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On the right, it lies on the anterior scalene muscle and crosses anterior to the 2nd part of the subclavian artery. On both sides, the phrenic nerve usually runs posterior to the subclavian vein as it enters the thorax where it runs anterior to the root of the lung and between the fibrous pericardium and mediastinal parietal pleura. [2]
The scalene muscles have an important relationship to other structures in the neck. The brachial plexus and subclavian artery pass between the anterior and middle scalenes. [4] The subclavian vein and phrenic nerve pass anteriorly to the anterior scalene as the muscle crosses over the first rib. The phrenic nerve is oriented vertically as it ...
The suprascapular artery and transverse cervical artery both head laterally and cross in front of (anterior to) the anterior scalene muscle and the phrenic nerve. The inferior thyroid artery runs superiorly from the thyrocervical trunk to the inferior portion of the thyroid gland. There is significant variation in the origin of these vessels.
There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. [5] The branches of the cervical plexus emerge from the posterior triangle at the nerve point, a point which lies midway on the posterior border of the sternocleidomastoid.
Apex: Union of the sternocleidomastoid and the trapezius muscles at the superior nuchal line of the occipital bone. Anteriorly: Posterior border of the sternocleidomastoideus. Posteriorly: Anterior border of the trapezius. Inferiorly: Middle one third of the clavicle. Roof: Investing layer of the deep cervical fascia. Floor: (From superior to ...
In front, it is covered by the skin, the superficial fascia, the platysma muscle, the deep cervical fascia, the sternocleidomastoid muscle, and the scalenus anterior muscle. On the right side of the neck, the phrenic nerve is separated from the second part of the artery by the scalenus anterior muscle, while on the left side it crosses the ...
Cervical spinal nerve 4, also called C4, is a spinal nerve of the cervical segment. It originates from the spinal cord above the 4th cervical vertebra (C4). It contributes nerve fibers to the phrenic nerve , the motor nerve to the thoracoabdominal diaphragm .
The prevertebral fascia is prolonged downward and laterally behind the carotid vessels and in front of the scalene muscles. It forms a sheath for the brachial nerves , subclavian artery , and subclavian vein in the posterior triangle of the neck; it is continued under the clavicle as the axillary sheath and is attached to the deep surface of ...