Nerves of the Upper Limb ñ Alphabetically Listed

Nerve

Source

Branches

Motor

Sensory

Notes

accessory

cranial root: medulla - nucleus ambigous; spinal root: spinal nucleus of the upper cervical spinal cord

no named branches

GSE: sternocleidomastoid and trapezius mm.

none

also known as: CN XI, 11th cranial nerve; spinal root enters cranial cavity by passing through the foramen magnum; exits skull by passing through the jugular foramen; accessory n. is motor only; the subtrapezial plexus of nerves receives proprioceptive fibers: for the sternocleidomastoid m. from the ventral primary rami of spinal nn. C2 and C3 - for trapezius via ventral primary rami of C3 and C4

antebrachial cutaneous, lateral

musculocutaneous n.

anterior and posterior branches

none

skin of the lateral side of the forearm

lateral antebrachial cutaneous n. emerges from the lateral intermuscular interval between biceps and brachialis; it is the continuation of the musculocutaneous n.

antebrachial cutaneous, medial

medial cord of the brachial plexus

no named branches

none

skin of the medial side of the forearm

medial antebrachial cutaneous nerve travels with the basilic vein for part of its course

antebrachial cutaneous, posterior

radial n.

inferior lateral brachial cutaneous n.

none

skin of the lateral distal arm and posterior forearm

posterior antebrachial cutaneous n. passes posterior to the lateral epicondyle of the humerus

anterior interosseous n.

median n.

no named branches

flexor pollicis longus m., radial half of flexor digitorum profundus m., pronator quadratus m.

none

courses along the anterior surface of the interosseous membrane

axillary n.

posterior cord of the brachial plexus

superior lateral brachial cutaneous nerve

deltoid, teres minor

skin of the upper lateral arm

axillary n. is endangered by surgical neck fractures

brachial cutaneous, inferior lateral

radial n. via its posterior antebrachial cutaneous be.

no named branches

none

skin of the lateral side of the distal arm

emerges at the lateral intermuscular septum just below the deltoid m.

brachial cutaneous, medial

medial cord of the brachial plexus

no named branches

none

skin of the medial side of the arm

communicates with the intercostobrachial n.

brachial cutaneous, posterior

radial

no named branches

none

skin of the posterior arm

emerges medial to the long head of the triceps brachii muscle

brachial plexus

ventral primary rami of C5-8 and T1

dorsal scapular, long thoracic, n. to subclavius, suprascapular, lateral and medial pectoral, medial brachial and antebrachial cutaneous, upper, middle and lower subscapular, musculocutaneous, ulnar, median, axillary, radial

muscles of the upper limb, excluding trapezius

skin of the upper limb

plexus is a latin word meaning "braid"; axons from spinal cord levels C5-T1 are mixed (braided) in the brachial plexus and repackaged into terminal branches so that each branch contains axons from several spinal cord segmental levels

C3 ventral primary ramus

C3 spinal n.

contributes to: inferior root of the ansa cervicalis, great auricular n., transverse cervical n., supraclavicular nn., phrenic n.; brs. to: longus capitis & colli, scalenus medius, levator scapulae, trapezius

omohyoid, sternohyoid, sternothyroid, longus capitis & colli, scalenus medius, levator scapulae, respiratory diaphragm

skin of the anterolateral neck; proprioception from the sternocleidomastoid m. and the trapezius m

C3 contributes to the cervical plexus

C4 ventral primary ramus

C4 spinal n.

contributes to: supraclavicular nn., phrenic n.; brs. to: longus colli, scalenus medius, levator scapulae, trapezius

longus colli, scalenus medius, levator scapulae, respiratory diaphragm

skin of the root of the neck and the upper shoulder; proprioception from the trapezius m.

