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CERVICAL PLEXUS CERVICAL PLEXUS Objectives To be able to draw and label all the anatomy of the cervical plexus and learn the cutaneous and muscular distribution of its branches. CERVICAL PLEXUS The Challenge Lesser occipital nerve Numerous named small branches Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid C4 Transverse cervical nerve Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Learning Device The story CERVICAL PLEXUS Learning Device Curve Line Ten(X) Yet loop Your Eleventh Less Great Transitions Surprise Phillipe And Hoda Good Training Swiftly Overcomes Sloppy Skills In Oils CERVICAL PLEXUS Learning Device Curve Line Ten(X) Yet loop Your Eleventh Less Great Transitions Surprise Phillipe And Hoda Good Training Swiftly Overcomes Sloppy Skills In Oils CERVICAL PLEXUS Curve C1 C2 CERVICAL PLEXUS Curve Line C1 C2 CERVICAL PLEXUS Curve Line Ten (X) C1 C2 CERVICAL PLEXUS Curve Line Ten (X) C1 C2 CERVICAL PLEXUS Curve Line Ten (X) C1 C2 CERVICAL PLEXUS Curve Line Ten (X) C1 C2 C3 CERVICAL PLEXUS Curve Line Ten (X) Yet loop C1 C2 C3 CERVICAL PLEXUS Curve Line Ten (X) Yet loop C1 C2 C3 CERVICAL PLEXUS Curve Line Ten (X) Yet loop C1 C2 C3 CERVICAL PLEXUS Curve Line Ten (X) Yet loop Your C1 C2 C3 CERVICAL PLEXUS Curve Line Ten (X) Yet loop Your C1 C2 C3 CERVICAL PLEXUS Curve Line Ten (X) Yet loop Your C1 C2 C3 C4 CERVICAL PLEXUS Curve Line Ten (X) Yet loop Your Eleventh C1 C2 C3 C4 CERVICAL PLEXUS Curve Line Ten (X) Yet loop Your Eleventh C1 C2 C3 C4 CERVICAL PLEXUS Curve Line Ten (X) Yet loop Your Eleventh C1 C2 C3 C4 C5 CERVICAL PLEXUS Curve Line Ten (X) Yet loop Your Eleventh C1 C2 C3 C4 C5 CERVICAL PLEXUS Less Lesser occipital nerve C1 C2 C3 C4 C5 CERVICAL PLEXUS Less Great Lesser occipital nerve Great auricular nerve C1 C2 C3 C4 C5 CERVICAL PLEXUS Less Great Transitions Lesser occipital nerve Great auricular nerve C1 C2 C3 Transverse cervical nerve C4 C5 CERVICAL PLEXUS Less Great Transitions Surprise Lesser occipital nerve Great auricular nerve C1 C2 C3 Transverse cervical nerve C4 C5 Supraclavicular nerve CERVICAL PLEXUS Less Great Transitions Surprise Phillipe Lesser occipital nerve Great auricular nerve C1 C2 C3 Transverse cervical nerve C4 C5 Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Less Great Transitions Surprise Phillipe And Lesser occipital nerve Great auricular nerve C1 C2 C3 Transverse cervical nerve C4 Inferior root of ansa C5 Ansa cervicalis Supraclavicular nerve Phrenic nerve Superior root of ansa CERVICAL PLEXUS Less Great Transitions Surprise Phillipe And Hoda Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Transverse cervical nerve C4 Inferior root of ansa C5 Ansa cervicalis Supraclavicular nerve Phrenic nerve Superior root of ansa CERVICAL PLEXUS Less Great Transitions Surprise Phillipe And Hoda Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Transverse cervical nerve C4 Inferior root of ansa C5 Ansa cervicalis Supraclavicular nerve Phrenic nerve Superior root of ansa CERVICAL PLEXUS Good Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Inferior root of ansa C5 Ansa cervicalis Supraclavicular nerve Phrenic nerve Superior root of ansa CERVICAL PLEXUS Good Training Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa C5 Ansa cervicalis Supraclavicular nerve Phrenic nerve Superior root of ansa CERVICAL PLEXUS Good Training Swiftly Overcomes Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Good Training Swiftly Overcomes Sloppy Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Good Training Swiftly Overcomes Sloppy Skills Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Good Training Swiftly Overcomes Sloppy Skills In Oils Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Good Training Swiftly Overcomes Sloppy Skills In Oils Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Communication C4 to C5 C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Gray communicating rami C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Nerve to rectus capitis lateralis C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Nerves to rectus capitis anterior C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Nerves to longus capitis C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Nerves to longus colli C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Nerves to sternocleidomastoid C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Communications to accessory nerve C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Nerve to trapezius C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Nerves to levator scapulae C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Adding Fine PointsLesser occipital nerve Great auricular nerve C1 Nerves to middle scalene C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS The Completed Plexus Lesser occipital nerve Numerous named small branches Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid C4 Transverse cervical nerve Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Qucik Review Draw along with me CERVICAL PLEXUS Qucik Review Curve Line Ten (X) Yet