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Brachial and Lumbar Plexus Evaluation

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73 Questions

Which nerve is responsible for motor function of flexion at the elbow?

Musculocutaneous nerve

Which nerve provides sensory innervation to the skin of the axilla and ribs near the axilla?

Intercostal brachial nerve

Which nerve is responsible for abduction of the fingers?

Ulnar nerve

Which nerve provides sensory innervation to the skin of the lateral forearm?

Musculocutaneous nerve

Which nerve is responsible for knee extension?

Femoral nerve

Which nerve provides sensory innervation to the skin at the base of the little finger and a portion of the ring finger?

Ulnar nerve

Which nerve is responsible for motor function of the wrist flexors?

Median nerve

Which nerve provides sensory innervation to the skin of the medial upper arm?

Medial brachial cutaneous nerve

Which nerve is responsible for abduction of the deltoids?

Axillary nerve

Which nerve provides sensory innervation to the skin of the lateral forearm?

Musculocutaneous nerve

Which nerve is responsible for adduction and abduction of the fingers?

Ulnar nerve

Which nerve provides sensory innervation to the skin of the lateral upper thigh?

Lateral femoral cutaneous nerve

Which nerve is responsible for motor function of the knee extensors?

Femoral nerve

Which nerve provides sensory innervation to the skin of the medial lower leg?

Saphenous nerve

Which nerve is responsible for motor function of the adductors of the leg?

Obturator nerve

Which nerve provides sensory innervation to the skin of the thenar eminence?

Median nerve

Which nerve is responsible for motor function of the ankle?

Peroneal

Which nerve provides sensory innervation to the skin of the medial upper arm?

Medial brachial cutaneous

Which nerve is responsible for motor function of the flexors of the forearm?

Musculocutaneous

Which nerve provides sensory innervation to the skin of the lateral upper thigh?

Lateral femoral cutaneous

Which nerve is responsible for motor function of the knee flexors?

Tibial and peroneal

Which nerve provides sensory innervation to the skin of the axilla and medial upper arm?

Medial brachial cutaneous

Which nerve is responsible for motor function of the flexors of the forearm and wrist flexors?

Musculocutaneous

Which nerve provides sensory innervation to the skin of the anteriolateral lower leg?

Peroneal

Which nerve is responsible for motor function of the knee adductors of the leg?

Obturator

What are the three main trunks of the brachial plexus?

Superior, middle, and inferior

What is the brachial plexus formed by?

Ventral rami of C5-T1 spinal nerves

What is the purpose of the divisions of the brachial plexus?

To form the final peripheral nerves of the upper limb

What is the sensory function of the intercostal brachial nerve?

Lateral chest, medial aspect of the upper arm, and the axilla.

What are the motor functions of the intercostal brachial nerve?

None - is a purely sensory nerve

What is the sensory function of the medial brachial cutaneous nerve?

Sensation on the medial aspect of the arm above the elbow

What is the motor function of the medial brachial cutaneous nerve?

No motor function

What is the motor function of the medial antebrachial cutaneous nerve?

No motor function

What is the sensory function of the medial antebrachial cutaneous nerve?

Medial forearm sensation

What is the primary motor function of the musculocutaneous nerve?

Flexion of the elbow

What is the primary motor function of the radial nerve?

Extension of the wrist, fingers, and elbow

What are the motor functions of the median nerve?

Flexion of the wrist and fingers

What is the motor function of the ulnar nerve?

Abduction and adduction of the fingers

What is the motor function of the musculocutaneous nerve?

Flexion of the elbow

What nerves are responsible for adducting the knee?

Obturator nerve

What nerves comprise the lumbar plexus?

L1-L4

What is the origin of the sciatic nerve?

L4-S3 nerve roots

What is the motor function of the femoral nerve?

Hip flexion and knee extension

What is the motor function of the obturator nerve?

Knee adduction

What is the motor function of the saphenous nerve?

No motor function, purely sensory

What is the sensory function of the saphenous nerve?

Provides cutaneous sensation to the lower medial leg and foot

What is the sensory function of the lateral femoral cutaneous nerve?

Providing sensation to the anterolateral thigh

What is the sensory function of the obturator nerve?

Provides sensation to the medial thigh

What are the branches of the sciatic nerve that provide sensory information?

Tibial nerve and peroneal nerve

What is the sensory function of the tibial nerve?

Provides sensory innervation to the posterolateral leg, sole of foot, and lateral foot

What is the sensory function of the peroneal nerve?

Provides sensation to the anteriolateral lower leg and dorsum of foot

What is the motor function of the sciatic nerve?

Knee flexion, hip adduction, foot and toe movement

What is the primary muscle involved in knee extension?

Quadriceps femoris

What nerve innervates the quadriceps muscles?

Femoral nerve

What muscle is primarily involved in hip flexion?

