brachial plexuses ,mammary gland, median nerve, radial nerve, ulnar nerve , shoulder joint, elbow joint , axillary artery, radial artery, brachial aretry, scalp, parotid gland, thyroid gland, cavernous sinus, palatine tonsil, tongue, lateral wall of nose, posterior wall of nose , middle ear , facial nerve. these are the important questions for my anatomy university exam give me a proper schedule to complete them in a week. the time that i can spend on these topics is 2 hrs a day

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anatomy study schedule brachial plexus upper limb head neck exam preparation tips

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Here is your complete 7-day anatomy exam schedule. Today is Monday, June 29, so your exam prep ends Sunday, July 5.

7-Day Anatomy Exam Schedule

2 Hours/Day | 20 Topics | Exam-Ready by Sunday


Grouping Logic

The 20 topics are split into thematic clusters so you reinforce related anatomy together:
ClusterTopics
Upper Limb - NervesBrachial plexus, Median, Radial, Ulnar
Upper Limb - Vessels & JointsAxillary A, Brachial A, Radial A, Shoulder joint, Elbow joint
BreastMammary gland
Head & Neck - GlandsParotid, Thyroid
Head & Neck - Sinuses & EarCavernous sinus, Middle ear
Oral & PharyngealTongue, Palatine tonsil
Nasal & ScalpScalp, Lateral wall of nose, Posterior wall of nose
NerveFacial nerve

Day-by-Day Schedule


DAY 1 - Monday, June 29

Theme: Brachial Plexus + Mammary Gland (2 hours)
TimeTopicFocus Points
0:00 - 1:20Brachial PlexusRoots (C5-T1), Trunks, Divisions, Cords, Branches (RTDCB). Mnemonic: "Robert Taylor Drinks Cold Beer." Pre/post-ganglionic injuries. Erb's palsy (C5-C6), Klumpke's palsy (C8-T1). Axillary, musculocutaneous, radial, median, ulnar nerve origins. Long thoracic, dorsal scapular, suprascapular nerves.
1:20 - 2:00Mammary GlandStructure (15-20 lobes), Cooper's ligaments, lymphatic drainage (axillary - 75%, internal mammary), blood supply (internal thoracic, lateral thoracic, intercostals), nerve supply (anterior & lateral cutaneous branches of intercostals 2-6). Clinical: peau d'orange, carcinoma lymph spread.
Tip: Draw the brachial plexus from scratch at least 3 times before bed. It's the hardest topic - give it maximum mental energy.

DAY 2 - Tuesday, June 30

Theme: Median + Radial + Ulnar Nerves (2 hours)
TimeTopicFocus Points
0:00 - 0:40Median NerveOrigin (lateral + medial cords, C5-T1). Course (arm, cubital fossa, forearm, carpal tunnel, hand). Muscles (LOAF in hand: Lateral 2 lumbricals, Opponens pollicis, Abductor pollicis brevis, Flexor pollicis brevis). Injury: carpal tunnel - ape hand, Pope's blessing. Anterior interosseous nerve branch.
0:40 - 1:20Radial NerveOrigin (posterior cord, C5-T1). Spiral groove of humerus - wrist drop. Deep branch (posterior interosseous nerve). Superficial branch (sensory). Muscles (all extensors + brachioradialis). Injuries at different levels.
1:20 - 2:00Ulnar NerveOrigin (medial cord, C8-T1). Course behind medial epicondyle - "funny bone." Cubital tunnel, Guyon's canal. Muscles (hypothenar, medial 2 lumbricals, all interossei, adductor pollicis). Claw hand (ring + little fingers). Froment's sign.
Tip: Make a comparison table: median vs radial vs ulnar - origin, course, muscles, injury, clinical sign. This is a favourite exam format.

