neck -posterior triangle Flashcards
two smaller triangles of posterior triangle
occipital and omoclavicular (subclavian)
what is the reference point for the anterior and posterior triangles
sternocleidomastoid muscle
what separates the two posterior triangles
inferior belly of omohyoid m
borders of posterior triangle
anterior: posterior border of SCM
posterior: anterior border of trapezius m
inferior: middle 1/3 of clavicle
superior: occipital bone (post to mastoid process)
roof: investing layer
floor: prevertebral cervical fascia
two heads of scm m
sternal head and clavicular head
origin of sternal head
anterior surface of manubrium
origin of clavicular head
superior surface of medial 1/3 of clavicle
insertion of scm m
lateral surface of mastoid process and superior nuchal line
action of scm m (unilateral)
lateral flexion (same) and rotation (opposite)
action of scm m (bilateral)
extension of head and flexion of the neck
innervation of scm m
accessory n and branches of AC (propriocepton)
origin of trapezius m
1) superior nuchal line
2) external occipital protuberance
3) nuchal ligament
4) spinous process (C7-T12)
insertion of trapezius m
- clavicle
- scapula
unilateral action of trapezius m
lateral flexion (same)
bilateral action of trapezius m
extends neck
other functions of trapezius m
rotate, elevate, and depress scapula
elevates and depresses shoulder
innervation of trap m
- accessory n
- AC => C2 and C3 (proprioception)
insertion splenius capitis m
- mastoid process
- skull below superior nuchal line
bilateral action of splenius capitis
extension (head back)
unilateral action of splenius capitis
- flex head laterally (same)
- rotates face (same!)
origin of anterior scalene m
transverse processes of cervical vertebrae
insertion of anterior scalene m
RIB 1
scalene muscles and SCM aid in what?
forced inspiration (by elevation of ribs and sternum)
origin of middle scalene m
transverse process of c vertebrae
insertion of middle scalene m
upper surface of RIB 1
origin of posterior scalene m
transverse processes of c vertebrae
insertion of posterior scalene m
upper surface of RIB 2
bilateral action of scalene muscles
- flex neck (all)
- elevate RIB 1 (anterior and middle)
- elevate RIB 2 (posterior)
unilateral action of scalene muscles
all will flex neck laterally (same side)
inferior belly of omohyoid muscle
origin: superior border of scapula
insertion: intermediate tendon
action: depress and fix hyoid bone
innerv: ansa cervicalis
subclavian Artery
1st part: medial to anterior scalene m
2nd part: passes BEHIND anterior scalene m
3rd part: emerges lateral to anterior scalene m
subclavian vein
- anterior to and lower than subclavian a
- sits on the anterior scalene m
external jugular vein
- on top of scm
- drains into subclavian v
accessory nerve
passes through the anterior triangle to supply SCM and posterior triangle to supply trapezius m
cervical plexus
cutaneous (superficial) = sensory
muscular (deep) = motor
what are the cutaneous (superficial) branches
- lesser occipital
- greater auricular
- transverse cervical
- supraclavicular
lesser occipital n
- branches from C2
- goes up along the posterior border of scm
- supplies: skin of neck, scalp behind ear
greater auricular n
- branches from c2 and c3
- goes up the scm to base of ear
- supplies: auricle, scalp (behind ear), skin of parotid region and parotid gland, skin from angle of mandible to mastoid
what supplies the angle of mandible
greater auricular nerve
transverse cervical nerve
- branches from c2 to c3
- passes below greater auricular n
- goes horizontally across scm to supply lateral and anterior parts of neck
supraclavicular nerves
- from c3 to c4
- descend after emerging from post border of scm
- supply: skin over clavicle and shoulder to RIB 2
motor nerves
- phrenic
- ansa cervicalis
phrenic nerve
- part of cervical plexus
- goes to diaphragm
- motor and sensory to diaphragm
phrenic nerve is found
- on anterior scalene m
- lateral to vagus
ansa cervicalis
- c1 to c3
- supplies supperior and inferior belly of omohyoid m, sternohyoid m, sternothyroid m
brachial plexus
- 3 trunks
- found between anterior and middle scalene muscles