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Brachial Plexus: Muscle Action & Nerve Supply

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Muscle (proximal to distal)
Nerve, Cord, Trunk
Root Level
Activation
Rhomboid Major/Minor (1-2/2)   Dorsalscapular N.   C5   Retracts scapula. Rotates scapula to rest position  
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Supraspinatus (1/2)   Suprascapular N., U trunk   C5-6   Initiation of abduction of the arm  
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Infraspinatus (2/2)   Suprascapular N., U trunk   C5-6   Externally rotates humerus and stabilizes shoulder joint.  
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Pectoralis Major   Lateral Pectoral N, lateral cord, U trunk/// Medial pectoral N, lateral & medial cords, M & L trunks   Lateral Cord C5 C6 (Clavicular) Medial Cord C7 C8 T1 (Sternocostal)   Clavicular head:flexes and adducts arm. Sternal head: adducts and medially rotates arm . Accessory for inspiration. Minor: Elevates ribs if scapula fixed, protracts scapula (assists serratus anterior)  
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Pectoralis Minor (Pectoralis Major)   Medial Pectoral N, medial cord, L trunks.   C8 T1   Elevates ribs if scapula fixed, protracts scapula (assists serratus anterior)Major: Clavicular head:flexes and adducts arm. Sternal head: adducts and medially rotates arm . Accessory for inspiration.  
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Biceps Brachii (2/3)   Musculocutaneous N, lateral cord, U trunk   C5 C6   Supinates forearm, flexes elbow, weakly flexes shoulder  
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Coracobrachialis (1/3)   Musculocutaneous N, Lateral cord, U M trunks   C5 C6 C7   Flexion of the humerus.  
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Brachialis (3/3)   Musculocutaneous N, lateral cord, U trunk   C5 C6 (May receive small C7-radial N)   Flexes elbow (primary)  
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Serratus Anterior (1/1)   Long Thoracic N   C5 C6 C7   Forward flexion of the arm and pushing against resistance  
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Subscapularis   Upper & Lower Subscapular N   C5 C6   Medially rotates arm and stabilizes shoulder joint  
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Latissimus Dorsi   Thoracodorsal N, posterior cord, U M L trunks   C6 C7 C8   Extends, adducts and medially rotates arm. Costal attachment helps with deep inspiration and forced expiration  
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Teres Major (Subscapularis)   Lower Subscapular N, posterior cord, U trunk   C5 C6   Medially rotates and adducts arm. Stabilizes shoulder joint  
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Deltoid   Axillary N., posterior cord, upper trunk   C5 C6   Abducts arm, anterior fibers flex and medial rotate, posterior fibers extend and lateral rotate  
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Teres Minor   Axillary N, posterior cord, upper trunk.   C5 C6   laterally rotates arm and stabilizes shoulder joint  
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Levator Scapulae   Dorsalscapular N   C3 C4 C5   Neck Fixed: Raises medial border of scapula. Shoulder fixed: tilts head posteriolateral.  
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Triceps - Medial Head (1/14)   Radial N, posterior cord, U M L trunks   C6 C7 C8   Extension of the forearm at the elbow joint  
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Triceps - Long Head (2/14)   Radial N, posterior cord, U M L trunks   C6 C7 C8   Extension of the forearm at the elbow joint  
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Triceps - Lateral Head 3/14   Radial N, posterior cord, U M L trunks   C6 C7 C8   Extension of the forearm at the elbow  
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Brachioradialis 4/14   Radial N, posterior cord, U trunk   C5 C6   Flexion of the forearm in the neutral position  
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Ext. Carpi Radialis Longus/Brevis (5-6/14)   Radial N, posterior cord, U & M trunks   C5 C6 C7   Extension & radial deviation of the wrist  
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Supinator 7/14   Posterior interosseous nerve / Radial N / Posterior cord / upper trunk.   C5 C6   Supination of the forearm  
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Ext. carpi ulnaris 8/14   Posterior interosseous nerve, Radial N, posterior cord, middle & lower trunk.   C7 C8   Wrist extension with ulnar deviation  
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Ext. digitorum 9/14   Posterior interosseous nerve, Radial N, posterior cord, middle & lower trunks.   C7 C8   Extension of the (proximal) phalanges in digits 2-5  
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Ext. digiti minimi 10/14   Posterior interosseous nerve, Radial N, posterior cord, middle & lower trunks.   C7 C8   Extension of the (proximal) phalanges in digits 2-5  
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Abductor pollicus longus 11/14   Posterior interosseous nerve, Radial N, posterior cord, middle and lower trunks.   C7 C8   Radial abduction and extension of the thumb  
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Ext. pollicus longus 12/14   Posterior interosseous nerve, Radial N, posterior cord, middle and lower trunks.   C7 C8   Extension of the distal phalanx of the thumb  
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Ext. pollicus brevis 13/14   Posterior interosseous nerve, Radial N, posterior cord, middle and lower trunks.   C7 C8   Extension of the proximal phalanx of the thumb  
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Ext. indices 14/14   Posterior interosseous nerve, Radial N, posterior cord, middle and lower trunks.   C7 C8   Extension of the index finger.  