DAY 3 - Wednesday, July 1

Theme: Shoulder Joint + Elbow Joint + Axillary Artery (2 hours)
TimeTopicFocus Points
0:00 - 0:40Shoulder JointBall-and-socket, most mobile/least stable joint. Articular surfaces, capsule, ligaments (glenohumeral, coracohumeral, coracoacromial). Rotator cuff muscles (SITS: Supraspinatus, Infraspinatus, Teres minor, Subscapularis). Bursae. Relations. Dislocation directions (anterior most common - axillary nerve injury).
0:40 - 1:20Elbow JointHinge joint. Bones (humerus, radius, ulna). Ligaments (medial/ulnar collateral, lateral/radial collateral, annular). Cubital fossa contents (from lateral to medial: Radial Nerve, Biceps tendon, Brachial Artery, Median Nerve - "Really Be Brave Man"). Injuries: pulled elbow, golfer's vs tennis elbow.
1:20 - 2:00Axillary Artery3 parts relative to pectoralis minor. Part 1 (1 branch: superior thoracic). Part 2 (2 branches: thoracoacromial, lateral thoracic). Part 3 (3 branches: subscapular, anterior/posterior circumflex humeral). Relations, axillary vein, brachial plexus cords.

DAY 4 - Thursday, July 2

Theme: Brachial Artery + Radial Artery + Scalp + Parotid Gland (2 hours)
TimeTopicFocus Points
0:00 - 0:25Brachial ArteryContinuation of axillary. Course (medial to biceps, cubital fossa). Branches (profunda brachii, superior/inferior ulnar collaterals, nutrient artery to humerus). Bifurcation at radial neck into radial + ulnar arteries. Clinical: blood pressure measurement site.
0:25 - 0:50Radial ArteryCourse (lateral forearm, anatomical snuffbox, palm). Branches (radial recurrent, superficial palmar branch, princeps pollicis, deep palmar arch). Pulse palpation at wrist. Allen's test.
0:50 - 1:20Scalp5 layers (SCALP): Skin, dense Connective tissue, Aponeurosis (epicranial), Loose areolar tissue, Pericranium. Dangerous layer = loose areolar (infection spreads). Blood supply (supratrochlear, supraorbital, superficial temporal, posterior auricular, occipital arteries). Sensory innervation (V1, V2 anteriorly; C2, C3 posteriorly).
1:20 - 2:00Parotid GlandLargest salivary gland. Location (retromandibular fossa). Contents (facial nerve VII superficial, retromandibular vein deep to VII, external carotid artery deepest). Stensen's duct (opposite upper 2nd molar). Blood supply, venous drainage. Frey's syndrome (auriculotemporal nerve). Mumps, parotid tumours.

DAY 5 - Friday, July 3

Theme: Thyroid Gland + Cavernous Sinus + Middle Ear (2 hours)
TimeTopicFocus Points
0:00 - 0:45Thyroid GlandH-shaped, isthmus at 2nd-4th tracheal rings. Capsule and surgical capsule. Blood supply (superior thyroid artery from ECA, inferior thyroid artery from thyrocervical trunk). Veins (superior, middle, inferior - drain into IJV except inferior which drains into brachiocephalic). Lymphatics. Relations (parathyroids, RLN - close to inferior thyroid artery, pyramidal lobe). Clinical: RLN injury in thyroidectomy - hoarseness.
0:45 - 1:20Cavernous SinusLocation (either side of sella turcica). Contents: CN III, IV, V1, V2, VI and internal carotid artery (+ sympathetic plexus). VI is in free - most vulnerable to raised pressure. Communications (superior/inferior petrosal sinuses, ophthalmic veins, pterygoid plexus). Thrombosis: dangerous area of face (upper lip, nose). Clinical signs.
1:20 - 2:00Middle Ear (Tympanic Cavity)6 walls (roof = tegmen tympani, floor = jugular wall, lateral = tympanic membrane, medial = labyrinthine, anterior = carotid, posterior = mastoid). Ossicles (malleus, incus, stapes). Muscles (tensor tympani - CN V3; stapedius - CN VII). Chorda tympani (branch of VII - taste anterior 2/3 tongue). Eustachian tube. Otitis media, mastoiditis complications.

