Anterior and posterior triangles of the neck Flashcards

(68 cards)

1
Q

what structures are found in the posterior compartment of the neck

A

spinal cord
vertebral column
muscles
cervical nerve

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2
Q

lateral compartments contents

A

carotid sheath
IVJ
vagus
common carotid

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3
Q

contents of the anterior compartment

A

thyoid, parathyroid, oesophagus, trachea

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4
Q

what is the motor innervation of trapezius and SCM

A

spinal accessory

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5
Q

what muscles form the boundaries of the lateral and anterior cervical regions/ posterior and anterior triangles

A

trapezius and sternocleidomastoid

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6
Q

what nerves supply pain and proprioception to trapezius and sternocleidomastoid

A

C2 and 3

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7
Q

what are the attachments of trapezius

A
lateral third of clavicle 
acromion
spine of scapula
occipital bone- superior nuchal line and external occipital protuberance 
nuchal ligament 
spinous processes  (C7-T12)
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8
Q

what are the functions of trapezius

A

rotate the scapula during abduction of the humerus

elevate, adduct and depress the scapula

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9
Q

what are the functions of sternocleidomastoid

A

draws the head forwards, tilts and rotates the head

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10
Q

what are the attachments of sternocleidomastoid

A

mastoid process and superior nuchal line

sternum (manubrium)

medial third of clavicle

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11
Q

what are the boundaries of the posterior triangle of the neck

A

posterior border SCM
Ant border of trapezius
inf clavicle
apex where SCM and trapezius meet on the superior nuchal line
roof:investing layer
floor:muscles enclosed by prevertebral layer

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12
Q

where do trapezius and SCM meet superiorly

A

superior nuchal line

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13
Q

what covers the posterior triangle

A

skin and platysma

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14
Q

what forms the floor of the posterior triangle

A
muscles in the prevertebral column:
splenius capitis
levator scapulae
posterior and middle scalene
ant scalene is usually deep to SCM
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15
Q

where is middle scalene muscle

A

posterior tubercle of TP C5-7

1st rib, groove for subclavian

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16
Q

where is anterior scalene

A

transverse processes C3-C6

1st rib

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17
Q

what is the function of anterior scalene

A

nodding and side to side movements

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18
Q

what is the function of middle scalene

A

lateral flexion of the neck

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19
Q

what is the function of levator scapulae

A

fixes scapula, elevates and extends neck, lateral flexion of neck

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20
Q

what is the nerve supply to anterior scalene

A

C4-6

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21
Q

what are the three parts of subclavian artery in relation to anterior scalene muscle

A

medial
posterior
lateral

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22
Q

what is axillary fascia a continuation of

A

prevertebral layer of deep cervical fascia

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23
Q

what is the root value of the phrenic nerve (muscle supply)

A

c3, 4, 5

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24
Q

what is the root number of ansa cervicalis (muscle supply)

A

c1,2,3

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25
what is the cervical plexus made of
anterior rami of c1-4
26
what is the lesser occipital nerve (cutaneous)
c2
27
greater auricular and transverse cervical nerves (cutaneous)
c2,3
28
supraclavicular nerves (cutaneous)
c3-4
29
what does ansa cervicalis innervate (c1-3)
infrahyoid muscles
30
what are the boundaries of the anterior triangle of the neck
median line of neck anterior border SCM inferior border of mandible jugular notch of manubrium
31
what is the roof of the anterior triangle
subcutaneous tissue containing platysma
32
what is the floor of the anterior triangle
pharynx, larynx and thyroid gland
33
what is the innervation of platysma
cervical branch of facial nerve
34
where does the anterior belly of the digastric muscle attach to the hyoid
digastric fossa of mandible (V3)
35
what is the attachment of the posterior belly of the digastric muscle
mastoid notch of temporal bone (cn 7)
36
what are the attachments of stylohyoid
styloid process greater wing of hyoid bone cn 7
37
what are the attachments of geniohyoid
inferior mental spine of mandible | body of hyoid
38
what are the attachments of mylohyoid
mylohyoid line of mandible body of hyoid via V3
39
what does the submental triangle contain
submental lymph nodes and tributaries of ant juglular vein
40
what is the function of digastric
ant- elevates and steadies the hyoid bone when swallowing or speaking
41
what is the function of mylohyoid
elevates the hyoid and tongue when swallowing and speaking
42
what are the boundaries of the submental triangle
mandibular symphysis anterior belly of digastric muscle hyoid bone mylohyoid muscle
43
what is the contents of the submandibular triangle
submandibular gland and submandibular lymph nodes cn 12 and V3 branches facial artery and vein
44
what are the borders of the submandibular triangle
inferior surface is the body of the mandible | posterior and anterior bellies of digastric muscle
45
what is the digastric sling
derived from pretracheal layers and allows digastric muscle to pass from ant to posterior
46
what are the borders of the carotid triangle
post belly of digastric muscle sup belly omohyoid ant border of SCM
47
At what level does the common carotid bifurcate
sup thyroid cartilage
48
what is the nerve supply to the carotid body
cn 11 and 10
49
what is the function of stylohyoid
elevates and retracts hyoid to elongate the floor of the mouth
50
what is the function of geniohyoid
shortens the floor of the mouth
51
what is the carotid sinus
baroreceptor
52
what is the carotid body
chemoreceptor
53
what are the attachments of thyrohyoid
oblique line of thyroid cartilage inferior border of body and greater horn C1 via hypoglossal n. (CN XII)
54
what are the attachments of omohyoid
scapula inferior border of hyoid C1-C3 by branch of ansa cervicalis
55
what are the attachments of sternohyoid
manubrium and medial clavicle body of hyoid C1-C3 by branch of ansa cervicalis
56
what is the effect of sternohyoid on the hyoid bone
depresses hyoid during swallowing
57
what is the effect of omohyoid
depresses retracts and steadies the hyoid
58
what is the function of thyrohyoid
depresses hyoid and elevates the larynx
59
what is the attachment of sternothyroid
posterior surface of manubrium | inserts on oblique line of thyroid cartilage
60
what is the function of sternothyroid
depresses hyoid and larynx
61
what is the innervation of sternothyroid
c2 and c3 by a branch of ansa cervicalis
62
what are the parts of the thyroid gland
pyramidal lobe right and left lobes isthmus
63
where is the thyroid gland
thyroid cartilage to 5th tracheal ring | visceral compartment of neck
64
what is the arterial supply to the thyroid gland
superior thyroid artery (1st branch of ext carotid) inferior thyroid artery (branch of thyrocervical trunk from subclavian
65
what is the venous drainage of the thyroid
superior thyroid vein (IVJ) middle thyroid vein (IJV) inferior thyroid vein (brachiocephalic)
66
where are the parathyroid glands
posterior surface of thyroid gland
67
what is the blood supply of the parathyroid glands
inferior thyroid arteries same venous drainage as thyroid
68
what does the external jugular vein drain into
subclavian