POSTERIOR TRIANGLE OF NECK Flashcards
BOUNDARIES
ANTERIOR -Posterior border of sternocleidomastoid
POSTERIOR- anterior border of trapezius
BASE-middle one third of clavicle
APEX- superior nuchal line and meeting of the 2 muscles
ROOF
investing layer of deep cervical fascia
superficial fascia contains-
1. platysma
2. external jugular and posterior external jugular vein
3. lymph vessels( end in supraclavicular nodes)
3.unamed arteries
4. parts of supraclavicular, great auricular, transverse cutaneous and lesser occipital nerves.
FLOOR
prevertebral layer of deep fascia that covers
- Splenius capitis
- Levator scapulae
- Scalenus medius
- Semispinalis capitis may form a part
DIVISION
Larger upper- occipital part
and smaller lower- supraclavicular part by the inferior omohyoid muscle.
EXTERNAL JUGULAR VEIN
FORMATION-union of posterior auricular vein and posterior division of retromandibular vein.
COURSE-lower part of the parotid gland crosses sternocleidomastoid and pierces roof of posterior triangle and drains into subclavian vein.
TRIBUTARIES-
1. Posterior external jugular vein
2. transverse cervical vein
3.suprascapular vein
4.anterior jugular vein
CLINICAL-If it is cut, it cannot close as its margins are adherent to the fascia. Hence air is sucked in due to negative intrathoracic pressure causing air embolism. Hence deep fascia has to be cut.
CONTENTS OF OCCIPITAL TRIANGLE
NERVES-
- Spinal accessory nerve
- Four cutaneous branches of cervical plexus- lesser occipital, great auricular, anterior cutaneous nerve, supraclavicular.
- Muscular branches- 2 small branches to to levator scapulae, two small branches to trapezius, nerve to rhomboids.
VESSELS-
- Transverse cervical artery and vein.
- Occipital artery
LYMPH NODES-
Supraclavicular nodes and occipital nodes.
CONTENTS OF SUBCLAVIAN TRIANGLE
NERVES-
- Roots and trunk of brachial plexus
- Nerve to serratus anterior
- Nerve to subclavius
- Suprascapular nerve
VESSELS-
- 3rd part of subclavian artery and subclavian vein
- suprascapular artery & vein
- lower part of external jugular vein
- begining of transvers cervical artery & ending of corr. vein
LYMPH NODES
few members of supraclavicular chain
DIAGRAM
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