loop Your Eleventh C1 C2 C3 C4 C5 CERVICAL PLEXUS Qucik Review Curve Line Ten (X) Yet loop Your Eleventh Less Great Transitions Surprise Phillipe And Hoda Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Transverse cervical nerve C4 Inferior root of ansa C5 Ansa cervicalis Supraclavicular nerve Phrenic nerve Superior root of ansa CERVICAL PLEXUS Qucik Review Curve Line Ten (X) Yet loop Your Eleventh Less Great Transitions Surprise Phillipe And Hoda Good Training Swiftly Overcomes Sloppy Skills In Oils Lesser occipital nerve Great auricular nerve C1 C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Qucik Review Now add the fine points Lesser occipital nerve Great auricular nerve C1 Communication C4 to C5 Gray communicating rami C2 Nerve to rectus capitis lateralis Hypoglossal nerve C3 Nerves to rectus capitis anterior Nerves to longus capitis Nerves to longus colli Nerve to geniohyoid Transverse cervical nerve C4 Inferior root of ansa Nerves to sternocleidomastoid Superior root of ansa C5 Ansa cervicalis Communications to accessory nerve Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Nerve to trapezius Nerves to levator scapulae Nerves to middle scalene Nerve to thyrohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Qucik Review Lesser occipital nerve Numerous named small branches Great auricular nerve C1 Now you can draw the plexus C2 Hypoglossal nerve C3 Nerve to geniohyoid Transverse cervical nerve C4 Nerve to thyrohyoid Inferior root of ansa Superior root of ansa C5 Ansa cervicalis Nerve to superior omohyoid Nerve to sternothyroid Nerve to inferior omohyoid Nerve to sternohyoid Supraclavicular nerve Phrenic nerve CERVICAL PLEXUS Three Dimensional Structure Lateral or superficial branches CERVICAL PLEXUS Three Dimensional Structure Lateral or superficial branches Ascending versus descending CERVICAL PLEXUS Three Dimensional Structure Deep muscular branches CERVICAL PLEXUS Three Dimensional Structure Deep muscular branches Medial versus lateral branches CERVICAL PLEXUS Lateral Cutaneous Branches CERVICAL PLEXUS Lateral Cutaneous Branches Lesser occipital nerve CERVICAL PLEXUS Lateral Cutaneous Branches Lesser occipital nerve CERVICAL PLEXUS Lateral Cutaneous Branches Lesser occipital nerve CERVICAL PLEXUS Lateral Cutaneous Branches Great auricular nerve CERVICAL PLEXUS Lateral Cutaneous Branches Great auricular nerve CERVICAL PLEXUS Lateral Cutaneous Branches Great auricular nerve CERVICAL PLEXUS Lateral Cutaneous Branches Transverse cutaneous nerve CERVICAL PLEXUS Lateral Cutaneous Branches Transverse cutaneous nerve CERVICAL PLEXUS Lateral Cutaneous Branches Transverse cutaneous nerve CERVICAL PLEXUS Lateral Cutaneous Branches Supraclavicular nerve CERVICAL PLEXUS Lateral Cutaneous Branches Supraclavicular nerve CERVICAL PLEXUS Lateral Cutaneous Branches Supraclavicular nerve CERVICAL PLEXUS Dermatomes vs. Cutaneous Fields CERVICAL PLEXUS Deep Muscular Branches Branches of superior root of ansa CERVICAL PLEXUS Deep Muscular Branches Branches of superior root of ansa Geniohyoid nerve CERVICAL PLEXUS Deep Muscular Branches Branches of superior root of ansa Thyrohyoid nerve CERVICAL PLEXUS Deep Muscular Branches Branches of superior root of ansa Superior omohyoid nerve CERVICAL PLEXUS Deep Muscular Branches Branches of superior root of ansa Superior omohyoid nerve CERVICAL PLEXUS Deep Muscular Branches Branches of inferior root of ansa CERVICAL PLEXUS Deep Muscular Branches Branches of inferior root of ansa Sternohyoid nerve CERVICAL PLEXUS Deep Muscular Branches Branches of inferior root of ansa Sternohyoid nerve CERVICAL PLEXUS Deep Muscular Branches Branches of inferior root of ansa Sternothyroid nerve CERVICAL PLEXUS Deep Muscular Branches Branches of inferior root of ansa Sternothyroid nerve CERVICAL PLEXUS Deep Muscular Branches Branches of inferior root of ansa Inferior omohyoid nerve CERVICAL PLEXUS Deep Muscular Branches Branches of inferior root of ansa Inferior omohyoid nerve CERVICAL PLEXUS Deep Muscular Branches Phrenic nerve CERVICAL PLEXUS Deep Muscular Branches Phrenic nerve CERVICAL PLEXUS Deep Muscular Branches Other medial branches Nerve to rectus capitis lateralis CERVICAL PLEXUS Deep Muscular Branches Other medial branches Nerve to rectus capitis anterior CERVICAL PLEXUS Deep Muscular Branches Other medial branches Nerve to longus capitis CERVICAL PLEXUS Deep Muscular Branches Other medial branches Nerve to longus colli CERVICAL PLEXUS Deep Muscular Branches Other medial branches Nerve to intertransversarii CERVICAL PLEXUS Deep Muscular Branches Lateral branches Nerve to levator scapulae CERVICAL PLEXUS Deep Muscular Branches Lateral branches Nerve to middle scalene CERVICAL PLEXUS Deep Muscular Branches Communicating branches With accessory nerve CERVICAL PLEXUS Deep Muscular Branches Communicating branches Nerve to sternocleidomastoid CERVICAL PLEXUS Deep Muscular Branches Communicating branches Nerve to trapezius CERVICAL PLEXUS Deep Muscular Branches Communicating branches Gray communicating rami CERVICAL PLEXUS Deep Muscular Branches Communicating branches With vagus nerve