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Pronator Teres (1/11)   Median N, lateral cord, upper and middle trunks   C6 C7   Pronation of the forearm  
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Flexor Carpi Radialis (2/11)   Median N, lateral cord, upper & middle trunks   C6 C7   Flexion of the hand at the wrist with radial deviation  
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Palmaris Longus (3/11)   Median N, lateral & medial cords, middle & lower trunks   C7 C8 T1   Cupping of the palm of the hand  
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Flexor Digitorum Superficialis (4/11)   Median N, lateral & medial cords, middle & lower trunks   C7 C8 T1   Flexion of the prox. interphalangeal joint, with the proximal phalanx fixed and the distal IPJ in hyperextension  
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Flexor Digitorum Profundus (5/11)   Digits 2 &3-Anterior interosseous branch, Median N, Digits 4 & 5, Ulnar nerve, medial cord   C7 C8 / C8 T1   Flexion of the distal phalanges 2-5  
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Flexor Pollicis Longus (6/11)   Anterior interosseous branch, Median N, lat & med cords, middle & lower trunks   C7 C8 T1   Flexion of the distal phalanx of the thumb  
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Pronator Quadratus (7/11)   Anterior interosseous branch, Median N, lat & med cords, middle & lower trunks   C7 C8 T1   Pronation of the forearm  
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1st & 2nd Lumbricals (8/11)   Median N, medial cord, lower trunk   C8 T1   Extention of the finger at the proximal interphalangeal joint with the metacarpophalangeal joint extended and fixed  
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Flexor Pollicis Brevis (9/11)   Superficial head: Median N, Deep head: Ulnar N, medial cord, lower trunk   C8 T1   Flexing of the metacarpophalangeal joint of the thumb  
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Opponens Pollicis (10/11)   Median nerve, medial cord, lower trunk   C8 T1   Opposition of the thumb to the little finger  
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Abductor Pollicis Brevis (11/11)   Median nerve, medial cord, lower trunk   C8 T1   Abduction of the thumb  
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Flexor Carpi Ulnaris (1/11)   Ulnar N, medial cord, L trunk   C8 T1   Flexion at the wrist with ulnar deviation  
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Flexor Digitorum Profundus digits 4-5 (2/11)   Ulnar nerve, medial cord, L trunk   C8 T1   Flexion of the distal phalanges of digit 4 & 5  
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flexor Digiti Minimi (3/11)   Ulnar N, medial cord, L trunk   C8 T1   Flexion of the proximal phalanx of the 5 digit  
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Opponens Digiti Minimi (4/11)   Ulnar N, medial cord, L trunk   C8 T1   Opposition of the little finger to the thumb  
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Abductor Digiti Minimi (5/11)   Ulnar N, medial cord, L trunk   C8 T1   Abduction of the little finger  
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3th & 4th Lumbricals (6/11)   Ulnar nerve, medial cord, L trunk   C8 T1   Extension of the finger at the proximal interphalangeal joint with the metacarpophalangeal joint extended and fixed  
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Palmar Interossei (7/11)   Ulnar N, medial cord, L trunk   C8 T1   Adduct the fingers towards the center of the 3rd finger.  
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2nd, 3rd, 4th Dorsal Interossei (8/11)   Ulnar N, medial cord, L trunk   C8 T1   2nd: Abduction of the third digit (radial deviation). 3rd & 4th: Adduction of the 3rd & 4th digit (ulnar deviation)  
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First dorsal Interosseous (9/11)   Ulnar N, medial cord, L trunk   C8 T1   Abduction (radial deviation) of the index finger  
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Flexor Pollicis Brevis (10/11)   Superficial head: median nerve. Deep head: Ulnar N.   C8 T1   Flexion of the metacarpophalangeal joint of the thumb  
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Adductor Pollicus (11/11)   Ulnar nerve, medial cord, L trunk   C8 T1   Adduction of the thumb  
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