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Anatomical Position
everything facing forward
Superior (cranial)
above
Inferior (caudal)
Below
Anterior (ventral)
Towards the front of the body
Posterior (dorsal)
Towards the back of the body
Medial
Towards or at the midline of the body
Lateral
Away from the midline of the body
Proximal
Closer to the point of attachment of a limb
Distal
Farther from the point of attachment of a limb
Superficial (external)
Toward of at the body surface
Deep (internal)
Away from the body surface
Ipsilateral
On the same side
Contralateral
On opposite sides
Frontal (coronal) plane
divides the body into anterior and posterior parts
saggital plane
divides the body into a right and left side
Transverse plane
horizontal division of the body into upper and lower portions
Flexion/extension of upper limb at shoulder joint
Flexion/extension of a lower limb at hip joint
Flexion/extension of the forearm at the elbow joint
Flexion/extension of the leg at the knee joint
Flexion/extension of vertebral column
Abduction
movement away from the midline
Adduction
movement toward the midline
Lateral rotation
rotation away from the midline
Medial rotation
Rotation toward the midline
Divisions of PNS
Sensory and motor
Type of sensory nerve fibres
Somatic and visceral sensory
What is a spinal nerve
a mixed nerve, which carries motor and sensory info the spinal cord and the body
How many pairs of spinal nerves are there?
31 pairs
Divisions of the Motor Division
somatic and autonomic
Divisions of the spinal cord and # of nerves for each division
Cervical (8 but 7 vertebrae), Thoracic (12), Lumbar (5), Sacral (5), Coccygeal (1)
Divisions of ANS
SNS and PNS
Spinal nerve nomenclature
-Cervical nerves exit above corresponding vertebrae
-C8 is the transition point and it exits below the vertebrae
-All other nerves exit below
Components of spinal nerve
Spinal cord--->Dorsal (sensory) and ventral (motor) rootlets-->Dorsal (sensory) and ventral (motor) roots---> Spinal nerve (mixed)--->Dorsal and ventral ramus (mixed)
Dermatome
Area of skin innervated by the sensory fibers of a single spinal nerve
-help narrow down where a spinal injury is
What does the ventral ramus communicate to?
NMJ and sensory receptors in the skin
What is the Brachial Plexus? Where does it start and end
"Arm braid"
-Begins at neck, ends in axilla (armpit)
What rami is the brachial plexus formed by?
The ventral rami
Why is the brachial plexus formed by mixed nerves?
Ensures that multiple nerves supply 1 muscle. Will still be able to move even if one nerve is damaged.
Paresis
numbness and weakness
Paralysis
Complete inability to use muscles
Acronym to remember organization of brachial plexus
Really Thirsty? Drink Cold Bear (roots, trunks, divisions, cords, branches/terminal branches)
roots of brachial plexus
C5, C6, C7, C8, T1
trunks of brachial plexus
superior, middle, inferior
divisions of brachial plexus
anterior and posterior
cords of the brachial plexus
lateral, posterior, medial
terminal branches of brachial plexus
Musculocutaneous, median, ulnar, axillary, radial
What makes up musculocutaneous branch?
C5,C6,C7 (3 muskateers)
What makes up median branch?
C5,C6,C7,C8,T1 (5 mice)
What makes up Axillary branch?
C5,C6
What makes up the radial branch?
C5,C6,C7,C8,T1
What makes up the ulnar branch?
C8,T1 (2unicorns)
Acronym to remember root contributions
3 Muskateers Assassinate: 5 Mice, 5 Rats, 2 Unicorns
Brachial Plexus
Motor function of musculocutaneous branch
Arm flexors
Motor function of median branch
forearm and hand flexors
Motor function of ulnar branch
forearm and hand flexors
Motor function of radial branch
arm and forearm extensors
What part of brachial plexus is affected by wrist drop?
Can't extend wrist thus radial nerve isn't working
What part of the brachial plexus isn't working when you can't abduct shoulder, have weakness in arm+forearm flexors and extensors, and have loss of sensation to all parts of arm/hand?
C5 and C6 roots