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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 .
In anatomy, Luschka's joints (also called uncovertebral joints, neurocentral joints) [1] are formed between uncinate process or "uncus" below and uncovertebral articulation above. [2] They are located in the cervical region of the vertebral column from C3 to C7. [ 3 ]
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 ...
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]
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 )
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:
C3, C4, C5: Supply diaphragm (mostly C4) C5, C6: Move shoulder, raise arm ; flex elbow C6: externally rotate the arm C6, C7: Extend elbow and wrist (triceps and wrist extensors); pronate wrist C7, T1: Flex wrist; supply small muscles of the hand: T1–T6: Intercostals and trunk above the waist: T7–L1: Abdominal muscles L1–L4: Flex thigh
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