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Nerves.

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Presentation on theme: "Nerves."— Presentation transcript:

1 Nerves

2 Brachial Plexus Roots C5 C6 C7 C8 T1

3 Brachial Plexus Trunks C5 C6 C7 C8 T1 Upper Trunk Middle Trunk Lower

4 Brachial Plexus Divisions
Eash trunk gives anterior and posterior divisions (behind middle ⅓ of the clavicle ) C5 C6 C7 C8 T1

5 Brachial Plexus Cords C5 C6 C7 C8 T1 Posterior Cord

6 Brachial Plexus Cords C5 C6 C7 Medial Cord C8 T1 Posterior Cord

7 Brachial Plexus Cords Lateral Cord Medial Cord Posterior Cord C5 C6 C7

8 Brachial Plexus Lateral Cord Branches Lateral pectoral
Lateral root of Median n. Musculocutaneous

9 Medial Cutaneous n. of Forearm
Brachial Plexus Medial Cord Branches Medial Pectoral Medial Root of Median Medial Cutaneous n. of Forearm Ulnar

10 Brachial Plexus Posterior Cord Branches Upper Subscapular
Lower Subscapular Axillary N. To Latissimus Dorsi Radial

11 Brachial Plexus Upper Trunk Branches Suprascapular Nerve to Subclavius

12 Brachial Plexus Roots Branches C5 C6 C7 C8 T1 Root of Phrenic
N. To Rhomboids C5 C6 N. to Serratus Anterior C7 C8 T1

13 Brachial Plexus Injuries 1.Complete Injury

14 Brachial Plexus Injuries 2.Erb’s Injury

15 Brachial Plexus Injuries 3.Klumpke’s Injury

16 Musculocutaneous Nerve
Mixed nerve from the lateral cord Course: Lareral: the 3rd part of Axillary artery Leaves the axilla by piercing the coracobrachialis m. Then descends downwards between biceps and brachialis. Finally continues as lateral cutaneous nerve of the forearm Branches: Coracobrachialis, Biceps & Brachialis

17 Radial Nerve Arm C5,6,7,8,T1 Course & Relations:
Lies behind the upper part of the brachial artery between it & the 2 heads of triceps long head of Triceps Brachial artery

18 Radial Nerve Arm C5,6,7,8,T1 Course & Relations:
After leaving the spiral groove: The nerve pierces the lateral intermuscular septum to enter the anterior compartment on the lateral side of the arm

19 Radial Nerve Forearm C5,6,7,8,T1 Course & Relations:
In front of the lateral epicondyle it gives the posterior interosseous & continues downwards as the superficial radial nerve. Supinator

20 Radial Nerve Forearm C5,6,7,8,T1 Course & Relations:
Nerve winds around the lateral side of the radius to reach the back of the hand cross over the anatomical snuff box

21 Formed by: branches from medial & lateral cords (C6, 7, 8 & T1)
Median Nerve Formed by: branches from medial & lateral cords (C6, 7, 8 & T1) Brachial artery Crosses the brachial artery

22 Median Nerve Course Lies medial to biceps, Biceps Median nerve
Ulnar nerve

23 In the arm: gives no branches
Median Nerve In the arm: gives no branches Course Lies medial to biceps, anterior to brachialis & triceps Brachialis Median nerve Triceps Ulnar nerve Triceps

24 Median Nerve Course Passes bet 2 heads of pronator teres
deep to flexor digitorum superficialis Between Flexor Pollicis Longus & Flexor Digitorum Superficialis Lies on Flexor Digitorum Profundu deep to flexor retinaculum

25 Medial ½ Flexor Digitorum Profundus
Median Nerve Branches Supplies flexors of the forearm Flexor Carpi- Ulnaris Medial ½ Flexor Digitorum Profundus Except

26 Except Adductor Pollicis
Abductor Pollicis Brevis Median Nerve Opponens Pollicis Branches Flexor Pollicis Brevis All Thenar Ms. Except Adductor Pollicis 1st & 2nd Lumbricals

27 Palmar Cutaneous Nerve of Palm
Median Nerve Branches Palmar Cutaneous Nerve of Palm

28 Palmar surface of lateral 3 ½ digits
Median Nerve Branches Palmar surface of lateral 3 ½ digits

29 Median Nerve Injury Ape Hand Deformity

30 Terminal branch of the medial cord of the brachial plexus
Ulnar Nerve Terminal branch of the medial cord of the brachial plexus

31 posterior compartment of the arm (behind the medial epicondyle )
Ulnar Nerve NO BRANCHES IN ARM Passes through posterior compartment of the arm (behind the medial epicondyle ) Ulnar nerve Median nerve

32 Ulnar Nerve Enters between the heads of flexor carpi ulnaris
Flexor Digitorum Profundus

33 In the Forearm Supplies:
Ulnar Nerve In the Forearm Supplies: Flexor Carpi ulnaris Medial ½ Flexor Digitorum Profundus

34 Superficial Branch above Retinaculum
Ulnar Nerve Ends by dividing into: 1. Superficial Branch Superficial Branch above Retinaculum 1 ½ fingers

35 Ulnar Nerve Superficial Branch Deep Branch Ends by dividing into:
All Hypothenar muscles Adductor Pollicis All Interossei 3rd & 4th Lumbricals

36 Sciatic Nerve Roots It arises from: L4 – S3 Sciatic nerve L4 L5 S1 S2

37 Inferior border of Piriforms to Lower 1/3 of the thigh
Sciatic Nerve Extent Piriforms muscle Sciatic nerve Inferior border of Piriforms to Lower 1/3 of the thigh

38 Leaves pelvis through Greater Sciatic foramen
Sciatic Nerve Course & Branches Leaves pelvis through Greater Sciatic foramen Sciatic nerve

39 Sciatic Nerve Adductor Magnus Biceps femoris Semitendinosis
Semimembranosus

40 Sciatic Nerve Divides into: Tibial nerve Common Peroneal nerve

41 Supplies Superficial Posterior Compartment of leg
Sciatic Nerve Tibial Supplies Superficial Posterior Compartment of leg Tibial Supplies Muscles of the foot

42 Supplies Anterior Compartment of leg
Sciatic Nerve Common Peroneal Lateral Sural nerve Common Peroneal Supplies Anterior Compartment of leg


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