Triangles of the Neck Flashcards

(59 cards)

1
Q

what divides the two triangles?

A

sternocleidomastoid muscle

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

boundaries of anterior triangle

A

anterior: midline of neck
posterior: anterior border of SCM
base: mandible

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

what are the 4 parts of the anterior triangle?

A

submental
submandibular
carotid
muscular

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

what is in the submental part of the anterior triangle?

A

submental lymph nodes

beginning of the anterior jugular vein

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

what is in the submandibular part of the anterior triangle?

A
submandibular salivary gland
lymph nodes
facial artery and vein
carotid sheath
hypoglossal nerve
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is in the carotid part of the anterior triangle?

A

carotid sheath
branches of ECA
internal jugular vein
hypoglossal, accessory and vagus nerves

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is in the muscular part of the anterior triangle?

A

sternohyoid and sternothyroid (from floor beneath)

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

what branches of the ECA are present in the anterior triangle?

A

superior thyroid
lingual
facial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

where is the platysma found?

A

fascia above pectoralis major and clavicle –> lateral neck onto mandible

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

what innervates platysma?

A

facial nerve (CN VII)

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

what are the root values of the cervical plexus and what type of innervation does it provide?

A

anterior rami C1-4

somatic motor and sensory (and sympathetic)

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

where do the suprahyoid muscles run?

A

between the hyoid and the skull/mandible

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

which suprahyoid muscles are pharyngeal muscles?

A

digastric
stylohyoid
mylohyoid

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

what are the functions of the suprahyoid muscles?

A
raise hyoid bone
depress mandible (mylohyoid and digastric)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what are the names of the four suprahyoid muscles and what innervates each one?

A

digastric - facial nerve (CN VII, post. belly), mandibular division of trigeminal (CN V3, anterior belly)
stylohyoid - facial nerve (CN VII)
mylohyoid - mandibular division of trigeminal (CN V3)
geniohyoid - C1 (via hypoglossal, CN XII)

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

where are the infrahyoid muscles found?

A

between the hyoid bone and sternum or thyroid cartilage

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

what are the names of the infrahyoid muscles?

A

omohyoid
sternohyoid
thyrohyoid
sternothyroid

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

what innervates the infrahyoid muscles?

A
ansa cervicalis
(except thyrohyoid which is innervated by C1 via hypoglosssal CN XII)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what is the function of the infrahyoid muscles?

A

depress the hyoid bone/thyroid cartilage

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

where do the left and right common carotid arteries arise from?

A

left: arch of aorta
right: branch of brachiocephalic trunk

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

what are the terminal branches of the common carotid artery?

A

internal and external carotid arteries

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

what do the internal and external carotid artery supply?

A

internal: brain
external: head, face and scalp

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

what is found in the carotid sheath?

A

external and internal cartoid arteries
internal jugular vein
vagus nerve

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

what branches of the subclavian arteries are found in the triangles of the neck?

A
internal thoracic
suprascapular
transverse cervical
vertebral artery
inferior thyroid
25
in which triangle does the external jugular vein run?
posterior triangle
26
in which triangle does the internal jugular vein run?
anterior triangle
27
what is the root value of the vagus nerve?
CN X
28
what is the route of the vagus nerve?
descends down the neck in the carotid sheath passes through the thoracic inlet into the superior mediastinum to supply parasympathetic innervation to the thorax and abdomen
29
what are the main branches of the vagus nerve?
``` recurrent laryngela (to muscles of larynx, left around arch of aorta, right around subclavian) internal and external laryngeal branches ```
30
what connects the two lobes of the thyroid gland?
isthmus and capsule
31
where is the thyroid gland found?
lamina of thyroid cartilage --> 6th tracheal ring | ishmus is over tracheal ring 2/3
32
where are the parathyroid glands found?
embedded on posterior surface of thyroid
33
what arteries supply the thyroid?
``` superior thyroid (first anterior branch of the external carotid) inferior thyroid (branch of thyrocerivcal trunk of subclavian) ```
34
what provides venous drainage from the thyroid?
superior, middle and inferior thyroid vein left and right inferior thyroid veins drain into the left brachiocephalic vein (superior and middle into internal jugular)
35
where does the duct of submandibular salivary gland open into?
between the first and second lower incisor (either side of the frenelum)
36
what innervates the submandibular salivary gland?
facial nerve (CN VII)
37
what are the borders of the posterior triangle?
anterior: posterior border SCM posterior: anterior border trapezius base: clavicle
38
contents of the posterior triangle
external jugular vein roots of brachial plexus accessory nerve cervical and supra-clavicular lymph nodes etc.
39
what cutaneous nerves are found in the neck (and what are their root values)?
``` lesser occipital (C2) greater auricular (C2+3, runs with EJV) transverse cervical (C2+3) lateral supraclavicular (C3+4) intermediate supraclavicular (C3+4) medial supraclavicular (C3+4) ```
40
what does the phrenic nerve cross obliquely over the anterior surface of?
anterior scalene
41
what are the names of the two heads of the sternocleidomastoid and where are they found?
sternal head: manubrium of sternum --> mastoid process and superior nuchal line clavicular head: medial clavicle --> mastoid process and superior nuchal line
42
what innervates the SCM?
motor: spinal accessory (CN XI) | pain + proprioception: cervical plexus (C2+3)
43
where is trapezius found?
external occipital protuberance, spinous processes of vertebrae C7-T12 --> nuchal ligament, posterior border of lateral 1/3rd clavicle, acromion process and spine of scapula
44
what innervates trapezius?
motor: spinal accessory nerve (CN XI) | pain + proprioception: cervical plexus (C3+4)
45
what is the function of SCM?
lateral flexion w/rotation extension at atlanto-occipital joints flexion of cervical vertebrae
46
function of trapezius
``` depress scapula (ascending part) retract scapula (transverse part) elevate scapula, rotate glenoid cavity (descending part) ```
47
where is the splenius capitis found?
nuchal ligament + spinous processes of C7-T3 --> mastoid process of temporal and occipital bone
48
innervation of splenius captiis
dorsal rami of middle cervical nerves
49
function of splenius capitis
extend and rotate the neck
50
where is levator scapulae found?
transverse process of atlas and axis and C3+4 --> medial scapular border between superior angle and medial end of scapular spine
51
function of levator scapulae
control scapular position elevate shoulder if shoulder fixed can laterally flex the neck to the same side
52
what innervates levator scapulae?
direct c3-5 via dorsal scapular nerve
53
where is the anterior scalene found?
transverse processes C3-6 --> rib 1 (scalene tubercle)
54
what innervates anterior scalene?
anterior rami C3-7
55
where is the middle scalene found?
transverse processes C2-7 --> rib 1 (behind subclavian artery groove)
56
what innervates middle scalene?
anterior rami C4-7
57
where is the posterior scalene found?
transverse processes C4-6 --> rib 2
58
what innervates middle scalene?
anteiror rami C5-7
59
what are the functions of the scalene muscles?
flex neck (bilateral) tilt head to same side (unilateral) elevate upper rubs