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MedTestBank3D Anatomy for Nursing

Brachial plexus

The network of nerves from C5 to T1 that supplies the shoulder, arm and hand.

Where is the brachial plexus?

Forms in the side of the neck, passes under the clavicle into the axilla and ends as the nerves of the arm: musculocutaneous, axillary, radial, median and ulnar.

What does the brachial plexus do?

Carries every motor command and all sensation for the upper limb.

Clinical relevance of the brachial plexus

  • A difficult delivery (shoulder dystocia) can stretch the upper plexus (C5–C6) and cause Erb's palsy: the arm hangs with the elbow straight and the forearm turned in.
  • Crutches pressing into the axilla can injure the radial nerve and cause wrist drop.
  • Holding the arm out at more than 90° for a long time, for example during surgery, can stretch the plexus.

Nursing focus: the brachial plexus

  • Teach crutch users to carry their weight on the hands, with the crutch pads 2 to 3 finger widths below the axilla.
  • Keep arm boards below 90° of abduction when positioning a client for surgery.