The nerve to coracobrachialis is the most proximal branch of the musculocutaneous nerve, arising before it pierces the coracobrachialis. It enters the coracobrachialis on its medial surface and provides the sole motor supply to this muscle. It is the first motor branch of the musculocutaneous nerve and its injury level localises a brachial plexus lesion.
Coracobrachialis denervation from a proximal musculocutaneous nerve injury indicates the lesion is at or above the coracobrachialis entry point, proximal to the emergence of the nerve from the lateral cord. EMG of the coracobrachialis is included in brachial plexus EMG protocols to localise the injury level. The nerve is at risk during coracoid transfer (Latarjet procedure) and coracobrachialis surgical approaches.
Coracobrachialis denervation alongside biceps and brachialis weakness indicates a lateral cord or proximal musculocutaneous nerve lesion, localisable by EMG to above the coracobrachialis innervation level.
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