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Median Nerve
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Nerve Type
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Mixed nerve
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Origin
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- Lateral root: lateral cord of the brachial plexus (C5, C6, C7)
- Medial root: medial cord of the brachial plexus (C8, T1)
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Major Branches
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anterior interosseous nerve, palmar cutaneous branch, motor branch in the hand
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Sensory innervation
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Medial palm plus entire palmar and distal dorsal surface of the lateral 3.5 digits.
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Motor innervation
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flexor compartment of the forearm, thenar and intrinsic hand muscles
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Motor Supply
All but five intrinsic hand muscles are innervated by the ulnar nerve. The remaining are innervated by the C8-T1 roots via the Median Nerve. The mnemonic AbOF can be used to remember which muscles are above the law in that they aren't innervated by the ulnar nerve: the abductor (Ab) and flexor (F) pollicis brevis, opponens pollicis (O), and lateral lumbricals (Law).[1]
Muscles supplied by the Median nerve | Origin | Insertion | Action |
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Abductor Pollicis Brevis | Flexor retinaculum, scaphoid, and trapezium tubercles | Base of the first proximal phalanx, radial aspect | Thumb Abduction perpendicular to the plane of the palm. |
Flexor Carpi Radialis | Medial epicondyle of the humerus | Base of the second metacarpal bone | Wrist flexion, also radially deviates the wrist/hand |
Flexor Digitorum Sublimis | Humero-ulnar head: Medial epicondyle of the humerus and medial aspect of the coronoid process. Radial head: Oblique line of the radius | Four tendons insert into each side of the middle phalanx of digits 2-5 | PIP Flexion |
Flexor Pollicis Brevis | Distal ridge of the trapezium, the trapezoid, capitate, and flexor retinaculum | Base of the proximal phalanx of the thumb on the radial side | MCP flexion |
Lumbricals (Hand) | 1st and 2nd: Radial surface flexor profundus tendons of index and middle fingers respectively
3rd: Adjacent sides of flexor profundus tendons of middle and ring fingers
4th: Adjacent sides flexor profundus tendons of ring and little fingers | Into radial border extensor expansion dorsum of respective digits | Extension ICPJs plus simultaneous flexion of MCPJs of 2nd-5th digits. Also extension of IPJs when MCPJs are extended. |
Opponens Pollicis | Tuberosity of the trapezium and flexor retinaculum | Entire lateral aspect of the shaft of the first metacarpal bone | Thumb Opposition |
Pronator Teres | Humeral head: Proximal to the medial epicondyle of the humerus
Ulnar head: Medial aspect of the coronoid process of the ulna | Mid-shaft and lateral surface of the radius | |
References
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Supraclavicular | |
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Infraclavicular | |
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