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Brachial Plexus
See the pdf in google drive on brachial
plexus
*long thoracic
Injury to this causes winged scapula
Serratus anterior
*suprascapular
Supraspinatus
infraspinatus
*thoracodorsal
Latissimus dorsi
Nerve stems
Axillary: C5-6
Radial: C5-T1
Musculocutaneous: C5-7
Median: C6-T1 (C5)
Ulnar: C8-T1
Spaces
Triangular space
Teres minor
Long head of triceps
Teres major
Circumflex scapular a.
Quadrangular space
Teres minor
long head of triceps
shaft of humerus
teres major
Axillary n.
Post. circumflex
humeral a.
Post. circumflex
humeral v.
Triangular interval
Teres major
Long head of radius
Shaft of humerus
Profunda brachii a.
Radial n.
Joints: Synovial
Synovial
Capsule (inner synovial membrane, outer fibrous)
Hyaline covers articulating surfaces
Sternoclavicular-
p. 20 Grays text
Joints: Solid
Fibrous joints: sutures, gomphoses, syndesmoses
Suture- skull
Gomphoses- teeth and bone
Syndesmoses- two adjacent bones linked by
ligament (ligamentum flavum, interosseous
membrane)
Cartilaginous joints: synchondroses, symphyses
Synchondroses- where two ossification centers
separated by cartilage (growth plate)
Symphyses- two separate bones are interconnected
by cartilage (pubic symphysis, intervertebral discs)
p. 20 Grays text
Signs
Waiters tip- Erbs palsy upper trunk injury
C5-6
Hand of Benediction
The ability to flex the digits 23 at the MCP joints is lost as is the
ability to flex and extend proximal and distal interphalangeal
Dupuytrens contracture- thick palamar fascia
Cant make fist with fingers
Volkmanns contracture-
Colles fx- distal radius fx displaced posteriorly (dorsum of wrist) Dinner fork
deformity
More
Mallet finger-
Boutonniere deformity