Anterior Neck Muscles Flashcards
2 Fascial Compartments of the Neck
1) . Superficial Cervical Fascia
2) . Deep Cervical Fascia
what is in the superficial cervical fascia compartment?
hypodermis, cutaneous nerves, blood and lymph vessels, fat and platysma
what are the 3 general layers of the Deep Cervical Fascia?
1) . Investing layer
2) . Peritracheal layer
3) . Prevertebral layer
what is in the investing layer?
SCM and trapezius
what is in the peritracheal layer?
trachea, esophagus, thyroid glands, and infrahyoid muscles
what is the peritracheal layer?
middle layer of deep cervical fascia, forms a CT tube from hyoid to thoracic inlet
what is the prevertebral layer?
deep layer of deep cervical fascia; forms a CT tube around C vert column and muscles
what is in the prevertebral layer?
- longus colli
- longus capitis
- scalenes
- posterior deep cervical muscles
- sympathetic chain ganglia
what other compartments/spaces are found in the neck?
carotid sheaths, retropharyngeal space and Alar fascia
what is in the carotid sheaths?
carotid arteries, jugular veins, vagus nerves, and lymphatics
what is the retropharyngeal space?
space between pretracheal and prevertebral fascia
what is the purpose of the retropharyngeal space?
slick surface to allow for movement of organs, increase ROM
what is the purpose of the alar fascia?
interconnects carotid sheaths, subdivides retropharyngeal space
superficial muscles of the neck
1) . Platysma
2) . Sternocleidomastoid
3) . Trapezius
Suprahyoid muscles
1) . Mylohoid
2) . Geniohyoid
3) . Stylohoid
4) . Digastric
Mylohoid origin
mandible and raphe
Mylohoid insertion
hyoid
Mylohoid innervation
CN5
Geniohyoid origin
mandible
Geniohyoid insertion
hyoid
Geniohyoid innervation
cervical plexus
Stylohyoid origin
temporal bone/styloid process
Stylohyoid insertion
hyoid
Stylohoid innervation
CN 7
Anterior digastric origin
mandible
Anterior digastric insertion
hyoid sling
Posterior digastric origin
temporal/mastoid
Posterior digastric insertion
hyoid sling
Anterior digastic innervation
CN 5
Posterior digastric innervation
CN 7
main action of all suprahyoid muscles?
elevate the larynx
Infrahyoid muscles
1) Sternohyoid
2) . Omohyoid
3) . Sternothyroid
4) . Thyrohyoid
Sternohyoid prox attachment
sternum
Sternohyoid distal attachment
Hyoid
Sternohyoid innervation
cervical plexus
Sternohyoid action
depress larynx
Omohyoid prox attachment
S: clavicle sling
I: scapula/notch
Omohyoid distal attachment
S: hyoid
I: clavicle sling
what connects the S and I belly of the omohyoid?
intermediate tendon at clavicular sling
Omohyoid innervation
cervical plexus
Omohyoid main action
depress larynx
Sternothyroid prox attachment
sternum
Sternothyroid distal attachment
larynx/thyroid cartilage
Sternothyroid innervation
cervical plexus
Sternothyroid main action
depress larynx
Thyrohyoid prox attachment
larynx thyroid cartilage
Thyrohyoid distal attachment
hyoid
Thyrohyoid innervation
cervical plexus
Thyrohyoid main action
depress larynx
Innervation of all infrahyoid muscles?
cervical plexus
Main action of all infrahyoid muscles?
depress larynx for swallowing and sound modification
Deep muscles of neck
1) . Longus coli (S/I/),
2) . Longus capitis,
3) . Rectus Capitis Anterior,
4) . Rectus capitis lateralis,
5) . A/M/P Scalene
Superior longus coli prox attachment
bodies of upper C vert
Superior longus coli distal attachment
transverse process of middle C vert
Inferior longus coli prox attachment
transverse process of middle C vert
Inferior longus coli distal attachment
bodies of inferior C Vert and super T vert
S/I longus coli action
Bi: flex
Uni: ab-/adduction; rotation
S/I longus coli innervation
cervical plexus
Longus capitis prox attachment
skull/occipital
Longus capitis distal attachment
transverse processes of middle C vert
Longus capitis innervation
cervical plexus
Longus capitis action
Bi: flex
Uni: ab-/adduction; rotation
Rectus capitis ant prox attachment
skull/occipital
Rectus capitis ant distal attachment
anteriolateral mass of C1
Rectus capitis ant innervation
cervical plexus
Rectus capitis ant action
Bi: flex
Uni: ab-/adduction; rotation
Rectus capitis lateralis prox attachment
skull/occiptal
Rectus capitis lateralis distal attachment
transverse process C1
Rectus capitis lateralis innervation
cervical plexus
Rectus capitis lateralis action
mostly proprioception (will also flex, ab-/adduct, rotate). Very important for monitoring head position
T/F: the rectus capitis lateralis can be considered a sensory organ?
TRUE
Anterior scalene prox attachment
transverse p. middle C vert
Anterior scalene distal attachment
rib 1
Middle scalene prox attachment
transverse p middle C vert
middle scalene distal attachment
rib 1
Posterior scalene prox attachment
transverse p. middle C vert
Posterior scalene distal attachment
rib 2
A/M/P scalene innervation
cervical plexus
A/M/P scalene action
Bi: flex
Uni: ab-/adduct; rotate
*lift rib cage for inspiration
All the deep muscles of neck perform what actions?
Bi: flex
Uni: ab-/adduction; rotation
Muscles of pharynx
1) . S/M/I pharyngeal constrictors
2) . palatopharyngeal
3) . salpingopharyngeus
4) . stylopharyngeus
S/M/I pharyngeal constrictors origin
- ant/lat skull,
- hyoid,
- larynx and trachea
S/M/I pharyngeal constrictors insertion
- post skull
- raphe
- larynx
S/M/I pharyngeal constrictors action
constrict/squeeze walls of pharynx - reflexively during swallowing
S/M/I pharyngeal constrictors innervation
CN 10
Palatopharyngeal origin
palate
Palatopharyngeal insertion
pharynx
Palatopharyngeal innervation
CN 10
Palatopharyngeal action
elevate/shorten/widen pharynx
Salpingopharyngeus origin to insertion
Eustachian tube to pharynx
Salpingopharyngeus innervation
CN 10
Salpingopharyngeus action
elevate/shorten/widen pharynx
stylopharyngeus origin to insertion
styloid process to pharynx
stylopharyngeus innervation
CN 9
stylopharyngeus action
elevate/shorten/widen pharynx