The Posterior Triangle of the Neck Flashcards
What are the boundaries of the Posterior Triangle?
Anterior: Posterior Border of Sternomastoid Muscle
Posterior: Anterior Border of Trapezius Muscle
Base: Intermediate 1/3rd of Clavicle
Roof of Posterior Triangle
Superficial to Deep:
Skin
Superficial Fascia (containing Platysma and External Jugular Vein)
Investing Layer of Deep Cervical Fascia
Floor of Posterior Triangle
Scalenus Medius
Levator Scapulae
Splenius Capitis
Small part of Semispinalis Capitis
All covered by Prevertebral Fascia
What are the Contents of the Posterior Triangle?
Nerves
Vessels
Muscles
Contents of Posterior Triangle
What are the Nerves?
Spinal Accessory Nerves
Four Cutaneous Branches of Cervical Plexus
Roots and Trunks of Brachial Plexus
Contents of Posterior Triangle
Spinal Accessory Nerve: Spinal Segments
C1 - C5
Contents of Posterior Triangle: Spinal Accessory Nerve
Pathway
Appears at Posterior Border of Sternomastoid
Descends parallel to Levator Scapulae
Ends in Deep Surface of Trapezius Muscle
Contents of Posterior Triangle: Spinal Accessory Nerve
Damage
Causes paralysis of Sternomastoid and Trapezius Muscles
Face turns towards paralysed side
Contents of Posterior Triangle
Cervical Plexus: Cutaneous Branches
Lesser Occipital Nerve (C2)
Greater Auricular Nerve (C2, 3)
Transverse Cervical Nerve (C2, 3)
Supraclavicular Nerve (C3, 4)
Contents of Posterior Triangle: Cervical Plexus
Lesser Occipital Nerve Pathway
Ascends along Posterior Border of Sternomastoid
Contents of Posterior Triangle: Cervical Plexus
Lesser Occipital Nerve supplies …
Posterior Part of Scalp
Contents of Posterior Triangle: Cervical Plexus
Greater Auricular Nerve Pathway
Crosses Sternomastoid towards Angle of Mandible
Contents of Posterior Triangle: Cervical Plexus
Greater Auricular Nerve supplies …
Overlying Skin at Angle of Mandible
Contents of Posterior Triangle: Cervical Plexus
Transverse Cervical Nerve Pathway
Crosses Sternomastoid towards Anterior Triangle
Contents of Posterior Triangle: Cervical Plexus
Transverse Cervical Nerve supplies …
skin of front of neck
Contents of Posterior Triangle: Cervical Plexus
Supraclavicular Nerve Pathway
Descend as Medial, Intermediate and Lateral Groups
Contents of Posterior Triangle: Cervical Plexus
Supraclavicular Nerve supplies …
skin on front of upper chest
Contents of Posterior Triangle
Brachial Plexus location
Lower Part of Posterior Triangle
Between Scalenus Anterior and Scalenus Medius
Contents of Posterior Triangle
Vessels
3rd Part of Occipital Artery crosses Apex of Triangle
3rd Part of Subclavian Artery at Base of Triangle
Transverse Cervical Artery arising from Thyrocervical Trunk
Suprascapular Artery arising from Thyrocervical Trunk
Subclavian Vein which is a continuation of the Axillary Vein
Contents of Posterior Triangle
Muscles
Inferior belly of Omohyoid
Sternocleidomastoid
Origin
Sternal Head: Front of Manubrium Sterni
Clavicular Head: Medial 1/3rd of Clavicle
Sternocleidomastoid
Insertion
Lateral Surface of Mastoid Process
Lateral 1/2 of Superior Nuchal Line
Sternocleidomastoid
Nerve Supply
Spinal Accessory Nerve
Sternocleidomastoid
Action
Acting Alone: Pulls Mastoid Process down on same side to Chin turns upwards on opposite side
Acting Together: Flexes Neck Forward and used in Elevation of Clavicle and Sternum during Deep Inspiration
Sternocleidomastoid
Torticollis
Spasm of muscle during Cold and Inflammation
Ear tilts towards contracted muscle and chin faces opposite direction
Suboccipital Triangle
Boundaries
Medial: Rectus Capitis Posterior Major
Lateral: Superior Obliquus Capitis
Inferior: Inferior Obliquus Capitis
Floor: Posterior Atlantoocipital Membrane and Posterior Arch of Atlas
Suboccipital Triangle
Contents
Suboccipital Nerve (C1)
Third Part of Vertebral Artery
Suboccipital Triangle
Roof
Trapezius
Sternomastoid
Splenius Capitis
Semispinalis Capitis
Splenius Capitis Function
Bilateral: Extends Neck
Unilateral: Rotates Face to same side
Semispinalis Capitis Function
Bilateral: Extends Neck
Unilateral: Lateral Flexion of Neck to same side
Rectus Posterior Major Capitis
Superior Attachment
Lateral Inferior Nuchal Line
Rectus Posterior Major Capitis
Inferior Attachment
Spine of Axis
Rectus Posterior Major Capitis
Nerve Supply
Suboccipital Nerve (C1)
Rectus Posterior Major Capitis
Action
Extends Head and Rotates to same side
Rectus Posterior Minor Capitis
Superior Attachment
Medial Inferior Nuchal Line
Rectus Posterior Minor Capitis
Inferior Attachment
Tubercle of Posterior Arch of Atlas
Rectus Posterior Minor Capitis
Nerve Supply
Suboccipital Nerve (C1)
Rectus Posterior Minor Capitis
Action
Extends Head
Obliquus Superior Capitis
Superior Attachment
Occipital Bone
Obliquus Superior Capitis
Inferior Attachment
Atlas Transverse Process
Obliquus Superior Capitis
Nerve Supply
Suboccipital Nerve (C1)
Obliquus Superior Capitis
Action
Extends Head
Bends Head Laterally
Obliquus Inferior Capitis
Superior Attachment
Atlas Transverse Process
Obliquus Inferior Capitis
Inferior Attachment
Spine of Axis
Obliquus Inferior Capitis
Nerve Supply
Suboccipital Nerve (C1)
Obliquus Inferior Capitis
Action
Rotates Head to Same Side