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  9. Nerves of the Upper Limb

Nerves of the Upper Limb

NerveSourceBranchesMotorSensoryNotes
accessorycranial root: medulla - nucleus ambiguus; spinal root: spinal nucleus of the upper cervical spinal cordno named branchesGSE: sternocleidomastoid and trapezius mm.nonealso known as: CN XI, 11th cranial nerve; spinal root enters cranial cavity by passing through the foramen magnum; exits skull by passing through the jugular foramen; accessory n. is motor only; the subtrapezial plexus of nerves receives proprioceptive fibers: for the sternocleidomastoid m. from the ventral primary rami of spinal nn. C2 and C3 - for trapezius via ventral primary rami of C3 and C4
antebrachial cutaneous, lateralmusculocutaneous n.anterior and posterior branchesnoneskin of the lateral side of the forearmlateral antebrachial cutaneous n. emerges from the lateral intermuscular interval between biceps and brachialis; it is the continuation of the musculocutaneous n.
antebrachial cutaneous, medialmedial cord of the brachial plexusno named branchesnoneskin of the medial side of the forearmmedial antebrachial cutaneous nerve travels with the basilic vein for part of its course
antebrachial cutaneous, posteriorradial n.inferior lateral brachial cutaneous n.noneskin of the lateral distal arm and posterior forearmposterior antebrachial cutaneous n. passes posterior to the lateral epicondyle of the humerus
anterior interosseous n.median n.no named branchesflexor pollicis longus m., radial half of flexor digitorum profundus m., pronator quadratus m.nonecourses along the anterior surface of the interosseous membrane
axillary n.posterior cord of the brachial plexussuperior lateral brachial cutaneous nervedeltoid, teres minorskin of the upper lateral armaxillary n. is endangered by surgical neck fractures
brachial cutaneous, inferior lateral radial n. via its posterior antebrachial cutaneous be.no named branchesnoneskin of the lateral side of the distal armemerges at the lateral intermuscular septum just below the deltoid m.
brachial cutaneous, medialmedial cord of the brachial plexusno named branchesnoneskin of the medial side of the armcommunicates with the intercostobrachial n.
brachial cutaneous, posteriorradialno named branchesnoneskin of the posterior armemerges medial to the long head of the triceps brachii muscle
brachial plexusventral primary rami of C5-8 and T1dorsal scapular, long thoracic, n. to subclavius, suprascapular, lateral and medial pectoral, medial brachial and antebrachial cutaneous, upper, middle and lower subscapular, musculocutaneous, ulnar, median, axillary, radialmuscles of the upper limb, excluding trapeziusskin of the upper limbplexus is a latin word meaning "braid"; axons from spinal cord levels C5-T1 are mixed (braided) in the brachial plexus and repackaged into terminal branches so that each branch contains axons from several spinal cord segmental levels
C3 ventral primary ramusC3 spinal n.contributes to: inferior root of the ansa cervicalis, great auricular n., transverse cervical n., supraclavicular nn., phrenic n.; brs. to: longus capitis and colli, scalenus medius, levator scapulae, trapeziusomohyoid, sternohyoid, sternothyroid, longus capitis & colli, scalenus medius, levator scapulae, respiratory diaphragmskin of the anterolateral neck; proprioception from the sternocleidomastoid m. and the trapezius mC3 contributes to the cervical plexus
C4 ventral primary ramusC4 spinal n.contributes to: supraclavicular nn., phrenic n.; brs. to: longus colli, scalenus medius, levator scapulae, trapeziuslongus colli, scalenus medius, levator scapulae, respiratory diaphragmskin of the root of the neck and the upper shoulder; proprioception from the trapezius m.C4 contributes to the cervical plexus
C5 ventral primary ramusC5 spinal n. contributes to: phrenic n., long thoracic n.respiratory diaphragm, scalene mm., muscles of the shoulder and upper armskin of the ventral arm and ventral forearm joins the ventral primary ramus of C6 to form the superior trunk of the brachial plexus
C6 ventral primary ramusC6 spinal n. contributes to: long thoracic n.scalene mm., muscles of the lower shoulder and armskin of the lateral side of the upper limbjoins the ventral primary ramus of C5 to form the superior trunk of the brachial plexus
C7 ventral primary ramusC7 spinal n. contributes to: long thoracic n.muscles of the lower shoulder, arm forearmskin of the posterior side of the upper limbcontinues as the middle trunk of the brachial plexus
C8 ventral primary ramus C8 spinal n.no named branchesmuscles of the forearm and handskin of the medial side of the upper limbjoins the ventral primary ramus of T1 to form the inferior trunk of the brachial plexus
common palmar digital nn.median n.; superficial br. of the ulnar n.proper palmar digital nn.sympathetic motor to the skin; motor nn. to the 1st & 2nd lumbrical mm. are carried on common palmar digital brs. of the median n.skin of the palmar surfaces of the adjacent sides of two digitsthe proper branches of these nerves also supply the dorsum of the tip of the digit (nail bed)