Iliopsoas

Which muscle, important for ankle extension (raises), is innervated by the tibial nerve?

Gastrocnemius

How would you assess the sciatic nerve?

All of the above

What is the motor function of the tibial nerve

Innervation of the posterior lower leg muscles

What is the motor function of the peroneal nerve?

Dorsiflexion of the foot

What is the nerve root of the axillary nerve?

C5

What is the nerve root for the musculocutaneous nerve?

C5-C6

What is the nerve root of the radial nerve?

C7

What is the nerve root of the median nerve?

C8

What is the nerve root of the ulnar nerve?

C8-T1

What is the nerve root of the femoral nerve?

L2-4

What is the nerve root of the lateral femoral cutaneous nerve?

L2-L3

What is the nerve root of the obturator nerve?

L2-L4

What nerve provides sensory innervation of the skin of the anatomical snuff box

Radial nerve

Extension of the foot and plantar flexion of the foot is controlled by what nerve?

Tibial nerve

What is the motor function of the saphenous nerve?

None, the saphenous nerve is purely sensory

What is the sensory function of the saphenous nerve?

Sensation of the medial aspect of the leg and ankle

What is the sensory function of the sural nerve?

Providing sensation to the sole of the foot

What 3 nerves arise from the sciatic nerve to provide motor and sensory innervation to the lower leg?

Tibial nerve, Common peroneal nerve, and Sural nerve

Study Notes

Brachial Plexus

  • Axillary n.: responsible for abduction of the deltoids and sensation in the skin over the deltoid muscle
  • Intercostal brachial n.: provides sensory innervation to the axilla and ribs near the axilla
  • Medial brachial cutaneous n.: supplies sensory innervation to the skin of the medial upper arm
  • Medial antebrachial cutaneous n.: supplies sensory innervation to the skin of the medial lower arm
  • Radial n.: responsible for motor function of extensors of the fingers, wrist, and elbow, and for sensory innervation of the skin of the anatomical snuff box (posterior skin between the thumb and index finger)
  • Musculocutaneous n.: responsible for flexion at the elbow (biceps) and supplies sensory innervation to the skin of the lateral forearm
  • Median n.: responsible for motor function of wrist flexors and supplies sensory innervation to the skin of the thenar eminence
  • Ulnar n.: responsible for motor function of abducting and adducting fingers, and supplies sensory innervation to the skin at the base of the little finger, skin of the little finger, and a portion of the ring finger

Lumbar and Sacral Plexus

  • Lateral femoral cutaneous n.: supplies sensory innervation to the lateral upper thigh
  • Femoral n.: supplies sensory innervation to the remainder of the skin of the anterior upper thigh to the knee, and is responsible for motor function of knee extensors, quads, sartorius, and other muscles
  • Saphenous n.: supplies sensory innervation from the medial aspect of the lower leg, knee to the medial malleolus
  • Obturator n.: supplies sensory innervation to some sources say a medial patch of skin at the knee, and part of the knee joint, and is responsible for motor function of adductors of the leg
  • Sciatic n.: has a Common Peroneal n. branch that supplies sensory innervation to the skin of the lower lateral leg and enables dorsiflexion of the foot
  • Superficial branch of the peroneal n.: supplies sensory innervation to the skin over the top of the foot
  • Deep branch of the peroneal n.: supplies sensory innervation to the skin between the first and second toes, and bones of the upper foot
  • Posterior tibial n.: has a sensory branch that supplies sensory innervation to the skin on the plantar surface of the foot, and is responsible for motor function of extensors of the foot and plantar flexion of the foot
  • Sural n.: supplies sensory innervation to the skin over the heel

Brachial Plexus

  • Axillary n.: responsible for abduction of the deltoids and sensation in the skin over the deltoid muscle
  • Intercostal brachial n.: provides sensory innervation to the axilla and ribs near the axilla
  • Medial brachial cutaneous n.: supplies sensory innervation to the skin of the medial upper arm
  • Medial antebrachial cutaneous n.: supplies sensory innervation to the skin of the medial lower arm
  • Radial n.: responsible for motor function of extensors of the fingers, wrist, and elbow, and for sensory innervation of the skin of the anatomical snuff box (posterior skin between the thumb and index finger)
  • Musculocutaneous n.: responsible for flexion at the elbow (biceps) and supplies sensory innervation to the skin of the lateral forearm
  • Median n.: responsible for motor function of wrist flexors and supplies sensory innervation to the skin of the thenar eminence
  • Ulnar n.: responsible for motor function of abducting and adducting fingers, and supplies sensory innervation to the skin at the base of the little finger, skin of the little finger, and a portion of the ring finger

