Suboccipital Region Flashcards
What cutaneous nerves are present in the suboccipital space?
- Lesser occipital
- Greater occipital
What is the origin of the suboccipital nerve?
Post. ramus C1
What is the origin of the greater occipital nerve?
Post. ramus C2
What is the origin of the lesser occipital nerve?
Ant. rami C2-3
What is the course of the suboccipital nerve?
Runs between the cranium and C1 vertebra to reach suboccipital triangle
What is the course of the greater occipital nerve?
Emerges inferior to obliquus capitis inferior and ascends to posterior scalp
What is the course of the lesser occipital nerve?
Passes directly to skin
What does the suboccipital nerve innervate?
Muscles of suboccipital triangle
What does the greater occipital nerve innervate?
Skin over neck and occipital bone
What is the function of the lesser occipital nerve?
Skin of superior posterolateral neck and scalp posterior to external ear
Identify these muscles. picture
Splenius capitis (superior)
Splenius cervicis (inferior)
What is the origin and insertion of the splenius capitis?
Origin = ligamentum nuchae + C7-T3 spinous processes
Insertion = occipital bone and mastoid
What is the origin and insertion of the splenius cervicis?
Origin = T3-T6 spinous processes
Insertion = C1-2 transverse processes
What innervates the splenius capitis and cervicis?
Post. rami C1-6
What is the function of the splenius capitis and cervicis?
- Bilaterally extends neck and head
- Unilaterally flexes and rotates to same side
What are these muscles? picture
- Semispinalis capitis (superior)
- Longissimus capitis (inferior)
What is the origin and insertion of the semispinalis capitis?
Origin = C4-T7 transverse processes
Insertion = occipital bone between nuchal lines
What is the function of the semispinalis capitis?
- Extends cervical spine (both sides)
- Bend to same side and rotates to opposite side (one side)
What is the origin and insertion of the longissimus capitis?
Origin = T1-3 plus C4-7 transverse processes
Insertion = mastoid process
What is the function of the longissimus capitis?
- Extends head
- Flexes and rotates head to same side
What innervates the semispinalis and longissimus capitis muscles?
Posterior rami
Identify these muscles. picture
picture
What is the origin and insertion of the rectus capitis posterior major?
Origin = C2 spinous process
Attachment = inferior nuchal line
What is the origin and insertion of the rectus capitis posterior minor?
Origin = C1 posterior tubercle
Attachment = inferior nuchal line
What innervates the rectus capitis posterior major and minor?
Suboccipital nerve (posterior rami of C1)
What is the function of the rectus capitis posterior major and minor?
- Extend head
- Rotate to same side
Identify these muscles. picture
Picture
What is the origin and insertion of the obliquus capitis superior?
Origin = C1 transverse process
Insertion = Occipital bone above inferior nuchal line
What is the function of the obliquus capitis superior?
- Extends head
- Tilts head to same side
- Rotates head to opposite side
What is the origin and insertion of the obliquus capitis inferior?
Origin = C2 spinous process
Insertion = C1 transverse process
What is the function of the obliquus capitis inferior?
- Extends head
- Rotates head to same side
What innervates the obliquus capitis superior and inferior?
Suboccipital nerve (posterior rami C1)
What nerves are present in the suboccipital space?
- Suboccipital (C1)
- Greater occipital (C2)
- C3 dorsal ramus
What arteries are present in the suboccipital space?
- Occipital artery from external carotid
- Vertebral artery from subclavian
Describe the journey of the vertebral arteries.
- Branch of subclavian in root of neck
- Ascend neck in foramen transversarium of cervical vertebra
- Cross superior surface of C1 to enter foramen magnum
- R and L vertebral arteries unite to form the basilar artery
Describe the journey of the deep cervical vein.
- Occipital veins run with the suboccipital nerve
- Join the deep cervical vein
- Deep cervical vein communicates with the vertebral veins and brachiocephalic vein
Describe the vertebral venous system.
Many small veins communicating with each other
What articulation is present between the occipital bone and C1?
Nodding movement
Describe the articulation present between C1and C2.
- Rotation at synovial pivot joint
- Shaking head
Identify the ligaments present in this diagram.
PICTURE