deep radial n.radial n.posterior interosseous n.extensor carpi radialis brevis m., supinator m., extensor digitorum m., extensor digiti minimi m., abductor pollicis longus m., extensor pollicis longus m. extensor pollicis brevis m., extensor indicis m.no cutaneous branchesdeep radial n. passes through the supinator m.; some authors believe that the posterior interosseous n. and the deep radial n. are synonymous, others say that when the deep radial n. emerges from the supinator in the posterior forearm it becomes the posterior interosseous n., and others say that the deep radial n. does not become the posterior interosseous n. until after its last muscular br. has been given off
digital, common palmarmedian n.; superficial br. of the ulnar n.proper palmar digital nn.sympathetic motor to the skin; motor nn. to the 1st & 2nd lumbrical mm. are carried on common palmar digital brs. of the median n.skin of the palmar surfaces of the adjacent sides of two digitsthe proper branches of these nerves also supply the dorsum of the tip of the digit (nail bed)
digital, dorsalradial n.no named branchessympathetic motor innervation to skindorsal skin of the lateral 3 1/2 digits, except the nail bedthe nail bed is supplied by palmar digital nn.
digital, proper palmarcommon palmar digital branches of the median n.; common palmar digital branches of the superficial br. of the ulnar n.no named branchessympathetic motor to the skinmedian: palmar skin and nail bed of digits 1-3 and the lateral side of 4th digit; ulnar: palmar and dorsal skin on medial side of the 4th digit and all of the 5th digitproper palmar digital nn. supply the dorsum of the tip of the digit (nail bed)
dorsal branch of the ulnar n.ulnar n.dorsal digitalsympathetic motor innervation to skinskin of the dorsal surface of the medial 1 1/2 digits; skin of the medial side of the back of the handdorsal branch of the ulnar n. emerges at the level of the ulnar styloid process
dorsal digital n.radial n.no named branchessympathetic motor innervation to skindorsal skin of the lateral 3 1/2 digits, except the nail bedthe nail bed is supplied by palmar digital nn.
dorsal scapular n.brachial plexus (br. of C5 ventral primary ramus)no named branchesrhomboideus major and minor mm.; levator scapulae m.nonedorsal scapular n. passes through the scalenus medius m.
inferior lateral brachial cutaneous n. radial n. via its posterior antebrachial cutaneous be.no named branchesnoneskin of the lateral side of the distal armemerges at the lateral intermuscular septum just below the deltoid m.
intercostobrachial n.also known as the lateral cutaneous br. of the ventral primary ramus of T2no named branchessympathetic motor innervation to skinskin of the medial side of the armintercostobrachial n. communicates with the medial brachial cutaneous nerve
intermediate supraclavicular n.cervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper chest, near the mid-claviclepain from respiratory diaphragm is referred to the shoulder
interosseous, anteriormedian n.no named branchesflexor pollicis longus m., radial half of flexor digitorum profundus m., pronator quadratus m.nonecourses along the anterior surface of the interosseous membrane
interosseous, posteriordeep radial n.no named branchessome authors say none, others say the deep posterior forearm musclesnonethere is variability in the definition of this nerve; for some, deep radial and posterior interosseous are synonymous; others define this nerve as the articular br. to the wrist from the deep radial
lateral antebrachial cutaneousmusculocutaneous n.anterior and posterior branchesnoneskin of the lateral side of the forearmlateral antebrachial cutaneous n. emerges from the lateral intermuscular interval between biceps and brachialis; it is the continuation of the musculocutaneous n.
lateral pectoral n.lateral cord of the brachial plexusno named branchespectoralis major m.no cutaneous brancheslateral pectoral n. communicates with the medial pectoral n. anterior to the axillary a.; it pierces the clavipectoral fascia
lateral supraclavicular n.cervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper shoulder pain from respiratory diaphragm is referred to the shoulder
long thoracic n.brachial plexus (ventral primary rami of spinal nerves C5-C7)no named branchesserratus anterior m.no cutaneous brancheslocated on the superficial surface of the serratus anterior m.; lesion of this nerve causes scapular winging, hence the saying "C5, 6, & 7 keep the wings from heaven"
lower subscapular n.posterior cord of the brachial plexus (C5, C6)unnamed muscular brs.subscapularis m., teres major m.no cutaneous branchessubscapularis and teres minor are antagonists (medial rotation vs. lateral rotation of the humerus)
medial antebrachial cutaneous n.medial cord of the brachial plexusno named branchesnoneskin of the medial side of the forearmmedial antebrachial cutaneous nerve travels with the basilic vein for part of its course
medial brachial cutaneous n.medial cord of the brachial plexusno named branchesnoneskin of the medial side of the armcommunicates with the intercostobrachial n.
