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The cervical spinal nerve 6 (C6) is a spinal nerve of the cervical segment. [1]It originates from the spinal column from above the cervical vertebra 6 (C6).. The C6 nerve root shares a common branch from C5, and has a role in innervating many muscles of the rotator cuff and distal arm, [2] including:
The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four cervical nerves and first thoracic nerve (C5, C6, C7, C8, and T1).This plexus extends from the spinal cord, through the cervicoaxillary canal in the neck, over the first rib, and into the armpit, it supplies afferent and efferent nerve fibers to the chest, shoulder, arm, forearm, and hand.
A nerve root (Latin: radix nervi) is the initial segment of a nerve leaving the central nervous system.Nerve roots can be classified as: Cranial nerve roots: the initial or proximal segment of one of the twelve pairs of cranial nerves leaving the central nervous system from the brain stem or the highest levels of the spinal cord.
It is formed by joining of the ventral rami of the fifth (C5) and sixth (C6) cervical nerves. The upper trunk divides into an anterior and posterior division. The branches of the upper trunk from proximal to distal are: subclavian nerve (C5-C6) suprascapular nerve (C5-C6) anterior division of upper trunk (C5-C6, forms part of lateral cord)
The paralysis can be partial or complete; the damage to each nerve can range from bruising to tearing. The most commonly involved root is C5 (aka Erb's point: the union of C5 & C6 roots) [6] as this is mechanically the furthest point from the force of traction, therefore, the first/most affected. [7]
In a radiculopathy, the problem occurs at or near the root of the nerve, shortly after its exit from the spinal cord. However, the pain or other symptoms often radiate to the part of the body served by that nerve. For example, a nerve root impingement in the neck can produce pain and weakness in the forearm.
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Injury to Erb's point is commonly sustained at birth or from a fall onto the shoulder.The nerve roots normally involved are C5 and partly C6. Symptoms include paralysis of the biceps, brachialis, and coracobrachialis (through the musculocutaneous nerve); the brachioradialis (through the radial nerve); and the deltoid (through the axillary nerve).
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