Midterm 3: Dorsal Regions - Superior (Dustin) Flashcards
Nuchal region borders?
Superior: from external occipital protuberance to mastoid process
Inferior: vertebra prominens (C7)
Medial: midline btwn superior and inferior points
Lateral: the lateral borders of trapezius from mastoid process until the inferior boundary
Nuchal region: layers from outer to inner?
6 things
- skin
- subcutaneous with fat and nerves
- superficial cervical fascia
- three superficial nuchal muscles (detailed later)
- deep cervical fascia
- deep nuchal muscles with suboccipital triangle
what are the 3 superficial nuchal muscles, from outer to inner?
what nerves innervate them?
2 and 3 innervated by suboccipital nerve
- trapezius (from CN XI)
- splenius capitis
- semispinalis capitis
what are the borders of the suboccipital triangle?
what are the contents?
base: posterior atlanto-occipital membrane
medially: rectus capitis posterior major
supero-laterally: oblique capitis superior
infero-laterally: oblique capitis inferior
contents: vertebral artery, suboccipital nerve
What two arteries and three nerves can be found in the nuchal region?
Arteries:
- Occipital artery (from ext carotid)
- Vertebral artery (from subclavian)
Nerves:
- suboccipital nerve (motor innervation for suboccipital muscles)
- greater occipital nerve (sensory)
- third occipital nerve (sensory)
Scapular region: boundaries
Superior: horizontal line between acromion and T1 spinous process
Inferior: horizontal line between inferior scapular angle and posterior axillary fold
Medial: midline
Lateral: obliquely, line between acromion and lateral end of the posterior axillary fold
What are the 2 superficial muscles of the scapular region?
What nerve innervates them?
Trapezius (CN XI)
Deltoid: spinous part (axillary n)
What are 6 layers of the scapular region, starting from the skin and going deeper?
- skin
- subcutaneous tissue / fat
- fascia of superficial muscles
- superficial muscles (trapezius, deltoid)
- supraspinal and infraspinal fascia
- deeper muscles (supraspinatus, teres min/maj, etc.)
What are the important relationships of vessels/nerves around the suprascapular notch?
The suprascapular nerve goes through the notch. The notch is covered by the transverse ligament, and above this ligament is the suprascapular artery
What anastomoses does the suprascapular artery form, and with what other arteries?
Together with the circumflex scapular artery and the dorsal scapular artery, form the arterial network of the scapula: rete of the scapula
What is the content of the medial axillary hiatus?
also called medial triangular space
circumflex scapular artery
what is the content of the lateral axillary hiatus?
also called the quadrangular space
posterior circumflex humeral artery
axillary nerve
What muscles do the suprascapular nerve innervate?
From which trunk of the brachial plexus does it originate?
supraspinatus
infraspinatus
comes from superior trunk
What nerve innervates the rhomboids and levator scapulae?
from which trunk does it originate?
Dorsal Scapular Nerve
from Superior Trunk
What muscles do the subscapular and thoracodorsal nerves innervate?
From which cord of the brachial plexus do they originate?
Subscapular: Subscapularis and Teres Major
Thoracodorsal: Latissimus Dorsi
Originate in the posterior cord
What nerve invervates teres minor?
From which cord of the brachial plexus does this nerve originate?
Axillary nerve (also innervates deltoid)
from Posterior Cord
Posterior brachial region: borders
Proximal: posterior axillary fold level
Distal: 3 fingers above the olecranon
medial: medial bicipital groove
lateral: lateral bicipital groove