DAY 6 - Saturday, July 4

Theme: Tongue + Palatine Tonsil + Lateral & Posterior Wall of Nose (2 hours)
TimeTopicFocus Points
0:00 - 0:35TongueAnterior 2/3 vs posterior 1/3. Mucosa (filiform, fungiform, circumvallate, foliate papillae). Muscles - intrinsic + extrinsic (genioglossus, hyoglossus, styloglossus, palatoglossus). Motor: XII (hypoglossal) except palatoglossus (CN X). Sensory: anterior 2/3 - general (V3/lingual), taste (VII/chorda tympani); posterior 1/3 - both (IX/glossopharyngeal). Blood supply (lingual artery).
0:35 - 1:05Palatine TonsilLocation (between palatoglossal and palatopharyngeal arches - tonsillar fossa). Capsule (from pharyngobasilar fascia). Blood supply: main = tonsillar branch of facial artery; also ascending pharyngeal, ascending palatine, greater palatine, lingual artery. Paratonsillar vein (bleeds in tonsillectomy). Waldeyer's ring. Deep to tonsil: internal carotid artery - danger in tonsillectomy.
1:05 - 1:35Lateral Wall of Nose3 conchae (superior, middle, inferior). 4 meatuses. Openings: inferior meatus (nasolacrimal duct), middle meatus (frontal, maxillary, anterior ethmoidal sinuses - hiatus semilunaris), superior meatus (posterior ethmoidal), sphenoethmoidal recess (sphenoidal sinus). Kiesselbach's area (Little's area) - common nosebleed site.
1:35 - 2:00Posterior Wall of Nose (Nasopharynx/Posterior Choana)Choanae boundaries (vomer medially, palatine bone laterally, sphenoid above, horizontal plate of palatine below). Adenoids (pharyngeal tonsil) on roof. Eustachian tube opening on lateral wall. Salpingopharyngeal fold. Fossa of Rosenmuller (pharyngeal recess) - nasopharyngeal carcinoma site. Blood supply of nasal cavity (sphenopalatine artery - main; ethmoidal arteries, facial artery).

DAY 7 - Sunday, July 5

Theme: Facial Nerve + Revision + Mock Questions (2 hours)
TimeTopicFocus Points
0:00 - 0:50Facial Nerve (CN VII)Course: internal auditory meatus → geniculate ganglion → 3 branches in petrous bone (greater petrosal nerve, nerve to stapedius, chorda tympani) → exits at stylomastoid foramen → parotid gland → 5 terminal branches (TMPZB: Temporal, Zygomatic, Buccal, Marginal mandibular, Cervical). Motor to all muscles of facial expression (except buccinator - it's supplied but also by V3 for proprioception). Parasympathetics (lacrimal gland via pterygopalatine, submandibular/sublingual via submandibular ganglion). LMN vs UMN facial palsy. Bell's palsy.
0:50 - 1:30Rapid RevisionFlip back through all topics in 40 mins. Focus on: brachial plexus diagram, nerve injury signs table, cavernous sinus contents, thyroid surgical dangers, Kiesselbach's area, ossicles of middle ear, tongue innervation summary.
1:30 - 2:00Self-TestCover your notes. Write from memory: (1) branches of axillary artery, (2) contents of cavernous sinus, (3) 5 branches of facial nerve, (4) muscles supplied by ulnar nerve, (5) blood supply of tonsil. Check answers. Flag weak areas.

