The Upper Extremity CCRI上肢中棉所.pptVIP

Trunks Split to form Divisions! (in neck) Trunks Divisions Upper Anterior Posterior Middle Anterior Posterior Lower Anterior Posterior Divisions Join to form Cords! (in axilla) Trunks Division Cords U A Lateral P M A Medial P L A Posterior P Cords Give off Branches!! (in axilla) Lateral Musculocutaneous Median Medial Ulnar Posterior Radial Axillary Thoracodorsal Subscapulars Lateral Cord Musculocutaneous nerve Off lateral cord Course: Anterior arm Becomes cutaneous and gives skin sensation to lateral forearm Innervates: Corocobrachialis (motor) Biceps brachii (motor) Brachialis (motor) Skin distal to the elbow (sensory) Medial Cord Ulnar nerve Course: Comes off medial cord Descends along medial side of arm Passes posterior to medial epicondyle Follows the ulna Superficial to carpal tunnel into hand Branches to supply intrinsics and skin Innervates: Flexor carpi ulnaris (motor) Flexor digitorum profundus (motor) Most intrinsic hand muscles (motor) Dorsal branch supplies skin of medial 2/3 of hand (sensory) Both Medial and Lateral Cords Median nerve Course: Middle of brachial plexus (from lateral and medial cords) Does not branch in arm Distal to elbow provides many branches to most forearm flexors Passes through carpal tunnel to hand to lateral palmar intrinsics Innervates: Anterior forearm (motor) Most flexors, some intrinsics (thumb) 2/3 Lateral palm (sensory) Dorsum of fingers 2 and 3 (sensory) Posterior Cord Radial nerve Largest branch of brachial plexus Comes from posterior cord Course: Through arm Around humerus Around lateral epicondyle (then divides) Innervates: Posterior muscles of arm and forearm Triceps brachii, anconeus, brachioradialis Divides in forearm: Superficial Skin of arm and dorsolateral surface of hand Deep Supinator Extensor muscles of forearm (eg ext. carpi radialis L + B) Posterior Cord (con