Unit I: Superficial Structures of the Neck and Triangles of the Neck Flashcards
ORIGIN of the Platysma muscle
Superficial fascia over the PECTORALIS MAJOR and DELTOID muscles
INSERTION of the Platysma muscle
LOWER border of the MANDIBLE and the ANGLE of the mouth
NERVE supply to the Platysma muscle
Cervical branch of FACIAL nerve (C.N. VII)
FUNCTION of the Platysma muscle
DEPRESSES the Mandible and DRAWS down the corner of the mouth (shuts the mouth)
ORIGIN of the Sternocleidomastoid
1) Sternal head: Front of the MANIBRIUM
2) Clavicular head: MEDIAL third of the CLAVICLE
INSERTION of the Sternocleidomastoid
1) LATERAL surface of the MASTOID process
2) LATERAL half of the SUPERIOR NUCHAL LINE
NERVE supply to the Sternocleidomastoid
Spinal Accessory nerve (C.N. XI)
FUNCTION of Sternocleidomastoid
Chief FLEXOR of the HEAD
ORIGIN of the Trapezius
1) EXTERNAL occipital protuberance
2) Ligamentum nuchae
3) Spinous processes of seventh cervical and ALL thoracic vertebrae
INSERTION of the Trapezius
1) LATERAL third of the Clavicle
2) Spine of Scapula
3) Acromion process
NERVE supply to the Trapezius
1) Spinal Accessory nerve (C.N. XI)
2) C3 and C4 from Cervical plexus
FUNCTION of the Trapezius
1) UPPER portion ELEVATES
2) MIDDLE portion RETRACTS
3) LOWER portion DEPRESSES the scapula
This muscle functions in Scapulohumeral rhythm
Trapezius
The Trapezius helps with this by aiding in upward rotation of the scapula is produced primarily by the upper and lower fibers of the trapezius as well as the serratus anterior muscle.
Scapulohumeral rhythm
Origins of the Trapezius are all found here
Midline
Insertions of the Trapezius are all found here
Lateral
A pathological contraction of the SCM. The head is tilted TOWARD the affected side while the face is pointed AWAY from the affected side. There are 3 different types: Congenital, Muscular, and Spasmodic
Torticollis
This disorder results from a fibrous tissue tumor which develops at or shortly BEFORE birth, It is VERY rare
Congenital Torticollis
This disorder is caused by a birth injury during the birthing process
Muscular Torticollis
This disorder occurs in adults and is due to abnormal tonicity. Often responds well to chiropractic. Can be caused by a number of factors including: whiplash, sports injuries, viral infections. This is the MOST COMMON.
Spasmodic Torticollis
This is the LARGEST SUPERFICIAL vein of the neck. It drains the FACE and the SCALP and also contains a large amount of cerebral blood
External Jugular vein
The External Jugular vein is formed BELOW the PAROTID gland by the union of these two veins
1) Retromandibular vein
2) Posterior Auricular vein
This vein runs DOWNWARD and BACKWARD along the LATERAL surface of the SCM and empties into the SUBCLAVIAN vein
External Jugular vein
This tributary of the external jugular vein is formed at the joining of the maxillary vein and the superficial temporal vein in FRONT of the ear. This vein combines with the Posterior auricular vein to form the external jugular vein.
Retromandibular vein
This tributary of the external jugular vein formed from the collection of several venous tributaries situated BEHIND the ear. This vein combines with the Retromandibular vein to form the external jugular vein.
Posterior Auricular vein
This tributary of the external jugular vein drains blood from the posterior triangle and the occipital region.
Posterior external jugular vein
Tributaries of the External jugular vein
1) Retromandibular vein
2) Posterior Auricular vein
3) Posterior External jugular vein
4) Anterior jugular vein
5) Transverse cervical vein
6) Suprascapular vein
This is usually NOT seen topographically with normal venous pressure
Causes include:
•CHF
•superior vena cava obstruction can cause distention
•tumors (lung CA)
•Cardiac tamponade
Normal in: opera singers
Prominent External Jugular vein
This structure is found along the External jugular vein SUPERFICIAL to the the SCM
Superficial cervical lymph nodes
The TWO triangles of the neck that are divided by the SCM
1) Posterior triangle (behind SCM)
2) Anterior triangle (in front of SCM)
Anterior border of the Posterior Triangle
POSTERIOR border of the SCM
Posterior border of the Posterior Triangle
ANTERIOR border of the Trapezius
Inferior border of the Posterior Triangle
SUPERIOR border of the middle third of the CLAVICLE
This triangle lies BEHIND the SCM and does NOT contain any important visceral structures
Posterior Triangle