Week 1: Skull, Cervical Spine, Hyoid, Posterior Triangle Flashcards
what are the Pneumatised bones?
frontal
maxillary
sphenoid
ethmoid
what bones consist of Neurocranium?
frontal
parietal x2
occipital
sphenoid
temporal x2
ethmoid
what bones consist of Viscerocranium?
ethmoid
palatine x2
lacrimal x2
nasal x2
zygomatic x2
vomer
inferior nasal concha x2
maxilla x2, mandible
main feature of neurocranium?
external acoustic meatus
styloid and mastoid processes
temporal fossa
main feature of viscerocranium?
zygomatic arch
mandible
infratemporal fossa
what and where is the Pterion?
H-shaped junction of sutures
weak area of skull
overlies anterior branch of middle meningeal artery
Sutures
Fibrous joint
coronal, sagittal, lambdoid
Paranasal sinuses are..
frontal sinus
ethmoidal cells
maxillary sinus
Norma Basalis is? + main features
inferior external view of skull
What are the atypical cervical vertebrae + features ?
C1 - atlas - has anterior and posterior arches, no body, spinous process = tubercle, has facets that articulate with occipital condyles of skull
C2 - axis - has dens/odontoid process
C7 - vertebra prominens (attachment of ligamentum nuchae)
Features of typical cervical vertebrae C3-6
body
transverse process
superior articular facet
lamina
anterior and posterior tubercle
spinous process (bifid)
transverse and vertebral foramen
Cervical vertebrae joints are?
atlanto-occipital (nodding)
lateral - atlanto (side to side)
Where is the hyoid bone and components?
C3 level anterior neck
body, lesser horn (connected with stylohyoid ligament) and greater horn
What are the neck boundaries?
superior = base of skull, inferior border of mandible
inferior = top of sternum, clavicle, acromion & C7
Neck compartments
Visceral - resp and digestive system, endocrine glands
Vascular - blood vessels, nerves
Vertebral - cervical vertebrae, spinal cord, muscles, cervical nerves
What are the Deep Fascia layers?
investing
pretracheal
prevertebral
carotid sheath
carotid sheath contains
internal carotid artery
internal jugular vein
vagus nerve
what are the boundaries of the posterior triangle of neck
Anterior - posterior border of SCM
Inferior - middle 3rd clavicle
Posterior - anterior broder trapezius
roof of posterior triangle consists of
deep cervical fascia (investing layer)
platysma
superficial fascia and skin
floor of posterior triangle is formed by what muscles
splenius capitis
levator scapulae
anterior, middle, posterior scalenes
SCM origin and insertion
sternal head - manubrium
clavicular head - superior surface of medial 3rd of clavicle
lateral surface of mastoid process and lateral half of superior nuchal line
innervation of SCM and trapezius
spinal accessory nerve CN XI
trapezius origin and insertion
superior nuchal line, external occipital protuberance, ligamentum nuchae and spinous processes (C7-T12)
lateral 3rd clavicle, acromium, spine of scapula
where is the cervical plexus located
posterior triangle of the neck, halfway up the sternocleidomastoid muscle, and within the prevertebral layer of cervical fascia.
what is the cervical plexus formed by
the anterior rami (divisions) of cervical spinal nerves C1-C4.
muscular branches of cervical plexus
phrenic C3,4,5
ansa cervicalis C-3
cutaneous branches of cervical plexus
C2 lesser occipital
C2-3 greater auricular, transverse cervical
C4 supraclavicular
what nerves innervates infrahyoid muscles
ansa cervicalis (anterior rami C1-3)
where does external jugular veins start and drains into?
starts in the parotid at the level of the angle of the mandible and runs vertically down the neck along the posterior border of the SCM.
it drains into the subclavian vein
anterior jugular vein is formed from and drains into?
formed from submandibular veins and can drain into the external jugular vein or the subclavian vein directly,
difference between R and L subclavian
Left directly branches from arch of aorta
right is a branch from brachiocephalic (from arch of aorta)
Branches of subclavian
Vertebral
Internal thoracic
Thyrocervical
Costocervical
Dorsalscapular
brachial plexus trunks
superior C5,6
middle, posterior C7
inferior C8, T1
posterior triangle contains which part of omohyoid
inferior belly
omohyoid is innervated by
ansa cervicalis