Key Mnemonics Summary

TopicMnemonic
Brachial plexus structureRoots, Trunks, Divisions, Cords, Branches = "Robert Taylor Drinks Cold Beer"
Scalp layersSCALP
Rotator cuffSITS (Supraspinatus, Infraspinatus, Teres minor, Subscapularis)
Cubital fossa (lat → med)"Really Be Brave Man" (Radial N, Biceps tendon, Brachial A, Median N)
Median nerve hand musclesLOAF
Facial nerve branchesTo My Zulu Boy Comes (Temporal, Marginal mandibular, Zygomatic, Buccal, Cervical)
Axillary artery branches1-2-3 rule (parts 1, 2, 3 give 1, 2, 3 branches respectively)

General Tips

  • Draw, don't just read. For brachial plexus, facial nerve, and cavernous sinus - sketching the diagram burns it into memory far faster than re-reading.
  • Clinical correlations = exam marks. Examiners love asking about RLN and thyroidectomy, axillary nerve and shoulder dislocation, cavernous sinus thrombosis, and facial nerve palsy. Know the clinical angle for each topic.
  • Active recall over passive reading. After each session, close the book and write down everything you remember. Then check.
  • Prioritise Day 1 and Day 7. Brachial plexus is the most complex topic and facial nerve is the most commonly examined cranial nerve - these deserve your sharpest focus.
  • Group study on Day 7 if possible. Teaching a classmate the facial nerve or brachial plexus in the last 30 minutes is one of the best retention strategies.
Good luck with your exam!

can u give any mnemonic to remember all the brachial plexus branches

Here's a complete mnemonic breakdown for ALL brachial plexus branches, organized by level:

Brachial Plexus Branches - Complete Mnemonics

First, the Structure (RTDCB)

"Robert Taylor Drinks Cold Beer" Roots → Trunks → Divisions → Cords → Branches

ROOTS Level Branches

(branches given off directly from the roots)
BranchRoot
Dorsal Scapular NerveC5
Long Thoracic NerveC5, C6, C7
"My Aunt Keeps Selling Drugs" - just remember 2 branches at root level: Dorsal Scapular + Long Thoracic Or simply: "Don't Lose" (Dorsal scapular, Long thoracic)

TRUNK Level Branches

(only the upper trunk gives branches)
BranchOrigin
Nerve to SubclaviusUpper trunk
Suprascapular NerveUpper trunk
"Upper trunk gives 2 S's" → Subclavius + Suprascapular

CORDS Level Branches

This is the BIG one. Each cord gives multiple branches.

LATERAL CORD → "My Lateral Cord Makes People Move"

LetterBranch
LLateral pectoral nerve
MMusculocutaneous nerve
MMedial root of median nerve (lateral cord contributes)
Short form: "Lateral Cord = LMM" (Lateral pectoral, Musculocutaneous, Median contribution)

MEDIAL CORD → "My Medial Cord Makes Many More Nerves"

BranchMemory
Medial pectoral nerve
Medial cutaneous nerve of arm
Medial cutaneous nerve of forearm
Ulnar nerve
Medial root of median nerve
"Men Prefer Making Unusual Moves" Medial pectoral, Medial cutaneous arm, Medial cutaneous forearm, Ulnar, Median (medial root)
Or think: Medial cord = 5 branches, all start with M except Ulnar

POSTERIOR CORD → "ULTRA"(the most testable one)

LetterBranch
UUpper subscapular nerve
TThoracodorsal nerve (nerve to latissimus dorsi)
LLower subscapular nerve
RRadial nerve
AAxillary nerve
"ULTRA" - Posterior cord gives 5 branches, remember ULTRA

THE TERMINAL BRANCHES (5 major nerves)

"My Aunt Reads Uncle's Magazines"
LetterNerveCord Origin
MMusculocutaneousLateral
AAxillaryPosterior
RRadialPosterior
UUlnarMedial
MMedianLateral + Medial

Full Picture on One Page

ROOTS (C5-T1)
  ├── Dorsal Scapular (C5)          } "Don't Lose"
  └── Long Thoracic (C5,6,7)       }

TRUNKS (Upper only)
  ├── Nerve to Subclavius           } "Two S's from
  └── Suprascapular nerve           }  Upper trunk"

