brachial plexus와 상지 신경, muscle innervation대한 정리자료. 짱

[문형철]

인체의 통증 치유, 움직임 회복을 위한 치료를 위해 많은 것을 알아야 한다.

neural tissue와 nonneural tissue로 나누어  physical exam, neural exam을 해야 한다.

neural tissue의 검사와 치료를 위해 nervous system에 대해 깊은 통찰이 필요하다.

Brachial Plexus Anesthesia.pdf

- 이 논문은 brachial plexus anatomy를 보기 위해 ...

- 3 cord 부위가 소흉근 아래임을 기억하라.

Brachial Plexus Injury.pdf

brachial plexus anatomy

- dorsal nerve root, ventral nerve root, dorsal root ganglion의 구조, 위치, 형태를 잘 보라

- mixed spinal nerve, post primary ramus, ant primary ramus

- ant primary ramus의 가지에서 gray ramus communicans, white ramus communicans가 sympathetic ganglion과 연결되어 viscerosomatic connection되는 것을 잘 이해

- 3 trunk(upper, middle, lower trunk)

- 6 divisions

- 3 cord(lateral, posterior, medial cord)

- branches

참고) 다른 논문

Also arising from various components of the BP are intermediary branches which include the 

dorsal scapular nervearising from the fifth cervical nerve to supply rhomboids and sometimes, the levator scapulae; 

the long thoracic nerve arising from C5–C7 rami to supply the serratus anterior; 

the suprascapular nerve arising from the upper trunk with contributions from C5 and C6 to supply the supraspinatus and infraspinatus muscles; 

the nerve to the subclavius muscle also arises from the upper trunk; 

the lateral pectoral nerve arises from the lateral cord with contributions from C5–C7 to supply the pectoralis major; 

the medial antebrachial cutaneous nerve (with contributions from C8 and T1), the medial brachial cutaneous nerve (with contributions from T1 via the intercostobrachial nerve) and the medial pectoral nerve(with contributions from C8 and T1) arise from the medial cord to supply the skin over the distal medial arm, the skin over the proximal medial forearm and the pectoralis major and minor muscles, respectively; and finally, 

the thoracodorsal nerve(with contributions from C5–C8) and the upper and lower subscapular nerves (with contributions from C5 and C6) arise from the posterior cord to supply the latissimus dorsi, the subscapularis muscle and teres major, respectively.(7)

- long thoracic nerve는 c4, 5, 6, 7, 8, t1의 합 - serratus anterior muscle지배

- dorsal scapular nerve는 c 5 - rhomboids, levator scapulae muscle지배

-  the suprascapular nerve arising from the upper trunk with contributions from C5 and C6 to supply the supraspinatus and infraspinatus muscles

-  the nerve to the subclavius muscle also arises from the upper trunk

- the lateral pectoral nerve arises from the lateral cord with contributions from C5–C7 to supply the pectoralis major; 

- the medial antebrachial cutaneous nerve (with contributions from C8 and T1),  the medial brachial cutaneous nerve (with contributions from T1 via the intercostobrachial nerve) and  the medial pectoral nerve(with contributions from C8 and T1) arise from the medial cord to supply the skin over the distal medial arm, the skin over the proximal medial forearm and the pectoralis major and minor muscles, respectively

- the thoracodorsal nerve(with contributions from C5–C8) and the upper and lower subscapular nerves (with contributions from C5 and C6) arise from the posterior cord to supply the latissimus dorsi, the subscapularis muscle and teres major, respectively.(7)

- branch

- musculocutaneous nerve

- axillary nerve

- radial nerve

- median nerve

- ulnar nerve