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Loss of elbow flexion indicates denervation to the . Herniation of the C5 intervertebral disc occurs secondary to the tough, covering of the intervertebral disc becoming compromised, allowing the to bulge out and the spinal nerve. This characteristically produces the radiating symptoms that we see in this patient.
As shown in the figure of the brachial plexus below, the C5 nerve root significantly contributes to the , which in turn contributes to the and cords for the and division nerve fibers, respectively. Only certain nerves branching from these cords receive input directly from C5, and typically these nerves innervate more proximal muscles.
Specifically, C5 makes contributions to the s, m, a, l, u, l, l, and part of the p.
The nerve provides innervation to major flexors of the elbow including the and . Loss of sensation in the is in the region of the C5 dermatome. C5 contributions to the axillary nerve are responsible for sensation in this region.