CORDS
  ├── LATERAL  → LMM
  │     Lateral pectoral
  │     Musculocutaneous
  │     Median (lateral root)
  │
  ├── MEDIAL   → "Men Prefer Making Unusual Moves"
  │     Medial pectoral
  │     Med. cut. nerve of arm
  │     Med. cut. nerve of forearm
  │     Ulnar
  │     Median (medial root)
  │
  └── POSTERIOR → ULTRA
        Upper subscapular
        Thoracodorsal
        Lower subscapular
        Radial
        Axillary

Quick Exam Hack

If asked "how many branches does each cord give?":
  • Lateral = 3
  • Medial = 5
  • Posterior = 5
Remember: "3 - 5 - 5" or "Lateral is the smallest cord"

The single most important mnemonic to memorize first is ULTRA for the posterior cord - it's the most frequently examined because it contains radial and axillary nerves, both of which have major clinical injury patterns.

divisions of brachial plexus

The divisions are often the most confusing part of the brachial plexus because no named branches come off them - they just divide and recombine. Here's everything you need:

Divisions of the Brachial Plexus

What Are Divisions?

Each of the 3 trunks splits into an Anterior and Posterior division = 6 divisions total
They sit behind the clavicle (retroclavicular / infraclavicular region)

The 6 Divisions

TrunkAnterior DivisionPosterior Division
Upper trunk (C5, C6)Anterior division of upper trunkPosterior division of upper trunk
Middle trunk (C7)Anterior division of middle trunkPosterior division of middle trunk
Lower trunk (C8, T1)Anterior division of lower trunkPosterior division of lower trunk

How Divisions Form the Cords

This is the key concept - which divisions join to form which cord:
ANTERIOR divisions:
  Upper + Middle  ──────────────────→  LATERAL CORD
  Lower  ───────────────────────────→  MEDIAL CORD

POSTERIOR divisions:
  Upper + Middle + Lower ───────────→  POSTERIOR CORD
CordFormed bySpinal levels
Lateral cordAnterior div. of Upper + Middle trunkC5, C6, C7
Medial cordAnterior div. of Lower trunkC8, T1
Posterior cordPosterior div. of ALL 3 trunksC5, C6, C7, C8, T1

The Functional Logic (Why It Makes Sense)

Anterior divisions → supply flexor compartments (front of limb) Posterior divisions → supply extensor compartments (back of limb)
This is why the posterior cord receives input from ALL three trunks - it needs to cover the entire posterior (extensor) side of the upper limb, from shoulder to fingers.

Memory Trick

"All Posterior divisions go Posterior - no exceptions" "Anterior divisions SPLIT - upper+middle go Lateral, lower goes Medial"
Or visualize it as a fork in a road:
        Upper trunk ──── Ant ──┐
                               ├──→ LATERAL CORD
        Middle trunk ─── Ant ──┘

        Lower trunk ──── Ant ──────→ MEDIAL CORD

        Upper trunk ──── Post ─┐
                                ├──→ POSTERIOR CORD
        Middle trunk ─── Post ─┤
                                │
        Lower trunk ──── Post ─┘

Important Exam Points

PointDetail
No branches arise from divisionsDivisions are purely a regrouping zone - this is a classic MCQ trap
Where are divisions located?Behind the clavicle (between scalene muscles and axilla)
Posterior cord is the widestGets input from C5 to T1 (all roots)
Lateral cord = C5, 6, 7 onlyThis is why median nerve has both lateral and medial roots (to get C8, T1 input)
Why does median nerve have two roots?Lateral root (C5-7 from lateral cord) + Medial root (C8-T1 from medial cord) unite to form the complete median nerve

One-Line Summary for Quick Revision

"3 trunks → 6 divisions (each trunk splits into ant + post) → 3 cords (ant upper+mid = lateral, ant lower = medial, all post = posterior)"
The divisions exist purely to regroup nerve fibers from a flexor/extensor functional basis, replacing the original root/segment basis of the trunks.

brachial plexus line diagram to present in exam

Generating Image
Brachial Plexus Line Diagram

Here's how to reproduce this in your exam quickly:

