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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.
The lateral cord is the part of the brachial plexus formed by the anterior divisions of the upper (C5-C6) and middle trunks (C7). Its name comes from it being lateral to the axillary artery as it passes through the axilla. The other cords of the brachial plexus are the posterior cord and medial cord.
The medial brachial cutaneous nerve (lesser internal cutaneous nerve; medial cutaneous nerve of arm) is a sensory branch of the medial cord of the brachial plexus derived from spinal nerves C8-T1. It provides sensory innervation to the medial arm. It descends accompanied by the basilic vein. [1]
The intrinsic muscle groups are the thenar and hypothenar (little finger) muscles; the interossei muscles (four dorsally and three volarly) originating between the metacarpal bones; and the lumbrical muscles arising from the deep flexor (and which are special because they have no bony origin) to insert on the dorsal extensor hood mechanism.
The medial cutaneous nerve of the forearm (also known as the medial antebrachial cutaneous nerve) is a sensory branch of the medial cord of the brachial plexus derived from the ventral rami of spinal nerves C8-T1. It provides sensory innervation to the skin of the medial forearm and skin overlying the olecranon.
The lower subscapular nerve, also known as the inferior subscapular nerve, [1] is the third branch of the posterior cord of the brachial plexus. It innervates the inferior portion of the subscapularis muscle and the teres major muscle.
The dorsal scapular nerve is a branch of the brachial plexus, usually derived from the ventral ramus of cervical nerve C5. It provides motor innervation to the rhomboid major muscle, rhomboid minor muscle, and levator scapulae muscle. Dorsal scapular nerve syndrome can cause a winged scapula, with pain and limited motion.
Coracobrachialis muscle is perforated by and innervated by the musculocutaneous nerve, which arises from the anterior division of the upper trunk (C5, C6) and middle trunk of the brachial plexus. [ 4 ]