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Lecture 26
The Brachial Plexus
Cleyson Mupfiga
Spinal Nerves
Dorsal
branch
Ventral
branch
Spinal
nerve
Spinal nerve
2Cleyson Mupfiga HUB117 2011
Spinal Nerves
 31 pairs of spinal nerves
are attached to the spinal
cord.
 8 cervical
 12 thoracic
 5 lumbar
 5 sacral
 1 coccygeal
 Each spinal nerve divides
into a dorsal and ventral
ramus. 3Cleyson Mupfiga HUB117 2011
Brachial Plexus
 The brachial plexus is a network of nerves
formed by the union of the anterior rami
(branches) of C5 – C8 & T1 spinal nerves.
 It originates in the neck, passes laterally &
inferiorly over the first rib & enters the axilla
(arm pit).
 All major nerves of the upper limb originate
from parts of the brachial plexus.
 Divided into ROOTS, TRUNKS, DIVISIONS,
and CORDS. BRANCHES emerge to supply the
upper limb.
4Cleyson Mupfiga HUB117 2011
Brachial Plexus
Brachial Plexus
Lateral Cervical Region
(Posterior Triangle)
ROOTS
DIVISIONS
TRUNKS
CORDS
BRANCHES
Robert Trucker Drinks Cold Beer
ROOTS
C7
TRUNKSDIVISIONSCORDS
MEDIAL
POSTERIOR
LATERAL
MIDDLE
LOWER
UPPER
C5
C6
C8
T1
T1
C8
C7
C5
C6
ROOTS
DIVISIONS
TRUNKS
CORDS
BRANCHES
Brachial Plexus
Cleyson Mupfiga HUB117 2011 8
Brachial Plexus
Clavicle
Arm
Brachial Plexus
9
 Major nerves:
 Axillary
 Radial
 Musculocutaneous
 Ulnar
 Median
Cleyson Mupfiga HUB117 2011
Axillary Nerve
10Cleyson Mupfiga HUB117 2011
Radial Nerve
11Cleyson Mupfiga HUB117 2011
Musculocutaneous Nerve
12Cleyson Mupfiga HUB117 2011
Ulnar Nerve
13Cleyson Mupfiga HUB117 2011
Median Nerve
14Cleyson Mupfiga HUB117 2011
Upper
Middle Trunks
Lower
Roots (ventral rami):
Upper subscapular
Lower subscapular
Thoracodorsal
Medial cutaneous
nerves of the arm
and forearm
Long thoracic
Medial pectoral
Lateral pectoral
Nerve to subclavius
Suprascapular
Dorsal scapular
Posterior
divisions
Anterior
divisions
Lateral
PosteriorCords
Medial
Axillary
Musculo-
cutaneous
Radial
Median
Ulnar
Posterior
divisions
Trunks Roots
C4
C5
C6
C7
C8
T1
(a) Roots (rami C5 – T1), trunks, divisions, and cords
Brachial Plexus Injuries
16Cleyson Mupfiga HUB117 2011
Upper brachial plexus
injuries: “waiter’s tip
position”
Lower brachial plexus
injuries: short muscles of
the hand are affected >
“clawhand”
Nerve Injury
17
Anaethesia: loss of sensation; may
be pathological or induced to facilitate
surgery or other medical treatment.
Paraesthesia: abnormal sensation
e.g. tingling or burning.
Cleyson Mupfiga HUB117 2011
18
Questions…
Cleyson Mupfiga HUB117 2011

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Brachial plexus

Notas del editor

  1. Provides the following important functions: (1) sensory innervation to the skin & deep structures; (2) motor innervation to muscles; (3) influence over diameter of blood vessels by sympatetic vasomotor nerves; (4) sympathetic secretomotor supply to the sweat glands.