UpperLimbNerves

By:RameezandKashif
N
E
R
V
E
S
Axillary

C5C6
Musculocutaneous

C5C7
Median

C5T1
Ulnar

C8T1
Radial

C5T1
S
E
N
S
O
R
Y

S
U
P
P
L
Y

LateralArm

LateralForearm

Lateral3
digits:LateralPalm

Medial1digits:Medial
Palm.MedialForearm

Dorsumofhandover1st
webandanatomic
snuffbox.Posteriorarm
andforearm

M
O
T
O
R

F
U
N
C
T
I
O
N
S
Deltoid
Abduct
Shoulder
15110
degrees.

TeresMinor
Lateralrotation
ofshoulder
Allthemusclesof
Anterior
Compartmentof
Arm.

BBC
Bracialis,Biceps
Brachii,
Coracobracialis.

>FlexElbow
>Supination
(Biceps)

A.Forearm:
Allthemusclesinthe
AnteriorCompartmentof
forearnexcept1muscle
byulnarnerve(flexorcarpi
unlarisandulnarhalfof
flexordigitorum
profundas)
>FlexwristandAlldigits
>Pronation

Hand:1,2LOAF

1stn2ndLumbricals(Digit
2&3)
>FlexMCPandExtendPIP
&DIP
A.Forearm
AnteriorCompartment:
1musclenotsuppliedby
themediannerveFlexor
CarpiUlnarisandUlnarhalf
oftheFlexorDigitorum
Profundus.
>Flexwrist(weak)and
Digits4and5.

Hand:3,4LOAF

3rd&4thLumbricals
HypothenarMuscles(OAF
digitiminimi)

PosteriorCompartment
MusclesoftheArmand
Forearm.

>ExtendMCP,wristand
elbowJoints.

>Supination(Supinator
muscle)

ThenarCompartment
OppoonensPollicis(thumb
opposition),Abductor
Pollicisbrevis,Flexor
PollicisBrevis

Allinterossei(DAB+PAD)
>alsoassistlumbricalsin
digits25.
AdductorPollicis(thumb
adduction)

M
A
N
I
F
E
S
T
A
T
I
O
N

O
F

I
N
J
U
R
Y
Adduction
&
Medial
Rotation
Lossof
sensationof
lateralarm.
Extendedelbow
andPronated
forearm.
*Weakenedwristflexion
withulnardeviation

*Lossofpronation
*AbsenceofflexionatLat.3
digitshandofbenediction
*Lossofthumbopposition
apehand
*Lossof1st2lumbricals
*thenaratrophy
*lossofsensationover
thenareminanceand
dorsalandpalmaraspects
oflateral3.5fingerswith
proximallesion.

MedianClaw(Extending
Digits)

*Weakenedwristflexion
withradialdeviation

*Lossofhypothenar
muscle(atrophy),3rd&4th
lumbricals(weak
interphalengealextension),
allinterossi(lossof
abductionandadductionof
digits25)
Adductorpollicis(lossof
thumbadduction).
Lossofsensationover
medial1.5fingersincluding
hypothenareminance.

UlnarClaw(onextending
fingers)

*Alwaysrememberthatthe
distallesionwillcause
problemsinextendingthe
fingers.Proximallesions
willpreventinFlexingthe
Fingers.
Lossofextensionatthe
MCP,wristandelbow.

Weakornosupination

Decreasedgripstrength
(wristextension
necessaryformaximal
actionofflexors).

Lossofsensationover
arm,forearmanddorsal
handanddorsumof
thumb.

WristDrop

ApehandandPopes
Blessing(onmakingfist)

C
A
U
S
E
S

O
F

I
N
J
U
R
Y

T
O

N
E
R
V
E
S
SurgicalNeck
Fractureof
Humerus
Anterior
Dislocationof
Humeralhead

Erbspalsy:
(When
Axillary,
Musculocutan
eousand
Suprascapula
nervesareall
injured)

Uppertrunk
Compression

ErbsPalsy:

(WhenAxillary,
Musculocutaneou
sand
Suprascapula
nervesareall
injured)

s
CarpalTunnel
Compression

Supracondylarfractureof
humerus

Pronatorteressyndrome
Dislocatedlunate

Fractureofmedial
epicondyleofhumerus

Fractureofhookofhamate

fractureofclavicle

Klumpke`spalsy:Total
ClawHand
Saturdaynightpalsy

Midshaftfractureof
humerus

Sublaxationofradius

Dilocatedhumerus