Dende nba El, Ti COMPREHENSIVE SURVEY OF MEDIAN, ULNAR AND RADIAL 12 NERVES These three nerves of upper limb are described in paris in different regions. Now a total projection of their courses, relations and branches becomes essential to understand their clinical importances (See Figs. 6.4, 6.7, 9.3, 9.5, 9.7, 10.2, 11.8, 11.11, 11.17). MEDIANNERVE Formation : It is formed in the axilla by the union of medial and lateral roots. The medial root is derived from the medial cord of brachial plexus and conveys the fibres from C, and T, ; it crosses downward and laterally in front of the third part of axillary artery and joins with the lateral root. The lateral root is the continuation of lateral cord of brachial plexus and conveys fibres from C,, C, and C, Some fibres from C, of the lateral root often join with the ulnar nerve, after passing behind the ‘medial root and in front of the axillary artery. Lat. pectoral N. Deltoid Brachial art Median N. (in arm.) Radial N. Brachio-Radialis Radial N. (Deep br.) Radial N. (Superficial br) Radial art Recurrent br. (Median N. in Palm) N. to Ist lumbrical (Median) N. to 2nd Jumbrical (Median) Axillary art Axillary vein Med. pectoral N. Pectoralis minor eres major Coraco-brachialis Ulnar N. (in arm) Pronator teres (Humaral head) Pronator teres (ulnar head) Flexor digitorum superticialis (cut close its origin) Median N. (in forearm) Ulnar art Ulnar N_ (in forearm) Flexor retinaculum Palmaris Brevis Ulnar N. (in palm) (Superficial Br.) Fig. 12.1. Upper limb (From the front)