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O: mastoid process
I: sternum and clavicle
SCM origin and insertion
Two heads
Interesting about SCM insertion
anterior aspect of SCM
median line of neck
inferior border of mandible
Borders of the anterior/ visceral triangle
posterior aspect of SCM
anterior aspect of trapezius
middle third of clavicle
Borders of posterior/ vertebral triangle
hyoid
cricoid
trachea
Anterior Triangle cartilages include (3)
suprahyoid
infrahyoid
2 types of hyoid cartilage
at the level of C3
where is hyoid cartilage found
hyaline
what type of cartilage are thyroid and circoid cartilage
behind the larynx, at the level of C4/C5
where is the thyroid cartilage found
the trachea
what does cricoid cartilage lead into
level of C6
where is cricoid cartilage found
pulls down on hyoid
what is the role of the omohyoid
superior
which belly of the omohyoid is the insertion
depress the hyoid bone and pull it down
swallowing (helps with hyoid stability)
what are the roles of the infrahyoid group
cervical plexus (ventral rami)
what is the infrahyoid group innervated by
hyoid
omohyoid superior belly insertion
superior border of scapula
omohyoid inferior belly origin
O: posterior surface of manibrium (sternum)
I: hyoid
sternohyoid origin and insertion
it is distal
What is significant about the origin of the sternohyoid
omohyoid superior belly and inferior belly
sternohyoid
What 2 muscles are included in the superficial layer of the infrahyoid
thyrohyoid
sternothyroid
What 2 muscles are included in the deep layer of the infrahyoid
thyrohyoid
What muscle has a membrane behind it
O: posterior surface of manibrium (sternum)
I: thyroid
sternothyroid origin and insertion
directly, indirectly
Sternothyroid acts ___ on thyroid and ___ on hyoid
O: thyroid
I: hyoid
thyrohyoid origin and insertion
stylohyoid
mylohyoid
digastric (anterior and posterior belly)
what muscles are included in the suprahyoid group?
pulling up on the hyoid
What is the group action of the suprahyoids?
cranial nerves
suprahyoids are innervated by:
O: styloid process
I: hyoid bone
stylohyoid origin and insertion
cranial n. 7 (facial)
stylohyoid innervation
mandible
anterior belly of digastric insertion
cranial n. 5 (trigeminal)
anterior belly of digastric innervation
mastoid process
posterior belly of digatric origin
cranial n. 7 (facial)
posterior belly of digastric innervation
O: mylohyoid line of mandible
I: mylohyoid raphe (central tendon) and hyoid bone
mylohyoid origin and insertion
tethered; hyoid
the tendon that connects the digastric bellies is “____” to the ____
C7
the trachea begins at:
no
is the trachea composed of complete circles?
posteriorly
where does the thyroid cartilage open?
yes
is the cricoid cartilage composed of complete circles?
posterior
on which side is the cricoid cartilage larger?
vocal folds
The cricoid cartilage is the landmark for what?
swallowing and speech
cranial n. 10 (vagus) motor function
sore throat
cranial n. 10 (vagus) sensory function
internal jugular v.
cranial n. 10 (vagus)
common carotid a.
carotid region contents (3) from lateral to medial
internal carotid a.
which artery goes up into the brain?
C4
The common carotid artery branches at the level of:
maxillary
superficial temporal
terminal branches of external carotid artery
superior thyroid
ascending pharyngeal
lingual
facial
occipital
posterior articular
maxillary
superficial temporal
8 branches of external carotid artery
maxillary artery
-biggest of 2 teminal branches
-supplies blood to the deep face, sinuses, teeth, oral cavity, nasal cavity
-nose bleed artery
superficial temporal artery
-smaller of 2 terminal branches
-anterior to the ear
-superior to the face
facial artery
-supplies blood to the superficial face, dermis, muscles of facial expression
-branches off mandible
lingual artery
-supplies the tongue
-large-ish
internal jugular vein
receives blood from the brain, cranial cavity, head, neck
brachiocephalic vein
internal jugular vein + subvlavian vein =
thyroid
what gland has to do with metabolism and calcium?
cartilage (thyroid, cricoid, tracheal)
nerves (cervical plexus, CN 10+12)
vasculature (CCA, IJV)
glands (thyroid, sublingual, submandibular)
Contents of the anterior triangle (4)
muscles
nerves: phrenic n, brachial plexus
vessels: subclavian a, v
Contents of the posterior/ vertebral triangle (3)
cranial n 11 (spanial accessory)
sternocleidomastoid innervation
lateral neck flexion (ear to shoulder)
axial rotation (chin to ceiling)
sternocleidomastoid unilateral functions
neck flexion
chin elevation
sternocleidomastoid bilateral functions
chin goes up and to the left
What happens when you activate the right SCM?
chin goes up and to the right
What happens when you activate the left SCM?
cranial nerve 11 (spinal accessory)
What nerve innervates the SCM and the trapezius?
-assist with neck flexion and lateral neck flexion
-elevate thoracic cage by moving ribs 1 and 2
scalene mucles functions
cervical ventral rami
innervation of the scalenes
between the anterior and middle scalene
Where are the trunks of the brachial plexus found?
O: transverse process of C3-6
I: scale tubercle of rib 1
anterior scalene origin and insertion
O: transverse processes
I: rib 1
middle scalene origin and insertion
O: transverse processes of C4-C6
I: rib 2
posterior scalene origin and insertion
phrenic n
-runs on the anterior surface of the anterior scalene
-posterior triangle
-cervical ventral rami C3-5 (C3,4,5 keeps the man alive)
-innervates diaphragm
winged scapula
-damaged long thoracic n
-affects serratus anterior
-scapula not stabilized on thorax
long thoracic n
-long, runs down thorax
-very superficial
-prone to damage
upper trapezius
lower trapezius
serratus anterior
scapular upward rotation muscles (3)
ABduction, rotation
protraction has elements of ___ and ___
primary scapular stabilizer and protector
serratus anterior function
serratus anterior
What muscle crosses between the back and side and has interdigitations (attaches on ribs)?
O: ribs 1-9
I: medial border of scapula (between scapula and thorax)
serratus anterior origin and insertion
deep scapular n
What nerve is deep to the rhomboid?
O: transverse processes of C1-4
I: superior angle of scapula
levator scapulae origin and insertion
dorsal scapular n (brachial plexus)
innervation of levator scapulae
elevate scapula
assist in downward rotation
lateral flexion and extension of neck
functions of levator scapulae (3)
O: spinous process of T2-5
I: medial border of scapula (below spine)
rhomboid minor origin and insertion
dorsal scapular n
rhomboid minor innervation