Intercostobrachial nerve

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Intercostobrachial nerve
Nerves of the left upper extremity.gif
Nerves of the left upper extremity. (Intercostobrachial nerve visible near top center.)
Details
From Intercostal nerves #2 and #3
Identifiers
Latin nervi intercostobrachiales
TA98 A14.2.04.012
TA2 6476
FMA 75486
Anatomical terms of neuroanatomy

The intercostobrachial nerve is the name applied to the lateral cutaneous branch of the second intercostal nerve. It arises anterior to the long thoracic nerve. It provides sensory innervation to the skin of the axilla, and a variable region of the medial side of the upper arm. [1]

Contents

Anatomy

The lateral cutaneous branch of the second intercostal nerve does not divide like other intercostal nerves into an anterior and a posterior branch.

Course

It pierces the intercostalis externus muscle and the serratus anterior muscle, crosses the axilla to the medial side of the arm, and joins with a filament from the medial brachial cutaneous nerve. It then pierces the fascia, and supplies the skin of the upper half of the medial and posterior part of the arm, communicating with the posterior brachial cutaneous branch of the radial nerve.

Relations

The size of the intercostobrachial nerve is in inverse relationship to that of the medial brachial cutaneous nerve.

Variation

An additional intercostobrachial nerve is frequently given off from the lateral cutaneous branch of the third intercostal nerves; it supplies filaments to the axilla and medial side of the arm.

Clinical significance

It is often the source of referred cardiac pain.

The intercostobrachial nerve is sometimes divided in axillary node clearance (ANC), such as that done for breast cancer surgery which requires the removal of the axillary nodes. Sensation to the cutaneous region supplied by the nerve is affected.

See also

Additional images

Related Research Articles

<span class="mw-page-title-main">Arm</span> Proximal part of the free upper limb between the shoulder and the elbow

In human anatomy, the arm refers to the upper limb in common usage, although academically the term specifically means the upper arm between the glenohumeral joint and the elbow joint. The distal part of the upper limb between the elbow and the radiocarpal joint is known as the forearm or "lower" arm, and the extremity beyond the wrist is the hand.

<span class="mw-page-title-main">Radial nerve</span> Nerve in the human body that supplies the posterior portion of the upper limb

The radial nerve is a nerve in the human body that supplies the posterior portion of the upper limb. It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial compartment of the forearm and the associated joints and overlying skin.

<span class="mw-page-title-main">Median nerve</span> Nerve of the upper limb

The median nerve is a nerve in humans and other animals in the upper limb. It is one of the five main nerves originating from the brachial plexus.

<span class="mw-page-title-main">Spinal nerve</span> Nerve that carries signals between the spinal cord and the body

A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical, thoracic, lumbar, sacral and coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system.

<span class="mw-page-title-main">Axillary nerve</span> Nerve of the human body near the armpit

The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. The axillary nerve travels through the quadrangular space with the posterior circumflex humeral artery and vein to innervate the deltoid and teres minor.

<span class="mw-page-title-main">Ulnar nerve</span> Nerve which runs near the ulna bone

In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. This nerve is directly connected to the little finger, and the adjacent half of the ring finger, innervating the palmar aspect of these fingers, including both front and back of the tips, perhaps as far back as the fingernail beds.

<span class="mw-page-title-main">Axilla</span> Area of the human body beneath the joint between arm and torso

The axilla is the area on the human body directly under the shoulder joint. It includes the axillary space, an anatomical space within the shoulder girdle between the arm and the thoracic cage, bounded superiorly by the imaginary plane between the superior borders of the first rib, clavicle and scapula, medially by the serratus anterior muscle and thoracolumbar fascia, anteriorly by the pectoral muscles and posteriorly by the subscapularis, teres major and latissimus dorsi muscle.

<span class="mw-page-title-main">Musculocutaneous nerve</span> Nerve in the arm

The musculocutaneous nerve is a mixed branch of the lateral cord of the brachial plexus derived from cervical spinal nerves C5-C7. It arises opposite the lower border of the pectoralis major. It provides motor innervation to the muscles of the anterior compartment of the arm: the coracobrachialis, biceps brachii, and brachialis. It provides sensory innervation to the lateral forearm. It courses through the anterior part of the arm, terminating 2 cm above elbow; after passing the lateral edge of the tendon of biceps brachii it is becomes known as the lateral cutaneous nerve of the forearm.

<span class="mw-page-title-main">Intercostal nerves</span> Nerves in the thorax and abdomen

The intercostal nerves are part of the somatic nervous system, and arise from the anterior rami of the thoracic spinal nerves from T1 to T11. The intercostal nerves are distributed chiefly to the thoracic pleura and abdominal peritoneum, and differ from the anterior rami of the other spinal nerves in that each pursues an independent course without plexus formation.

