Anatomy clinical correlates: Bones, fascia and muscles of the neck

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Anatomy clinical correlates: Bones, fascia and muscles of the neck

Subspeciality surgery

Cardiothoracic surgery

Coronary artery disease: Clinical (To be retired)

Valvular heart disease: Clinical (To be retired)

Pericardial disease: Clinical (To be retired)

Aortic aneurysms and dissections: Clinical (To be retired)

Chest trauma: Clinical (To be retired)

Pleural effusion: Clinical (To be retired)

Pneumothorax: Clinical (To be retired)

Lung cancer: Clinical (To be retired)

Anatomy clinical correlates: Thoracic wall

Anatomy clinical correlates: Heart

Anatomy clinical correlates: Pleura and lungs

Anatomy clinical correlates: Mediastinum

Adrenergic antagonists: Beta blockers

ACE inhibitors, ARBs and direct renin inhibitors

cGMP mediated smooth muscle vasodilators

Lipid-lowering medications: Statins

Lipid-lowering medications: Fibrates

Miscellaneous lipid-lowering medications

Antiplatelet medications

Plastic surgery

Benign hyperpigmented skin lesions: Clinical (To be retired)

Skin cancer: Clinical (To be retired)

Blistering skin disorders: Clinical (To be retired)

Bites and stings: Clinical (To be retired)

Burns: Clinical (To be retired)

ENT (Otolaryngology)

Anatomy clinical correlates: Olfactory (CN I) and optic (CN II) nerves

Anatomy clinical correlates: Trigeminal nerve (CN V)

Anatomy clinical correlates: Facial (CN VII) and vestibulocochlear (CN VIII) nerves

Anatomy clinical correlates: Glossopharyngeal (CN IX), vagus (X), spinal accessory (CN XI) and hypoglossal (CN XII) nerves

Anatomy clinical correlates: Skull, face and scalp

Anatomy clinical correlates: Ear

Anatomy clinical correlates: Temporal regions, oral cavity and nose

Anatomy clinical correlates: Bones, fascia and muscles of the neck

Anatomy clinical correlates: Vessels, nerves and lymphatics of the neck

Anatomy clinical correlates: Viscera of the neck

Antihistamines for allergies

Neurosurgery

Stroke: Clinical (To be retired)

Seizures: Clinical (To be retired)

Headaches: Clinical (To be retired)

Traumatic brain injury: Clinical (To be retired)

Neck trauma: Clinical (To be retired)

Brain tumors: Clinical (To be retired)

Lower back pain: Clinical (To be retired)

Anatomy clinical correlates: Olfactory (CN I) and optic (CN II) nerves

Anatomy clinical correlates: Oculomotor (CN III), trochlear (CN IV) and abducens (CN VI) nerves

Anatomy clinical correlates: Trigeminal nerve (CN V)

Anatomy clinical correlates: Facial (CN VII) and vestibulocochlear (CN VIII) nerves

Anatomy clinical correlates: Glossopharyngeal (CN IX), vagus (X), spinal accessory (CN XI) and hypoglossal (CN XII) nerves

Anatomy clinical correlates: Vertebral canal

Anatomy clinical correlates: Spinal cord pathways

Anatomy clinical correlates: Cerebral hemispheres

Anatomy clinical correlates: Anterior blood supply to the brain

Anatomy clinical correlates: Cerebellum and brainstem

Anatomy clinical correlates: Posterior blood supply to the brain

Anticonvulsants and anxiolytics: Barbiturates

Anticonvulsants and anxiolytics: Benzodiazepines

Nonbenzodiazepine anticonvulsants

Migraine medications

Osmotic diuretics

Antiplatelet medications

Thrombolytics

Ophthalmology

Eye conditions: Refractive errors, lens disorders and glaucoma: Pathology review

Eye conditions: Retinal disorders: Pathology review

Eye conditions: Inflammation, infections and trauma: Pathology review

Anatomy clinical correlates: Olfactory (CN I) and optic (CN II) nerves

Anatomy clinical correlates: Oculomotor (CN III), trochlear (CN IV) and abducens (CN VI) nerves

Anatomy clinical correlates: Eye

Orthopedic surgery

Joint pain: Clinical (To be retired)

Lower back pain: Clinical (To be retired)

Anatomy clinical correlates: Clavicle and shoulder

Anatomy clinical correlates: Axilla

Anatomy clinical correlates: Arm, elbow and forearm

Anatomy clinical correlates: Wrist and hand

Anatomy clinical correlates: Median, ulnar and radial nerves

Anatomy clinical correlates: Bones, joints and muscles of the back

Anatomy clinical correlates: Hip, gluteal region and thigh

Anatomy clinical correlates: Knee

Anatomy clinical correlates: Leg and ankle

Anatomy clinical correlates: Foot

Trauma surgery

Traumatic brain injury: Clinical (To be retired)

