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The cervical spinal nerve 8 (C8) is a
spinal nerve A spinal nerve is a mixed nerve, which carries motor, sensory, and autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into th ...
of the
cervical segment The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the spinal ...
.American Medical Association
Nervous System -- Groups of Nerves It originates from the spinal column from below the
cervical vertebra 7 In tetrapods, cervical vertebrae (singular: vertebra) are the vertebrae of the neck, immediately below the skull. Truncal vertebrae (divided into thoracic and lumbar vertebrae in mammals) lie caudal (toward the tail) of cervical vertebrae. In ...
(C7).


Innervation

The C8 nerve forms part of the
radial Radial is a geometric term of location which may refer to: Mathematics and Direction * Vector (geometric) In mathematics, physics, and engineering, a Euclidean vector or simply a vector (sometimes called a geometric vector or spatial vector) ...
and
ulnar nerve In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is ...
s via the
brachial plexus The brachial plexus is a network () of nerves formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in th ...
, and therefore has motor and sensory function in the
upper limb The upper limbs or upper extremities are the forelimbs of an upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digits, including all the musculatures and ligaments involved with the shoulde ...
.


Sensory

The C8 nerve receives sensory afferents from the C8
dermatome Dermatome may refer to: * Dermatome (anatomy), an area of skin that is supplied by a single pair of dorsal roots * Dermatome (embryology), the portion of the embryonic paraxial mesoderm, the somite, which gives rise to dermis * Dermatome (instrument ...
. This consists of all the skin on the
little finger The little finger, or pinkie, also known as the baby finger, fifth digit, or pinky finger, is the most ulnar and smallest digit of the human hand, and next to the ring finger. Etymology The word "pinkie" is derived from the Dutch word ''pink ...
, and continuing up slightly past the wrist on the palmar and dorsal aspects of the hand and forearm.Drake et al. Gray's Anatomy for Students. Second Edition (2010). Clinically a test of the pad of the little finger is often used to assess C8 integrity.Aland et al. University of Queensland School of Medicine Clinical Skills Handbook 2010


Motor

The C8 nerve contributes to the motor innervation of many of the muscles in the trunk and upper limb. Its primary function is the flexion of the fingers, and this is used as the clinical test for C8 integrity, in conjunction with the finger jerk reflex. The particular muscles receive innervation from C8 (shown by specific nerve and spinal nerve segments; muscles in italics only have a minor contribution from C8) :


Trunk

* ''
Pectoralis major The pectoralis major () is a thick, fan-shaped or triangular convergent muscle, situated at the chest of the human body. It makes up the bulk of the chest muscles and lies under the breast. Beneath the pectoralis major is the pectoralis minor, a ...
- Medial and lateral pectoral nerves ( C5, C6, C7, C8, T1)'' *
Pectoralis minor Pectoralis minor muscle () is a thin, triangular muscle, situated at the upper part of the chest, beneath the pectoralis major in the human body. Structure Attachments Pectoralis minor muscle arises from the upper margins and outer surfaces ...
- Medial pectoral nerve ( C5, C6, C7, C8, T1) * ''
Latissimus dorsi The latissimus dorsi () is a large, flat muscle on the back that stretches to the sides, behind the arm, and is partly covered by the trapezius on the back near the midline. The word latissimus dorsi (plural: ''latissimi dorsorum'') comes from L ...
- Thoracodorsal nerve ( C6, C7, C8)''


Upper arm

* ''
Triceps brachii The triceps, or triceps brachii (Latin for "three-headed muscle of the arm"), is a large muscle on the back of the upper limb of many vertebrates Vertebrates () comprise all animal taxa within the subphylum Vertebrata () ( chordates with ba ...
- Radial nerve ( C6, C7, C8)''


