Brachial Plexus Essay

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Brachial Plexus With one exception, all of the muscles of the upper limb are supplied by branches of the brachial plexus. The exception is the trapezius m. which is supplied by the cranial nerve (XI), spinal accessory. Although only part of the brachial plexus is found in the axilla, we will present a general layout of the plexus before covering the parts that are found in the axilla. Whoever first described the brachial plexus must have been a nature lover, or at least a tree lover, because the various parts of the plexus are named according to various parts of a tree, starting from the roots. The brachial plexus starts in the neck from the ventral rami of spinal nerves C5 - T1 (5th cervical to 1st thoracic spinal cord segments). These rami are called roots. The roots will continue through the neck and, some of them merge, to form trunks. C5 and C6 form the upper trunk, C7 continues as the middle trunk and C8 and T1 for the lower trunk. While still in the neck, the trunks divide into anterior and posterior divisions. The divisions then reunite in different patterns. The anterior divisions of the upper and middle trunks merge to form the lateral cord. The anterior division of the lower trunk continues as the medial cord. The posterior divisions of all trunks merge to form the posterior cord. At this point, the cords are in the axilla. The cords are named according to their relationship with the axillary artery. Medial to it, lateral to it or posterior to it. Finally, the cords give rise to various branches that supply the upper limb structures. I want to point out that although most of the branches to the upper limb muscles arise from the plexus in the axilla, some arise from the cervical (neck) part of the plexus. These nerves are the dorsal scapular, nerve to subclavius, long thoracic, and suprascapular. Needless to say, the brachial plexus is a very

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