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-- ≡ all tech buzz home ▼ about-us contact-us advertise sitemap pathology anatomy abdomen thorax head and neck anatomy mcq anatomy seo anatomy books wednesday, april 29, 2015 anterior triangle of the neck posted by radiology madeeasy in: anatomy note at 10:42 am anterior triangle of the neck the sternocleidomastoid musc divides the neck into an ant triangle & a post triangle boundaries anteriorly ant median line of neck posteriorly ant border of sternocleidomastoid superiorly inf border of mandible & a line drawn from angle of mandible to mastoid process inferiorly the apex of the triangle lies at the manubrium sterni subdivision it is subdivided by the digastric & sup belly of omohyoid into a. submental b. digastric c. carotid d. muscular triangles a) submental triangle base hyoid core on each side ant belly of digastric b) digastric triangle anteroinferiorly ant belly of digastric posteroinferiorly post belly of digastric superiorly (base) inf border of mandible c) carotid triangle anteriorly sup belly of omohyoid posteriorly ant border of sternocleidomastoid superiorly post belly of digastric d) muscular triangle anteriorly ant median line of neck posterosuperiorly sup belly of omohyoid posteriorinferiorly ant border of sternocleidomastoid roof the roof is formed by 1. skin 2. fascia 3. platysma floor triangle formed by submental mylohyoid muscles digastric 1. mylohyoid 2. hyoglossus carotid 1. thyrohyoid 2. hyoglossus 3. inf & middle constrictors of pharynx muscular 1. sternohyoid 2. sternothyroid 3. thyrohyoid ie. infrahyoid muscles contents triangle contents submental 1. ln 2. veins digastric 1. submandibular gld 2. facial art & vein 3. portions of parotid gld 4. eca situated more deeply 5. ica 6. ijv 7. glossopharyngeal n 8. vagus n carotid 1. cca, eca & ica (more deeply) 2. branches of eca 3. ijv & some of its tributaries 4. portions of x, xi & xii cranial n 5. larynx & pharynx 6. int & ext laryngeal n muscular 1. thyroid gld 2. trachea & larynx 3. esophagus read more scalenus anterior muscles posted by radiology madeeasy in: anatomy note at 10:34 am scalenus anterior muscles the scalenus anterior is an impt muscle of the lower part of the neck because of its relations with the impt structures in that region origin from the ant tubercles of the tnvs processes of cv3, 4, 5 & 6 insertion the fibres are inserted into 1. scalene tubercle on inner border of 1 st rib 2. ridge on upper surface of 1 st rib innervation from ventral rami of c4, 5 & 6 action 1. assists elevating 1 st rib 2. when acting from below, it laterally flexes & rotates cervical part of vertebral column relations anteriorly posteriorly medially laterally 1. prevertebral layer of deep cervical fascia 2. phrenic n 3. supf cervical & suprascapular art 4. ijv & subclavian vein 1. subclavian art 2. brachial plexus 3. cervical dome of pleura 1. vertebral art & v 2. inf thyroid art 3. thyrocervical trunk 4. symp trunk 5. on the left side, thoracic duct 1. roots of brachial plexus 2. subclavian art 3. roots of phrenic n read more sternocleidomastoid muscle posted by radiology madeeasy in: anatomy note at 10:20 am sternocleidomastoid muscle the sternocleidomastoid is 1 of the 2 large, supf muscles of the neck origin sternal head · tendinous · arises from superolat part of front of manubrium sterni clavicular head · musculotendinous · arises from med 1/3 of upper surface of clavicle insertion it is inserted by: 1. a tendon into mastoid process of the temporal bone 2. a thin aponeurosis into lat part of sup nuchal line of occipital bone nerve supply spinal part of accessory n motor ventral rami of c2 & c3 sensory (proprioceptive) blood supply by branches from occipital artery actions when both muscles contract: 1. extend head at atlanto-occipital jt 2. flex cervical part of vertebral column when 1 muscle contracts: 1. tilt the head towards the shoulder 2. rotates head so that the face looksupwards on the oppo side if the head is fixed, the 2 muscles can also act as accessory muscles of inspiration relations supf 1. skin 2. fascia & platysma 3. ext jugular vein (ejv) 4. great auricular, tnvs cut & med supraclavicular nerves 5. supf cervical ln along ejv 6. parotid gland deep 1. carotid sheath & its contents: common & ica, ijv & vagus n 2. muscles: sternohyoid, sternothyroid, omohyoid, scaleni ant, med & post levator scapulae, splenius capitis & post belly of digastric 3. besides common carotid art (cca) & int carotid art (ica) there are also 1. ext carotid art (eca) 2. occipital art 3. subclavian art & suprascapular art 4. besides int jugular vein (ijv), there are also 1. ant jugular vein 2. facial vein 3. lingual vein 5. besides vagus nerve there also: 1. accessory nerve 2.cervical plexus 3. upper part of brachial plexus 4. phrenic n & ansa cervicalis 6. deep cervical ln clinical notes 1. the sternocleidomastoid divides the neck into ant & post triangles 2. congenital torticollis 3. spasmodic torticollis read more wednesday, april 22, 2015 inguinal canal posted by radiology madeeasy in: abdomen anatomy at 7:39 pm a 21 year old man has an inguinal hernia and is undergoing a surgical repair. as the surgeons approach the inguinal canal they expose the superficial inguinal ring. which of the following forms the lateral edge of this structure? a. inferior epigastric artery b. conjoint tendon c. rectus abdominis muscle d. external oblique aponeurosis e. transversalis fascia the external oblique aponeurosis forms the anterior wall of the inguinal canal and also the lateral edge of the superficial inguinal ring. the rectus abdominis lies posteromedially and the transversalis posterior to this. inguinal canal location above the inguinal ligament the inguinal canal is 4cm long boundaries of the inguinal canal floor external oblique aponeurosis inguinal ligament lacunar ligament roof internal oblique transversus abdominis anterior wall external oblique aponeurosis posterior wall transversalis fascia conjoint tendon laterally internal ring fibres of internal oblique medially external ring conjoint tendon contents males spermatic cord and ilioinguinal nerve as it passes through the canal the spermatic cord has 3 coverings: external spermatic fascia from external oblique aponeurosis cremasteric fascia internal spermatic fascia females round ligament of uterus and ilioinguinal nerve related anatomy of the inguinal region the boundaries of hesselbachs triangle are commonly tested and illustrated below: image sourced from wikipedia the image below demonstrates the close relationship of the vessels to the lower limb with the inguinal canal. a fact to be borne in mind when repairing hernial defects in this region. read more friday, april 10, 2015 side-view mirror strikes his right shoulder posted by radiology madeeasy in: anatomy at 12:23 am question 1 scenario: a young man is walking along a road when a car travelling at 30mph (48 km/h) drives past. the side-view mirror strikes his right shoulder and he sustains an injury to his humerus. with regards to image 1.1: i. identify the greater tubercle. ii. identify the lesser tubercle. iii. identify the anatomical neck of the humerus. iv. identify the surgical neck of the humerus. a radiograph shows a fracture at the site marked on image 1.1. v. what nerve is at risk following this type of injury? vi. what clinical features would be present if the nerve was damaged? vii. which nerve runs in the spiral groove of the humerus? viii. if a fracture was to injure this nerve, what clinical findings might be expected? ix. what muscles attach to the coracoid process, and what nerves innervate them? x. at what site is the clavicle most commonly fractured? xi. in which direction are the resultant fragments displaced? explain your answer. correct answer : i. the greater tubercle is the larger of the two tubercles and lies lateral to the lesser tubercle when t

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