Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
• Abduction - C5,C6 (axillary)
• Adduction - C6, C7, C8
Elbow:
• Flexion - C5,C6 (musculocutaneous)
• Extension C6, C7, C8 (radial)
Supination - C6
Pronation - C7, C8
Wrist:
• Flexion - C6, C7 (median)
• Extension - C7, C8 (radial)
Finger:
• Mexion - C8 (median)
• Extension - C7, C8 (radial)
• Abduction - C8-T1 (ulnar)
• Adduction - C7-T1 (ulnar)
• Thumb opp - C8, T1 (median)
Reflexes:
• Triceps Jerk - C7, C8
• Biceps Jerk - C5, C6
• Supinator - C5, C6
• Finger Jerk - C8
Important Conditions
Erb's Palsy is caused by damage to the upper trunk and results in characteristic "waiter's tip" position.
Klumpke's Ralsy - Damage to C8 and T1 leading toc aracteristic "claw hand" ± Horner Syndrome
Wrist drop - Occurs after damage to the radial nerve in the radial groove. Triceps power is characteristically spared in this injury. "Saturday night palsy" is a common cause.
Carpal Tunnel Syndrome - Causes paraesthesia in the median nerve distribution with atrophy of the thenar eminence.
Anterior Shoulder Dislocation - May cause axillary nerve damage resulting in "regimental badge" anesthesia and deltoid weakness.
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