Posterior triangle of the neck

From Wikipedia, the free encyclopedia
Jump to: navigation, search
Posterior triangle of the neck
Copy of Musculi coli base, my edits for tringles, labeled triangles,posterior.svg
Posterior triangle
Gray1210.png
Side of neck, showing chief surface markings. (Nerves are yellow, arteries are red.)
Details
Identifiers
Latin regio cervicalis lateralis, trigonum cervicale posterius
Dorlands
/Elsevier
r_07/12700361
TA A01.2.02.009
FMA 57778
Anatomical terminology

The posterior triangle (or lateral cervical region) is a region of the neck.

Boundaries[edit]

It has the following boundaries:

Apex: Union of the sternocleidomastoid and the trapezius muscles at the superior nuchal line of the occipital bone

Anterior: Posterior border of the sternocleidomastoideus

Posterior: Anterior border of the trapezius

Base: Middle one third of the clavicle

Roof: Investing layer of the deep cervical fascia

Divisions[edit]

The posterior triangle is crossed, about 2.5 cm above the clavicle, by the inferior belly of the omohyoid muscle, which divides the space into two triangles:

Contents[edit]

A) Nerves and Plexuses:

B) Vessels:

C) Lymph Nodes:

  • Occipital
  • Supraclavicular

D) Muscles:

Clinical significance[edit]

The accessory nerve (CN XI) is particularly vulnerable to damage during lymph node biopsy. Damage results in an inability to shrug the shoulders or raise the arm above the head (e.g., for brushing hair), particularly due to compromised trapezius muscle innervation.

The external jugular vein's superficial location within the posterior triangle also makes it vulnerable to injury. It is also the site of clinical examination of Jugular venous pressure.

The right atrial pressure is reflected in it because there are no valve in the entire course of this vein and is straight, therefore used to examine Jugular Venous Pressure.

As external jugular vein pierces the fascia, the margins of the vein get adherent to fascia. So if the vein gets cut, it cannot close and air is sucked in due to negative intrathoracic pressure causes air embolism. To prevent this, fascia colli has to be cut.

Gallery[edit]

See also[edit]

References[edit]

This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)

External links[edit]

  • lesson5 at The Anatomy Lesson by Wesley Norman (Georgetown University) (necktriangle)
  • lesson6 at The Anatomy Lesson by Wesley Norman (Georgetown University)
  • Anatomy figure: 24:01-02 at Human Anatomy Online, SUNY Downstate Medical Center - "Identification of the muscles associated with the posterolateral triangle."