Lecture 1-Posterior Triangle of the Neck Flashcards

(68 cards)

1
Q

Superficial fascia, which is immediately deep to the skin and subcutaneous tissue, is comprised of… and…

A

loose connective tissue and fat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Deep fascia is a dense,…. which is devoid of…. and envelops most body structures deep to skin and subcutaneous tissue

A
  • organized connective tissue layer

- fat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

First superficial muscle in anterior neck is…

A

Platysma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

4 longitudinal columns in the neck and fascia are ….which are outlined by the deep fascia

A
  1. Visceral-anterior-some respiratory,GI and endocrine glands
  2. Vascular-2 lateral components- major vessels and CNX-vagus
  3. Vertebral-posterior-cervical vertebrae, muscle, SC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

The deep fascia that surrounds the trapezius, SCM, and infrahyoid mm. is called the

A

Investing fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The investing fascia is a deep fascia that surrounds these 3 muscles

A
  1. trapezius
  2. SCM mm.
  3. Infrahyoid mm.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The deep fascia that surrounds the thyroid, trachea, esophagus and posterior surface of the infrahyoid muscles

A

Pretracheal fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The pretracheal fascia is a deep fascia that surrounds these 3 structures and 1 muscle

A
  1. thyroid
  2. trachea
  3. esophagus
  4. posterior surface of infrahyoid mm.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The buccopharyngeal fascia is a deep fascia that surrounds the…. posteriorly

A

pharynx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

The deep fascia that surrounds the pharynx posteriorly is…

A

Buccopharyngeal fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

The prevertebral fascia surrounds the

A

prevertebral and deep back mm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

The deep fascia that surrounds the prevertebral and deep back mm. is…

A

Prevertebral fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

The anterior layer of the prevertebral fascia is called the…. fascia which runs behind…

A
  • Alar

- Buccophrayngeal fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The carotid sheath surrounds these 3 vessels and 1 nerve

A
  • Common Carotid a.
  • Internal Carotid a.
  • Internal Jugular v.
  • Vagus n.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

The first deep fascia after superficial will ne

A

investing fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The buccopharyngeal is the posterior continuation of the …. fascia

A

pretracheal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The… space is considered the “danger space” which is between…

A
  • Prevertebral

- Alar and rest of prevertebral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

4 fascial spaces

A
  1. carotid sheath
  2. pretracheal space
  3. retropharyngeal space
  4. prevertebral space
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Infections or blood may spread with sheaths from skull down into…

A

middle mediastinum (were the heart is) so it can go to the rest of the body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

The carotid sheath is between the… and…

A

SCM and prevertebral mm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The pretracheal space is between the… and …

A

Trachea and infrahyoid mm.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

The pretracheal space extends from the… down into…

A
  • thyroid cartilage

- anterior mediastinum (just behind the sternum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

The Retropharyngeal space is between the… and … fascia

A

buccopharyngeal and alar fascia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

