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Vagus (X)
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Cervical Plexus (C2-4)
Brachial Plexus (C5-T1)
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Radial
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Ilioinguinal / Iliohypogastric
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The Radial Nerve

The radial nerve arises from the posterior cord of the brachial plexus. The radial nerve innervates the extensor-supinator muscle group and provides sensory innervation to the posterior aspect of the elbow, forearm and hand.

The Radial Nerve in the Arm (supine with arm abducted)

The radial nerve leaves the axillary artery with the profunda brachii artery in the axilla to innervate the triceps muscle (Video 1.4 MB). The profunda brachii artery follows the radial nerve as it moves from the axillary artery towards the spiral groove of the humerus. Because the radial nerve travels in the spiral groove of the humerus it can be damaged with these fractures.

 
 
   
 

(Roll cursor over image to see labels.)  

The radial nerve divides into its superficial and deep branches on the lateral side of the antecubital fossa (Video 980 KB). The radial nerve lies over the lateral epicondyle of the humerus.

 
 
   
 
  

The Superficial Radial Nerve in the Forearm (supine with arm supinated)

The superficial radial nerve joins the radial artery in the middle third of the forearm (Video 604 KB). The SRN joins and leaves the radial artery on its lateral side. The superficial radial nerve divides approximately 5 cm proximal to the styloid process of the radius.

 
 
   
 

 

References

Martinoli C, Bianchi S, Pugliese F, Bacigalupo L, Gauglio C, Valle M, Derchi LE. Sonography of entrapment neuropathies in the upper limb (wrist excluded). J Clin Ultrasound. 2004 Nov-Dec;32(9):438-50. Review. PMID: 15558622

Bianchi S, Montet X, Martinoli C, Bonvin F, Fasel J. High-resolution sonography of compressive neuropathies of the wrist. J Clin Ultrasound. 2004 Nov-Dec;32(9):451-61. PMID: 15558623

Chien AJ, Jamadar DA, Jacobson JA, Hayes CW, Louis DS. Sonography and MR imaging of posterior interosseous nerve syndrome with surgical correlation. AJR Am J Roentgenol. 2003 Jul;181(1):219-21. PMID: 12818863

Loewy J. Sonoanatomy of the median, ulnar and radial nerves. Can Assoc Radiol J. 2002 Feb;53(1):33-8. Review. PMID: 11882990

Heinemeyer O, Reimers CD. Ultrasound of radial, ulnar, median, and sciatic nerves in healthy subjects and patients with hereditary motor and sensory neuropathies. Ultrasound Med Biol. 1999 Mar;25(3):481-5. PMID: 10374990

Bodner G, Harpf C, Meirer R, Gardetto A, Kovacs P, Gruber H. Ultrasonographic appearance of supinator syndrome. J Ultrasound Med. 2002 Nov;21(11):1289-93. PMID: 12418768

Bodner G, Huber B, Schwabegger A, Lutz M, Waldenberger P. Sonographic detection of radial nerve entrapment within a humerus fracture. J Ultrasound Med. 1999 Oct;18(10):703-6. PMID: 10511303

Bodner G, Buchberger W, Schocke M, Bale R, Huber B, Harpf C, Gassner E, Jaschke W. Radial nerve palsy associated with humeral shaft fracture: evaluation with US--initial experience. Radiology. 2001 Jun;219(3):811-6. PMID: 11376275

Ikiz ZA, Ucerler H. Anatomic characteristics and clinical importance of the superficial branch of the radial nerve. Surg Radiol Anat. 2004 Dec;26(6):453-8. PMID: 15365770