Podcast
Questions and Answers
What type of roots does a segmental nerve comprise?
What type of roots does a segmental nerve comprise?
Which components are part of the Brachial Plexus?
Which components are part of the Brachial Plexus?
What is the main source of nerve supply for the upper limb?
What is the main source of nerve supply for the upper limb?
Which nerves emerge lateral to the psoas major muscle in the lumbar plexus?
Which nerves emerge lateral to the psoas major muscle in the lumbar plexus?
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Which rami are known to divide into anterior and posterior divisions in the Brachial Plexus?
Which rami are known to divide into anterior and posterior divisions in the Brachial Plexus?
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What is the range of spinal segments that supply the lower limb?
What is the range of spinal segments that supply the lower limb?
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Which nerve is NOT part of the Upper Limb nerves?
Which nerve is NOT part of the Upper Limb nerves?
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The posterior ramus of a segmental nerve primarily supplies which part of the body?
The posterior ramus of a segmental nerve primarily supplies which part of the body?
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What areas does the sacral plexus supply?
What areas does the sacral plexus supply?
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What is the primary function of dermatomes?
What is the primary function of dermatomes?
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How many spinal nerve roots typically supply a single dermatome?
How many spinal nerve roots typically supply a single dermatome?
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Which segment is primarily responsible for the sensory supply of the skin over the shoulder tip?
Which segment is primarily responsible for the sensory supply of the skin over the shoulder tip?
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Which regions of the lower limb are mostly supplied by lumbar spinal segments?
Which regions of the lower limb are mostly supplied by lumbar spinal segments?
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What is a dermatome's relationship with spinal nerves?
What is a dermatome's relationship with spinal nerves?
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In which of the following cases would a dermatome experience anesthesia?
In which of the following cases would a dermatome experience anesthesia?
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Which of the following statements about dermatomes is true?
Which of the following statements about dermatomes is true?
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Which segment is responsible for supplying the skin of the hand?
Which segment is responsible for supplying the skin of the hand?
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What condition allows for precise anaesthesia of specific skin areas?
What condition allows for precise anaesthesia of specific skin areas?
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How many discrete spinal vertebrae are there in the vertebral column?
How many discrete spinal vertebrae are there in the vertebral column?
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What forms the intervertebral foramen?
What forms the intervertebral foramen?
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What is the purpose of the segmental nerves exiting the spinal cord?
What is the purpose of the segmental nerves exiting the spinal cord?
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Which spinal region has the largest number of vertebrae?
Which spinal region has the largest number of vertebrae?
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Which feature is not found in a typical vertebral segment?
Which feature is not found in a typical vertebral segment?
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What is the conus medullaris?
What is the conus medullaris?
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What is the primary function of the spinal cord?
What is the primary function of the spinal cord?
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How many fused vertebrae make up the sacrum?
How many fused vertebrae make up the sacrum?
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Study Notes
Dermatomes & Segmental Innervation of the Upper & Lower Limbs
- The presentation covers dermatomes and segmental innervation, specifically focusing on the upper and lower limbs.
- Segmental innervation of the skin is visually mapped on a diagram of a human body, demonstrating the areas of skin supplied by each spinal segment.
- The spinal cord is protected by the vertebral column, which contains 33 spinal vertebrae.
- 24 vertebrae are typical, while 9 are fused to form the sacrum and coccyx.
- There are 5 distinct groups of spinal vertebrae: Cervical (n=7), Thoracic (n=12), Lumbar (n=5), Sacrum (fused-n=5), and Coccyx (fused n=4).
- Each vertebra comprises a vertebral segment with a body, spine, transverse processes, superior and inferior vertebral notches, and vertebral foramen.
- Consecutive vertebrae articulate to form intervertebral foramina, which allow the spinal cord to pass through.
- Segmental spinal nerves exit the vertebral column through these foramina, carrying sensory and motor information.
- The spinal cord consists of millions of nerve cell bodies and fibers, extending from the medulla to the conus medullaris.
- The spinal cord runs through the vertebral foramina, forming the spinal canal.
- The shape of the spinal cord varies from rostral (head end) to caudal (tail end), showing enlargements in the cervical and lumbar regions.
- Cross-sectional views demonstrate regional specializations matching the four vertebral regions.
- At each vertebral level, the spinal cord emits a pair of nerves, exiting through intervertebral foramina.
- Each nerve is classified as a mixed spinal segmental nerve, containing branches of sensory (dorsal) and motor (ventral) fibers.
- Each spinal segmental nerve comprises dorsal roots (sensory), ventral roots (motor), and ventral roots (autonomic).
- The mixed spinal nerve emerges through the intervertebral foramen and divides into two branches: the posterior/dorsal ramus and the anterior/ventral ramus.
- Both rami contain all functional modalities for their respective segmental level of origin and innervate their corresponding regions.
- The upper limb receives its nerve supply primarily from cervical spinal segments C5-T1, forming the brachial plexus.
- The brachial plexus involves roots (C5-T1), trunks (upper, middle, lower), divisions (anterior, posterior), and cords (lateral, medial, posterior), ultimately branching into individual nerves (radial, musculocutaneous, ulnar, median).
- The presentation describes additional nerves of the upper limb (lateral pectoral, upper and lower subscapular, dorsal scapular, long thoracic, and axillary)
- The lower limb receives its nerve supply from lumbar (L1-L4) and sacral (L4-S4) spinal segments, organizing into the lumbar and sacral plexuses.
- The lumbar plexus originates behind the psoas major muscle and gives rise to nerves such as femoral, iliohypogastric, ilioinguinal, lateral cutaneous nerve of the thigh, obturator nerve, and lumbosacral trunk.
- The sacral plexus creates within the pelvic cavity and supplies the lower limb via the sciatic nerve.
- Dermatomes are mapped areas of skin innervated by a specific spinal nerve root.
- The spinal cord controls general functions—somatic (skeletal muscles) and autonomic (smooth muscles, glands).
- Dermatomes ensure accurate identification of areas involving impaired sensation or function.
- Nerve damage leads to localized numbness or pain affecting the dermatome.
- Functional overlap exists among dermatomes; usually 3 spinal nerves innervate each area of skin.
Further Information
- The slides also provide diagrams and illustrations to visualize the described anatomical structures and processes.
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Description
Test your knowledge on the dermatomes and segmental innervation of the upper and lower limbs. This quiz covers the mapping of skin areas supplied by spinal segments and the anatomy of spinal vertebrae. Understand the relationships between spinal nerves and the vertebral column to enhance your learning in anatomy.