Cervical Triangles Flashcards
Platysma OIAN
Origin: deep fascia covering the pectoralis major and deltoid muscles
Insertion: lower margin of the body of mandible blending with the muscle at the angle of the mouth
Nerve supply: cervical branch of facial nerve
Action: depresses the mandible and draws the lower lip and angle of the mouth
Posterior Triangle Boundries
- Anteriorly: the SCM
- Posteriorly: the trapezius muscle
- Inferiorly: the middle third of clavicle
Posterior Triangle Contents
Arteries: subclavian, superficial
(transverse) cervical, suprascapular,
occipital artery–>Branch of the external Carotid aa.
Veins: external jugular and its tributaries, subclavian vein
• Nerves: brachial plexus, spinal accessory (SCM & Upper Trap.), branches of cervical plexus
Posterior Triangle Divisions
- the inferior belly of the omohyoid muscle divides the posterior triangle into two smaller
triangles ( Occipital Triangle and Supraclavicular Triangle)
Supraclavicular triangle
is the smaller triangle between inferior part
of SCM, inferior belly of omohyoid
and middle third of clavicle.
(subclavian triangle b/c subclavian aa. vv. go through it)
Occipital triangle
between SCM, trapezius and inferior belly of
omohyoid.
Omohyoid OIAN
Origin: scapular notch
Insertion: Later Hyoid Bone
Action: Depress Hyoid bone
Nerve:
Posterior Triangle Floor
Floor • prevertebral fascia • splenius capitis • levator scapulae • middle scalene • posterior scalene • anterior scalene, occasionally
Anterior Scalene OIAN
- Origin: Anterior tubercles of TPs of C3-C6
- Insertion: First rib
- Nerve supply: Ventral rami of C4-C6
• Action: Bilaterally, it elevates first
rib. Unilaterally, it laterally flexes
and rotates the neck.
Anterior Scalene Relations
- Anteriorly:
- Subclavian vein
- Transverse cervical and suprascapular arteries
- Phrenic nerve
- Posteriorly:
- Subclavian artery
- Brachial plexus
- Medially:
- Vertebral artery & vein
- Thyrocervical trunk
- Laterally:
- Roots of brachial plexus
Middle Scalene OIAN
- Origin: Posterior tubercles of TPs of C2-C7
- Insertion: Upper surface of first rib behind groove for subclavianartery
- Nerve supply: Ventral rami of C3 to C8
- Action: Bilaterally, it elevates first rib. Unilaterally, it laterally flexes the neck
Posterior Scalene OIAN
- Origin: Posterior tubercles of TPs of C4-C6 or C5-C7
- Insertion: Outer surface of second rib
- Nerve supply: Ventral rami of C6 to C8
- Action: Bilaterally, it elevates second rib. Unilaterally, it laterally flexes the neck
Anterior Triangle Boundries
Anterior: midline of the neck
Posterior: anterior border of SCM
Superior: lower margin of mandible
Submental Triangle Boundries
- Medial: midline of the neck
- Lateral: anterior belly of digastric muscle
- Inferior: body of hyoid bone
Submental Triangle Contents
Contents
• Lymph nodes
• Beginning of anterior jugular v.