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Shoulder Complex
Palpation Practical
| Term | Definition |
|---|---|
| Regions of the Neck | |
| Palpate How to 1st Rib Patient in supine position: Right 1st rib = cervical side bend left and cervical rotation to the right Left 1st rib = cervical side bend right and cervical rotation to the left Patient sitting upright: Locate C7, go out a bi | |
| 2 Triangles | |
| Anterior | |
| Posterior | |
| 4 Regions | |
| SCM region | |
| Anterior Cervical | |
| Posterior Cervical | |
| Lateral Cervical | |
| Lateral Region/Posterior Triangle | |
| Sternocleidomastoid | |
| Divides anterior region and lateral region | |
| Is the Anterior boundary of lateral region | |
| Posterior boundary is Upper trapezius | |
| Inferior boundary is clavicle | |
| Identify structures in each of the 4 regions and 2 triangles of the neck | |
| Splenius capitis | |
| Levator scapula | |
| Middle, and posterior scalenes | |
| Inferior part of anterior scalene | |
| Inferior belly of Omohyoid (base) | |
| Spinal accessory nerve | |
| Roots of the brachial plexus (anterior rami of C5-T1) | |
| Sup., middle, inf. trunks | |
| Suprascapular nerve | |
| Cutaneous branches of the cervical plexus (C1-C4): | |
| Lesser occipital nerve (C2) | |
| Great auricular nerve (C2,3) | |
| Transverse cervical nerve (C2,3) | |
| Supraclavicular nerves (C3,4) | |
| Phrenic nerve (C3-5) | |
| External jugular vein | |
| Subclavian vein | |
| Brachiocephalic vein | |
| Cervicodorsal vein | |
| Suprascapular artery | |
| Occipital artery | |
| 3rd part of the subclavian artery | |
| Lymph nodes | |
| Structures | |
| Splenius capitis | |
| Levator scapula | |
| Middle, and posterior scalenes | |
| Inferior part of anterior scalene | |
| Inferior belly of Omohyoid (base) | |
| Spinal accessory nerve | |
| Roots of the brachial plexus (anterior rami of C5-T1) | |
| Sup., middle, inf. trunks | |
| Suprascapular nerve | |
| Cutaneous branches of the cervical plexus (C1-C4): | |
| Lesser occipital nerve (C2) | |
| Great auricular nerve (C2,3) | |
| Transverse cervical nerve (C2,3) | |
| Supraclavicular nerves (C3,4) | |
| Phrenic nerve (C3-5) | |
| External jugular vein | |
| Subclavian vein | |
| Brachiocephalic vein | |
| Cervicodorsal vein | |
| Suprascapular artery | |
| Occipital artery | |
| 3rd part of the subclavian artery | |
| Lymph nodes | |
| Identify the main structures innervated by: spinal accessory n., suprascapular n., lesser occipital n., great auricular n., transverse cervical n., suprclavicular n., phrenic n. | |
| Spinal accessory nerve | |
| Deep to SCM | |
| prascapular | |
| Muscles | |
| See Netter plate 29 | |
| Nerves : | |
| Spinal accessory nerve | |
| Deep to SCM | |
| Roots of the brachial plexus (anterior rami of C5-T1) | |
| Sup., middle, inf. trunks | |
| Arise btw ant. and middle scalene | |
| Suprascapular nerve | |
| Off superior trunk to supra- and infra- | |
| Cutaneous branches of the cervical plexus (C1-C4): | |
| Lesser occipital nerve (C2): post neck/scalp | |
| Great auricular nerve (C2,3): skin over parotid, skin over | |
| post. auricle, skin from mandible to mastoid | |
| Transverse cervical nerve (C2,3): ant. cervical skin | |
| Supraclavicular nerves (C3,4): skin over shoulder, motor to | |
| rhomboids (dorsal scap), serratus (LT) | |
| Phrenic nerve (C3-5): , lies over ant. scalene, diaphragm | |
| Vessels: | |
| External jugular vein | |
| Angle of mandible-> Lies over SCM, | |
| Drains blood from scalp and face into subclavian | |
| Subclavian vein | |
| Major vein draining UE | |
| Brachiocephalic vein | |
| Juncture of IJV and SubC just posterior | |
| to medial clavicle | |
| Cervicodorsal (transverse cervical) vein | |
| Suprascapular vein | |
| Vessels: | |
| Suprascapular artery | |
| Posterior scapular muscles | |
| Occipital artery | |
| Supplies occiput/scalp | |
| 3rd part of the subclavian artery | |
| Lateral to anterior scalene, to UE | |
| Anterior Region/Triangle | |
| 2 Triangles | |
| Anterior | |
| Posterior | |
| 4 Regions | |
| SCM region | |
| Anterior Cervical | |
| Posterior Cervical | |
| Lateral Cervical | |
| Muscles: plates 27-29; pg.592-599 | |
| Suprahyoids | |
| Myo- | |
| Genio- | |
| Stylo- | |
| Digastric | |
| Infrahyoids | |
| Omo- | |
| Sterno- | |
| Thyro- | |
| Sternothyroid | |
| Nerves | |
| Hypoglossal (CNXII) | |
| Deep to digastric | |
| Glossopharyngeal (CNIX) | |
| Vagus (CNX) | |
| Vessels | |
| Carotid System | |
| Common Carotid | |
| Right arises from brachiocephalic trunk | |
| Left arises from arch of aorta | |
| Common carotid ascends in a sheath with IJV and vagus n. to superior thyroid cartilage | |
| Divides here into Internal and External | |
| Carotid sinus: baroreceptor | |
| Carotid body: chemoreceptor | |
| Vessels | |
| Internal Carotid | |
| No branching in the neck | |
| Enter skull via carotid foramina | |
| Main arteries of brain and orbital structures | |
| 80-85% of bloodflow to brain | |
| Vessels | |
| External Carotid | |
| Six main branches: | |
| Superior Thyroid | |
| Ascending pharyngeal | |
| Lingual | |
| Facial | |
| Occipital | |
| Posterior Auricular | |
| Ascends to parotid gland/neck of mandible, divides into maxillary and superficial temporal arteries | |
| Veins | |
| Internal Juglar Vein | |
| Largest vein in neck | |
| Drains blood from brain, anterior face/neck | |
| Tributaries are veins that primarily accompany arteries | |
| Superior Bulb | |
| Enlargement near skull | |
| Inferior Bulb | |
| Has bicuspid valve that allows blood to flow | |
| towards heart without backflow |