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There are several options of treatment when iatrogenic (i.e., caused by the surgeon) spinal accessory nerve damage is noted during surgery. For example, during a functional neck dissection that injures the spinal accessory nerve, injury prompts the surgeon to cautiously preserve branches of C2, C3, and C4 spinal nerves that provide supplemental innervation to the trapezius muscle. [3]
The spinal component of the accessory nerve provides motor control of the sternocleidomastoid and trapezius muscles. [8] The trapezius muscle controls the action of shrugging the shoulders, and the sternocleidomastoid the action of turning the head. [8] Like most muscles, control of the trapezius muscle arises from the opposite side of the ...
The sternocleidomastoid muscle originates from two locations: the manubrium of the sternum and the clavicle. [4] It travels obliquely across the side of the neck and inserts at the mastoid process of the temporal bone of the skull by a thin aponeurosis. [4] [5] The sternocleidomastoid is thick and narrow at its center, and broader and thinner ...
It surrounds the neck like a collar, it splits around the sternocleidomastoid muscle and the trapezius muscle. It is attached as; Posteriorly - Ligamentum nuchae; Anteriorly - Attached to the hyoid bone; Superiorly - (from backwards to forwards); External occipital protuberance and superior nuchal line of occipital bone; Mastoid process of ...
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 ...
This movement utilizes the bilateral sternocleidomastoid, bilateral scalene complex, bilateral submental complex. Retrocollis is the extension of the neck (head tilts back) and uses the following muscles for movement: bilateral splenius, bilateral upper trapezius, bilateral deep posterior paravertebrals. This is the "chin-in-the-air" version.
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The trapezius [4] is a large paired trapezoid-shaped surface muscle that extends longitudinally from the occipital bone to the lower thoracic vertebrae of the spine and laterally to the spine of the scapula. It moves the scapula and supports the arm. The trapezius has three functional parts: an upper (descending) part which supports the weight ...