Lectures 29-30 Flashcards
Five superficial bony landmarks of the neck
- mastoid process
- clavicles
- acromion
- mental protuberance
- spine of scapula
Superficial neck muscles (3)
- trapezius (CN XI)
- sternocleidomastoid (mastoid process to process –> prox. clavicle and sternal manubrium; CN XI)
- platysma (muscle of facial expression; CN VII)
External jugular vein begins on side of face, and comes from which two venous contributions?
- retromandibular vein
- posterior auricular vein
External jugular continues across (and outside of) sternocleidomastoid and terminates in the…
subclavian vein
Four sensory branches of cervical plexus (VENTRAL primary rami)
- lesser occipital nerve: anterior primary ramus of C2
- great auricular nerve: anterior primary rami of C2 and C3
- transverse cervical nerve: anterior primary rami of C2 and C3
- supraclavicular nerve: anterior primary rami of C3 and C4
Lesser occipital nerve: anterior primary ramus of C2…
gives sensation to lower neck and head
Great auricular nerve: anterior primary rami of C2 and C3…
gives sensation to posterior ear and skin over parotid gland
Transverse cervical nerve: anterior primary rami of C2 and C3…
gives sensation to anterior/lateral neck
Supraclavicular nerve: anterior primary rami of C3 and C4…
gives sensation to skin over clavicle
Cervical lymph nodes (3 areas)
- supramandibular/suboccipital nodes
- deep cervical nodes
- anterior cervical nodes
Posterior cervical triangle boundaries
- sternocleidomastoid
- upper trapezius
- clavicle
- deep cervical investing fascia
Posterior cervical triangle contents: muscles (4)
- scalenes (anterior/middle/posterior)
- levator scapulae
- splenius capitis
- omohyoid, inferior belly
What is the significance of the inferior belly of omohyoid muscle?
divides the posterior cervical triangle into occipital and subclavian triangles
What two triangles are formed WITHIN the posterior cervical triangle?
- subclavian triangle
- occipital triangle
Posterior cervical triangle contents: nerves (6)
- lesser occipital nerve
- great auricular nerve
- transverse cervical nerve
- supraclavicular nerves
- spinal accessory nerve (CN XI)
- 5 rami & 3 trunks of brachial plexus
Erb’s point
where 4 nerves emerge:
- lesser occipital nerve
- great auricular nerve
- transverse cervical nerve
- supraclavicular nerves
Posterior cervical triangle contents: blood vessels
- subclavian vein
- subclavian artery
Anterior cervical triangle boundaries
- sternocleidomastoid
- mandible
- midline of anterior neck
- deep cervical investing fascial (roof)