How to Draw It Fast in Exam (Step-by-Step)

Step 1 - Draw 5 horizontal root lines on the left, label C5, C6, C7, C8, T1
Step 2 - Merge into 3 trunks:
  • C5 + C6 → Upper trunk
  • C7 → Middle trunk
  • C8 + T1 → Lower trunk
Step 3 - Split each trunk into A (anterior) and P (posterior) - just draw a fork from each trunk
Step 4 - Merge into 3 cords:
  • A of Upper + A of Middle → Lateral cord
  • A of Lower → Medial cord
  • P of ALL three → Posterior cord
Step 5 - Draw terminal branches on the right side

What to Label for Maximum Marks

Must LabelDon't Forget
All 5 roots (C5-T1)Dorsal scapular (C5) at root level
All 3 trunksLong thoracic (C5,6,7) at root level
All 6 divisions (A & P)Suprascapular + Nerve to subclavius at upper trunk
All 3 cordsULTRA branches of posterior cord
All 5 terminal branchesMedian nerve = two roots uniting (M shape)
Pro tip: Draw the median nerve as an "M" or "V" shape where the lateral and medial roots unite - examiners specifically look for this and it shows you understand the anatomy.

Make a comparison chart of median vs radial vs ulnar nerve injuries

Generating Image
Comparison of Major Upper Limb Nerve Injuries

Here's the full detailed text version for your revision notes:

Median vs Radial vs Ulnar - Complete Comparison

FeatureMedian NerveRadial NerveUlnar Nerve
Cord originLateral + Medial cordsPosterior cordMedial cord
Spinal levelsC5, C6, C7, C8, T1C5, C6, C7, C8, T1C8, T1
Common injury siteCarpal tunnel (wrist)Spiral groove of humerusBehind medial epicondyle
Classic causeCarpal tunnel syndrome, wrist lacerationMidshaft humeral fracture, "Saturday night palsy"Cubitus valgus, leaning on elbow
Classic deformityApe handWrist dropClaw hand (ring + little fingers)
Motor lossThenar muscles (LOAF), lateral 2 lumbricalsAll extensors of wrist + fingers + thumb, brachioradialisHypothenar, medial 2 lumbricals, all interossei, adductor pollicis
Sensory lossLateral 3½ fingers (palm side) + dorsal tipsDorsum of lateral 3½ fingers (small area), anatomical snuffboxMedial 1½ fingers, both palmar and dorsal
Key clinical signPope's blessing (can't flex index/middle fingers)Finger/wrist dropFroment's sign (flexes thumb IP joint when pinching)
Hand weaknessOpposition + abduction of thumbExtension at wrist and fingersGrip, pinch, finger abduction/adduction
Pen/writing testCan't oppose thumb to writeCan't extend wrist to writeWeak grip on pen

The Three Deformities Explained

🤚 Ape Hand (Median nerve)

  • Thenar eminence wastes away (flat palm)
  • Thumb falls into same plane as fingers (lost opposition)
  • Called "ape" because apes cannot oppose their thumb
  • Test: ask patient to touch thumb to little finger - cannot do it

🤚 Wrist Drop (Radial nerve)

  • Wrist hangs flexed due to loss of all wrist extensors
  • Cannot extend wrist, MCP joints, or thumb
  • Brachioradialis also lost (elbow flexion weakened in midpronation)
  • Test: ask patient to extend wrist against resistance - cannot do it

🤚 Claw Hand (Ulnar nerve)

  • Ring and little fingers are clawed (hyperextended at MCP, flexed at IP joints)
  • Index and middle fingers are not clawed because their lumbricals are intact (supplied by median nerve)
  • This is called the "ulnar paradox" - a lesion at the wrist produces a worse claw than a lesion at the elbow
  • Test: Froment's sign - ask patient to grip a paper between thumb and index finger - patient flexes thumb IP joint (uses FPL from median nerve to compensate)

