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Innervation
  • Motor
    • radial nerve proper 
    •  triceps
      •  anconeus
      •  ECRL
      •  ECRB
      •  brachioradialis  
    • PIN
      •  ED
      •  supinator
      •  EDM
      •  ECU
      •  APL
      •  EPL
      •  EPB
      •  EIP
  • Sensory
    • posterior cutaneous nerve arm
    • posterior cutaneous nerve - forearm
    • superficial branch radial nerve
    • dorsal digital branch
Origin
  • Radial nerve originates from the posterior cord of the brachial plexus (C5-T1)
    • behind axillary artery
Course
  • Posterior wall axilla
    • courses on the posterior wall of the axilla (on subscapularis, latissimus dorsi, teres major)
    • 3 Branches in axilla
      • posterior cutaneous nerve of the arm
      • branch to long head of triceps
      • branch to medial head of triceps
  • Triangular interval
    • it then runs through the triangular interval with profunda brachii artery in posterior compartment between long head of triceps and humerus 
  • Spiral groove  
    • next it courses through the spiral groove between lateral and medial heads of triceps
      • bottom line = Safe zone posteriorly of 10 cm distal to the lateral acromion and 10 cm proximal to lateral epicondyle
    • branches in spiral groove
      • inferior lateral cutaneous nerve of the arm
      • posterior cutaneous nerve of the forearm
      • branch to lateral head of triceps
      • branch to medial head of triceps and anconeus
  • Lateral intermuscular septa
    • next it passes through the lateral intermuscular septa never less than 7.5 cm above the distal articular surface.
    •  runs between brachialis and brachioradialis (anterior to lateral epicondyle)
      • gives branches to supply: lateral brachialis, brachioradialis, ECRL, ECRB
  • Terminal branches
    • level of radiohumeral joint line, divides into terminal branches
      •  superficial sensory branch
      •  Deep branch/PIN 
      •  ECRB branch
Injury & Clinical Conditions
  •  PIN compression Syndrome
  •  Radial Tunnel Syndrome
 

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Questions (3)

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(OBQ11.147) During recovery for a radial nerve palsy, what is the last muscle to be reinnervated? Review Topic

QID: 3570
1

Brachioradialis

3%

(86/2744)

2

Extensor indicis proprius

77%

(2100/2744)

3

Extensor carpi radialis brevis

5%

(140/2744)

4

Abductor pollicis longus

6%

(163/2744)

5

Extensor pollicis longus

8%

(232/2744)

L 2

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