C4 contributes to the cervical plexus

C5 ventral primary ramus

C5 spinal n.

contributes to: phrenic n., long thoracic n.

respiratory diaphragm, scalene mm., muscles of the shoulder and upper arm

skin of the ventral arm and ventral forearm

joins the ventral primary ramus of C6 to form the superior trunk of the brachial plexus

C6 ventral primary ramus

C6 spinal n.

contributes to: long thoracic n.

scalene mm., muscles of the lower shoulder and arm

skin of the lateral side of the upper limb

joins the ventral primary ramus of C5 to form the superior trunk of the brachial plexus

C7 ventral primary ramus

C7 spinal n.

contributes to: long thoracic n.

muscles of the lower shoulder, arm forearm

skin of the posterior side of the upper limb

continues as the middle trunk of the brachial plexus

C8 ventral primary ramus

C8 spinal n.

no named branches

muscles of the forearm and hand

skin of the medial side of the upper limb

joins the ventral primary ramus of T1 to form the inferior trunk of the brachial plexus

common palmar digital nn.

median n.; superficial br. of the ulnar n.

proper palmar digital nn.

sympathetic motor to the skin; motor nn. to the 1st & 2nd lumbrical mm. are carried on common palmar digital brs. of the median n.

skin of the palmar surfaces of the adjacent sides of two digits

the proper branches of these nerves also supply the dorsum of the tip of the digit (nail bed)

deep radial n.

radial n.

posterior interosseous n.

extensor carpi radialis brevis m., supinator m., extensor digitorum m., extensor digiti minimi m., abductor pollicis longus m., extensor pollicis longus m. extensor pollicis brevis m., extensor indicis m.

no cutaneous branches

deep radial n. passes through the supinator m.; some authors believe that the posterior interosseous n. and the deep radial n. are synonymous, others say that when the deep radial n. emerges from the supinator in the posterior forearm it becomes the posterior interosseous n., and others say that the deep radial n. does not become the posterior interosseous n. until after its last muscular br. has been given off

digital, common palmar

median n.; superficial br. of the ulnar n.

proper palmar digital nn.

sympathetic motor to the skin; motor nn. to the 1st & 2nd lumbrical mm. are carried on common palmar digital brs. of the median n.

skin of the palmar surfaces of the adjacent sides of two digits

the proper branches of these nerves also supply the dorsum of the tip of the digit (nail bed)

digital, dorsal

radial n.

no named branches

sympathetic motor innervation to skin

dorsal skin of the lateral 3 1/2 digits, except the nail bed

the nail bed is supplied by palmar digital nn.

digital, proper palmar

common palmar digital branches of the median n.; common palmar digital branches of the superficial br. of the ulnar n.

no named branches

sympathetic motor to the skin

median: palmar skin and nail bed of digits 1-3 and the lateral side of 4th digit; ulnar: palmar and dorsal skin on medial side of the 4th digit and all of the 5th digit

proper palmar digital nn. supply the dorsum of the tip of the digit (nail bed)

dorsal branch of the ulnar n.

ulnar n.

dorsal digital

sympathetic motor innervation to skin

skin of the dorsal surface of the medial 1 1/2 digits; skin of the medial side of the back of the hand

dorsal branch of the ulnar n. emerges at the level of the ulnar styloid process

dorsal digital n.

radial n.

no named branches

sympathetic motor innervation to skin

dorsal skin of the lateral 3 1/2 digits, except the nail bed

the nail bed is supplied by palmar digital nn.

dorsal scapular n.

brachial plexus (br. of C5 ventral primary ramus)

no named branches

rhomboideus major and minor mm.; levator scapulae m.

none

dorsal scapular n. passes through the scalenus medius m.

inferior lateral brachial cutaneous n.

radial n. via its posterior antebrachial cutaneous be.

no named branches

none

skin of the lateral side of the distal arm

emerges at the lateral intermuscular septum just below the deltoid m.

intercostobrachial n.

also known as the lateral cutaneous br. of the ventral primary ramus of T2

no named branches

sympathetic motor innervation to skin

skin of the medial side of the arm

intercostobrachial n. communicates with the medial brachial cutaneous nerve

intermediate supraclavicular n.