medial pectoral n.medial cord of the brachial plexusno named branchespectoralis minor m., pectoralis major m.no cutaneous branchesmedial pectoral n. communicates with the lateral pectoral n. anterior to the axillary a.; it pierces the pectoralis minor m.
medial supraclavicular n.cervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper chest, anteriorly pain from respiratory diaphragm is referred to the shoulder
median n.lateral and medial cords of the brachial plexusanterior interosseous n., palmar br., recurrent (motor) br., common palmar digital nn. (for digits 1-3)pronator teres m., flexor carpi radialis m., palmaris longus m., flexor digitorum superficialis m., flexor digitorum profundus m. (radial half), flexor pollicis longus m., pronator quadratus m., abductor pollicis brevis m., flexor pollicis brevis m., opponens pollicis m., lateral 2 lumbrical mm.skin of the radial half of the palm and palmar side of the lateral 3 1/2 digits (and nail bed for these digits)the median n. is motor to the flexor muscles of the forearm (except flexor carpi ulnaris and the medial 1/2 of the flexor digitorum profundus),the muscles of the thenar compartment and the lateral 2 lumbricals
middle subscapular n.posterior cord of the brachial plexus (C7, C8)unnamed muscular brs.latissimus dorsi m.no cutaneous branchesalso called the thoracodorsal n.
musculocutaneous n.lateral cord of the brachial plexuslateral antebrachial cutaneous n.coracobrachialis m., biceps brachii m., brachialis m.skin of the lateral side of the forearmmusculocutaneous n. passes through the coracobrachialis m.
palmar digital, commonmedian n.; superficial br. of the ulnar n.proper palmar digital nn.sympathetic motor to the skin; motor nn. to the 1st & 2nd lumbrical mm. are carried on common palmar digital brs. of the median n.skin of the palmar surfaces of the adjacent sides of two digitsthe proper branches of these nerves also supply the dorsum of the tip of the digit (nail bed)
palmar digital, propercommon palmar digital branches of the median n.; common palmar digital branches of the superficial br. of the ulnar n.no named branchessympathetic motor to the skinmedian: palmar skin and nail bed of digits 1-3 and the lateral side of 4th digit; ulnar: palmar and dorsal skin on medial side of the 4th digit and all of the 5th digitproper palmar digital nn. supply the dorsum of the tip of the digit (nail bed)
pectoral, laterallateral cord of the brachial plexusno named branchespectoralis major m.no cutaneous brancheslateral pectoral n. communicates with the medial pectoral n. anterior to the axillary a.; it pierces the clavipectoral fascia
pectoral, medialmedial cord of the brachial plexusno named branchespectoralis minor m., pectoralis major m.no cutaneous branchesmedial pectoral n. communicates with the lateral pectoral n. anterior to the axillary a.; it pierces the pectoralis minor m.
plexus, brachialventral primary rami of C5-8 and T1dorsal scapular, long thoracic, n. to subclavius, suprascapular, lateral and medial pectoral, medial brachial and antebrachial cutaneous, upper, middle and lower subscapular, musculocutaneous, ulnar, median, axillary, radialmuscles of the upper limb, excluding trapeziusskin of the upper limbplexus is a latin word meaning "braid"; axons from spinal cord levels C5-T1 are mixed (braided) in the brachial plexus and repackaged into terminal branches so that each branch contains axons from several spinal cord segmental levels
posterior antebrachial cutaneous n.radial n.inferior lateral brachial cutaneous n.noneskin of the lateral distal arm and posterior forearmposterior antebrachial cutaneous n. passes posterior to the lateral epicondyle of the humerus
posterior brachial cutaneous n.radialno named branchesnoneskin of the posterior armemerges medial to the long head of the triceps brachii muscle
proper palmar digital nn.common palmar digital branches of the median n.; common palmar digital branches of the superficial br. of the ulnar n.no named branchessympathetic motor to the skinmedian: palmar skin and nail bed of digits 1-3 and the lateral side of 4th digit; ulnar: palmar and dorsal skin on medial side of the 4th digit and all of the 5th digitproper palmar digital nn. supply the dorsum of the tip of the digit (nail bed)
radial n.posterior cord of the brachial plexusposterior brachial cutaneous n., inferior lateral brachial cutaneous n., posterior antebrachial cutaneous n., superficial and deep brs.muscles of the posterior arm: triceps brachii m., anconeus m.; muscles of the posterior forearm: brachioradialis, extensor carpi ulnaris m., extensor carpi radialis longus m., extensor carpi radialis brevis m., extensor digitorum m., extensor digiti minimi m., supinator m., abductor pollicis longus m., extensor pollicis longus m., extensor pollicis brevis m., extensor indicis m.skin of the posterior arm, forearm and handall of the muscles on the posterior side of the arm and forearm are innervated by the radial n.
