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Brachial Plexus Lesion Localization Guide

This document summarizes the nerves affected and muscles innervated based on the level of brachial plexus injury. A high trunk injury would affect the suprascapular, infraspinatus, and upper pectoralis major muscles. A middle trunk injury would affect lateral antebrachial cutaneous and muscles innervated by the radial, musculocutaneous and lateral portion of the median nerves. A lower trunk injury would affect muscles innervated by the ulnar and medial portion of the median nerves.

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15 views1 page

Brachial Plexus Lesion Localization Guide

This document summarizes the nerves affected and muscles innervated based on the level of brachial plexus injury. A high trunk injury would affect the suprascapular, infraspinatus, and upper pectoralis major muscles. A middle trunk injury would affect lateral antebrachial cutaneous and muscles innervated by the radial, musculocutaneous and lateral portion of the median nerves. A lower trunk injury would affect muscles innervated by the ulnar and medial portion of the median nerves.

Uploaded by

his.thunder122
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© Attribution Non-Commercial (BY-NC)
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Plexus Lesion Trunks Upper

Nerves Affected

Localization of Brachial Plexus Muscles Affected

Sensory Nerve Conduction Studies Affected Lateral antebrachial cutaneous Median Radial

Middle

Lower Cords Lateral Posterior

Suprascapular Lateral pectoral Musculocutaneous Lateral portion median Portion of radial Axillary Thoracodorsal Subscapular Radial Lateral portion median Medial pectoral Ulnar Medial portion median Musculocutaneous Lateral portion median Thoracodorsal Subscapular Axillary Radial Ulnar Medial half of median

Supraspinatus, infraspinatus Upper portion pectoralis major Biceps Pronator teres, flexor carpi radialis Brachioradialis Deltoid Latissimus dorsi Teres major All radial muscles(except brachioradilais) Pronator teres, flexor carpi radialis Lower pectoralis major All ulnar muscles All median muscles except pronator teres and flexor carpi radialis Biceps Pronator teres Flexor carpi radialis Latissimus dorsi Teres major Deltoid All radial muscles All ulnar muscles All median muscles except pronator teres and flexor carpi radialis

Median Radial Ulnar to fifth digit Medial

Lateral antebrachial cutaneous Median to first digit Median to third digit Radial to first and third digits Ulnar to fifth digit Medial antebrachial cutaneous

Medial

References: Braddom, Randall, L.: Physical Medicine & Rehabilitation., 4 ed, p.1081-82. th Kisner, Carolyn & Colby, Lynn Allen. Therapeutic Exercises. 5 edition, p.352-53, 364-66. Cuccurullo, Sara J., Physical medicine and rehabilitation board review. p. 346-49, 689
th

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