branches of the Brachial Plexus
What muscles are innervated by the axillary nerve?
Teres minor and deltoid muscles.
p.1
Anatomy of Brachial Plexus Trunks
What major arteries and veins enclose the Brachial Plexus?
The Axillary artery and vein.
p.9
Common Injuries and Symptoms Related to Brachial Plexus
What is a characteristic feature of claw hand?
Ring and little fingers are hyperextended at the metacarpophalangeal joints and flexed at the interphalangeal joints.
p.1
Common Injuries and Symptoms Related to Brachial Plexus
What is a commonly encountered nerve injury during modified radical mastectomy?
Long Thoracic Nerve Injury.
p.8
Functions of the Brachial Plexus
What areas does the median nerve innervate in the hand?
The lateral two lumbricals, skin of the lateral side of the palm, and the palmar side of the lateral 3 and 1/2 fingers, and the dorsal side of the index, middle, and 1/2 of the ring finger.
p.7
Specific Nerves: Axillary, Radial, Median, and Ulnar
The median nerve is located between the ___ and ___ muscles in the forearm.
flexor digitorum superficialis, flexor digitorum profundus
p.2
Anatomy of Brachial Plexus Trunks
What is the division of the superior trunk of the brachial plexus?
Divides 2–3 cm above the clavicle.
p.9
Anatomy of Brachial Plexus Trunks
From which part of the brachial plexus is the ulnar nerve formed?
Completely formed by the medial cord of the brachial plexus.
p.3
Nerve Injuries and Neuropathies
What is the consequence of injury to the suprascapular nerve?
Wasting of supraspinatus and infraspinatus muscles, leading to no abduction and external rotation of the shoulder.
p.2
Functions of the Brachial Plexus
What innervates the postaxial extensor musculature?
The posterior divisions and posterior cord.
p.4
Main Terminal Branches of the Brachial Plexus
What muscles are innervated by the musculocutaneous nerve?
Biceps brachii, brachialis, and coracobrachialis (BBC muscles).
p.6
Nerve Injuries and Neuropathies
What causes Radial Nerve Palsy?
Compression of the radial nerve in the axilla.
p.4
Main Terminal Branches of the Brachial Plexus
What does the radial nerve innervate?
All muscles of the posterior arm and forearm.
p.8
Nerve Injuries and Neuropathies
What are some motor deficits associated with median nerve neuropathy?
Weak wrist flexion, pronation, papal benediction sign, and ape-like hand.
p.7
Nerve Injuries and Neuropathies
Where does the radial nerve commonly get injured?
In fractures of the humeral shaft.
p.7
Nerve Injuries and Neuropathies
What is the mnemonic for remembering nerve injuries related to humeral fractures?
Fracture in Humeral shaft = Radial nerve; Fracture in Humeral surgical neck = Axillary nerve.
p.6
Nerve Injuries and Neuropathies
Where does the radial nerve commonly get injured?
Around the surgical neck of the humerus.
p.7
Specific Nerves: Axillary, Radial, Median, Ulnar
How does the median nerve enter the forearm?
Between the humeral and ulnar heads of the pronator teres muscle.
p.6
Main Terminal Branches of the Brachial Plexus
What are the two branches of the radial nerve?
Superficial sensory branch and deep motor branch (posterior interosseous nerve).
p.8
Specific Nerves: Axillary, Radial, Median, Ulnar
What nerve does the median nerve give rise to in the cubital fossa?
The anterior interosseous nerve.
p.8
Nerve Injuries and Neuropathies
What sensory deficits are associated with median nerve neuropathy?
Lateral ½ of the palm and palmar aspect of the lateral 3 and ½ fingers.
p.8
Nerve Injuries and Neuropathies
Motor deficits of median nerve neuropathy include weak wrist ___ and ___ sign.
flexion, papal benediction
p.5
Common Injuries and Symptoms Related to Brachial Plexus
What is wrist drop?
Loss of function in arm, forearm, and hand extensor muscles due to radial nerve injury.
p.5
Nerve Injuries and Neuropathies
What happens when the musculocutaneous nerve is injured?
Weakness of supination, weakness of flexion of the forearm, and loss of sensation on the lateral side.
p.4
Anatomy of Brachial Plexus Trunks
What are the two directions in which the divisions of the brachial plexus move?
One division moves anteriorly and the other posteriorly.
p.2
Main Terminal Branches of the Brachial Plexus
Which nerves directly stem from the roots of the brachial plexus?