Forearm

*
Flexor carpi ulnaris The flexor carpi ulnaris (FCU) is a muscle of the forearm that flexes and adducts at the wrist joint. Structure Origin The flexor carpi ulnaris has two heads; a humeral head and ulnar head. The humeral head originates from the medial epicondyle o ...
- Ulnar nerve ( C7, C8, T1) *
Palmaris longus The palmaris longus is a muscle visible as a small tendon located between the flexor carpi radialis and the flexor carpi ulnaris, although it is not always present. It is absent in about 14 percent of the population; this number can vary in Africa ...
- Median nerve ( C7, C8) *
Flexor digitorum superficialis Flexor digitorum superficialis (''flexor digitorum sublimis'') is an extrinsic flexor muscle of the fingers at the proximal interphalangeal joints. It is in the anterior compartment of the forearm. It is sometimes considered to be the deepest pa ...
- Median nerve (C8, T1) *
Flexor digitorum profundus The flexor digitorum profundus is a muscle in the forearm of humans that flexes the fingers (also known as digits). It is considered an extrinsic hand muscle because it acts on the hand while its muscle belly is located in the forearm. Together t ...
- Median and Ulnar nerves (C8, T1) *
Flexor pollicis longus The flexor pollicis longus (; FPL, Latin ''flexor'', bender; ''pollicis'', of the thumb; ''longus'', long) is a muscle in the forearm and hand that flexes the thumb. It lies in the same plane as the flexor digitorum profundus. This muscle is uniqu ...
- Median nerve ( C7, C8) *
Pronator quadratus Pronator quadratus is a square-shaped muscle on the distal forearm that acts to pronate (turn so the palm faces downwards) the hand. Structure Its fibres run perpendicular to the direction of the arm, running from the most distal quarter of the ...
- Median nerve ( C7, C8) * ''
Extensor carpi radialis brevis In human anatomy, extensor carpi radialis brevis is a muscle in the forearm that acts to extend and abduct the wrist. It is shorter and thicker than its namesake extensor carpi radialis longus which can be found above the proximal end of the exte ...
- Deep branch of the radial nerve ( C7, C8)'' * ''
Extensor digitorum The extensor digitorum muscle (also known as extensor digitorum communis) is a muscle of the posterior forearm present in humans and other animals. It extends the medial four digits of the hand. Extensor digitorum is innervated by the posterior int ...
- Posterior interosseous nerve ( C7, C8)'' * ''
Extensor digiti minimi The extensor digiti minimi (extensor digiti quinti proprius) is a slender muscle of the forearm, placed on the ulnar side of the extensor digitorum communis, with which it is generally connected. It arises from the common extensor tendon by a thi ...
- Posterior interosseous nerve ( C7, C8)'' * ''
Extensor carpi ulnaris In human anatomy, the extensor carpi ulnaris is a skeletal muscle located on the ulnar side of the forearm. The extensor carpi ulnaris acts to extend and adduct at the carpus/wrist from anatomical position. Being an extensor muscle, extensor carpi ...
- Posterior interosseous nerve ( C7, C8)'' * ''
Anconeus The anconeus muscle (or anconaeus/anconæus) is a small muscle on the posterior aspect of the elbow joint. Some consider anconeus to be a continuation of the triceps brachii muscle. Some sources consider it to be part of the posterior compartment ...
- Radial nerve ( C6, C7, C8)'' * ''
Abductor pollicis longus In human anatomy, the abductor pollicis longus (APL) is one of the extrinsic muscles of the hand. Its major function is to abduct the thumb at the wrist. Its tendon forms the anterior border of the anatomical snuffbox. Structure The abductor p ...
- Posterior interosseous nerve ( C7, C8)'' * ''
Extensor pollicis brevis In human anatomy, the extensor pollicis brevis is a skeletal muscle on the dorsal side of the forearm. It lies on the medial side of, and is closely connected with, the abductor pollicis longus. The extensor pollicis brevis (EPB) belongs to the ...
- Posterior interosseous nerve ( C7, C8)'' * ''
Extensor pollicis longus In human anatomy, the extensor pollicis longus muscle (EPL) is a skeletal muscle located dorsally on the forearm. It is much larger than the extensor pollicis brevis, the origin of which it partly covers and acts to stretch the thumb together with ...
- Posterior interosseous nerve ( C7, C8)'' * ''
Extensor indicis In human anatomy, the extensor indicis roprius'' is a narrow, elongated skeletal muscle in the deep layer of the dorsal forearm, placed medial to, and parallel with, the extensor pollicis longus. Its tendon goes to the index finger, which it ex ...
- Posterior interosseous nerve ( C7, C8)''


Hand

* ''
Palmaris brevis Palmaris brevis muscle is a thin, quadrilateral muscle, placed beneath the integument of the ulnar side of the hand. It acts to fold the skin of the hypothenar eminence transversally. Structure Origin and insertion Palmaris brevis muscle is loc ...
- Superficial branch of ulnar nerve (C8, T1)'' * '' Dorsal interossei - Deep branch of ulnar nerve (C8, T1)'' * ''
Palmar interossei In human anatomy, the palmar or volar interossei (interossei volares in older literature) are three small, unipennate muscles in the hand that lie between the metacarpal bones and are attached to the index, ring, and little fingers. They are small ...
- Deep branch of ulnar nerve (C8, T1)'' * ''
Adductor pollicis In human anatomy, the adductor pollicis muscle is a muscle in the hand that functions to adduct the thumb. It has two heads: transverse and oblique. It is a fleshy, flat, triangular, and fan-shaped muscle deep in the thenar compartment beneath ...
- Deep branch of ulnar nerve (C8, T1)'' * '' Lumbricals - Deep branch of ulnar nerve, Digital branches of median nerve'' * ''
Opponens pollicis The opponens pollicis is a small, triangular muscle in the hand, which functions to oppose the thumb. It is one of the three thenar muscles. It lies deep to the abductor pollicis brevis and lateral to the flexor pollicis brevis. Structure The opp ...
- Recurrent branch of median nerve (C8, T1)'' * ''
Abductor pollicis brevis The abductor pollicis brevis is a muscle in the hand that functions as an abductor of the thumb. Structure The abductor pollicis brevis is a flat, thin muscle located just under the skin. It is a thenar muscle, and therefore contributes to the ...
- Recurrent branch of median nerve (C8, T1)'' * ''
Flexor pollicis brevis The flexor pollicis brevis is a muscle in the hand that flexes the thumb. It is one of three thenar muscles. It has both a superficial part and a deep part. Origin and insertion The muscle's superficial head arises from the distal edge of the fl ...
- Recurrent branch of median nerve (C8, T1)'' * ''
Opponens digiti minimi The opponens digiti minimi (opponens digiti quinti in older texts) is a muscle in the hand. It is of a triangular form, and placed immediately beneath the palmaris brevis, abductor digiti minimi and flexor digiti minimi brevis. It is one of the ...
- Deep branch of ulnar nerve (C8, T1)'' * '' Abductor digiti minimi - Deep branch of ulnar nerve (C8, T1)'' * '' Flexor digiti minimi brevis - Deep branch of ulnar nerve (C8, T1)''


Additional Images

File:Slide5y.JPG, Cervical spinal nerve 8


References

{{DEFAULTSORT:Cervical Spinal Nerve 8 Spinal nerves