Ulnar Paradox - Exam Favourite

High ulnar nerve lesion (elbow): FDP to ring/little fingers is also paralyzed, so fingers can't flex at IP joints - less clawing Low ulnar nerve lesion (wrist): FDP intact, so fingers CAN flex at IP joints - more clawing The higher the lesion, the less the claw = ulnar paradox

Quick 3-Word Memory

NerveInjury siteDeformity
MedianCarpal tunnelApe hand
RadialSpiral grooveWrist drop
UlnarMedial epicondyleClaw hand
"Monkey Apes, Radios Drop, Ulcers Claw" - Median=Ape, Radial=Drop, Ulnar=Claw

radial nerve diagram with branches

Generating Image
Radial Nerve Diagram with Branches

Here's the complete text breakdown to go with the diagram:

Radial Nerve - Complete Branch Breakdown

Origin

  • Posterior cord of brachial plexus
  • Spinal levels: C5, C6, C7, C8, T1

Branches in the AXILLA

BranchSupplies
Nerve to long head of tricepsTriceps (long head)
Nerve to medial head of tricepsTriceps (medial head)
Posterior cutaneous nerve of armSkin of posterior arm
Lower lateral cutaneous nerve of armSkin of lower lateral arm

Branches in the SPIRAL GROOVE (arm)

BranchSupplies
Nerve to lateral head of tricepsTriceps (lateral head)
Nerve to medial head of triceps (lower)Triceps (medial head, lower part)
Posterior cutaneous nerve of forearmSkin of posterior forearm all the way to wrist
The spiral groove is where the radial nerve winds around the posterior surface of the humerus between the lateral and medial heads of triceps. A midshaft humeral fracture injures it here.

Branches at LATERAL EPICONDYLE / Cubital Fossa

BranchSupplies
Nerve to brachioradialisBrachioradialis
Nerve to ECRLExtensor carpi radialis longus
Nerve to ECRBExtensor carpi radialis brevis

BIFURCATION - The Key Point

At the level of the lateral epicondyle, the radial nerve divides into 2 terminal branches:
Radial Nerve
     │
     ├──→ SUPERFICIAL BRANCH (purely SENSORY)
     │         └── Dorsum of lateral 3½ fingers
     │             (not the tips - tips by median nerve)
     │
     └──→ DEEP BRANCH = POSTERIOR INTEROSSEOUS NERVE (purely MOTOR)
               └── Winds through supinator muscle
                   then supplies all remaining extensors

POSTERIOR INTEROSSEOUS NERVE (PIN) Branches

(all in the posterior compartment of forearm)
MuscleAction
SupinatorSupination
Extensor digitorumExtends fingers 2-5 at MCP
Extensor digiti minimiExtends little finger
Extensor carpi ulnarisExtends + adducts wrist
Abductor pollicis longusAbducts thumb
Extensor pollicis longusExtends thumb IP joint
Extensor pollicis brevisExtends thumb MCP joint
Extensor indicisExtends index finger independently

3 Injury Levels - Exam Favourite

LevelSiteWhat is LostWhat is Spared
AxillaCrutch palsy, axillary dislocationEverything - triceps, wrist + finger extension, sensationNothing
Spiral grooveMidshaft humeral fractureWrist drop, finger drop, sensation on dorsumTriceps spared (branches given off above)
PIN (below elbow)Radial tunnel syndromeFinger drop onlyWrist extension preserved (ECRL given off above bifurcation), no sensory loss
Key exam MCQ: In spiral groove injury - triceps is spared because its branches arise proximal to the spiral groove. Elbow extension is intact.
PIN injury exam trap: No sensory loss (PIN is purely motor) + wrist drops to ulnar side (ECU lost, ECRL intact pulls wrist to radial side during extension attempt)

One-Line Summary

"Radial nerve = posterior cord → axilla → spiral groove → lateral epicondyle → splits into superficial (sensory) + deep/PIN (motor extensors)"
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