<span class="mw-page-title-main">Medial pectoral nerve</span>

The medial pectoral nerve is (typically) a branch of the medial cord of the brachial plexus and is derived from spinal nerve roots C8-T1. It provides motor innervation to the pectoralis minor muscle, and the lower half of the pectoralis major muscle. It runs along the inferior border of the pectoralis minor muscle.

<span class="mw-page-title-main">Deep fibular nerve</span> Type of nerve

The deep fibular nerve begins at the bifurcation of the common fibular nerve between the fibula and upper part of the fibularis longus, passes infero-medially, deep to the extensor digitorum longus, to the anterior surface of the interosseous membrane, and comes into relation with the anterior tibial artery above the middle of the leg; it then descends with the artery to the front of the ankle-joint, where it divides into a lateral and a medial terminal branch.

<span class="mw-page-title-main">Posterior cutaneous nerve of thigh</span> Sensory nerve that supplies the back of the thigh, leg, buttock, and perineum

The posterior cutaneous nerve of the thigh is a sensory nerve of the thigh. It is a branch of the sacral plexus. It supplies the skin of the posterior surface of the thigh, leg, buttock, and also the perineum.

<span class="mw-page-title-main">Lumbar plexus</span> Web of nerves in the lower spine

The lumbar plexus is a web of nerves in the lumbar region of the body which forms part of the larger lumbosacral plexus. It is formed by the divisions of the first four lumbar nerves (L1-L4) and from contributions of the subcostal nerve (T12), which is the last thoracic nerve. Additionally, the ventral rami of the fourth lumbar nerve pass communicating branches, the lumbosacral trunk, to the sacral plexus. The nerves of the lumbar plexus pass in front of the hip joint and mainly support the anterior part of the thigh.

<span class="mw-page-title-main">Lateral cutaneous nerve of thigh</span> Nerve of the thigh

The lateral cutaneous nerve of the thigh is a cutaneous nerve of the thigh. It originates from the dorsal divisions of the second and third lumbar nerves from the lumbar plexus. It passes under the inguinal ligament to reach the thigh. It supplies sensation to the skin on the lateral part of the thigh by an anterior branch and a posterior branch.

<span class="mw-page-title-main">Lateral cutaneous nerve of forearm</span>

The lateral cutaneous nerve of forearm is a sensory nerve representing the continuation of the musculocutaneous nerve beyond the lateral edge of the tendon of the biceps brachii muscle. The lateral cutaneous nerve provides sensory innervation to the skin of the lateral forearm. It pierces the deep fascia of forearm to enter the subcutaneous compartment before splitting into a volar branch and a dorsal branch.

<span class="mw-page-title-main">Medial cutaneous nerve of forearm</span>

The medial cutaneous nerve of the forearm is a sensory branch of the medial cord of the brachial plexus derived from the ventral rami of spinal nerves C8-T1. It provides sensory innervation to the skin of the medial forearm and skin overlying the olecranon. It descends through the (upper) arm within the brachial fascia alongside the basilic vein, then divides into an anterior branch and a posterior branch upon emerging from the brachial fascia; the two terminal branches travel as far distally as the wrist.

<span class="mw-page-title-main">Medial cutaneous nerve of arm</span>

The medial brachial cutaneous nerve is a sensory branch of the medial cord of the brachial plexus derived from spinal nerves C8-T1. It provides sensory innervation to the medial arm. It descends accompanied by the basilic vein.

<span class="mw-page-title-main">Superior lateral cutaneous nerve of arm</span> Nerve

The superior lateral cutaneous nerve of arm is the continuation of the posterior branch of the axillary nerve, after it pierces the deep fascia. It contains axons from C5-C6 ventral rami.

<span class="mw-page-title-main">Posterior cutaneous nerve of arm</span>

The posterior cutaneous nerve of arm is a branch of the radial nerve that provides sensory innervation for much of the skin on the back of the arm. It arises in the axilla.

<span class="mw-page-title-main">Cutaneous innervation of the upper limbs</span>

Cutaneous innervation of the upper limbs is the nerve supply to areas of the skin of the upper limbs which are supplied by specific cutaneous nerves.

References

  1. Sinnatamby, Chummy (2011). Last's Anatomy (12th ed.). p. 61. ISBN   978-0-7295-3752-0.

PD-icon.svgThis article incorporates text in the public domain from page 946 of the 20th edition of Gray's Anatomy (1918)