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== '''Nerve supply:''' == * Motor supply is solely from the phrenic nerves ** Arise from C3, 4 and 5; but mostly C4. Passes inferiorly over the anterior surface of anterior scalene, deep to pre-vertebral fascia. Posterior to subclavian vein and anterior to subclavian artery. *** Right: descends anteriorly over right lung root; courses along the pericardium of the right atrium; pierces diaphragm at IVC opening *** Left: descends anteriorly over left lung root; crosses aortic arch and bypasses the vagus nerve; courses along pericardium of LV; pierces the left hemidiaphragm ** Each half of the diaphragm is supplied by its own phrenic nerve, even the fibres of the right crus that loop to the left around the oesophageal opening are supplied by the left phrenic ** On reaching the abdominal surface of the diaphragm, both nerves divide into anterior, lateral and posterior branches which run radially, giving off branches that enter the muscle from below ** Phrenic variants: *** Pierced scalene *** Anterior to subclavian artery *** Additional branches from cervical nerve roots *** Accessory phrenic nerve from C5 and C6 * Sensory is from intercostal nerves peripherally and phrenic nerves centrally ** Pain referred to shoulder-tip
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