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The vertebral column is often used as a marker of human anatomy. This includes: At C1, base of the nose and the hard palate; At C2, the teeth of a closed mouth; At C3, the mandible and hyoid bone; At C4, the common carotid artery bifurcates. From C4–5, the thyroid cartilage [10] From C6–7, the cricoid cartilage [10]
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 cervical spinal nerve 5 (C5) is a spinal nerve of the cervical segment. [1]It originates from the spinal column from above the cervical vertebra 5 (C5). It contributes to the phrenic nerve, long thoracic nerve, and dorsal scapular nerve before joining cervical spinal nerve 6 to form the upper trunk, a trunk of the brachial plexus, which then forms the lateral cord, and finally the ...
Phrenic (C3-C5, but mostly C4) - innervates thoracic diaphragm and the pericardium. Segmental branches (C1-C4) - innervate anterior and middle scalene muscles Levator scapulae muscle (C3-C4) (also innervated by dorsal scapular nerve (C5) of the brachial plexus )
The middle cervical ganglion is presumed to represent the union of the two sympathetic ganglia corresponding to cervical segments C5–C6 since its gray rami communicantes usually join the cervical spinal nerves C5–C6, however, the ganglion sometimes also contributes gray rami communicantes to spinal nerves C4 and C7. [1]
The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four cervical nerves and first thoracic nerve (C5, C6, C7, C8, and T1).This plexus extends from the spinal cord, through the cervicoaxillary canal in the neck, over the first rib, and into the armpit, it supplies afferent and efferent nerve fibers to the chest, shoulder, arm, forearm, and hand.
Within the cervical spine, most joints are innervated by the medial branch nerve (a branch of the dorsal rami) from the same levels. In other words, the facet joint between C4 and C5 vertebral segments is innervated by the C4 and C5 medial branch nerves. However, there are two exceptions:
The anterior scalene muscle (Latin: scalenus anterior), lies deeply at the side of the neck, behind the sternocleidomastoid muscle.It arises from the anterior tubercles of the transverse processes of the third, fourth, fifth, and sixth cervical vertebrae, and descending, almost vertically, is inserted by a narrow, flat tendon into the scalene tubercle on the inner border of the first rib, and ...