cervical plexus (C3&C4)

no named branches

none

skin of the root of the neck and upper chest, near the mid-clavicle

pain from respiratory diaphragm is referred to the shoulder

interosseous, anterior

median n.

no named branches

flexor pollicis longus m., radial half of flexor digitorum profundus m., pronator quadratus m.

none

courses along the anterior surface of the interosseous membrane

interosseous, posterior

deep radial n.

no named branches

some authors say none, others say the deep posterior forearm muscles

none

there is variability in the definition of this nerve; for some, deep radial and posterior interosseous are synonymous; others define this nerve as the articular br. to the wrist from the deep radial

lateral antebrachial cutaneous

musculocutaneous n.

anterior and posterior branches

none

skin of the lateral side of the forearm

lateral antebrachial cutaneous n. emerges from the lateral intermuscular interval between biceps and brachialis; it is the continuation of the musculocutaneous n.

lateral pectoral n.

lateral cord of the brachial plexus

no named branches

pectoralis major m.

no cutaneous branches

lateral pectoral n. communicates with the medial pectoral n. anterior to the axillary a.; it pierces the clavipectoral fascia

lateral supraclavicular n.

cervical plexus (C3&C4)

no named branches

none

skin of the root of the neck and upper shoulder

pain from respiratory diaphragm is referred to the shoulder

long thoracic n.

brachial plexus (ventral primary rami of spinal nerves C5-C7)

no named branches

serratus anterior m.

no cutaneous branches

located on the superficial surface of the serratus anterior m.; lesion of this nerve causes scapular winging, hence the saying "C5, 6, & 7 keep the wings from heaven"

lower subscapular n.

posterior cord of the brachial plexus (C5, C6)

unnamed muscular brs.

subscapularis m., teres major m.

no cutaneous branches

subscapularis and teres minor are antagonists (medial rotation vs. lateral rotation of the humerus)

medial antebrachial cutaneous n.

medial cord of the brachial plexus

no named branches

none

skin of the medial side of the forearm

medial antebrachial cutaneous nerve travels with the basilic vein for part of its course

medial brachial cutaneous n.

medial cord of the brachial plexus

no named branches

none

skin of the medial side of the arm

communicates with the intercostobrachial n.

medial pectoral n.

medial cord of the brachial plexus

no named branches

pectoralis minor m., pectoralis major m.

no cutaneous branches

medial pectoral n. communicates with the lateral pectoral n. anterior to the axillary a.; it pierces the pectoralis minor m.

medial supraclavicular n.

cervical plexus (C3&C4)

no named branches

none

skin of the root of the neck and upper chest, anteriorly

pain from respiratory diaphragm is referred to the shoulder

median n.

lateral and medial cords of the brachial plexus

anterior interosseous n., palmar br., recurrent (motor) br., common palmar digital nn. (for digits 1-3)

pronator teres m., flexor carpi radialis m., palmaris longus m., flexor digitorum superficialis m., flexor digitorum profundus m. (radial half), flexor pollicis longus m., pronator quadratus m., abductor pollicis brevis m., flexor pollicis brevis m., opponens pollicis m., lateral 2 lumbrical mm.

skin of the radial half of the palm and palmar side of the lateral 3 1/2 digits (and nail bed for these digits)

the median n. is motor to the flexor muscles of the forearm (except flexor carpi ulnaris and the medial 1/2 of the flexor digitorum profundus),the muscles of the thenar compartment and the lateral 2 lumbricals

middle subscapular n.

posterior cord of the brachial plexus (C7, C8)

unnamed muscular brs.

latissimus dorsi m.

no cutaneous branches

also called the thoracodorsal n.

musculocutaneous n.

lateral cord of the brachial plexus

lateral antebrachial cutaneous n.

coracobrachialis m., biceps brachii m., brachialis m.

skin of the lateral side of the forearm

musculocutaneous n. passes through the coracobrachialis m.

palmar digital, common

median n.; superficial br. of the ulnar n.

