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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 |