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Cervical Spinal Nerve 4
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. It also provides motor nerves for the longus capitis, longus colli, anterior scalene, middle scalene, and levator scapulae muscles. C4 contributes some sensory fibers to the supraclavicular nerves, responsible for sensation from the skin above the clavicle. C4 and C5 are the areas that see the highest amount of cervical spine trauma.2012 Annual Report
, Table 64, page 66


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File:Slide1y.JPG, Cervical spinal nerve 4 File:Projectional radiograph of cervical forami ...
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Spinal Nerve
A spinal nerve is a mixed nerve, which carries Motor neuron, motor, Sensory neuron, sensory, and Autonomic nervous system, autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each side of the vertebral column. These are grouped into the corresponding cervical vertebrae, cervical, thoracic vertebrae, thoracic, lumbar vertebrae, lumbar, sacral vertebrae, sacral and coccygeal vertebrae, coccygeal regions of the spine. There are eight pairs of cervical nerves, twelve pairs of thoracic nerves, five pairs of lumbar nerves, five pairs of sacral nerves, and one pair of coccygeal nerves. The spinal nerves are part of the peripheral nervous system. Structure Each spinal nerve is a mixed nerve, formed from the combination of nerve root axon, fibers from its Dorsal root of spinal nerve, dorsal and Ventral root of spinal nerve, ventral roots. The dorsal root is the afferent nerve fiber, afferent sensory root and carries sen ...
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Scalene Muscles
The scalene muscles are a group of three muscles on each side of the neck, identified as the anterior, the middle, and the posterior. They are innervated by the third to the eighth cervical spinal nerves (C3-C8). The anterior and middle scalene muscles lift the first rib and bend the neck to the side they are on. The posterior scalene lifts the second rib and tilts the neck to the same side. The muscles are named from the Ancient Greek (), meaning 'uneven'. Structure The scalene muscles are attached at one end to bony protrusions on vertebrae C2 to C7 and at the other end to the first and second ribs. Anterior scalene The anterior scalene muscle (), 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 ...
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Intervertebral Foramen
The intervertebral foramen (also neural foramen) (often abbreviated as IV foramen or IVF) is an opening between (the intervertebral notches of) two pedicles (one above and one below) of adjacent vertebra in the articulated spine. Each intervertebral foramen gives passage to a spinal nerve and spinal blood vessels, and lodges a posterior (dorsal) root ganglion. Cervical, thoracic, and lumbar vertebrae all have intervertebral foramina. Anatomy Structure In the thoracic region and lumbar region, each vertebral foramen is additionally bounded anteriorly by (the inferior portion of) the body of vertebra (particularly in the thoracic region) and adjacent intervertebral disc (particularly in the lumbar region). In the cervical region, a small part of the body of vertebra inferior to the intervertebral disc also forms the anterior boundary of the IVF (due to the fact that the junction of the pedicle with the body of vertebra is situated somewhat more inferiorly on the body). ...
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Nape
The nape is the back of the neck. In technical anatomical/medical terminology, the nape is also called the nucha (from the Medieval Latin rendering of the Arabic , ). The corresponding adjective is ''nuchal'', as in the term ''nuchal rigidity'' for neck stiffness. In many mammals, the nape bears a loose, non-sensitive area of skin, known as the scruff, by which a mother carries her young by her teeth, temporarily immobilizing it during transport. In the mating of cats, the male will grip the female's scruff with his teeth to help immobilize her during the act, a form of pinch-induced behavioral inhibition. Cultural connotations In traditional Japanese culture, the was one of the few areas of the body (other than face and hands) left uncovered by women's attire. The nape of a woman's neck held a strong attraction for many Japanese men (see ). In Egyptian and Lebanese culture, slapping the nape is considered a gesture of utter humiliation. References External links

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Projectional Radiograph
Projectional radiography, also known as conventional radiography, is a form of radiography and medical imaging that produces two-dimensional images by X-ray radiation. The image acquisition is generally performed by radiographers, and the images are often examined by radiologists. Both the procedure and any resultant images are often simply called 'X-ray'. Plain radiography or roentgenography generally refers to projectional radiography (without the use of more advanced techniques such as CT scan, computed tomography that can generate 3D-images). ''Plain radiography'' can also refer to radiography without a radiocontrast agent or radiography that generates single static images, as contrasted to fluoroscopy, which are technically also projectional. Equipment X-ray generator Projectional radiographs generally use X-rays created by X-ray generators, which generate X-rays from X-ray tubes. Grid An anti-scatter grid may be placed between the patient and the detector to reduce the q ...
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Clavicle
The clavicle, collarbone, or keybone is a slender, S-shaped long bone approximately long that serves as a strut between the scapula, shoulder blade and the sternum (breastbone). There are two clavicles, one on each side of the body. The clavicle is the only long bone in the body that lies horizontally. Together with the shoulder blade, it makes up the shoulder girdle. It is a palpable bone and, in people who have less fat in this region, the location of the bone is clearly visible. It receives its name from Latin ''clavicula'' 'little key' because the bone rotates along its axis like a key when the shoulder is Abduction (kinesiology), abducted. The clavicle is the most commonly fractured bone. It can easily be fractured by impacts to the shoulder from the force of falling on outstretched arms or by a direct hit. Structure The collarbone is a thin doubly curved long bone that connects the human arm, arm to the torso, trunk of the body. Located directly above the first rib, it ac ...