Lumbar and Sacral Plexus

  • Lateral femoral cutaneous n.: supplies sensory innervation to the lateral upper thigh
  • Femoral n.: supplies sensory innervation to the remainder of the skin of the anterior upper thigh to the knee, and is responsible for motor function of knee extensors, quads, sartorius, and other muscles
  • Saphenous n.: supplies sensory innervation from the medial aspect of the lower leg, knee to the medial malleolus
  • Obturator n.: supplies sensory innervation to some sources say a medial patch of skin at the knee, and part of the knee joint, and is responsible for motor function of adductors of the leg
  • Sciatic n.: has a Common Peroneal n. branch that supplies sensory innervation to the skin of the lower lateral leg and enables dorsiflexion of the foot
  • Superficial branch of the peroneal n.: supplies sensory innervation to the skin over the top of the foot
  • Deep branch of the peroneal n.: supplies sensory innervation to the skin between the first and second toes, and bones of the upper foot
  • Posterior tibial n.: has a sensory branch that supplies sensory innervation to the skin on the plantar surface of the foot, and is responsible for motor function of extensors of the foot and plantar flexion of the foot
  • Sural n.: supplies sensory innervation to the skin over the heel

Upper Extremity Nerves

  • Axillary nerve: responsible for sensory and motor functions in the upper extremity
  • Radial nerve: performs sensory and motor functions in the upper extremity
  • Musculocutaneous nerve: has sensory and motor functions in the upper extremity
  • Median nerve: involved in sensory and motor functions in the upper extremity
  • Ulnar nerve: responsible for sensory and motor functions in the upper extremity
  • Intercostal brachial nerve: has sensory and motor functions in the upper extremity
  • Medial brachial cutaneous nerve: performs sensory functions in the upper extremity
  • Medial antebrachial cutaneous nerve: responsible for sensory functions in the upper extremity

Lower Extremity Nerves

  • Lateral femoral cutaneous nerve: involved in sensory functions in the lower extremity
  • Femoral and Saphenous nerve: performs sensory and motor functions in the lower extremity
  • Obturator nerve: responsible for sensory and motor functions in the lower extremity
  • Sciatic nerve: involved in sensory and motor functions in the lower extremity
  • Tibial nerve: performs sensory and motor functions in the lower extremity
  • Peroneal nerve: responsible for sensory and motor functions in the lower extremity

Upper Extremity Nerves

  • Axillary nerve: responsible for sensory and motor functions in the upper extremity
  • Radial nerve: performs sensory and motor functions in the upper extremity
  • Musculocutaneous nerve: has sensory and motor functions in the upper extremity
  • Median nerve: involved in sensory and motor functions in the upper extremity
  • Ulnar nerve: responsible for sensory and motor functions in the upper extremity
  • Intercostal brachial nerve: has sensory and motor functions in the upper extremity
  • Medial brachial cutaneous nerve: performs sensory functions in the upper extremity
  • Medial antebrachial cutaneous nerve: responsible for sensory functions in the upper extremity

Lower Extremity Nerves

  • Lateral femoral cutaneous nerve: involved in sensory functions in the lower extremity
  • Femoral and Saphenous nerve: performs sensory and motor functions in the lower extremity
  • Obturator nerve: responsible for sensory and motor functions in the lower extremity
  • Sciatic nerve: involved in sensory and motor functions in the lower extremity
  • Tibial nerve: performs sensory and motor functions in the lower extremity
  • Peroneal nerve: responsible for sensory and motor functions in the lower extremity

Brachial Plexus

Definition and Function

  • A complex network of nerves that originates in the neck and shoulder region, controlling muscle movements and sensations in the upper limb
  • Responsible for both motor and sensory functions

Anatomy and Structure

  • Formed by the ventral rami of C5-T1 spinal nerves
  • Composed of five distinct components:
    • Roots: C5-T1 spinal nerves
    • Trunks: 3 main trunks (superior, middle, inferior)
    • Divisions: anterior and posterior divisions of each trunk
    • Cords: 3 cords (lateral, medial, posterior)
    • Branches: final branches that form the peripheral nerves of the upper limb

Motor Functions

  • Controls movements of the shoulder, arm, forearm, and hand
  • Innervates muscles of the upper limb

Sensory Functions

  • Transmits sensory information from the upper limb to the central nervous system

Clinical Relevance and Injuries

  • Injuries can result from trauma (e.g., falls, motor vehicle accidents), birth injuries (e.g., dystocia), or tumors/space-occupying lesions
  • Symptoms of brachial plexus injuries include:
    • Weakness or paralysis of the upper limb
    • Numbness or paresthesia in the arm or hand
    • Pain or burning sensations in the arm or hand

This quiz covers the sensory and motor evaluation of the brachial and lumbar plexus, including the axillary nerve, intercostal brachial nerve, and radial nerve. It focuses on the motor and sensory functions of each nerve.

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