Medial pectoral nerve
Citation, DOI, disclosures and article data
At the time the article was created Chamath Ariyasinghe had no recorded disclosures.
View Chamath Ariyasinghe's current disclosuresAt the time the article was last revised Sarah Robertson had no recorded disclosures.
View Sarah Robertson's current disclosures- Medial anterior thoracic nerve
The medial pectoral nerve, also known as the medial anterior thoracic nerve arises from the medial cord of the brachial plexus and supplies both the pectoralis minor and major muscles.
Gross anatomy
Origin
The medial pectoral nerve arises from the medial cord of the brachial plexus with fibres arising from the eighth cervical and first thoracic nerve roots.
Course
The medial pectoral nerve arises posterior to the axillary artery. It curves anteriorly to lie between the axillary artery and vein then, after receiving a communicating branch from the lateral pectoral nerve (the ansa pectoralis) enters the deep surface of the pectoralis minor muscle. The medial pectoral nerve perforates the pectoralis minor muscle and enters the deep surface of pectoralis major supplying the lower sternocostal fibres of the muscle.
Branches and supply
The medial pectoral nerve supplies both the pectoralis minor muscle and sternocostal portions of the pectoralis major muscle.
Relations
The medial pectoral nerve lies posterior to the axillary artery and anterior to the axillary vein. Along its course it receives a communicating branch from the lateral pectoral nerve to form a loop (ansa pectoralis) which runs anteriorly to both the axillary artery and vein.
Variant anatomy
The medial pectoral nerve may arise directly from the anterior division of the inferior trunk of the brachial plexus.
References
- 1. Moore KL, Agur AMR, Dalley AF. Clinically oriented anatomy. LWW. ISBN:1451119453. Read it at Google Books - Find it at Amazon
- 2. Last's anatomy, regional and applied. Churchill Livingstone. ISBN:044304662X. Read it at Google Books - Find it at Amazon
- 3. Shetty P, Nayak SB, Kumar N et-al. Origin of medial and lateral pectoral nerves from the supraclavicular part of brachial plexus and its clinical importance - a case report. J Clin Diagn Res. 2014;8 (2): 133-4. doi:10.7860/JCDR/2014/7082.4029
- 4. Kg P, K S. Anatomical study of pectoral nerves and its implications in surgery. J Clin Diagn Res. 2014;8 (7): AC01-5. doi:10.7860/JCDR/2014/8631.4545
Incoming Links
Related articles: Anatomy: Upper limb
-
skeleton of the upper limb
- clavicle
- scapula
- humerus
- radius
- ulna
- hand
- accessory ossicles of the upper limb
- accessory ossicles of the shoulder
- accessory ossicles of the elbow
-
accessory ossicles of the wrist (mnemonic)
- os centrale carpi
- os epilunate
- os epitriquetrum
- os styloideum
- os hamuli proprium
- lunula
- os triangulare
- trapezium secondarium
- os paratrapezium
- os radiostyloideum (persistent radial styloid)
- joints of the upper limb
-
pectoral girdle
-
shoulder joint
- articulations
- associated structures
- joint capsule
- bursae
- ligaments
- movements
- scapulothoracic joint
-
glenohumeral joint
- arm flexion
- arm extension
- arm abduction
- arm adduction
- arm internal rotation (medial rotation)
- arm external rotation (lateral rotation)
- circumduction
- arterial supply - scapular anastomosis
- ossification centres
-
shoulder joint
-
elbow joint
- proximal radioulnar joint
- ligaments
- associated structures
- movements
- alignment
- arterial supply - elbow anastomosis
- development
-
wrist joint
- articulations
-
ligaments
- intrinsic ligaments
- extrinsic ligaments
- radioscaphoid ligament
- dorsal intercarpal ligament
- dorsal radiotriquetral ligament
- dorsal radioulnar ligament
- volar radioulnar ligament
- radioscaphocapitate ligament
- long radiolunate ligament
- Vickers ligament
- short radiolunate ligament
- ulnolunate ligament
- ulnotriquetral ligament
- ulnocapitate ligament
- ulnar collateral ligament
- associated structures
- extensor retinaculum
- flexor retinaculum
- joint capsule
- movements
- alignment
- ossification centres
-
hand joints
- articulations
- carpometacarpal joint
-
metacarpophalangeal joints
- palmar ligament (plate)
- collateral ligament
-
interphalangeal joints
- palmar ligament (plate)
- collateral ligament
- movements
- ossification centres
- articulations
-
pectoral girdle
- spaces of the upper limb
- muscles of the upper limb
- shoulder girdle
- anterior compartment of the arm
- posterior compartment of the arm
-
anterior compartment of the forearm
- superficial
- intermediate
- deep
-
posterior compartment of the forearm (extensors)
- superficial
- deep
- muscles of the hand
-
accessory muscles
- elbow
- volar wrist midline
- palmaris longus profundus
- aberrant palmaris longus
- volar wrist radial-side
- accessory flexor digitorum superficialis indicis
- flexor indicis profundus
- flexor carpi radialis vel profundus
- accessory head of the flexor pollicis longus (Gantzer muscle, common)
- volar wrist ulnar-side
- dorsal wrist
- blood supply to the upper limb
-
arteries
- subclavian artery (mnemonic)
- axillary artery
- brachial artery (proximal portion)
- ulnar artery
- radial artery
- veins
-
arteries
- innervation of the upper limb
- intercostobrachial nerve
-
brachial plexus (mnemonic)
- branches from the roots
- branches from the trunks
- branches from the cords
- lateral cord
- posterior cord
- medial cord
- terminal branches
- lymphatic drainage of the upper limb
Unable to process the form. Check for errors and try again.
