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Erb's point

Erb's point

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Published by Rohit Sharma

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Published by: Rohit Sharma on Feb 06, 2011
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02/27/2013

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When it passes on to the parotid it further divides into:which is distributed to the skin of the face over the parotid gland.Arises from the second cervical nerve. and also it communicates with the posterior auricular branch of the facial nerve. and communicates within the substance of the gland with the facial nerve. It sends off an auricular branch which supplies the skin of the upper third of the crania surface of the auricle. It arises from the second and third cervical nerves. . :It s the largest of the ascending branches. which supplies the skin over the mastoid process and on the back of the auricle. to supply the lobule and the auricle. Some fibers also pierce the auricle.

those branches which pierce the muscle supply the upper and the front parts of the neck.Arises from the second and the third cervical nerves. and forms a plexus with the cervical branch of the facial nerve.pierce the platysma.pass upwards to the submandibular region. and are distributed to the skin of the side and front of the neck as low as the sternum. It divides beneath the platysma into the following branches . . . beneath the platysma.

and at the level of the clavicle divide into the following branches Supply the skin as far as the median plane and as low down as the second rib. Supply the skin over the pectoralis major and deltoid upto the level of the second rib. . and supply one or two filaments to the sternoclavicular joint.These nerves arise from the third and the fourth cervical nerves. Supply the skin of the upper and posterior parts of the shoulder.

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The approximate location of the erb s point is on the posterior border of the sternocliedomastoid muscle. The point is approximately the location of an angle between the posterolateral border of the sternocleidomastoid muscle and the clavicle.LOCATION OF ERB S POINT A crucial landmark in the POSTERIOR TRIANGLE OF THE NECK is the erb s point. The SPINAL ACCESSORY GREATER AURICULAR LESSER OCCIPITAL & TRANSVERSE CERVICAL NERVES All pass within 2 cm above or below this location. . midway between its attachments to the mastoid process and the sternum and clavicle.

the cutaneous branches of the cervical plexus emerge from behind the posterior border of the sternocleidomastoid muscle.IMPORTANCE OF ERB S POINT At the erb s point . Anesthesia of skin of the neck and upper chestcan be attained by blocking the cutaneous nerves as they emerge at ths point. .

[ .ERB¶S PALSY ‡ Erb's palsy (Erb-Duchenne Palsy) is a paralysis of the arm caused by injury to the upper group of the arm's main nerves.[4] Depending on the nature of the damage. or require surgery. from shoulder dystocia during a difficult birth. but not exclusively. necessitate rehabilitative therapy. and T1. These form part of the brachial plexus. specifically the upper trunk C5-C6 is severed. comprising the ventral rami of spinal nerves C5-C8. the paralysis can either resolve on its own over a period of months.[1][2][3] These injuries arise most commonly.

and by a thin apponeurosis into the superior nuchal line. attached to the upper part of the anterior surface of the manubrium sterni. laterally. It passes upwards. Above the muscle is inserted by a strong tendon into the lateral surface of the mastoid process( from its apex to its superior border ). . It passes obliquely down across the side of the neck and forms a prominent landmark especially when contracted. Below the sternocleidomastoid has two heads :which is a rounded tendinous fasciculus. The two heads are separated by a triangular interval.Also known as the sternomastoid It s a paired muscle in the superficial layer of the anterior portion of neck. and backwards. is composed up of a muscular and fibrous fasiculi. The clavicular fibers are chiefly attached to the mastoid process The sternal fibers are more oblique and superficial and extend onto the occiput. It passes almost vertically upwards from the upper surface of the medial surface of the clavicle.

of the posterior triangle:posterior border of sternocleidomastoid.of the anterior triangle:by the median line of the neck base of the mandible. anterior border of sternocleidomastoid of the triangle is at the upper border of sternum. middle third of the clavicle. anterior margin of trapezius.  - . and a line continuing this from the angle of the mandible to the sternocliedomastoid. corresponds to the meeting of sternocleidomastoid and trpezius on the occipital bone.

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