Dorsal scapular nerve and long thoracic nerve.
p.4
Main Terminal Branches of the Brachial Plexus
What branch of the musculocutaneous nerve provides cutaneous innervation to the lateral upper forearm?
Lateral antebrachial cutaneous nerve.
p.8
Main Terminal Branches of the Brachial Plexus
What does the median nerve divide into in the palm?
The palmar digital nerves.
p.7
Nerve Injuries and Neuropathies
What is a common symptom of radial nerve injury?
Weakness in abduction and adduction of the hand.
p.10
Specific Nerves: Axillary, Radial, Median, Ulnar
What are the branches of the ulnar nerve at the root of the hypothenar eminence?
It divides into superficial and deep branches.
p.6
Anatomy of Brachial Plexus Trunks
What anatomical structure does the radial nerve occupy?
Musculospiral/radial groove of the radius.
p.8
Specific Nerves: Axillary, Radial, Median, Ulnar
What structure does the median nerve pass between to become superficial?
The tendons of the flexor digitorum superficialis and flexor carpi radialis.
p.4
Main Terminal Branches of the Brachial Plexus
What muscles are innervated by the lower subscapular nerve?
Subscapularis and teres major muscles.
p.2
Anatomy of Brachial Plexus Trunks
Where can the suprascapular nerve be palpated?
In the supraclavicular fossa.
p.1
Functions of the Brachial Plexus
What is the primary function of the Brachial Plexus?
To supply sensory and motor innervation to the upper limb.
p.9
Nerve Injuries and Neuropathies
What is the 'funny bone'?
The spot at the back of your elbow where the ulnar nerve rests against the humerus.
p.10
Specific Nerves: Axillary, Radial, Median, Ulnar
How does the ulnar nerve enter the forearm?
By passing between the two heads of the flexor carpi ulnaris.
p.5
Main Terminal Branches of the Brachial Plexus
What is the lateral antebrachial cutaneous nerve?
The continuation of the musculocutaneous nerve in the forearm, providing cutaneous innervation to the lateral upper forearm.
p.1
Functions of the Brachial Plexus
What type of innervation do sympathetic vasomotor nerves provide?
They influence the diameters of blood vessels.
p.2
Brachial Plexus Overview
What is the correct order of the brachial plexus?
Roots, trunks, divisions, cords, branches.
p.10
Nerve Injuries and Neuropathies
What position is associated with injuries to C5 and C6 nerves?
Waiter’s tip position, where the limb hangs by the side in medial rotation.
p.8
Common Injuries and Symptoms Related to Brachial Plexus
What can cause median nerve neuropathy?
A supracondylar fracture or compression in the carpal tunnel.
p.3
Functions of the Brachial Plexus
What is the function of the serratus anterior muscle?
Protraction and stabilization of the scapula.
p.3
Specific Nerves: Axillary, Radial, Median, Ulnar
What does the subclavian nerve innervate?
Subclavius muscle and sternoclavicular joint.
p.5
Main Terminal Branches of the Brachial Plexus
What does the axillary nerve innervate?
The teres minor and deltoid muscles, as well as the skin overlying the deltoid on the lateral aspect of the shoulder.
p.7
Specific Nerves: Axillary, Radial, Median, Ulnar
Where does the median nerve lie at the elbow?
Medial to the brachial artery on the brachialis muscle.
p.4
Cords of the Brachial Plexus
What does the lateral cord of the brachial plexus give rise to?
3 branches including the lateral pectoral nerve, musculocutaneous nerve, and lateral branch of the median nerve.
p.6
Functions of the Brachial Plexus
What muscles does the radial nerve supply?
All muscles in the posterior compartment of the arm and forearm, including all extensor muscles.
p.10
Modified Radical Mastectomy and Nerve Considerations
What does the intercostobrachial nerve provide sensory innervation to?
The upper inner aspect of the arm.
p.10
Nerve Injuries and Neuropathies
What symptoms indicate long thoracic nerve injury?
Difficulty in raising the arm overhead and scapula protruding posteriorly.
p.8
Anatomy of Brachial Plexus Trunks
How does the median nerve enter the palm of the hand?
Through the carpal tunnel deep to the flexor retinaculum.
p.8
Functions of the Brachial Plexus
Which muscles does the median nerve innervate in the forearm?
All anterior muscles except the flexor carpi ulnaris and the ulnar half of the flexor digitorum profundus.