Here is a comprehensive overview of the Brachial Plexus — anatomy, diagrams, and mnemonics.
Brachial Plexus — Anatomy
The brachial plexus is formed by the anterior rami of C5–C8 and T1. It originates in the neck (between anterior and middle scalene muscles), passes over rib I, and enters the axilla. All major nerves innervating the upper limb arise from it.
Diagrams
Anatomical Overview (Gray's Anatomy for Students)
Schematic: Roots → Trunks → Divisions → Cords → Terminal Nerves
Cadaveric + Labeled Schematic (with Terminal Branches)
Structure: The 5 Parts (R-T-D-C-B)
| Part | Components | Detail |
|---|
| Roots | C5, C6, C7, C8, T1 | Anterior rami; between scalene muscles |
| Trunks | Superior, Middle, Inferior | C5+C6 = Superior; C7 alone = Middle; C8+T1 = Inferior |
| Divisions | Anterior + Posterior (×3 trunks = 6 total) | Each trunk splits; no named nerves arise here |
| Cords | Lateral, Posterior, Medial | Named by relation to axillary artery (2nd part) |
| Branches | Terminal nerves | Musculocutaneous, Axillary, Radial, Median, Ulnar |
Mnemonics
1. The Parts: "Randy Travis Drinks Cold Beer"
Roots → Trunks → Divisions → Cords → Branches
2. Roots (levels): "C5-T1" — "Cervical 5 To Thoracic 1"
3. Trunks: "3 Trunks — SIM"
- Superior (C5+C6)
- Inferior (C8+T1)
- Middle (C7 alone)
Or remember: "C5+6 = Superior, C7 = Middle, C8+T1 = Inferior"
4. Cord Formation:
- Lateral cord = Anterior divisions of Superior + Middle trunks
- Medial cord = Anterior division of Inferior trunk
- Posterior cord = ALL THREE posterior divisions
Mnemonic for cords: "Lateral is Love, Medial is Medial, Posterior gets all the Posterior"
5. Terminal Branches: "My Aunt Raped My Uncle"
Musculocutaneous → Axillary → Radial → Median → Ulnar
(Or the polite version: "Meet A Radiologist Monday/Ultimately")
6. Which cord gives which terminal nerve:
| Cord | Terminal Branches |
|---|
| Lateral | Musculocutaneous + lateral root of Median |
| Medial | Ulnar + medial root of Median |
| Posterior | Axillary + Radial |
Mnemonic: "Lateral = Musculo + half Median; Medial = Ulnar + half Median; Posterior = Axillary + Radial"
Key Pre-terminal Branches (to memorize)
| Branch | Root | Cord/Trunk |
|---|
| Dorsal scapular nerve | C5 | Root |
| Long thoracic nerve | C5, C6, C7 | Roots |
| Suprascapular nerve | C5, C6 | Superior trunk |
| Nerve to subclavius | C5, C6 | Superior trunk |
| Lateral pectoral | C5–C7 | Lateral cord |
| Medial pectoral | C8, T1 | Medial cord |
| Thoracodorsal | C6–C8 | Posterior cord |
| Axillary | C5, C6 | Posterior cord |
Quick Clinical Recall
- Erb's palsy (C5–C6 injury) → "Waiter's tip" posture — affects shoulder abduction, elbow flexion
- Klumpke's palsy (C8–T1 injury) → "Claw hand" + Horner's syndrome — affects intrinsic hand muscles
— Gray's Anatomy for Students, pp. 858–860