proper palmar digital nn.

sympathetic motor to the skin; motor nn. to the 1st & 2nd lumbrical mm. are carried on common palmar digital brs. of the median n.

skin of the palmar surfaces of the adjacent sides of two digits

the proper branches of these nerves also supply the dorsum of the tip of the digit (nail bed)

palmar digital, proper

common palmar digital branches of the median n.; common palmar digital branches of the superficial br. of the ulnar n.

no named branches

sympathetic motor to the skin

median: palmar skin and nail bed of digits 1-3 and the lateral side of 4th digit; ulnar: palmar and dorsal skin on medial side of the 4th digit and all of the 5th digit

proper palmar digital nn. supply the dorsum of the tip of the digit (nail bed)

pectoral, lateral

lateral cord of the brachial plexus

no named branches

pectoralis major m.

no cutaneous branches

lateral pectoral n. communicates with the medial pectoral n. anterior to the axillary a.; it pierces the clavipectoral fascia

pectoral, medial

medial cord of the brachial plexus

no named branches

pectoralis minor m., pectoralis major m.

no cutaneous branches

medial pectoral n. communicates with the lateral pectoral n. anterior to the axillary a.; it pierces the pectoralis minor m.

plexus, brachial

ventral primary rami of C5-8 and T1

dorsal scapular, long thoracic, n. to subclavius, suprascapular, lateral and medial pectoral, medial brachial and antebrachial cutaneous, upper, middle and lower subscapular, musculocutaneous, ulnar, median, axillary, radial

muscles of the upper limb, excluding trapezius

skin of the upper limb

plexus is a latin word meaning "braid"; axons from spinal cord levels C5-T1 are mixed (braided) in the brachial plexus and repackaged into terminal branches so that each branch contains axons from several spinal cord segmental levels

posterior antebrachial cutaneous n.

radial n.

inferior lateral brachial cutaneous n.

none

skin of the lateral distal arm and posterior forearm

posterior antebrachial cutaneous n. passes posterior to the lateral epicondyle of the humerus

posterior brachial cutaneous n.

radial

no named branches

none

skin of the posterior arm

emerges medial to the long head of the triceps brachii muscle

proper palmar digital nn.

common palmar digital branches of the median n.; common palmar digital branches of the superficial br. of the ulnar n.

no named branches

sympathetic motor to the skin

median: palmar skin and nail bed of digits 1-3 and the lateral side of 4th digit; ulnar: palmar and dorsal skin on medial side of the 4th digit and all of the 5th digit

proper palmar digital nn. supply the dorsum of the tip of the digit (nail bed)

radial n.

posterior cord of the brachial plexus

posterior brachial cutaneous n., inferior lateral brachial cutaneous n., posterior antebrachial cutaneous n., superficial and deep brs.

muscles of the posterior arm: triceps brachii m., anconeus m.; muscles of the posterior forearm: brachioradialis, extensor carpi ulnaris m., extensor carpi radialis longus m., extensor carpi radialis brevis m., extensor digitorum m., extensor digiti minimi m., supinator m., abductor pollicis longus m., extensor pollicis longus m., extensor pollicis brevis m., extensor indicis m.

skin of the posterior arm, forearm and hand

all of the muscles on the posterior side of the arm and forearm are innervated by the radial n.

radial, deep

radial n.

posterior interosseous n.

extensor carpi radialis brevis m., supinator m., extensor digitorum m., extensor digiti minimi m., abductor pollicis longus m., extensor pollicis longus m. extensor pollicis brevis m., extensor indicis m.

no cutaneous branches

deep radial n. passes through the supinator m.; some authors believe that the posterior interosseous n. and the deep radial n. are synonymous, others say that when the deep radial n. emerges from the supinator in the posterior forearm it becomes the posterior interosseous n., and others say that the deep radial n. does not become the posterior interosseous n. until after its last muscular br. has been given off

radial, superficial

radial n.

dorsal digital brs.

