JR#2014(

WEEK$$FIVE$:$WEDNESDAY$$SEPTEMBER$$7,$2016$
!
TOPICS$:$SPINAL$$CORD$$AND$$PERIPHERAL$$NERVES.$
$
1.$ Identify!parts!of!.the!vertebra!that!lodge!the!spinal!cord!and!its!branches.!Look!for!:$
1.1.! Vertebral!foramen!(!foramen!vertebrale!)!!!Spinal!Cord$
1.2.! Superior!and!inferior!vertebral!notches!(!Incisurae!vertebrales!superior!et!$
!!!!!!!inferior!)!!!Spinal!Nerves!

2.$ Reconstructs!at!the!veretebra!the!location!of!the!spinal!cord!and!its!branches.$
3.$ Identify!the!dilation!of!spinal!cord.!Look!for!:$
3.1.! Cervical!enlargement!(!intumescentia!cervicalis!).!What!is!the!name!of!!!the!
nerve!that!originated!from!that!enlargement?!Plexus!Brachialis!(C2JT3!/!C5JT1)!
3.2.! Lumbosacral!enlargement!(!intumescentia!lumbabosacralis!).!!
What! is! the! name! of! the! nerve! that! originated! from! that! enlargement?!
Plexus!Lumbosacralis!(L2JS3)!
4.! Discuss!among!the!group!vascularization!of!spinal!cord!and!its!origin.!Try!to!look!
for!it!at!the!specimen.!!
•! A.!Spinalis!Anterior!!!from!A.!Vetebralis!
•! A.!Spinalis!Posterior!!!from!A.!Vetebralis!
•! A.!Radiculares!Anteriors!and!Posteriors!
•! A.! Medullaris! segmentalis! !!
anastomoses!between!and!&!post!spinal!
artery!
•! A.!Spinalis!Segmentalis!!
•! A.! Adamkiewicz! (from! posterior!
intercostal!T9JL1)!
!
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5.$ Discuss!among!the!group!the!formation!of!brachial!plexus!(!plexus!brachialis!).$
6.$ Identify!at!the!specimen!branches!of!brachial!plexus.!Look!for!:$

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6.1.! Lateral!cord!(!fasciculus!lateralis!)$
6.2.! Medial!cord!(!fasciculus!mediaIis!)$
6.3.! Posterior!cord!(!fasciculus!posterior!)$
6.4.! Axillary!nerve!(!N.!axillaris!)!!!Posterior!cord$
6.5.! Musculocutaneus!nerve!(!n.!musculocutaneus!).!$
!!!!!!Why!does!this!nerve!get!that!name?!
What!is!the!name!of!its!continuation!at!the!lower!
arm?!
•! Berawal! dari! syaraf! motoric! (muscle)!
menjadi!syaraf!sensorik!(kulit)$
•! Nembus!di!brachial!muscle$
•! M.!Cutaneus!anterbrachii!lateral!!
•! Lateral!Cord!
6.6.! Median!nerve!(!N.!medianus!)!!!Medial!dan!
lateral!cord$
6.7.! Ulnar!nerve!(!N.!ulnaris!)!!!Medial!cord!
6.8.! Radial!nerve!(!N.!radialis!)!!!Posterior!cord!
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!
!
!
!

7.! Discuss!among!the!group!distribution!of!innervations!of!terminal!nerves!of!brachial!plexus!
at!the!arm,!forearm!and!hand.!
8.! Identify!at!the!specimen!branches!of!lumbosacral!plexus!that!innervate!lower!extremity.!
Look!for!:!
8.1.! Femoral!nerve!(!N.!femoralis!)!
8.2.! Saphenous!nerve!(!N.!saphenus!)!
8.3.! Posterior!cutaneous!nerve!of!the!thigh!(!N.!cutaneus!femoris!posterior!)!
8.4.! Sciatic!nerve!(!N.!isciadicus!).!Look!for!its!branches!:!
7.4.1.!!!Tibial!nerve!(!N.!tibialis!,!N.!popliteus!medialis!)!!!kejepit!jadi!Tarsal!Tunnel!
Syndrome!
7.4.2.!!!Common!peroneal/fibular!nerve!(!N.!peroneus/fibularis!communis,!N.!!
!!!!!!!!!!!!popliteus!lateralis!)!
! ! Discuss!among!the!group!clinical!application!of!Common!peroneal!nerve.!
! !N.! Peroneus! Communis! melingkar! di! caput! kemudian! menjadi! fibula!
superficialis!dan!profunda!
! !Orang! ketika! di! gips! kakinya! terlalu! kencang! di! bagian! sekitar! dengkul!
terkadang!N.!Peroneus!Communis!tertekan!!!Foor!drop!

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8.5.! Identify!at!the!specimen!nerves!of!the!leg.!Look!for!:!
7.5.1.!!!Common!peroneal!nerve!(!N.!peroneus!communis!)!
7.5.2..!!Lateral!sural!cutaneus!nerve!(!N.!cutaneus!surae!lateralis!)!
!!!!!!Where!is!the!origin!of!this!cutaneus!nerve!?!N.!Peroneus!Communis!
5.5.3.! Superficial!peroneal/fibular!nerve!(!N.!peroneus/fibularis!superficialis!)!
5.5.4.! Deep!peroneal!nerve!(!N.!peroneus!profundus!,!N.!tibialis!anterior!)!
5.5.5.! Tibial!nerve!(!N.!tibialis!)!
5.5.6.! Medial!sural!cutaneus!nerve!(!N.!cutaneus!surae!medialis!)!
!! ! ! Where!is!the!origin!of!this!cutaneus!nerve?!N.!tibialis!
5.5.7.! Sural! nerve! (! N.! suralis! )! !! gabungan! dari! N.! cutaneus! surae!
medialis!dan!lateralis!
5.5.8.! Saphenous! nerve! (! N.! saphenus! )! runs! through! vena! saphenous!
magna!in!the!cruris!
8.6.! Discuss!among!the!group!innervations!of!the!foot!
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