Posterior Triangle Of Neck Flashcards

0
Q

What landmark divides the neck into two triangles?

A

SCM

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1
Q

What innervates the sternocleidomastoid (scm)

A

Central nerve XI (spinal accessory)

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2
Q

What is the action of the SCM?

A

Unilaterally its contraction tilts the head toward the shoulder of the same side, rotating the face.

Bilaterally they protract the head

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3
Q

Where does the SCM attach?

A

Superiorly to the mastoid process and sternum and to the clavicle inferiorly.

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4
Q

Inferior belly of the omohyoid divides the posterior triangle into:

A

Superior occipital triangle

Lower supraclavicular triangle

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5
Q

Brachial plexus is located…

A

Between the scalenus anterior and medius.

Enters the axilla via the cervicoaxillary canal

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6
Q

Brachial plexus innervates

A

The upper limb. Both sensory and motor

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7
Q

Central nerve XI (spinal accessory) innervates

A

Motor innervation to the SCM and trapezius.

Found anterior to levator scapula

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8
Q

Which muscles form floor of the triangle?

A
Semispinalis capitis 
Splenius capitis 
Levator scapulae 
Scalenus medius 
Scalenus anterior (phrenic nerve crosses anteriorly)
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10
Q

Origin of scalene muscles

A

Arise from the transverse processes of the cervical vertebrae

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11
Q

Attachments of the SCM

A

sternal head- manubrium of sternum

clavicular head- medial third of clavicle

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12
Q

Attachments of inferior belly of omohyoid

A

Superior border of the scapula and attaches on the hyoid bone

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13
Q

Innervation of belly of omohyoid

A

Branch of cervical plexus

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14
Q

Function of omohyoid

A

Depress hyoid and draw larynx and hyoid bone down for phonation and swallowing

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15
Q

Attachments of anterior scalene

A

Scalene tubercle of first rib and transverse processes of the cervical vertebrae.

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16
Q

Attachments of middle scalene

A

First rib and transverse processes of cervical vertebra

17
Q

Attachments of posterior scalene

A

Outer surface of second rib and transverse processes of cervical vertebra.

18
Q

Action of the scalene muscles (anterior, middle, and inferior)

A

Elevate ribs, unilaterally act to bend cervical spine and bilaterally act to flex neck

19
Q

Innervation of scalenes

A

Direct branches from brachial and cervical plexus

20
Q

Attachments of the splenius capitis

A

ligamentum nuchae and spinous processes of cervical and thoracic vertebra, later superior nuchal line of occipital bone and mastoid process of temporal bone

21
Q

Splenius capitis innervated by

A

spinal nerves C1-C6

22
Q

Action of splenius capitis

A

Head and neck extension (bilaterally)

23
Q

What is the base boundary of the posterior triangle?

A

Superior border of the clavicle

24
Q

What is the anterior border of the posterior triangle?

A

Posterior border of the SCM

25
Q

What is the posterior border of the posterior triangle?

A

Anterior border of the trapezius

26
Q

What is the roof of the posterior triangle?

A

Investing layer of deep cervical fascia

27
Q

What is the floor of the posterior triangle?

A

Musculature and prevertebral fascia

28
Q

4 Layers of deep cervical fascia in the neck

The investing layer does what?

A

Surrounds the entire neck. It roofs the posterior and anterior triangles

29
Q

4 Layers of deep cervical fascia in the neck

The pretracheal layer does what?

A

Forms a sheath around the thyroid gland

30
Q

4 Layers of deep cervical fascia in the neck

The prevertebral layer does what?

A

Surrounds the vertebra and musculature. It forms the fascial carpet over the floor of the posterior triangle

31
Q

4 Layers of deep cervical fascia in the neck

The Carotid sheath is what?

A

A condensation of all three layers that form a sheath enclosing the vertical neurovascular bundle of the neck