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Brachiocephalic artery
From the lecture (including the contents of the slides): 7. Scalene
8. Vagus nerve
Root of the Neck: Posteriorly:
*Boundaries: 1. Apex of Lungs
Post: Body of T1 vertebra 2. Cupula
Ant: Manubrial Notch 3. Cervical dome of pleura
1st rib
Branch of the Second Part of Subclavian Artery:
Note: 1. Costocervical trunk
Clavicle: Has 2 terminal branches:
o an important structure that protects the structures that Deep cervical artery Supreme/Superior thoracic/ Superior
enter the thorax Intercostal Artery
o Structure that connects the UE to the trunk Goes up to the neck
just outside the Goes down
Contents: foramen, just beside
1. Beginning of subclavian artery & its branches prevertebral Has branches:
2. R Innominate / brachiocephalic artery structures 1 & 2 Posterior Intercostal Arteries
st nd
Gross: Root of the Neck & Prevertebral Neck Muscle rich uy (rgau) Page 1
4. L thorax PREVERTEBRAL NECK MUSCLES AND IMMEDIATE ADJACENT STRUCTURES
5. Abdomen except superior surface of liver o All these muscles are innervated by the cervical plexus
Drains into the beginning of left brachiocephalic vein
ANTERIOR / PREVERTEBRAL NECK MUSCLES
Right Lymphatic Duct 1. LONGUS COLI:
Smaller than thoracic duct o Cannot flex the head, it can only flex or move the
Formed by R jugular & bronchomediastinal trunk cervical vertebra ?? as stated (pls check on this)
Enters right brachiocephalic vein 3 parts:
Drains: a. Superior Oblique:
1. R head and neck O Trans of C3-C5
2. R thorax I Ant. Arch of atlas
3. R UE A flexes neck laterally
4. Upper surface of the liver
b. *Inferior Oblique:
Cervical Fascia: Smallest
1. Superficial cervical fascia Only fiber that can rotate the vertebra
2. Pretracheal fascia Contract the r and l flexion of cervical
3. Prevertebral fascia vertebra
4. Carotid sheath If only one turns vertebra to opposite side
Gross: Root of the Neck & Prevertebral Neck Muscle rich uy (rgau) Page 2
CERVICAL PLEXUS Thyrohyoid muscle
*Geniohyoid muscle (not part of the strap
muscles), a suprahyoid muscle
Note:
o The SCM and trapezius (that are inn by CN11) are also
innervated by muscular branches of the cervical plexus
(C2, C3, C4) there are fibers from c.plexus that
connect with the CN11 Spinal Accessory Nerve
o Sig:
If there is an injury to CN11 nerve supply to SCM and
Formed by anterior rami of C1-C4 trapezius will come from the cervical plexus
Mixed nerve purely sensory and purely motor
Covered anteriorly by prevertebral fascia Upper branch of Ansa Cervicalis:
- Geniohyoid
BRANCHES: - Thyrohyoid
1. Cutaneous Nerves 1 branch supplies:
st
Gross: Root of the Neck & Prevertebral Neck Muscle rich uy (rgau) Page 3
3. Inferior cardiac branch
Ends in cardiac plexus
Gross: Root of the Neck & Prevertebral Neck Muscle rich uy (rgau) Page 4