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UB ANA 113 Lec 15 B
Nerves from the Branches of Brachial and Lumbo-sacral plexuses
Question | Answer |
---|---|
Axillary - P | Brachial (A) |
Axillary - L | By the surgical Neck |
Axillary - I | Deltoid and teres minor |
Axillary - D | Cannot abduct shoulder above arm |
Musculocutaneous - P | Brachial (Mu) |
Musculocutaneous - L | Anterior compartment of arm |
Musculocutaneous - I | Biceps Brachii and Brachialis |
Musculocutaneous - D | Trouble supinating and flexing |
Radial - P | Brachial (R) |
Radial - L | Forms grove on shaft of humerus |
Radial - I | Triceps |
Radial - D | Cannot extend at elbow. "wrist drop" - cannot extend at wrist |
Ulnar - P | Brachial (U) |
Ulnar - L | Right behind medial epicondyle. "funny bone" |
Ulnar - I | Flexor carpi ulnaris. Flexor digitorum profundus (half).. muscles of hand(lumbricals, hypothenar, interossei) |
Ulnar - D | "claw hand" |
Median - P | Brachial (Me) |
Median - L | in arm, down forearm, enters hand dead center. goes down "carpal tunnel" |
Median - I | Supplies all other forearm muscles. Thenar eminence (thumb) .. palm and fingers not pinky |
Median - D | "Ape-hand" - cannot oppose (thumb touch pinky), "carpal Tunnel syndrome" - atrophy of thenar eminence, cannot oppose |
Femoral - P | Lumbo-sacral (F) |
Femoral - I | Quadriceps, muscles in anterior thigh |
Femoral - D | No extension at the knee |
Obturator - P | Lumbo-sacral (O) |
Obturator - I | Adductors, muscles on medial thigh |
Obturator - D | Cannot adduct leg |
Sciatic - P | Lumbo-sacral (S) |
Sciatic - I | Supplies muscles of back thigh and hamstrings |
Sciatic splits into... | Tibial and common fibular (peroneal) |
Biggest nerve in the body | sciatic nerve |
Tibial - P | Lumbo-sacral, Medial part of sciatic nerve |
Tibial - I | Gastronemeous and soleus.. medial muscles of back leg |
Tibial - D | No plantar flexion. Cannot walk on tip toes |
Common Fibular (peroneal)- P | Lumbo-sacral, anterior and lateral part of sciatic nerve |
Common Fibular (peroneal) - I | Peroneus longus and brevis. Anterior and lateral muscles of leg |
Common fibular (peroneal) - D | Foot drop. Cannot dorsiflex. "foot fell asleep" |
Pundendal - P | Lumbo-sacral (P) |
Pundendal - I | Supplies genital region - skeletal muscles and skin |
Where do you inject anesthetic to numb the pundendal nerve? | medial to ischical tuberosity .. ex birth |