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58 Cards in this Set

  • Front
  • Back

Borders of the posterior neck


Anterior,Posterior,Inferior

Anterior: Posterior border of the sternocleidomastoid muscle Posterior: Anterior border of the trapezius


Inferior: Clavicle

covered by what of the deep cervical fascia

Investing Layer

Floor is formed by the what of the deep cervical fascia

prevertebral layer

Occipital Triangle borders Anterior Posterior Inferior

Anterior: Posterior border of Sternocleidomastoid


Posterior: Anterior border of Trapezius


Inferior: Inferior Belly of omohyoid

Contents of Occipital Triangle

Occipital artery, Spinal Nerve (XI), Brachial Plexus (Trunks), Superior end of the sympathetic ganglion, Splenius Capitis, Levator Scapula, Scalenus Anterior, Scalenus Medius

Borders of Subclavian Triangle

Anterior: Posterior border of the sternocleidomastoid


Posterior: Inferior belly of omohyoid


Inferior: Clavicle




Contents of the Subclavian Triangle

3rd part of the subclavian artery

Floor of both triangles

Splenius Capitis, Levator scapula, Scaleneus Anterior, Scaleneous medius

Supraclavicular triangle contents

3rd part of the subclavian artery


subclavian vein


apex of the lungs


roots of the brachial plexus


deep cervical lymph nodes

right subclavian artery Origin, Commencement, Course, Termination

Origin: Brachiocephalic vein


Commencement: Behind right supraclavicular joint


Course - Ascends to the root of the neck, Arches upward and laterally over the pleura between the scalenus anterior and medius muscles


Termination: outer border of the 1st rib

First part of the subclavian artery

Vertebral Artery


- Basilar Artery


- Posterior cerebral artery


Thyrocervical Trunk


- Inferior Thyroid Artery


- Superficial cervical Artery


- Suprascapular artery


Internal thoracic artery


- Superior epigastric artery


- Musculoohrenic artery

Splenius Capitis OINA

Origin: Ligamentum


nuchae, Upper 4 thoracic spines


Insertion: Superior nuchal line of the occipital bone, Mastoid process of the temporal bone


Innervation: Dorsal Posterior rami of the spinal nerve


Action: Bends the neck laterally, elevates the medial border of the scapula

Levator Scapulae OINA

Origin: transverse process of C1-C4


Insertion: Medial border of the scapula


Innervation: Ventral rami of the spinal nerve (C3,C4), Dorsal Scapular nerve


Action: Raises the medial border of the scapula, bends neck laterally

Scalenus Posterior OINA

Origin: Transverse process of C4-C6


Insertion: 2nd rib


Innervation: Anterior rami


of the cervical nerves


Action: Elevates 2nd rib, Flexes and Rotates cervical part of vertebral column

Scalenus Medius

Origin: transverse process of C1-C6


Insertion: 1st rib


Innervation: Anterior rami of the cervical nerves


Action: Elevates the 1st rib, Flexes and rotates cervical part of the vertebral column

Scalenus Anterior OINA

Origin: Transverse process of C3-C6


Insertion: 1st rib


Innervation: C4-C6


Action: Elevates the 1st rib, Flexes and rotates the cervical part of the Vertebral Column

Scalenus Anterior Important relations and divides the subclavian artery into how many parts

Anteriorly - related to the carotid artery, Vagus nerve, IJV, Deep cervical lymph nodes


Posteriorly - related to the pleura, origin of the brachial plexus, 2nd part of the subclavian artery


Medially- related to the vertebral artery and vein, sympathetic trunk, thoracic duct


Laterally - Related to the emerging branches of the cervical plexus, roots of the brachial plexus, 3rd part of the subclavian artery


Divides the subclavian artery into 3 parts

Phrenic Nerve Fiber, Area of distribution

Motor and Sensory Fibers


Diaphragm

Spinal Accessory nerve Fibers and Area of distribution

Motor Fibers


Cranial part: soft palate, pharnyx, larynx


Spinal part: Sternocleidomastoid, Trapezius muscle

Left Subclavian Artery Origin Commencement Course Termination

Origin: Arch of the Aorta


Commencement: 1st costoclavicular joint


Course: Ascends to the root of the neck, Arches upward and laterally over the pleura between the scalenus anterior and medius muscles,


Termination - Outer border of the 1st rib

Supraclavicular triangle contents

3rd part of the subclavian artery


subclavian vein


apex of the lungs


roots of the brachial plexus


deep cervical lymph nodes

right subclavian artery Origin, Commencement, Course, Termination

Origin: Brachiocephalic vein


Commencement: Behind right supraclavicular joint


Course - Ascends to the root of the neck, Arches upward and laterally over the pleura between the scalenus anterior and medius muscles