sympathetic motor for the skin

skin of the posterolateral wrist and hand; dorsum of the lateral 3 1/2 digits (excluding the skin over the distal phalanx/nail bed)

superficial radial n. is located deep to the brachioradialis muscle

subclavius m., n. to

superior trunk of the brachial plexus

no named branches

subclavius m.

no cutaneous branches

nerve to subclavius m. is one of two nerves to arise from the superior trunk of the brachial plexus; suprascapular n. is the other one

subscapular, lower

posterior cord of the brachial plexus (C5, C6)

unnamed muscular brs.

subscapularis m., teres major m.

no cutaneous branches

subscapularis and teres minor are antagonists (medial rotation vs. lateral rotation of the humerus)

subscapular, middle

posterior cord of the brachial plexus (C7, C8)

unnamed muscular brs.

latissimus dorsi m.

no cutaneous branches

also called the thoracodorsal n.

subscapular, upper

posterior cord of the brachial plexus (C5, C6)

unnamed muscular brs.

subscapularis m.

no cutaneous branches

mesenchyme that forms the subscapularis is derived from somites C5 and C6

superficial radial n.

radial n.

dorsal digital brs.

sympathetic motor for the skin

skin of the posterolateral wrist and hand; dorsum of the lateral 3 1/2 digits (excluding the skin over the distal phalanx/nail bed)

superficial radial n. is located deep to the brachioradialis muscle

superior lateral brachial cutaneous

axillary

no named branches

none

skin of the lateral side of the proximal arm

emerges at the posterior edge of the deltoid muscle

supraclavicular, intermediate

cervical plexus (C3&C4)

no named branches

none

skin of the root of the neck and upper chest, near the mid-clavicle

pain from respiratory diaphragm is referred to the shoulder

supraclavicular, lateral

cervical plexus (C3&C4)

no named branches

none

skin of the root of the neck and upper shoulder

pain from respiratory diaphragm is referred to the shoulder

supraclavicular, medial

cervical plexus (C3&C4)

no named branches

none

skin of the root of the neck and upper chest, anteriorly

pain from respiratory diaphragm is referred to the shoulder

suprascapular n.

superior trunk of the brachial plexus (C5-C6)

no named branches

supraspinatus m., infraspinatus m.

no cutaneous branches

suprascapular n. passes through the suprascapular notch inferior to the superior transverse scapular ligament

T1 ventral primary ramus

spinal nerve T1

joins the ventral primary ramus of C8 to form the inferior trunk of the brachial plexus

muscles of the forearm and hand

skin of the ventral arm and ventral forearm

T1 is the highest spinal nerve to have a white ramus communicans

thoracodorsal n.

posterior cord of the brachial plexus (C7, C8)

unnamed muscular brs.

latissimus dorsi m.

no cutaneous branches

also called the middle subscapular n.

to subclavius m.

superior trunk of the brachial plexus

no named branches

subclavius m.

no cutaneous branches

nerve to subclavius m. is one of two nerves to arise from the superior trunk of the brachial plexus; suprascapular n. is the other one

transverse cervical n.

cervical plexus (C2 and C3)

no named branches

none

skin of the anterior surface of the neck

transverse cervical n. penetrates the platysma m. but does not innervate it

ulnar n.

medial cord of the brachial plexus (C8, T1)

palmar cutaneous br., dorsal br., superficial and deep brs.

flexor carpi ulnaris m., flexor digitorum profundus m. (ulnar half), abductor digiti minimi m., flexor digiti minimi brevis m., opponens digiti minimi m., ulnar 2 lumbrical mm., palmar and dorsal interosseous mm.

skin of the medial side of the wrist and hand; skin of the medial 1 1/2 digits

ulnar n. is motor to most of the muscles of the hand

upper subscapular n.

posterior cord of the brachial plexus (C5, C6)

unnamed muscular brs.

subscapularis m.

no cutaneous branches

mesenchyme that forms the subscapularis is derived from somites C5 and C6