The retropharyngeal space extends from the…. down into the… until the…. level

A
  • skull base
  • superior mediastinum
  • T4
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
The prevertebral "Danger" space is between the... and ... fascia
-alar and prevertebral fascia
26
The prevertebral space extends from the.... down into the.... which is at level ...
- skull base - posterior mediastinum - T12
27
The prevertebral space is notorius for inferior spread of...
infections
28
Zone 1 of the neck is from the.... to the...
- thoracic inlet | - cricoid cartilage
29
Zone 2 of the neck is from the... to the...
- cricoid cartilage | - angle of mandible
30
Zone 3 of the neck is from the... to the...
- angle of mandible | - base of skull
31
The boundaries of the posterior cervical triangle: anterior- posterior- inferior-
anterior- SCM posterior- Trapezius inferior- middle 1/3 of clavicle
32
The superficial contents of the posterior triangle are the.... and...
- Platysma (passes obliguely on top) | - External Jugular vein
33
The external jugular vein is deep to ... muscle but superficial to... muscle
platysma | SCM (runs vertically on top)
34
The... and ... veins come together to form the EJV which runs down the... muscle and pierces the... fascia to drain into...
- retromandibular and posterior auricular v. - SCM - Investing - Subclavian
35
The 4 cutaneous nerves of the posterior triangle of the neck which all emerge deep to SCM at Erb's point
1. Lesser occipital (C2-3) 2. Greater auricular (C2-3) 3. Transverse cervical (C2-3) 4. Supraclavicular (C3-4)
36
Cord levels of: 1. lesser occipital 2. greater auricular 3. transverse cervical 4. supraclavicular
1,2,3 are all C2-C3 | 4. C3-C4
37
The Lesser Occipital (C2-3) nerve runs ... and... from Erb's point, along posterior border of... and crosses over.... and supplies the skin of...
- superiorly and anteriorly - SCM - occipital a. - scalp at apex of triangle
38
The Greater Auricular nerve runs from Erb's point and ascends vertically/diagonally on surface of... and runs with ... superiorly toward ear
- SCM | - EJV
39
The Greater Auricular nerve (C2-3) supplies the... and skin posterior to the... as well as ... to the...
- lobe - auricle - angle of mandible to mastoid process
40
The transverse cervical nerve (C2-3) runs... from Erb's point across middle of the...and supplies skin of the...
- transversely - SCM - anterior cervical triangle and lateral neck
41
The transverse cervical nerve runs in the... direction of the transverse cervical artery (This is an exception to what n. and a. normally do)
opposite
42
The Supraclavicular nn. (C3-4) runs superficial to... and deep to ... and comes out of Erb's point as 3 branches... and supplies the skin of...
- Clavicle - Platysma - Medial, Intermediate and lateral nn. - clavicular region
43
The motor nerves of the posterior triangle of the neck are
-Accessory (CNXI) | Phrenic n. (C3-C5)
44
The accessory nerve (CNXI) emerges from the skull through the... foramen of the skull and runs... through the posterior triangle deep to the...fascia and supplies both .... and ... mm
- jugular - diagonally - investing - trapezius and SCM
45
The phrenic nerve (C3-C5) descends vertically along the... and is crossed by the ... and .... arteries and enters the thorax between the... artery and vein and travels along the pericardial sac to supply the...
- anterior scalene - transverse cervical and suprascapular aa. - subclavian v. and a. - diaphragm
46
Cord levels of phrenic nerve...
C3-C5
47
Referred pain for pain on diaphragm will be in the clavicle/shoulder region because the... and ... nn. share pathways.
phrenic and supraclavicular
48
The 3 vessels of the Posterior triangle
- EJV - Transverse cervical a. - Suprascapular a.
49
The transverse cervical artery and suprasapular artery branch off of .... underneath the SCM
-thyrocervical trunk
50
The deep muscles of the posterior triangle
- splenius capitus - levator scapulae - 3 scalene mm. (ant, middle, post) - omohyoid m (inferior belly)
51
The action of the splenius capitus
extend and laterally rotate head and neck
52
Innervation of splenius ccapitus
dorsal rami of spinal nn.
53
The action of the levator scapulae muscle
elevate scapula
54
Innervation of levator scapulae
dorsal scapular n. (C5)
55
Origin of levator scapulae
transverse process of C1-4
56
Insertion of levator scapulae
Superomedial border of scapula
57
Anterior Scalene Origin
trans. processes of C3-C6
58
Middle Scalene Origin
trans. processes of C2-C7
59
Posterior scalene origin
trans processes of C4-C6
60
Insertion of anterior and middle scalene muscles.
1st rib
61
Insertion of posterior scalene muscle
2nd rib
62
All scalene muscles are innervated by...
ventral rami C3-C8 nn.
63
The action of the scalene muscles is to
tilt neck laterally
64
The... muscle crosses over the anterior scalene
inferior belly of the omohyoid
65
The brachial plexus and the subclavian artery exit between the ....mm. and this is known as the.... triangle
- anterior and middle scalene mm. | - interscalene
66
The interscalene triangle is formed by
anterior and middle scalene and 1st rib
67
The... and... pass through the interscalene triangle
brachial plexus and subclavian artery
68
The ... vein passes anterior to anterior scalene
subclavian vein