Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
34 Cards in this Set
- Front
- Back
Superior Boundary of neck
|
Superior nuchal line
mastoid process inferior margin of mandible Inion # |
|
Inferior boundary of neck
|
Superior Thoracic aperature
Apex of axilla Sternum, clavicle, acromion, 7th cervical vertebrate |
|
Surface anatomy: triangles
|
Anterior triangle: stuff going from head
to thorax Posterior triangle: going from thorax/neck and upper limb |
|
surface anatomy general
|
hyoid bone, sternal angle, clavicle,
sternocleidomastold, lower margin of mandible, trapezius, thyroid cartilage, sternal notch |
|
Going down neck, structures:
|
Hyoid bone, (C3)
Thyrohyoid membrane Thyroid cartilage (bifurcation) C4-5 Cricoid Cartilage (C6 middle) Thyroid Gland (not white) Trachea |
|
posterior triangle of the neck borders
|
Sternocleidomastoid
trapezius clavicle |
|
Sternocleidomastoid:
innervation, insertion, and action |
insertion- superior nuchal line and mastoid process
innervation- spinal accessory action- unilaterally moves neck so ear can touch shoulder, bilaterally - flexion of the neck ie chin towards manubrium |
|
Tortocollis
|
Unilateral shortening of sternocleidomastoid, head tilted to one side, causes asymmetrical growth of the spinal column
|
|
posterior triangle of the neck muscles inside
|
Semispinalis capitis
splenius capitis levator scapulae scalenus - posterior, medius, anterior serratus anterior |
|
posterior triangle of the neck subdivisions
|
divided by inferior belly of omohyoid muscle
occipital triangle - large and superior suprascapular triangle - small and inferior |
|
posterior triangle of the neck nerves
|
Accessory nerve (CNXI)
Cutaneous branches of the cervical plexus Trunks of the Brachial plexus |
|
posterior triangle of the neck arteries
|
occipital artery - from external carotid (tip of apex)
transverse cervical- from thyrocervical trunk suprascapular - from " trunk subclavian artery - in supraclavicular triangle |
|
posterior triangle of the neck veins
|
External jugular vein
subclavian vein |
|
posterior triangle of the neck lymph nodes
|
Occipital
Suprascapular |
|
spinal accessory nerve in Post Triangle of neck
|
innervates SCM and trapezius, located superior to levator scapulae
|
|
cervical plexus in post tri of neck
|
located on scalenius medius, formed by anterior rami of C1-C4, form loops
|
|
Branches of the cervivcal plexus
|
Lesser occipital-C2, posterior to SCM to supply neck and scalp
Great auricular - over SCM, supplies skin around mandible Transverse Cervical- posterior triangle to anterior triangle Supraclavicular nerve - supplies skin over shoulder and upper chest - branches into 3 more... |
|
infrahyoid musmcles
|
myohyoid
sternohyoid thyrohyoid sternothyroid swallowing and vocalization, innervated by C1-C3 |
|
ansa cervacalis and roots
|
C1-C3 Loop
Superior loop -derived from C2 Inferior loop- derived from C2/C3 innervates the infrahyoid muscles |
|
phrenic nerves
|
C3-5. mostly from C4 nerve. formed and descends anterior scalenus muscle. innervates diaphragm, sensory to coverings of diaphragm
|
|
other cervical plexus muscle innervations
|
levator scapulae, scalenus muscles, prevertebral muscles
|
|
brachial plexus roots
|
passes between first rib, clavicle, and superior border of scapula to enter the axilla
|
|
Posterior triangle of neck: arteries
|
Occipital - near SCM and splenius cap
Subclavian artery- anterior part of triange right above clavicle branches into thryocervical trunk, that into: transverse cervical - top branch suprascapular artery - bottom branch |
|
Posterior triangle of neck: veins
|
external jugular - main big vein, turns into
right subclavian vein as it leaves triangle |
|
Posterior triangle of neck: nodes
|
occipital nodes - drains post scalp and neck
mastoid nodes - posterior to ear,drains posteriolateral part of head parotid - anterior to ear, drains anterior auricle submandibular nodes - inferior to mandible, common place to check deep cervical nodes- all head and neck nodes eventually drain here, goes to thoracic or right lymphatic duct |
|
superficial cervical fascia
|
connective tissue between skin and deep fascia, has platysma (veins, vessels, nerves) and fat, can be seen surface anatomy when neck is flexed,
|
|
deep cervical fascia
|
deep to superficial- still surrounds muscles and nerves, compartmentalizes the neck
|
|
deep fasciae parts
|
1. Investing fasciae
2. Prevertebral fasciae - a. axillary sheath - b. suprapleural membrane 3. Pretracheal fasciae 4. Carotid sheath |
|
Investing layer of deep fasciae
|
Makes collar around neck - attached to bones
|
|
Investing layer of deep fasciae superficial parotid layer
|
attaches above zygomatic arch, cover behind SCM and in front of masseter
|
|
Investing layer of deep fasciae deep parotid layer
|
medial surface of gland, attaches to skull, thinner than superfical layer
|
|
axillary sheath
|
surrounds arteries, nerves, and lymphocytes
|
|
carotid sheath
|
around carotid canal and jugular foramen, from skull down to neck
|
|
fascial spaces
|
prevertebral space is the dangerous space
|