Posterior Triangle Flashcards
A: What are the 2 primary zones of the neck
B: What protects and segregates these zones?
A:
- Visceral region anteriorly
- Musculoskeletal block Posteriorly
B: FASCIA
Name the 6 types of Cervical Fascia
- Superficial Cervical Fascia
- Investing Fascia
- Infrahyoid Fascia
- Carotid Sheath
- Prevertebral Fascia
- Pretracheal Fascia
Describe the Superficial Cervical Fascia [4]
Surrounds fat, cutaneous nerves, vessels, platysma
Describe Cervical: DEEP INVESTING FASICA [3]
2) This is also known as the _____ Fascia
- Surrounds all neck structures except platysma
- Attaches to ligamentum nuchae & C7 spinous process posteriorly
- Splits to surround Traps & sternocleidomastoid
AKA ENVELOPING FASCIA
Describe Cervical: Infrahyoid Fascia
Surrounds and isolates movements of Strap Muscles
- Describe Cervical:Carotid Sheath
- Surrounds ViiC! –>
Vagus n. / iNternal Carotid/ iNternal Jugular / Common Carotid
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A: What are the Boundaries of the Posterior Triangle
B: Describe Roof of Posterior Triangle [4]
C: Describe the FLOOR [4]
D: How is the Posterior Triangle subdivided
A:
ANTERIOR: Sternocleidomastoid
INFERIOR: Clavicle
POSTERIOR: Traps
B: Platysma, Superficial & Investing fascia & skin
C: FLOOR: Splenius/Levator/Posteior & middle Scalene (all covered in deep/prevertebral fascia)
D: Subdivided by inf-Omohyoid muscle into
[superior Occipital Triangle] & [Omoclavicular/Supraclavicular] triangle inferiorly
What are the 4 Layers of the Posterior triangle starting from outside –>in
- Skin (MOST OUTER)
- Subcutaneous Connective Tissue Package [a lot]
- Investing layer of Deep Cervical fascia =surrounds sternocleidomastoid & traps
- Deeper Contents
[CN11 C3-C4/ inf-Omohyoid/ Subclavian vein in front of
ANT scalene]
Describe just the [Subcutaneous Connective Tissue Package layer] that surrounds Posterior Triangle [3]
BB) This is the ___superficial layer of the Posterior Triangle
Package Contains:
1. Platysma (facial expression muscle/shaving muscle)
- External Jugular Vein (formed by Retromandibular v. & POST auricular v.)
- Cutaneous Branches of Cervical Plexus:
A: C2/C3->lesser occipital / great auricular / Trnverse Crvcial
B: C3/C4–>supraclavicular nerve
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BB: Subcutaneous Connective Tissue Package layer is the 2nd most superficial
1) Subclavian artery and its “early kids”/branches are ____ to the ANTerior Scalene
2) Describe the Division of this Artery [3]
1) Subclavian artery and its “early kids”/branches are DEEP to ANT Scalene
2) VITamin - C - and sometimes D!
*1st segment =
VIT=Vertebral a. / Internal Thoracic / Thyrocervical
**2nd segment= Costacervical [Deep cervical vs. Supreme Intercostal branches]
***3rd segment= sometimes Dorsal Scapular a.–>Levator & both Rhomboid
What are the 4 branches of the Thyrocervical trunk/artery?
2) Where does this artery stem from?
“SITA came from the Thyrocervical”
1) A:Suprascapular a.
B: inf-Thyroid
C: Trnsverse Cervical
D: Ascending Cervical
2) Thyrocervical comes from 1st segment of Subclavian “early kids”
A: What organs does the Vertebral a. supply?
B: What happens after Subclavian a. & v. crosses the 1st rib and what is the Clinical Relevance to this?
A: Circle of Willis and Brainstem
B: Once Subclavian a/v passes 1st rib they become Axillary a/v. Pressing subclavian against 1st rib is IMP pressure point to STOP UE severe bleeding
Brachial plexus & Subclavian Artery passes between which 2 scalene muscles?
Anterior Scalene & Middle Scalene
Where is the Subclavian VEIN located?
B: What else is located in this same area?
sits ON TOP of the ANT SCALENE
B: PHRENIC NERVE ALSO Sits ON TOP of ANT SCALENE
The Middle Scalene muscle is pieced by the ____ ____ n. and attaches to the ___rib (along with ___) while the Posterior Scalene muscle attaches to the ____ rib
Middle scalene muscle is pierced by DORSAL SCAPULAR NERVE & attaches to 1st rib (along with ANT Scalene) while.. Posterior Scalene muscle attaches to 2nd rib