Posterior cord

Cords · C5 C6 C7 C8 T1

Carries fibres from all five roots. Its branches are remembered as ULTRA: Upper subscapular, Lower subscapular, Thoracodorsal, Radial, Axillary — a memory word, not the order of origin, which runs upper subscapular, then thoracodorsal, then lower subscapular, with axillary and radial as the terminal branches.

Traced from the start

  1. C5 nerve rootC6 nerve root
  2. Upper trunk
  3. C7 nerve root
  4. Middle trunk
  5. C8 nerve rootT1 nerve root
  6. Lower trunk
  7. Posterior division of the upper trunkPosterior division of the middle trunkPosterior division of the lower trunk
  8. Posterior cord

Detail

Motor
The whole extensor compartment of the arm and forearm, plus deltoid and latissimus dorsi
Sensory
Posterior arm and forearm, and the dorsum of the radial side of the hand

When it goes wrong

Anterior dislocation of the shoulder, or a penetrating axillary wound

Wrist drop with weak elbow extension and weak abduction, with loss of the regimental badge patch — a combined radial and axillary picture, since both arise here. Crutch pressure in the axilla catches the radial nerve alone: wrist drop with weak triceps, but the deltoid is spared, because the axillary nerve has already left through the quadrangular space.

Practise this structure

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