Ulnar Nerve

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ULNAR NERVE

IN AXILLA &
ARM
Presented by:
Riya Gupta
Roll no. 101
ORIGIN OF ULNAR NERVE [ C8, T1]
▪ Ulnar nerve arises in the axilla
▪ Branch of Medial cord of Brachial
plexus(C8 and T1) which arises from
Anterior division of Lower trunk
▪ From Ventral Ramus of C7, fibres in ulnar
nerve supply Flexor Carpi Ulnaris
BRACHIAL PLEXUS

14

12

10 5

8 2 2
3
6 2.8
2.4
4.4 1.8
4

BRACHIAL 2

0
4.3
2.5
3.5
4.5

PLEXUS
Category 1 Category 2 Category 3 Category 4

Series 1 Series 2 Series 3


Lateral cord

Course of Ulnar Nerve Medial


Musculocutaneous
cord
nerve

▪ In the Axilla, nerve lies Group


medial to third part of Musculocutan B Median nerve
Group Group
Axillary artery eous nerve
A Ulnar C
nerve
(between axillary artery Radial
Medial
Task intermuscular
and vein)
nerve
septum
1
Medial
epicondyle
In the Arm
▪ It descends on the medial
side of Brachial artery Class Group A Group B

down to the insertion of Class 1 82 95

coracobrachialis muscle Class 2 76 88

▪ Pierces the intermuscular Class 3 84 90


Medial

septum to enter the epicondyle

posterior compartment of
arm
▪ Runs downwards to back of
medial epicondyle of
humerus at the elbow
On the back of medial epicondyle, it is lodged in a groove
where it can be easily palpated. The is converted into a tunnel
called Cubital Tunnel by a fibrous band extending between
medial epicondyle and olecranon process.

The ulnar nerve behind the medial epicondyle of humerous is


termed as ‘Funny bone’ because when medial part of elbow
hits a hard surface, tingling sensations occur.
The Ulnar nerve does not give any branch in the
Axilla and in the Arm.
ULNAR NERVE INJURIES

At Elbow:
▪ Fracture dislocation of medial epicondyle
▪ Cubital tunnel syndrome
▪ Compression between the two heads of flexor
carpi ulnaris muscle
▪ Valgus deformity of elbow( late ulnar nerve
palsy)
Clinical Features
1. Atrophy and flattening of
hypothenar eminence
2. Claw-hand deformity affecting
ring and little fingers.
3. It is not a true claw hand
4. Loss of sensation over the
palmar and dorsal surfaces of
medial third of the hand and Sensory loss in hand following ulnar nerve
medial one and half fingers. Palmar aspect Dorsal aspect

5. Forment’s sign is positive


Forment’s sign:
The patient is asked to grasp the
card between the thumb and
index finger on the affected side
and when the doctor pulls it, the Positive Forment’s sign
flexion of distal phalanx of thumb
occurs due to paralysis of
adductor pollicis( supplied by
deep branch of ulnar nerve)
Thank you all….

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