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Lecture 12 (Dermatomes & Myotomes of Upper Limb)
Lecture 12 (Dermatomes & Myotomes of Upper Limb)
C8-Digits 4 and 5
L4-Anteromedial Shin
L5-Anterlateral Shin, dorsum of foot
to big toe
Clinical Significance
• Dermatomes are useful to help localize neurological levels
particularly in radiculopathy.
C4-Acromioclavicular Joint
C6- Thumb
1
Myotomes correspond to
muscles that are
controlled by specific
nerve roots from the
spinal cord.
Clinical Significance
Information
about the level in
the spine where a
lesion may be
present.
IV disc Muscle
herniation weakness
➢C1-C2 : Cervical flexion.
➢C3: Cervical lateral flexion.
➢C4: Shoulder elevation.
➢C5: Shoulder abduction.
➢C6: Elbow flexion.
➢C7: Elbow extension.
➢C8: Thumb extension.
➢T1: Finger abduction/adduction.
➢L2: Hip flexion.
➢L3: Knee extension.
➢L4: Ankle DF(dorsiflexion).
➢L5: Great toe extension.
➢S1: Ankle Eversion/hip extension/ankle
PF(planter- flexion)/knee flexion
➢S2: Knee flexion.
Test for Myotomes
• Note the position of the body that the patient
assumes when sitting on the examination table.
The
patient may move the muscle group against
some resistance from the examiner.
Wrist extensors
C7-8