spinalnerves凌树才.ppt

The Spinal Nerves脊神经 Contents Cervical plexus 颈丛 formed by anterior branches of C1-C4 position: covered by the sternocleidomastoid. branches： superficial branches： lesser occipital n. 枕小神经 great auricular n. 耳大神经 transvers nerve of neck 颈横神经 supraclavicular n. 锁骨上神经 deep branches: phrenic n. 膈神经 Phrenic nerve Brachial plexus 臂丛 branches and distribution Brachial plexus : the long thoracic the musculocutaneous nerve Lateral cord lateral pectoral nerve the median nerve Medial cord the ulnar nerve medial pectoral nerve the radial nerve Posterior cord the axillary nerve the thoracodorsal nerve Median n. 正中神经Distribution: Flexor of forearm except brachioradialis, flexor carpi ulnaris and ulnar half of flexor digitorum profundus, thenar except adductor pollicis, first and second lumbricals; skin of thenar, central part of palm, palmar aspect of radial three and one-half fingers, including middle anddistal fingers on dorsum.Injury: ape-like hand Ulnar n. 尺神经Distribution: Flexor carpi ulnaris, ulnar half of flexor digitorum profundus, hypothenar muscles, interossei, 3rd and 4th lumbricals and adductor pollicis; skin of hypothenar, palmar surface of ulnar one and one-half fingers, ulnar half of dorsum of hand, posterior aspect of ulnar two and one-half fingersInjury: clawhand 桡神经 radial n. Distribution: Extensor muscles of arm and forearm, brachioradialis; skin on back of arm, forearm, and radial side of dorsum of hand and radial two and one-half fingers.Injury: Wrist-drop The nerves distribution of the hand The typical clinical signs of radial, ulnar, median nerves injuries Axillary n.腋神经Distribution: Deltoid and teres minor muscle; skin over de