Muscles_Root_of_The_Neck_e-learning.ppt

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    Muscles & Root of The Neck

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    Muscles of The Cervical Region

    3 groups

    1. Superficial muscles:

    platysma, SCM, Trapezius

    2. Hyoid related muscles

    supra & infra hyoid

    3. Cervical vertebral musclesant., lat. & post.

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    Platysma

    muscle of facial expression

    Sup. Attachment:

    inf. border of mandible & ??

    Inf. attachment:delto-pectoral deep fascia

    Innervation:

    cervical branch of VII

    Actions:

    draws mouth corners inf.

    draws skin of the neck sup.

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    SternocleidomastoidOrigin:

    Manubriun (sternal head)med.1/3 of clavicle (c. head)

    Insertion:

    Mastoid process of temporal

    & ???Innervation:

    spinal part of XI

    Action:

    single: turns head superolaterallyto opposite side

    Both: flex the neck

    Key m. because it divides anterolat. aspect of Neck

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    Trapezius Muscle

    Origin:med. 1/3 of sup. Nuchal line

    EOP

    nuchal lig.

    spinous processes (C7-T12)

    Insertion:

    Lat. 1/3 of clavicle

    acromion

    spine of scapula

    Innervation: ??

    Actions: 3 actions?

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    Hyoid Related Muscles

    Suprahyoid Muscles

    Geniohyoid (C1 via XII)

    Mylohyoid (n. to myl.)

    floor of the mouth

    Stylohyoid (cervical VII)

    diverge around ?

    Digastric m. (2 bellies)

    ant. (n. to mylo.)

    post. (cervical VII)

    origin?, insertion?, innervation? & action? For all of these muscle

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    Muscular Attachments to The Mandible

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    Infrahyoid Muscles

    Sternohyoid (ansa)

    Sternothyroid (ansa)

    Thyrohyoid (C1 via XII)

    Omohyoid (ansa)

    2 bellies (sup. & inf.)

    * All are innervated by ansacervicalis except?

    origin?, insertion?, innervation? & action? For all of these muscle

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    Ansa Cervicalis (C1, C2, C3)

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    Cervical Vertebral Muscles

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    Cervical Vertebral Muscles

    3 groups around V.C.

    (Ant., Lat., Post.)

    Anterior:

    Longus Capitis

    Longus Cervicis

    Vertical

    Sup. ObliqueInf. oblique

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    Lateral Group (Scalene Muscles)

    Sc. Ant.Sc. Medius

    Sc. Posterior

    Trans. Processes of Cerv. V.

    1st & 2nd ribs

    (which m.?)

    Innerv.: cervical spinal n.

    Action:

    elevation of ribs,

    bending cervical spine (neck)

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    Scalenus Ant. & Scalene Hiatus

    Trans. Processes of C3-C6

    Scalene tubercle (1st rib)

    Relations to Sc. Ant.:

    Ant.: subclavian V.& ??

    Post.: subclavian a.

    Brachial Plexus (roots)

    Scalene Hiatus:

    Boundaries?

    Contents?

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    Posterior Group of Cervical vertebralMuscles

    Levator Scapulae (posterolat. Corner)

    Splenius capitis & cervicis

    Semispinalis capitis & cervicis

    Rectus capitis post. major & minor

    Sup. & inferior obliques of the head

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    Splenius & Semispinalis Muscles

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    Rectus & Oblique Muscles

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    Suboccipital Triangle

    Boundaries? Contents?

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    Root of The Neck

    The area of the neck that lies immediately above the

    superior thoracic opening

    What are the boundaries for Sup. thoracic opening ?

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    Contents of The Root of The Neck

    1. lower portions of scalene muscles (3 muscles)

    2. subclavian artery & vein

    3. thoracic duct:

    lymph vessel extends from thorax to drain into leftbrachiocephalic vein

    4. roots & trunks of brachial plexus

    5. Phrenic nerve (pass anterior to ??)

    from roots of C3, C4, C5 spinal nerves