Termination: outer border of the 1st rib

First part of the subclavian artery

Vertebral Artery


- Basilar Artery


- Posterior cerebral artery


Thyrocervical Trunk


- Inferior Thyroid Artery


- Superficial cervical Artery


- Suprascapular artery


Internal thoracic artery


- Superior epigastric artery


- Musculoohrenic artery

Second Part of Subclavian Artery

Costocervical trunk


- Deep cervical artery


- Superior intercostal artery

Splenius Capitis OINA

Origin: Ligamentum


nuchae, Upper 4 thoracic spines


Insertion: Superior nuchal line of the occipital bone, Mastoid process of the temporal bone


Innervation: Dorsal Posterior rami of the spinal nerve


Action: Bends the neck laterally, elevates the medial border of the scapula

Levator Scapulae OINA

Origin: transverse process of C1-C4


Insertion: Medial border of the scapula


Innervation: Ventral rami of the spinal nerve (C3,C4), Dorsal Scapular nerve


Action: Raises the medial border of the scapula, bends neck laterally

Scalenus Posterior OINA

Origin: Transverse process of C4-C6


Insertion: 2nd rib


Innervation: Anterior rami


of the cervical nerves


Action: Elevates 2nd rib, Flexes and Rotates cervical part of vertebral column

Scalenus Medius

Origin: transverse process of C1-C6


Insertion: 1st rib


Innervation: Anterior rami of the cervical nerves


Action: Elevates the 1st rib, Flexes and rotates cervical part of the vertebral column

Scalenus Anterior OINA

Origin: Transverse process of C3-C6


Insertion: 1st rib


Innervation: C4-C6


Action: Elevates the 1st rib, Flexes and rotates the cervical part of the Vertebral Column

Scalenus Anterior Important relations and divides the subclavian artery into how many parts

Anteriorly - related to the carotid artery, Vagus nerve, IJV, Deep cervical lymph nodes


Posteriorly - related to the pleura, origin of the brachial plexus, 2nd part of the subclavian artery


Medially- related to the vertebral artery and vein, sympathetic trunk, thoracic duct


Laterally - Related to the emerging branches of the cervical plexus, roots of the brachial plexus, 3rd part of the subclavian artery


Divides the subclavian artery into 3 parts

Phrenic Nerve Fiber, Area of distribution

Motor and Sensory Fibers


Diaphragm

Spinal Accessory nerve Fibers and Area of distribution

Motor Fibers


Cranial part: soft palate, pharnyx, larynx


Spinal part: Sternocleidomastoid, Trapezius muscle

Left Subclavian Artery Origin Commencement Course Termination

Origin: Arch of the Aorta


Commencement: 1st costoclavicular joint


Course: Ascends to the root of the neck, Arches upward and laterally over the pleura between the scalenus anterior and medius muscles,


Termination - Outer border of the 1st rib

Supraclavicular triangle contents

3rd part of the subclavian artery


subclavian vein


apex of the lungs


roots of the brachial plexus


deep cervical lymph nodes

right subclavian artery Origin, Commencement, Course, Termination

Origin: Brachiocephalic vein


Commencement: Behind right supraclavicular joint


Course - Ascends to the root of the neck, Arches upward and laterally over the pleura between the scalenus anterior and medius muscles


Termination: outer border of the 1st rib

First part of the subclavian artery

Vertebral Artery


- Basilar Artery


- Posterior cerebral artery


Thyrocervical Trunk


- Inferior Thyroid Artery


- Superficial cervical Artery


- Suprascapular artery


Internal thoracic artery


- Superior epigastric artery


- Musculoohrenic artery

Second Part of Subclavian Artery

Costocervical trunk


- Deep cervical artery


- Superior intercostal artery

Subclavian Vein Commencement, From what, Join to form, Receives what veins

Commencement: Outer border of the 1st rib


from Axillary Vein


Joins the internal jugular vein to form brachiocephalic vein


Receives external jugular vein


Receives Left thoracic duct and Right Lymphatic duct

Splenius Capitis OINA

Origin: Ligamentum


nuchae, Upper 4 thoracic spines


Insertion: Superior nuchal line of the occipital bone, Mastoid process of the temporal bone


