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The C8 nerve contributes to the motor innervation of many of the muscles in the trunk and upper limb. Its primary function is the flexion of the fingers, and this is used as the clinical test for C8 integrity, in conjunction with the finger jerk reflex.
It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial compartment of the forearm and the associated joints and overlying skin. It originates from the brachial plexus, carrying fibers from the posterior roots of spinal nerves C5, C6, C7, C8 and T1. [1]
The muscle is inserted onto the radial sesamoid bone of the metacarpophalangeal joint. It acts to flex, adduct, and abduct the thumb, and is therefore also able to oppose the thumb. The superficial head is innervated by the median nerve, while the deep head is innervated by the ulnar nerve (C8-T1). [6]
The medial pectoral nerve (also known as the medial anterior thoracic nerve) is (typically) a branch of the medial cord of the brachial plexus and is derived from spinal nerve roots C8-T1. It provides motor innervation to the pectoralis minor muscle, and the lower half (sternal part) of the pectoralis major muscle. It runs along the inferior ...
The medial cutaneous nerve of the forearm (also known as the medial antebrachial cutaneous nerve) is a sensory branch of the medial cord of the brachial plexus derived from the ventral rami of spinal nerves C8-T1. It provides sensory innervation to the skin of the medial forearm and skin overlying the olecranon.
The extrinsic muscle groups are the long flexors and extensors. They are called extrinsic because the muscle belly is located on the forearm. The intrinsic group are the smaller muscles located within the hand itself. The muscles of the hand are innervated by the radial, median, and ulnar nerves from the brachial plexus. [1]