Neck trauma: Clinical (To be retired)

Chest trauma: Clinical (To be retired)

Abdominal trauma: Clinical (To be retired)

Urology

Penile conditions: Pathology review

Prostate disorders and cancer: Pathology review

Testicular tumors: Pathology review

Kidney stones: Clinical (To be retired)

Renal cysts and cancer: Clinical (To be retired)

Urinary incontinence: Pathology review

Testicular and scrotal conditions: Pathology review

Anatomy clinical correlates: Male pelvis and perineum

Anatomy clinical correlates: Female pelvis and perineum

Anatomy clinical correlates: Other abdominal organs

Anatomy clinical correlates: Inguinal region

Androgens and antiandrogens

PDE5 inhibitors

Adrenergic antagonists: Alpha blockers

Vascular surgery

Peripheral vascular disease: Clinical (To be retired)

Leg ulcers: Clinical (To be retired)

Aortic aneurysms and dissections: Clinical (To be retired)

Anatomy clinical correlates: Anterior and posterior abdominal wall

Adrenergic antagonists: Beta blockers

Lipid-lowering medications: Statins

Lipid-lowering medications: Fibrates

Miscellaneous lipid-lowering medications

Antiplatelet medications

Thrombolytics

Assessments

Anatomy clinical correlates: Bones, fascia and muscles of the neck

USMLE® Step 1 questions

0 / 2 complete

USMLE® Step 2 questions

0 / 7 complete

Questions

USMLE® Step 1 style questions USMLE

of complete

USMLE® Step 2 style questions USMLE

of complete

A 24-year-old man presents to the emergency department following a motor vehicle collision. He is experiencing severe pain in his face and neck. He has significant neck swelling with odynophagia localized to the left side. The odynophagia is worsened with opening his mouth, speaking, or swallowing. The patient has no dyspnea or signs of airway compromise. Head CT and sagittal neck X-ray are shown. Which of the following is the most likely mechanism of injury?  


Image credit: Pubmed  

Transcript

Contributors

Antonella Melani, MD

Jake Ryan

Alaina Mueller

Kaia Chessen, MScBMC

The neck contains many vital structures, including blood vessels, nerves, and lymphatics, as well as organs like the thyroid and parathyroid glands, parts of the airway like the larynx and trachea, and parts of the digestive tract like the pharynx and esophagus. All these structures are protected by the bones, fascia and muscles of the neck.

The skeleton of the neck is formed by the cervical spine, the hyoid bone, the manubrium of the sternum, and the clavicles. All of these structures are prone to injuries, so hopefully learning about them in this video won't be too much of a pain in the neck!

Let's get started! First, let’s look at cervical spine fractures. The cervical spine is the most flexible and mobile part of the vertebral column. But that flexibility comes with a price, making the cervical spine vulnerable to injury. Now, cervical spine fractures can be stable, meaning the spinal cord is at minimal to no risk of injury due to the fracture pattern, or unstable, meaning the spinal cord is at a much greater risk of injury due to the fracture pattern.

Let’s take a look at some important types of cervical fractures. Let’s start from the C1, or atlas, vertebra. These fractures are also called Jefferson or burst fractures. As you might remember, C1 is a ring shaped bone that has paired wedge shaped lateral masses connected by thin anterior and posterior arches and a transverse ligament.

The C1 vertebra sustains the weight of the cranium, kind of like how the God Atlas of Greek mythology bore the weight of the world on his shoulders. Now, because the taller side of the lateral mass is directed laterally, when there are vertical forces that compress the lateral masses between the occipital condyles above, and the C2 or axis below, this compressive force drives the two lateral masses of the C1 vertebrae apart, which can lead to fractures in either the anterior arch, the posterior arch, or both.

Sources

  1. "Canadian C-spine rule and the National Emergency X-Radiography Utilization Study (NEXUS) for detecting clinically important cervical spine injury following blunt trauma" Cochrane Database of Systematic Reviews (2018)
  2. "Fracture of the atlas vertebra. Report of four cases, and a review of those previously recorded" British Journal of Surgery (1919)
  3. "Management of Hyoid Bone Fractures" Otolaryngology–Head and Neck Surgery (2012)
  4. "Current concepts on the clinical features, aetiology and management of idiopathic cervical dystonia" Brain (1998)
  5. "Torticollis" Psychology Press (1996)
  6. "Spine Disorders" Cambridge University Press (2009)
  7. "Retrocollis: Classification, Clinical Phenotype, Treatment Outcomes and Risk Factors" European Neurology (2007)
  8. "IMPACT OF GLUTE STRENGTHENING TRAINING WITH FOAM ROLLERS AND RESISTANCE TRAINING ON SELECTED PHYSICAL VARIABLES AMONG FOOTBALL PLAYERS" Lulu.com (2022)
Elsevier

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