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Brachial plexus

  • Arises from anterior rami of C5 to C8 and T1
  • Consists of roots, trunks, divisions, cords and branches
  • The roots and trunks lie in the neck
  • The divisions lie behind the clavicle
  • The cords an branches are in the axilla
  • The subclavian artery is related to the roots and trunks
  • The axillary artery is related to the cords and branches

Plan of the plexus

  • C5 and C6 roots join to form the upper trunk
  • C7 root alone forms the middle trunk
  • C8 and T1 roots join to form the lower trunk
  • Each trunk divides into an anterior and posterior division
  • All the posterior divisions join to form the posterior cord
  • The upper two anterior divisions join to form the lateral cord
  • The lowest anterior division alone forms the medial cord

Branches of the brachial plexus

Branches from the roots

  • Nerve to serratus anterior (C5,C6,C7)
  • Dorsal scapular nerve (C5)
  • Muscular branches to the 3 scalene muscles

Branches from the trunks

  • Suprascapular nerve (C5,C6)
  • Subclavius nerve (C5,C6)

Branches from the cords

  • Medial cord
    • Medial head of median nerve (C8,T1)
    • Medial pectoral (C8,T1)
    • Ulnar nerve (C8,T1)
    • Median cutaneous nerve if forearm (C8,T1)
    • Medial cutaneous nerve of arm (T1)
  • Lateral cord
    • Lateral pectoral (C5,C6,C7)
    • Lateral head of median (C5,C6,C7)
    • Musculocutaneous (C5,C6,C7)
  • Posterior cord
    • Radial (C5,C6,C7,C8,T1)
    • Axillary (C5,C6)
    • Nerve to latissimus dorsi (C6,C7,C8)
    • Subscapular (C5,C6)

Author:  Dr Shakeeb Khan

 

 
 

Last updated: 05 January 2008

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