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Supraclavicular Nerves
The supraclavicular nerve is a cutaneous (sensory) nerve of the cervical plexus that arises from the third and fourth cervical (spinal) nerves. It emerges from beneath the posterior border of the sternocleidomastoid muscle, then split into multiple branches. Together, these innervate the skin over the shoulder. The supraclavicular nerve can be blocked during shoulder surgery. Anatomy Origin The supraclavicular nerve is a branch of the cervical plexus that arises from cervical (spinal) nerves C3-C4 with the predominant contribution from C4. Course It emerges at the posterior border of the sternocleidomastoid muscle alongside the other three cutaneous branches of the cervical plexus, then promptly divides into several branches. The nerves descend in the posterior triangle of the neck beneath the platysma muscle and the deep cervical fascia. Near the clavicle, the supraclavicular nerves perforate the fascia and the platysma muscle to become cutaneous. They are arranged, ac ...
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Levator Scapulae Muscle
The levator scapulae is a slender skeletal muscle Skeletal muscle (commonly referred to as muscle) is one of the three types of vertebrate muscle tissue, the others being cardiac muscle and smooth muscle. They are part of the somatic nervous system, voluntary muscular system and typically are a ... situated at the back and side of the neck. It originates from the transverse processes of the four uppermost cervical vertebrae; it inserts onto the upper portion of the medial border of the scapula. It is innervated by the cervical nerves C3-C4, and frequently also by the dorsal scapular nerve. As the Latin name suggests, its main function is to lift the scapula. Anatomy Attachments The muscle descends diagonally from its origin to its insertion. Origin The levator scapulae originates from the posterior tubercles of the transverse processes of cervical vertebrae C1-4. At its origin, it attaches via tendinous slips. Insertion It inserts onto the medial border of th ...
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Longus Colli Muscle
The longus colli muscle (Latin for ''long muscle of the neck'') is a muscle of the human body. The longus colli is situated on the anterior surface of the vertebral column, between the atlas and the third thoracic vertebra. It is broad in the middle, narrow and pointed at either end, and consists of three portions, a superior oblique, an inferior oblique, and a vertical. * The ''superior oblique portion'' arises from the anterior tubercles of the transverse processes of the third, fourth, and fifth cervical vertebrae and, ascending obliquely with a medial inclination, is inserted by a narrow tendon into the tubercle on the anterior arch of the atlas. * The ''inferior oblique portion'', the smallest part of the muscle, arises from the front of the bodies of the first two or three thoracic vertebrae; and, ascending obliquely in a lateral direction, is inserted into the anterior tubercles of the transverse processes of the fifth and sixth cervical vertebrae. * The ''vertical portio ...
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Cervical Vertebrae
In tetrapods, cervical vertebrae (: vertebra) are the vertebrae of the neck, immediately below the skull. Truncal vertebrae (divided into thoracic and lumbar vertebrae in mammals) lie caudal (toward the tail) of cervical vertebrae. In sauropsid species, the cervical vertebrae bear cervical ribs. In lizards and saurischian dinosaurs, the cervical ribs are large; in birds, they are small and completely fused to the vertebrae. The vertebral transverse processes of mammals are homologous to the cervical ribs of other amniotes. Most mammals have seven cervical vertebrae, with the only three known exceptions being the manatee with six, the two-toed sloth with five or six, and the three-toed sloth with nine. In humans, cervical vertebrae are the smallest of the true vertebrae and can be readily distinguished from those of the thoracic or lumbar regions by the presence of a transverse foramen, an opening in each transverse process, through which the vertebral artery, verteb ...
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Longus Capitis Muscle
The longus capitis muscle (Latin for ''long muscle of the head'', alternatively rectus capitis anticus major) is broad and thick above, narrow below, and arises by four tendinous slips, from the anterior tubercles of the transverse processes of the third, fourth, fifth, and sixth cervical vertebræ, and ascends, converging toward its fellow of the opposite side, to be inserted into the inferior surface of the basilar part of the occipital bone The occipital bone () is a neurocranium, cranial dermal bone and the main bone of the occiput (back and lower part of the skull). It is trapezoidal in shape and curved on itself like a shallow dish. The occipital bone lies over the occipital lob .... It is innervated by a branch of cervical plexus. Longus capitis has several actions: acting unilaterally, to: *flex the head and neck laterally *rotate the head ipsilaterally acting bilaterally: *flex the head and neck Additional images File:Gray129.png, Occipital bone. Outer surface. ...
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Thoracic Diaphragm
The thoracic diaphragm, or simply the diaphragm (; ), is a sheet of internal Skeletal striated muscle, skeletal muscle in humans and other mammals that extends across the bottom of the thoracic cavity. The diaphragm is the most important Muscles of respiration, muscle of respiration, and separates the thoracic cavity, containing the heart and lungs, from the abdominal cavity: as the diaphragm contracts, the volume of the thoracic cavity increases, creating a negative pressure there, which draws air into the lungs. Its high oxygen consumption is noted by the many mitochondria and capillaries present; more than in any other skeletal muscle. The term ''diaphragm'' in anatomy, created by Gerard of Cremona, can refer to other flat structures such as the urogenital diaphragm or Pelvic floor, pelvic diaphragm, but "the diaphragm" generally refers to the thoracic diaphragm. In humans, the diaphragm is slightly asymmetric—its right half is higher up (superior) to the left half, since th ...
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