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Samenvatting Vivo blok 4 anatomie zenuwen bovenste extremiteit
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Vivo blok 4 anatomie zenuwen bovenste extremiteit
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Anatomie zenuwstelsel (BE)Nervus medianus (C6-Th1) blz. 328
Motorische takken Geïnnerveerde spieren
directe musculaire takken m. pronator teres
m. flexor carpi radialis
m. plamaris longus
m. flexor digitorum
superficialis
musculaire takken van de m. pronator quadratus
n. interosseus antebrachii m. flexor pollicis longus
anterior m. flexor digitorum profundus
thenamusculaire tak m. abductor pollicis brevis
m. flexor pollicis brevis
m. opponens pollicis
musculaire takken van de 1e en 2e mm. lumbricales
nn. digitales palmares
communes
Sensorische takken
gewrichtstakken: kapsels van het elleboog- en polsgewricht
palmaire tak van de n. medianus
ramus communicans ulnaris
nn. digitales palmares communes
Palpatie
Oksel: Direct achter coracobrachialis in abductiestand van 90˚
Bovenarm: Sulcus bicipitalis medialis naast arterie brachialis
Elleboog: Mediaal van biceps is de a. brachialis, mediaal daarvan is de n. medianus
Pols: Tussen m. flexor carpi radialis en palmaris longus
Nervus musculocutaneus (C5-C7) blz. 327
Motorische takken Geïnnerveerde spieren
musculaire takken m. coracobrachialis
m. biceps brachii
m. brachialis
Sensorische takken
n. cutaneus antebrachii lateralis
gewrichtstakken: gewrichtskapsel van het ellebooggewricht
let op: de nervus musculocutaneus innerveert de bovenarm
alleen met motorische takken; de innervatie van de
onderarm is alleen sensorisch
Palpatie
Niet palpabel
, Nervus ulnaris (C7-Th1) blz. 329
Motorische takken Geïnnerveerde spieren
directe musculaire takken m. flexor carpi ulnaris
m. flexor digitorum profundus
musculaire takken van de m. palmaris brevis
n. ulnaris superior
musculaire takken van de m. abductor digiti minimi
n. ulnaris profundus m. flexor carpi radialis
m. opponens digiti minimi
3e en 4e mm. lumbricales
mm. interossei palmares en
dorsales
m. adductor pollicis
m. flexor pollicis brevis
Sensorische takken
gewrichtstakken: kapsels van het ellebooggewricht en van
de gewrichten van de handwortelbeentjes,
middenhandsbeentjes en vingerkootjes
dorsale tak
palmaire tak
nn. digitales palmares proprii
nn. digitales palmares communes
Palpatie
Bovenarm: Sulcus bicipitalis medialis (naast n. medianus), te voelen caudaal (richting elleboog)
van de a. brachialis
Elleboog: Dorsaal van epicondylis medialis
Pols: Flexor carpi ulnaris | n. ulnaris | a. ulnaris
Supraclaviculaire takken blz. 322
Zenuw Niveau Geïnnerveerde spieren
n. dorsalis scapulae C4-C5 m. levator scapulae
m. rhomboideus
major/minor
n. suprascapularis C4-C6 m. supraspinatus
m. infraspinatus
n. subclavius C5-C6 m. subclavius
nn. intercostobrachialis
n. thoracicus longus C5-C7 m. serratus anterior
Palpatie
N. dorsalis capulae: Soms palpabel net boven clavicula, einde plexus
N. suprascapularis: Niet palpabel
N. thoracicus longus: Verticale streng direct dorsaal van m. pectoralis major
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