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hence are the five spinal roots of the nerves of the arm and
hand.
We know, then, that the brachial or axillary plexus of nerves
is formed by peculiar communications between the anterior
branches of the four last cervical and first dorsal nerves; the
fifth and sixth nerves unite to form a common trunk, which
soon again divides into two branches ; the last or eighth cervical
and the first dorsal likewise unite, and soon again divide into two
branches ; the seventh cervical nerve passes outward between the
two just described, and when opposite the clavicle it divides, and
unites both with the one above and the one below, and so unites
the whole; from which results the brachial plexus. This plex-
us is broad and deep-seated in the neck, but narrows and becomes
superficial as it descends into the axilla, and then again en-
larges some at its lower part, where it divides into its six termi-
nal branches. It lies under the two scaleni muscles, between
which its nerves issue, and lower down it is found placed he-
tween the clavicle and sub-clavius muscle above, and the first
rib with the first serration of the serratus magnus muscle below.
In the axilla this plexus is found situated by its outer border,
resting against the tendon of the snb-scapularis muscle. At this
point it completely surrounds the axillary artery by means of the
two branches which are here sent off to form the nerve medianus.
Now, so very important is it for us to be familiar with the ana-
tomical relations of the nerves of the upper extremities, that we
must patiently review all the more important branches in the
hand, arm, and shoulder. Commencing, then, at the roots
of the arm nerves, we find there five pairs of spinal nerves,
the fifth, sixth, seventh, and eighth cervical and first dor-
sal, whose anterior branches converge to form the great arm
plexus. The posterior branches of the five pairs in question arc
far less in size and importance than the anterior ; nevertheless,
these small, short, and abrupt branches possess, here, no little
interest for us. They at first set out merely vertically down-
wards, and then turn inwards between the muscles of the hack,
occupying the lower cervical and upper dorsal region, there
throwing branches to the muscles as they pass, and then they