Muscles & Root of The Neck

Muscles of The Cervical Region

3 groups 1. Superficial muscles: platysma, SCM, Trapezius 2. Hyoid related muscles supra & infra hyoid 3. Cervical vertebral muscles ant., lat. & post.

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.

Sternocleidomastoid
Origin: Manubriun (sternal head) med.1/3 of clavicle (c. head) Insertion: Mastoid process of temporal & ??? Innervation: spinal part of XI Action: single: turns head superolaterally to opposite side Both: flex the neck
Key m. because it divides anterolat. aspect of Neck

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?

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

Muscular Attachments to The Mandible

Infrahyoid Muscles Sternohyoid (ansa) Sternothyroid (ansa) Thyrohyoid (C1 via XII) Omohyoid (ansa) 2 bellies (sup. & inf.) * All are innervated by ansa cervicalis except?

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

Ansa Cervicalis (C1, C2, C3)

Cervical Vertebral Muscles

Cervical Vertebral Muscles

3 groups around V.C. (Ant., Lat., Post.) Anterior: Longus Capitis Longus Cervicis Vertical Sup. Oblique Inf. oblique

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)

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?

Posterior Group of Cervical vertebral Muscles

Levator Scapulae (posterolat. Corner) Splenius capitis & cervicis Semispinalis capitis & cervicis Rectus capitis post. major & minor Sup. & inferior obliques of the head

Splenius & Semispinalis Muscles

Rectus & Oblique Muscles

Suboccipital Triangle
Boundaries? Contents?

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 ?

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 left brachiocephalic vein 4. roots & trunks of brachial plexus 5. Phrenic nerve (pass anterior to ??) from roots of C3, C4, C5 spinal nerves