Triangles of Neck/Herniated Disc Flashcards
Carotid Sheath
Surrounds common carotid artery, vagus nerve, & internal jugular vein
Retorpharyngeal Sapce
Potential space of loose connective tissue between the prevertebral fascia (surrounds vertebral column and deeper muscles of neck) and pretracheal fascia
Anterior Triangle encompasses
Submandibular/digastic
Carotid
Submental
Muscular
Anterior Triangle Boundaries
Anterior midline, inferior border of mandible and anterior border of sternocleidomastoid
Suprahyoid Muscles
Mylohyoid
Geniohyoid
Stylohyoid
Digastric (ant and post belly)
Infrahyoid
Pulls hyoid down
Ansa Cervicalis
All 4 infrahyoid muscles (and geniohyoid) are innervated by ventral rami off C1, 2, 3
Posterior Triangle Boundaries
Trapezius, posterior edge of sternocleidomastoid and the clavicle
Inferior Posterior Triangle
Accessory nerve
Brachial Plexus
Phrenic nerve
Subclavian artery/vein
Posterior Triangle Muscles
Spelnius capitis
Levator scapula
Scalenes
Spondylolysis
Defect in pars interarticularis
Sponsylolysthesis
Slipping of vertebra in relation to adjacent inferior vertebrae or sacrum
Disc Herniation
Affects level below herniation
C4/5 Disc
Affects C5
Pain/numbness to lateral aspect of upper arm
Weak or atrophied deltoid/triceps
C5/6 Disc
Affects C6
Pain/numbness to lateral surface of arm down to thumb
Weak or atrophied elbow flexors/wrist extensors