radial, deepradial n.posterior interosseous n.extensor carpi radialis brevis m., supinator m., extensor digitorum m., extensor digiti minimi m., abductor pollicis longus m., extensor pollicis longus m. extensor pollicis brevis m., extensor indicis m.no cutaneous branchesdeep radial n. passes through the supinator m.; some authors believe that the posterior interosseous n. and the deep radial n. are synonymous, others say that when the deep radial n. emerges from the supinator in the posterior forearm it becomes the posterior interosseous n., and others say that the deep radial n. does not become the posterior interosseous n. until after its last muscular br. has been given off
radial, superficialradial n.dorsal digital brs.sympathetic motor for the skinskin of the posterolateral wrist and hand; dorsum of the lateral 3 1/2 digits (excluding the skin over the distal phalanx/nail bed)superficial radial n. is located deep to the brachioradialis muscle
subclavius m., n. tosuperior trunk of the brachial plexusno named branchessubclavius m.no cutaneous branchesnerve to subclavius m. is one of two nerves to arise from the superior trunk of the brachial plexus; suprascapular n. is the other one
subscapular, lowerposterior cord of the brachial plexus (C5, C6)unnamed muscular brs.subscapularis m., teres major m.no cutaneous branchessubscapularis and teres minor are antagonists (medial rotation vs. lateral rotation of the humerus)
subscapular, middleposterior cord of the brachial plexus (C7, C8)unnamed muscular brs.latissimus dorsi m.no cutaneous branchesalso called the thoracodorsal n.
subscapular, upperposterior cord of the brachial plexus (C5, C6)unnamed muscular brs.subscapularis m.no cutaneous branchesmesenchyme that forms the subscapularis is derived from somites C5 and C6
superficial radial n.radial n.dorsal digital brs.sympathetic motor for the skinskin of the posterolateral wrist and hand; dorsum of the lateral 3 1/2 digits (excluding the skin over the distal phalanx/nail bed)superficial radial n. is located deep to the brachioradialis muscle
superior lateral brachial cutaneous axillaryno named branchesnoneskin of the lateral side of the proximal armemerges at the posterior edge of the deltoid muscle
supraclavicular, intermediatecervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper chest, near the mid-claviclepain from respiratory diaphragm is referred to the shoulder
supraclavicular, lateralcervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper shoulder pain from respiratory diaphragm is referred to the shoulder
supraclavicular, medialcervical plexus (C3&C4)no named branchesnoneskin of the root of the neck and upper chest, anteriorly pain from respiratory diaphragm is referred to the shoulder
suprascapular n.superior trunk of the brachial plexus (C5-C6)no named branchessupraspinatus m., infraspinatus m.no cutaneous branchessuprascapular n. passes through the suprascapular notch inferior to the superior transverse scapular ligament
T1 ventral primary ramusspinal nerve T1joins the ventral primary ramus of C8 to form the inferior trunk of the brachial plexusmuscles of the forearm and handskin of the ventral arm and ventral forearmT1 is the highest spinal nerve to have a white ramus communicans
thoracodorsal n.posterior cord of the brachial plexus (C7, C8)unnamed muscular brs.latissimus dorsi m.no cutaneous branchesalso called the middle subscapular n.
to subclavius m.superior trunk of the brachial plexusno named branchessubclavius m.no cutaneous branchesnerve to subclavius m. is one of two nerves to arise from the superior trunk of the brachial plexus; suprascapular n. is the other one
transverse cervical n.cervical plexus (C2 and C3)no named branchesnoneskin of the anterior surface of the neck transverse cervical n. penetrates the platysma m. but does not innervate it
ulnar n.medial cord of the brachial plexus (C8, T1)palmar cutaneous br., dorsal br., superficial and deep brs.flexor carpi ulnaris m., flexor digitorum profundus m. (ulnar half), abductor digiti minimi m., flexor digiti minimi brevis m., opponens digiti minimi m., ulnar 2 lumbrical mm., palmar and dorsal interosseous mm.skin of the medial side of the wrist and hand; skin of the medial 1 1/2 digitsulnar n. is motor to most of the muscles of the hand
upper subscapular n.posterior cord of the brachial plexus (C5, C6)unnamed muscular brs.subscapularis m.no cutaneous branchesmesenchyme that forms the subscapularis is derived from somites C5 and C6
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