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Image Based Question-66879

Question

All are contents of triangle marked by ‘a’ as shown in the image except:

A. Greater Auricular nerve

B. Lessser Occipital Nerve

C. Suprascapular Nerve

D. Occipital Artery

 

Show Answer

Correct Answer » C

Explanation

Ans:C. Suprascapular Nerve.

Occipital triangle is shown in the image marked by ‘a’

POSTERIOR TRIANGLE OF NECK
Boundaries

Anterior border – posterior border of sternocleidomastoid muscle

Posterior border– anterior border of trapezius

Base – Superior surface of middle 1/3rd of clavicle

Apex – Superior nuchal line at junction of sternocleidomastoid and trapezius muscles

Roof – Skin & superfical fascia(platysma), investing layer of deep cervical fascia.

Floor- prevertebral layer of deep cervical fascia covering : splenius capitis, levator scapulae, scalenus medius, semispinalis capitis

SUBDIVISION OF POSTERIOR TRIANGLE

  • By Inferior belly of omohyoid muscle into Occipital triangle and Supraclavicular triangle

OCCIPITAL TRIANGLE

Floor

  • Semispinalis capitis
  • Splenius capitis
  • Levator scapulae
  • S-medium and post.

Contents

NERVES:-

  • Spinal part of accessory nerve
  • Four cutaneous branches of cervical plexus:-
  1. Lesser occipital nerve (C2)
  2. Great auricular nerve (C2, C3)
  3. Anterior cutaneous nervel of neck (C2, C3)
  4. Supraclavicular nerve (C3, C4)
  • Muscular branches:-
  1. Two small branches to levator scapulae(C3,C4)
  2. Two smal branches to the trapezius (C3,C4)
  3. Nerve to rhomboideus (proprioceptive) (C5)

VESSELS:-

  • Transverse cervical artery & vein
  • Occipital artery

SUPRACLAVICULAR TRIANGLE(SUBCLAVIAN TRIANGLE)
Boundaries

  • Roof :
  1. Skin
  2. S/F (platysma)
  3. investing layer of deep cervical fascia, pierced by three diverging branches of supraclavicular nerve and external jugular vein.
  • Floor
  1. Outer border of 1st rib
  2. S. medius (near insertion)
  3. 1st digitation of serratous anterior

Contents

NERVES:-

  • Three trunks of brachial plexus
  • Nerve to serratus anterior (long thoracic C5,C6,C7)
  • Nerve to subclavius (C5, C6)
  • Suprascapular nerve (C5, C6)

VESSELS:-

  • Third part of subclavian artery & vein
  • Suprascapular artery & vein
  • Terminal part of external jugular vein
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