anterior triangle Flashcards
boundaries
Anteriorly: midline of neck
Posteriorly: anterior border of sternocleidomastoid
Superiorly: inferior border of body of mandible
muscle groups
- infrahyoid muscles
- suprahyoid muscles
- anterior vertebral muscles
infrahyoid muscles
- below the hyoid bone
- thin, strap like muscles
- sternohyoid
- sternothyroid
- thyrohyoid
- omohyoid(superior belly)
Sternohyoid
-located superficially, medial to superior belly of omohyoid
Origin: posterior surfaces of manubrium of sternum and sternal end of clavical
Insertion: body of hyoid
Nerve supply: ansa cervicalis(C1-C3)
Action: depress hyoid bone
Sternothyroid
-located deep to sternohyoid
Origin: posterior surface of manubrium of sternum
Insertion: oblique line of thyroid cartilage
Nerve Supply: ansa cervicalis(C1-C3)
Action:depress larynx
thyrohyoid
-upward continuation of sternothyroid
Origin: oblique line of thyroid cartilage
Insertion: runs superiorly over thyrohyoid membrane, inserts into greater horn and body of hyoid
Nerve Supply: C1 fibers via hypoglossal nerve
Action: depress hyoid bone or elevate larynx
ansa cervicalis
-nerve loop that contains fibers from ventral rami of C1 to C3 spinal nerves
lower root of ansa cervicalis
- direct branch of cervical plexus
- contains fibers from ventral rami of C2 and C3
- passes superficial(or deep) to internal jugular vein
Upper root of ansa cervicalis
- appears to originate from hypoglossal nerve, but contains no hypoglossal fibers
- consists of C1 fibers that join hypoglossal nerve and travel with it
what does the ansa cervicalis supply?
-branches supply sternohyoid, sternothyroid, and both bellies of the omohyoid
do all C1 fibers branch off hypoglossal to form ansa cervicalis?
- nope
- some continue with it and supply thyrohyoid and geniohyoid muscles
suprahyoid muscles
- above the hyoid bone
- digastric
- stylohyoid
- mylohyoid
- geniohyoid
Digastic
-consists of posterior and anterior bellies connected by an intermediate tendon
Digastric posterior belly
- attaches to digastric notch
- runs anteriorly and inferiorly
digastric intermediate tendon
-pierces stylohyoid and runs in fibrous sling connected to body and greater horn of hyoid
Digastric inferior belly
- runs anteriorly and superiorly
- attaches to digastric fossa of mandible
nerve supply of digastric
Posterior belly: facial nerve
Anterior: nerve to myohyoid
Action of digastric
-depress mandible and elevate hyoid bone
stylohypid
Origin: styloid process
Insertion: passes anterior and inferior, inserts into hyoid bone at junction of body and greater horn
Nerve Supply: facial nerve
Action: elevates hyoid bone and draws it backwards