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Updated: Feb 11 2019

Median nerve

  • Innervation
    • Motor
      • superficial volar forearm group
        • Pronator teres
        • Flexor carpi radialis
        • Palmaris longus
      • intermediate group
        • Flexor digitorum superficialis
      • deep group
        • Flexor digitorum profundus (lateral)
        • Flexor pollicis longus
        • Pronator quadratus
      • hand
        • 1st and 2nd lumbricals
        • Opponens pollicis
        • Abductor pollicis brevis
        • Flexor pollicis brevis
  • Origin
    • Brachial plexus
      • C5-T1 roots
        • medial and lateral cords
  • Course
    • Anterior compartment of arm
      • anterior compartment (anteromedial to humerus)
      • runs with brachial artery (lateral in upper arm / medial at elbow)
      • no branches in the arm
    • Forearm
      • enters the forearm between the pronator teres and biceps tendon
      • travels between flexor digitorum superficialis (FDS) and flexor digitorum profundus (FDP)
      • then emerges between the FDS and flexor pollicis longus (FPL)
    • Hand
      • the nerve then enters the hand via the carpal tunnel, along with the tendons of the FDS, FDP and FPL
    • Terminal branches
      • anterior interosseous branch (AIN)
        • innervates the deep volar compartment of forearm except the ulnar half of the FDP
      • palmar cutaneous branch
        • supplies sensory innervation to lateral palm
      • recurrent branch (to thenar compartment)
      • digital cutaneous branches
        • supply the radial 3 1/2 digits (palmar)
        • can also supply the index, long, and ring fingers dorsally
  • Clinical Conditions
    • Carpal tunnel syndrome
    • AIN neuropathy
    • Pronator syndrome
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