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However, the cervical spine is comparatively mobile, and some component of this movement is due to flexion and extension of the vertebral column itself. This movement between the atlas and occipital bone is often referred to as the "yes joint", owing to its nature of being able to move the head in an up-and-down fashion.
This is true for all spinal nerves except for the first spinal nerve pair (C1), which emerges between the occipital bone and the atlas (the first vertebra). [3] Thus the cervical nerves are numbered by the vertebra below, except spinal nerve C8, which exists below vertebra C7 and above vertebra T1.
The posterior divisions of the lower five cervical nerves divide into medial and lateral branches. The medial branches of the fourth and fifth run between the Semispinales cervicis and capitis, and, having reached the spinous processes, pierce the Splenius and Trapezius to end in the skin.
Preganglionic nerves from the thoracic spinal cord enter into the cervical ganglions and synapse with its postganglionic fibers or nerves. The cervical ganglion has three paravertebral ganglia: superior cervical ganglion (largest) – adjacent to C2 & C3; postganglionic axon projects to target: (heart, head, neck) via "hitchhiking" on the ...
The C8 nerve contributes to the motor innervation of many of the muscles in the trunk and upper limb. Its primary function is the flexion of the fingers, and this is used as the clinical test for C8 integrity, in conjunction with the finger jerk reflex.
There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk. It is located in the neck, deep to the sternocleidomastoid muscle. [5] The branches of the cervical plexus emerge from the posterior triangle at the nerve point, a point which lies midway on the posterior border of the sternocleidomastoid.
The superior cervical ganglion (SCG) is the upper-most and largest [1] of the cervical sympathetic ganglia of the sympathetic trunk. [1] [2] It probably formed by the union of four sympathetic ganglia of the cervical spinal nerves C1–C4. [1] It is the only ganglion of the sympathetic nervous system that innervates the head and neck.
While under the trapezius, the medial branch of the posterior division of the third cervical nerve gives off a branch called the third occipital nerve (also known as the least occipital nerve), which pierces the Trapezius and ends in the skin of the lower part of the back of the head.