Posterior Triangle of the Neck, Axilla, and Brachial Plexus Flashcards
Divisions of the posterior cervical triangle
Occipital triangle
Supraclavicular
Divided by omohyoid
Borders of the Posterior Triangle of the Neck
SCM
Clavicle
Trapezius
SCM (O, I, N, B, F)
O = Manubrium; Proximal Clavicle I = Mastoid process; temporal bone N = Spinal Accessor B = Multiple F = Individually, will tilt head toward shoulder on same side rotating head to turn face to opposite side; acting together, draw head forward
Trapezius (O, I, N, B, F)
O = Vertebral spines; Occipital bone I = Spine adn acromion of scapula; distal clavicle N = Spinal accessory B = Transverse cervical - Superficial branch F = Assists in rotating the scapula during abduction of humerus above horizontal; upper fibers - elevate, middle fibers - adduct, lower fibers - depress scapula
Cervical Fascias
Enveloping layer of Deep Cervical Fascia
Pretracheal Fascia
Prevertebral Fascia
Carotis Sheath
Retropharyngeal space
Located between Pretracheal and Prevertebral Fascai
Infection here is really dangerous bc space goes all the way to the thoracic cavity
Scalene Muscles (I, F)
I = Cervical Nerves F = Elevate ribs 1 and 2
Between what scalenes does the brachial plexus pass?
Anterior and middle
Levator Scapulae (O, I, N, B, F)
O = transverse processes of C1-C4 I = Superior angle of scapula; Medial border of scapula N = Dorsal scapular, C3 and C4 B = Dorsal Scapular Artery F = Elevates Scapula
Splenius Muscles (O, I, N, F)
O = Lower ligamentum nuchae, spinous processes of cervical and thoracic vertebrae I = Transverse processes (cervicis), mastoid process and superior nuchal line (capitis) N = dorsal rami of middle and lower cervical spinal nerves F = extend, rotate, and laterally flex the head
Contents of the Posterior Triangle
Cervical Plexus Brachial Plexus (roots and trunks) Branches of the Subclavian Artery Tributaries to the Jugulars Posterior belly of omohyoid
Cervical Branches (Cutaneous branches)
Lesses Occipital (C2) Greater Auricular (C2-C3) Transverse Cervical (C2-C3) Supraclavicular (C4)
Review Veins and Arteries
Slides 16-18
The Phrenic Nerve crosses anterior to what muscle in the posterior triangle of the neck
Anterior Scalene
Postaxial nerves
come from the posterior cord - axillary (shoulder muscles) and radial (arm and forearm)
Preaxial nerves
come from the lateral and medial cords
musculocutaneous - arm
median - forearm
ulnar - hand
Brachial plexus present in posterior triangle of the neck
Roots
Trunks
Dorsal Scapular N
Branches of Roots
Dorsal scapular
Long thoracic
Branches off Trunks
Suprascapular
Nerve to Subclavious