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In humans, cervical vertebrae are the smallest of the true vertebrae and can be readily distinguished from those of the thoracic or lumbar regions by the presence of a foramen (hole) in each transverse process, through which the vertebral artery, vertebral veins, and inferior cervical ganglion pass. The remainder of this article focuses upon ...
Phrenic (C3-C5, but mostly C4) - innervates thoracic diaphragm and the pericardium. Segmental branches (C1-C4) - innervate anterior and middle scalene muscles; Levator scapulae muscle (C3-C4) (also innervated by dorsal scapular nerve (C5) of the brachial plexus)
C4 – Over the acromioclavicular joint. C5 – On the lateral (radial) side of the antecubital fossa, just proximally to the elbow. C6 – On the dorsal surface of the proximal phalanx of the thumb. C7 – On the dorsal surface of the proximal phalanx of the middle finger. C8 – On the dorsal surface of the proximal phalanx of the little finger.
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.
In humans, the right and left phrenic nerves are primarily supplied by the C4 spinal nerve, but there is also a contribution from the C3 and C5 spinal nerves. From its origin in the neck, the nerve travels downward into the chest to pass between the heart and lungs towards the diaphragm.
Within the cervical spine, most joints are innervated by the medial branch nerve (a branch of the dorsal rami) from the same levels. In other words, the facet joint between C4 and C5 vertebral segments is innervated by the C4 and C5 medial branch nerves. However, there are two exceptions:
The anterior scalene muscle (Latin: scalenus anterior), lies deeply at the side of the neck, behind the sternocleidomastoid muscle.It arises from the anterior tubercles of the transverse processes of the third, fourth, fifth, and sixth cervical vertebrae, and descending, almost vertically, is inserted by a narrow, flat tendon into the scalene tubercle on the inner border of the first rib, and ...
Cervical spinal nerve 4, also called C4, is a spinal nerve of the cervical segment. It originates from the spinal cord above the 4th cervical vertebra (C4). It contributes nerve fibers to the phrenic nerve , the motor nerve to the thoracoabdominal diaphragm .