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58 Cards in this Set

  • Front
  • Back

Brachial Plexus

Brachial Plexus origin

Ventral branches of spinal nerves C6, C7, C8, T1, T2 (and sometimes C5)

Nerves that arise from the Brachial Plexus and innervate the extrinsic thoracic limb

CCTLL


Cranial Pectoral nn. (C6, C7, C8)


Caudal pectoral nn. (C8, T1, T2)


Thoracodorsal n. (C8)


Lateral thoracic n. (C8, T1)


Long thoracic n (C7)

Nerves arising from the Brachial plexus that innervate the intrinsic thoracic limb

SS MARMU


Suprascapular n.


Subscapular n.


Musculocutaneous n.


Axillary n.


Radial n.


Median n.


Ulnar n.

The Brachial plexus is divided into 3 parts, one of which is divided again. What are these parts?

1. Cranial Part


2. Middle Part (subdivided into cranial portion, middle portion, and caudal portion)


3. Caudal Part

Brachial Plexus

Suprascapular nerve

Suprascapular nerve origin

cranial part of Brachial plexus


C6, C7

Suprascapular nerve: general location relative to muscles/bones

Between subscapularis and supraspinatus muscles


Then courses along scapular notch


(more pone to injury due to location)

Suprascapular nerve: muscular and cutaneous innervations


Supraspinatus m.


Infraspinatus m.


No cutaneous innervation

Suprascapular nerve: general muscle action(s)

Extends shoulder joint

Result(s) of Suprascapular nerve dysfunction:

reduced shoulder extension


muscle atrophy of supraspinatus and infraspinatus


lameness

Muscle: Subscapularis m.


Nerve: Subscapularis n.

Subscapular nerve


muscular and cutaneous innervation


Action of muscle(s)


Result(s) of nerve dysfunction

Subscapular m., no cutaneous innervation


Extends shoulder joint


No marked change in gait

Nerve: Musculocutaneous n.


Coracobrachialis m.


Biceps brachii m.

Nerve A: Musculocutaneous n.


Nerve B: Median n.

Musculocutaneous nerve origin

Brachial plexus Middle part, Cranial portion


C6, C7, C8

Musculotaneous nerve: muscle and cutaneous innervation

BBC


Biceps brachii m.


Brachialis m.


Coracobrachialis m.


Medial cutaneous antebrachial n. (cutaneous)

Musculocutaneous nerve action(s)

Extend shoulder joint, flex elbow


(the "uppercut" nerve)

musculocutaneous nerve


medial cutaneous antebrachial nerve


(autonomous zone)

overlap zone:


musculocutaneous, median, and ulnar nn.


(nerve fibers course with median n. by way of communicating branch)

result of musculocutaneous nerve dysfunction (motor)

reduced flexion of elbow joint


loss of bicipital reflex

Axillary nerve origin

Brachial plexus Middle part, Middle portion


C7, C8

Axillary nerve: muscle and cutaneous innervation

AXE STTDs


caudal part of Subscapularis m.


Teres major m.


Teres minor m.


Deltoideus m.

Axillary nerve, muscle action

flex shoulder joint

Axillary nerve


Cranial lateral cutaneous brachial n. (Craniolateral shoulder area, autonomous zone)


Cranial cutaneous antebrachial n.


(Cranial aspect of antebrachium, overlap zone with radial nerve)

Axillary nerve dysfunction (motor)

Reduced shoulder joint flexion


atrophy of deltoideus m.

Radial nerve origin

Brachial plexus Middle part, Caudal portion


C7, C8, T1, T2

Radial nerve


A. Deep branch


B. Superficial branch

Radial nerve, muscle innervation (brachial region only)

Triceps brachii


Tensor fasciae antebrachii


Anconeus

Radial nerve, brachial region, muscle action

Extend the elbow

After innervating nerves of the brachial region, Radial nerve divides into:

Deep and superficial branches

Radial nerve deep branch, innervates:

Extensors and Supinators (ECLUA,


(Extensor carpi radialis, Common digital extensor, Lateral digital extensor, Ulnaris lateralis, Abductor pollicis longus, Supinator, Brachioradialis)

Radial nerve superficial branch,


cutaneous innervation:

antebrachium: cranial and lateral aspects


manus: dorsal and medial aspects

Radial nerve Superficial branch divides into:

lateral and medial branches

Radial nerve superficial branch course

courses medial (medial branch) and lateral (lateral branch) to cephalic vein on the cranial lateral aspect of the thoracic limb

medial branch of superficial radial nerve

A. Lateral branch of superficial radial nerve


B. Lateral cutaneous antebrachial nerve

Radial nerve dysfunction (high damage)

reduced extension of elbow, carpus, and digits


"dropped" elbow


inability to support weight on limb


loss of tricipital reflex


atrophy of triceps brachii m.


animal walks on dorsum of manus

Median nerve (with brachial artery)

Median nerve, muscle innervation

PPFSD


Pronator teres m.


Pronator quadratus m.


Flexor carpi radialis m.


Superficial digital flexor m.


Deep digital flexor m. (all heads)

Median nerve course

courses with the brachial artery in the brachial region


courses with the median artery in the antebrachial region

Median nerve dysfunction

reduced flexion of carpus and digits

Median nerve origin

Brachial plexus Caudal part


C8, T1, T2

A. Ulnar nerve


B. Caudal cutaneous antebrachial nerve


C. Ulnar nerve, dorsal branch


D. Ulnar never, palmar branch

A. Ulnar nerve


B. Caudal cutaneous antebrachial nerve

Ulnar nerve origin

Brachial plexus Caudal part


C8, T1, T2

dorsal branch of ulnar n.

A. caudal cutaneous antebrachial nerve


B. dorsal branch of ulnar nerve

Ulnar nerve divides into:

Dorsal branch


Palmar branch


caudal cutaneous antebrachial nerve

Ulnar nerve palmar branch, innervation

motor to interossei


sensory to palmar aspect of manus (overlap zone)

Ulnar nerve dorsal branch, innervation

sensory to abaxial surface of digit 5


(autonomous zone)

In proximal antebrachial region (before splitting), ulnar n. innervates:

Flexor carpi ulnaris m. (ulnar and humeral heads)


Deep digital flexor m. (ulnar and humeral heads)


autonomous sensory zone, caudal aspect of antebrachium

Ulnar n. dysfunction:

reduced flexion of carpus and digits

1. Axillary n. (cranial lateral cutaneous brachial n.)


2. Musculocutaneous n. (medial cutaneous antebrachial n.)


3. Ulnar n. (caudal cutaneous antebrachial n. and dorsal br.)


4. Radial n. (superficial br., medial br, lateral br (lateral cutaneous antebrachial n.))

1. Ulnar n., dorsal br.


2. Radial n., medial br.


3. Radial n., lateral br.


4. overlap zone. Median, musculocutaneous, and ulnar nn.

Brachial plexus nerve block


location


anesthesia effect

location: inject between shoulder and thoracic wall at the level of the point of the shoulder


effect: provides anesthesia distal to the elbow


Declaw ring nerve block


location/procedure


nerves blocked

location: make 2 line blocks just proximal to carpus


nerves affected: median n. (with musculocutaneous fibers), ulnar n. (dorsal and palmar branches)


Radial n. (superficial br.)