The brachial plexus is a network of nerves that originates from the spinal cord in the neck and innervates the upper limb. It is formed by the anterior rami of the spinal nerves C5, C6, C7, C8, and T1. The plexus innervates the shoulder, arm, forearm, and hand, providing motor and sensory functions.
Structure of the Brachial Plexus
The brachial plexus is typically described in several parts:
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Roots: The five roots of the brachial plexus are formed by the anterior rami of spinal nerves C5, C6, C7, C8, and T1. These roots converge to form three trunks.
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Trunks: The roots combine to form three trunks:
- Upper (Superior) Trunk: Formed by the union of C5 and C6.
- Middle Trunk: Formed by C7.
- Lower Trunk: Formed by the union of C8 and T1.
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Divisions: Each trunk divides into an anterior and posterior division, resulting in six divisions:
- Anterior Division (3)
- Posterior Division (3)
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Cords: The divisions reorganize into three cords named based on their position relative to the axillary artery:
- Lateral Cord: Formed by the anterior divisions of the upper and middle trunks.
- Medial Cord: Formed by the anterior division of the lower trunk.
- Posterior Cord: Formed by the posterior divisions of all three trunks.
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Branches: From the cords, several important nerves emerge:
- Musculocutaneous Nerve: Innervates the anterior compartment of the arm.
- Axillary Nerve: Innervates the deltoid and teres minor muscles.
- Radial Nerve: Innervates the posterior compartment of the arm and forearm.
- Median Nerve: Innervates most of the anterior forearm muscles and some hand muscles.
- Ulnar Nerve: Innervates some hand muscles and part of the forearm.
Clinical Relevance
Injuries to the brachial plexus can occur due to trauma, stretching, or compression. Conditions such as Erb's palsy (often related to childbirth) and Klumpke's palsy can result from specific types of brachial plexus injury, leading to weakness or paralysis of certain muscle groups.
Understanding the anatomy of the brachial plexus is crucial for diagnosing upper limb conditions, performing regional anesthesia (like brachial plexus blocks), and planning surgical interventions.