Exam3Lec2DeepNeck Flashcards
What are the anterior muscles of the deep neck?
rectus capitis anterior and lateralis, longus capitis, longus coli
What is the location, innervation, and actions of the rectus capitis anterior & lateralis?
Location: occipital bone–> C1 (atlas)
Innervation: C1,2
Actions: flex the head
What is the location, innervation, and actions of the longus capitis?
Location: occipital bone–> cervical vertebrae
Innervation:C1-3
Actions: flex the head
What is the longus capitis superior to?
longus coli
What is the location, innervation, and actions of the longus coli?
Location: ant to the cervical vertebrae
Innervation: C2-6
Actions: flex the head, rotate the neck
What are the lateral muscles of the deep neck?
anterior scalene, middle scalene, posteror scalene
What is the location, innervation, and actions of the anterior scalene?
Location: transverse processes (C3-6)–> rib 1
Innervation: C4-6
Actions: flex the head + neck
What is the location, innervation, and actions of the middle scalene?
Location: posterior tubercle (C5-7)–> rib2
Innervation:n/a
Actions: flex the head + neck, elevate the ribs
What is the location, innervation, and actions of the posterior scalene?
Location: posterior tubercle (C5-7)—>rib2
Innervation: n/a
Actions: Flex the head + neck, elevate the ribs
What is the posterior tubercle?
POSTERIOR PART OF TRANSVERSE PROCESS
Which muscles contribute to the flexion of the head?
rectus capitis anterior, recuts capitis lateralis, longus capitis, anterior/middle/posterior scalenes
Which muscles contribute to the flexion of the neck?
anterior/middle/posterior scalenes
Which muscles contribute to the rotation of the neck?
longus coli
The pre-vertebral muscles are covered by what?
Pre-vertebral layer of the deep cervical fascia
What are the contents of the scalene triangle?
phrenic nerve (C3-5)
roots of the brachial plexus
subclavian artery
brachiocephalic vein–> subclavian vein
Which structures that are in the scalene triangle is located anterior to the anterior scalene muscle?
brachiocephalic vein + subclavian vein are anterior to the ant. scalene
Which structures that are in the scalene triangle is located posterior to the anterior scalene muscle?
the phrenic nerve + brachial plexus + subclavian artery are posterior to the ant. scalene
The deep neck is supplies by branches of the subclavian artery. What are the branches?
Vit C & D
Vertebral artery
Internal Thoracic Artery
Thyrocervical trunk
How does the vertebral artery run and what does it supply
It enters the transverse foramen + passes post to C1
It supplies the medulla + cerebellum +spinal cord
How does the internal thoracic artery run?
passes inferior to the thorax
What are the branches of the thyrocervical trunk?
Inferior thyroid artery–> thyroid, esophagus, larynx, trachea, parathyroid glands, neck muscles
ascending cervical artery–> lateral neck muscles. Passes through the intervertebral foramen (w/spinal nerves)
suprascapula artery–>shoulder region + SCM
cervical dorsal artery
Where does the sympathetic innervation of deep neck come from?
sympathetic trunk and phrenic nerve (C 3,4,5)
What does the sympathetic trunk give off?
The sympathetic trunk gives cervical ganglia to cervical plexus (of nerves).
Superior ganglia, middle ganglia , inferior ganglia (forms stellate ganglia w/ thoracic ganglia)
The phrenic nerve starts at which muscle and where is the phrenic nerve located?
Starts lateral to the ant. scalene m–> then descends anterior to the ant. scalene m then descends ant to the ant scalene m
located b/n the subclavian artery+ vein
Where does the parasympathetic innervation of deep neck come from?
high yield
vagus nerve (CNX=10) forms recurrent laryngeal nerves
What are the branches of the vagus nerve that innervate the deep neck?
right recurrent laryngeal nerve loops inf, to the right subclavian artery (@T1,2)
left recurrent laryngeal nerve loops inf. to the aortic arch (@T4,5)
Where does the vagus nerve run through?
runs through the carotid sheath (pre tracheal layer of deep cervical fascia)
What are the glands of the deep neck?
thyroid gland, parathyroid gland