Neck (pg. 5 - 16 in note packet) Flashcards
Neck
Not a clear division between head and neck
Neck extends from base of skull and inferior border of mandible to first rib
Column of neck
Collar, neck
Nuchal
Back of neck
Cervix
Neck (a narrowing)
Thyroid cartilage vertebral level?
C4, C5
Landmark of thyroid cartilage of larynx
Laryngeal prominence
Hyoid bone vertebral level
C3
Hyoid bone purpose
Attachment site for anterior neck muscles and some tongue muscles
Bony landmarks of hyoid bone
Body, greater cornua, lesser cornua
Cricoid cartilage vertebral level
C6
Cricoid cartilage is
A cartilage of the larynx
Tracheal cartilage begins at what vertebral level
Below C6
Superficial veins of neck
Facial vein Retromandibular vein Posterior auricular vein External jugular vein Anterior jugular vein
Retromandibular vein
Anterior branch joins facial vein
Posterior branch joins posterior auricular vein
External jugular vein
Formed by union of posterior branch of retromandibular vein and posterior auricular vein
Platysma Origin
O: Fascia and skin of deltoid and pectoral regions
Platysma Insertion
I: Mandible and tissues around mouth
Platysma Innervation
N: facial nerve
Skin of neck Innervation by
C2, C3, C4 spinal nerves
Jugular venous dissension
Bulging of internal/external jugular veins
Caused by increased blood pressure at the right atrium or right ventricle of heart
Can indicate cardiovascular disease
Anterior triangle of neck (borders)
SCM
Inferior angle of mandible
Midline of anterior neck
Anterior Subtriangle names
Submandibular triangle
Sub mental triangle
Carotid triangle
Inferior carotid triangle
Submandibular triangle border
Inferior border of mandible
Posterior belly of digastric muscle
Anterior bell of digastric muscle
Submandibular triangle contents
Submandibular gland
Facial artery
Submental triangle borders
Hyoid bone
Anterior belly of right digastric muscle
Anterior belly of left digastric muscle
Carotid triangle borders
Posterior belly of digastric muscle
Superior belly of omohyoid muscle
SCM
Carotid triangle contents
Carotid sheath Common carotid artery Internal carotid artery (after bifurcation) Internal jugular vein Vegus nerve (CN X)
Inferior carotid triangle borders
Anterior midline of neck
SCM
Superior belly of omohyoid muscle
Inferior carotid triangle contents
Infrahyoid muscles
Thyroid gland
Lower larynx and trachea
Posterior triangle of neck borders
Clavicle
SCM
Trapezius
Posterior sub triangles of neck (names)
Supraclavicular triangle
Occipital triangle
Supraclavicular triangle borders
Clavicle
SMC
Inferior belly of omohyoid
Supraclavicular triangle contents
Subclavian artery
Subclavian vein
Roots and trunks of brachial plexus
Occipital triangle borders
Trapezius
SCM
Inferior belly of omohyoid
Occipital triangle contents
Spinal accessory nerve (CN XI)
Cutaneous nerves from cervical plexus
Lymphadenopathy
Swollen or enlarged lymph nodes
Surgical damage to spinal accessory nerve (CN XI)
May occur during lymph node biopsy or radical neck dissection
Results in decreased function of trapezius and SCM muscles
Sternocleidomastoid Origin
Sternal head - manubrium
Clavicular head - medial portion of clavicle
Sternocleidomastoid Insertion
I: Mastoid process of temporal bone and superior nuchal line of occipital bone
Sternocleidomastoid Innervation
N: Motor - spinal accessory nerve (CN XI)
Sensory - C2 (proprioception)
Sternocleidomastoid Action
Unilateral - ipsilateral flexion and contralateral rotation of neck and head
Bilateral - flexion of neck and extension of head
Occipital neuralgia
Chronic pain of upper neck and/or occiput
Lesser occipital nerve can be cause of/contributor to symptoms
Ansa cervicalis supplies:
Sternohyoid
Sternothyroid
Omohyoid
(All infrahyoid muscles EXCEPT thyrohyoid. Semi-unrelated, but note: Thyrohyoid innervation like Geniohyoid innervation… C1 via hypoglossal nerve)
Ansa cervicalis has two roots/rami:
Ventral primary rami of C1, C2, C3
Superior root - C1 fibers | descending hypoglossal ramus of ansa cervicalis
Inferior root - C2, C3 fibers | descending cervical ramus of ansa cervicalis
Phrenic nerve is fibers from:
Ventral primary rami of C3, C4, C5
Phren means
Diaphragm
Phrenic Nerve is motor fibers to ___ and sensory fibers to ___ and ___
Diaphragm;
Fibrous pericardium and mediastinal pleura
Segmental branches of cervical plexus supplies:
Scalene muscles and prevertebral muscles (deep muscles of anterior neck)
Hyoid bone landmarks:
Body
Greater cornua
Lesser cornua
Infrahyoid muscles used in:
Speech and swallowing
Name the four pairs of infrahyoid muscles
Sternohyoid
Sternothyroid
Omohyoid
Thyrohyoid
Sternohyoid Origin
O: Manubrium
Sternohyoid Insertion
I: Body of hyoid
Sternohyoid Action
A: depresses hyoid
All infrahyoid muscles (except 1) are innervated by:
Name the exception:
N: Ansa cervicalis (C1, C2, C3)
EXCEPT: thyrohyoid
Thyrohyoid Innervation
N: C1 (hitchhike with hypoglossal nerve)