Innervation: Dorsal Posterior rami of the spinal nerve


Action: Bends the neck laterally, elevates the medial border of the scapula

Levator Scapulae OINA

Origin: transverse process of C1-C4


Insertion: Medial border of the scapula


Innervation: Ventral rami of the spinal nerve (C3,C4), Dorsal Scapular nerve


Action: Raises the medial border of the scapula, bends neck laterally

Scalenus Posterior OINA

Origin: Transverse process of C4-C6


Insertion: 2nd rib


Innervation: Anterior rami


of the cervical nerves


Action: Elevates 2nd rib, Flexes and Rotates cervical part of vertebral column

Scalenus Medius

Origin: transverse process of C1-C6


Insertion: 1st rib


Innervation: Anterior rami of the cervical nerves


Action: Elevates the 1st rib, Flexes and rotates cervical part of the vertebral column

Scalenus Anterior OINA

Origin: Transverse process of C3-C6


Insertion: 1st rib


Innervation: C4-C6


Action: Elevates the 1st rib, Flexes and rotates the cervical part of the Vertebral Column

Scalenus Anterior Important relations and divides the subclavian artery into how many parts

Anteriorly - related to the carotid artery, Vagus nerve, IJV, Deep cervical lymph nodes


Posteriorly - related to the pleura, origin of the brachial plexus, 2nd part of the subclavian artery


Medially- related to the vertebral artery and vein, sympathetic trunk, thoracic duct


Laterally - Related to the emerging branches of the cervical plexus, roots of the brachial plexus, 3rd part of the subclavian artery


Divides the subclavian artery into 3 parts

Phrenic Nerve Fiber, Area of distribution

Motor and Sensory Fibers


Diaphragm

Spinal Accessory nerve Fibers and Area of distribution

Motor Fibers


Cranial part: soft palate, pharnyx, larynx


Spinal part: Sternocleidomastoid, Trapezius muscle

Left Subclavian Artery Origin Commencement Course Termination

Origin: Arch of the Aorta


Commencement: 1st costoclavicular joint


Course: Ascends to the root of the neck, Arches upward and laterally over the pleura between the scalenus anterior and medius muscles,


Termination - Outer border of the 1st rib

Superficial Cervical Lymph Nodes , Course, Receives lymph from, Efferent lymph vessel drainage

Situated along the course of the Internal jugular vein


Receives lymph from skin over the angle of the jaw, skin over the apex of the parotid gland, Lobe of the ear


Efferent Lymph Vessels drain into the deep cervical lymph nodes

Deep cervical Lymph Nodes course, receives lymph from, Eferrent lymph vessels drain

Forms a vertical chain along the course of internal jugular vein within the carotid sheath


Receives Lymph Nodes from regional nodes


- Jugulodigastric Nodes - Skin below the angle of the jaw - drainage of the tonsils and tongue


- Jugulo-omohyoid - Close to the omohyoid Muscle


Drainage of the tongue


Efferent lymph vessels join to the Jugular trunk - drains to the thoracic duct

Cutaneous Branches of cervical plexus, Branches , Nerve Root, Distribution

Lesser Occipital nerve - C2 - Scalp of the scalp and auricle


Greater Auricular nerve - C2,C3 - skin over the mandible


Transverse cervical nerve - C2,C3 - Skin over the front of the neck


Supraclavicular nerve - C3,C4 - Skin over the shoulder region

Cutaneous Branches of cervical plexus, Branches , Nerve Root, Distribution

Lesser Occipital nerve - C2 - Scalp of the scalp and auricle


Greater Auricular nerve - C2,C3 - skin over the mandible


Transverse cervical nerve - C2,C3 - Skin over the front of the neck


Supraclavicular nerve - C3,C4 - Skin over the shoulder region

Muscular Branches to the neck muscles, Branches, Nerve root, Distribution

Proprioceptive - C2,C3 - prevertebral muscles, SCM


C3, C4 - Levator scapulae


Proprioceptive - C3,C4 - Trapezius

Cutaneous Branches of cervical plexus, Branches , Nerve Root, Distribution

Lesser Occipital nerve - C2 - Scalp of the scalp and auricle


Greater Auricular nerve - C2,C3 - skin over the mandible


Transverse cervical nerve - C2,C3 - Skin over the front of the neck


Supraclavicular nerve - C3,C4 - Skin over the shoulder region

Muscular Branches to the neck muscles, Branches, Nerve root, Distribution

Proprioceptive - C2,C3 - prevertebral muscles, SCM


C3, C4 - Levator scapulae


Proprioceptive - C3,C4 - Trapezius

Ansa cervicalis innervation

innervates Sternohyoid, Omohyoid, Sternohyoid

Muscular Branch to the Diaphragm branch, Nerve, distribution

Phernic nerve - C3,4,5 - Diaphragm

Muscular Branch to the Diaphragm branch, Nerve, distribution

Phernic nerve - C3,4,5 - Diaphragm

Cerival part of the sympathetic

a