The needle was inserted above the midpoint of the clavicle where the pulse of the subclavian artery could be felt and it was directed medially toward the second or third thoracic spinous process.
32.
The anterior and middle layers insert onto the transverse processes of the vertebral column while the posterior layer inserts onto the tips of the spinous processes, hence it is indirectly continuous with the interspinous ligaments.
33.
It arises by a thin and broad aponeurosis from the lower part of the ligamentum nuchae, from the spinous processes of the seventh cervical and upper two or three thoracic vertebrae and from the supraspinal ligament.
34.
An L1 laminectomy is then performed : a section of the spine's bone, the spinous processes together with a portion of the lamina, are removed, like a drain-cap, to expose the spinal cord and spinal nerves underneath.
35.
In regards to the lumbar spine, the technique is performed with the therapist reaching under the patient's knees, and lifting to obtain the desired lumbar movement whilst assessing the movement of the spinous process using the fingers.
36.
At the middle, the muscle is connected to the spinous processes by a broad semi-elliptical aponeurosis, which reaches from the sixth cervical to the third thoracic vertebr?and forms, with that of the opposite muscle, a tendinous ellipse.
37.
The middle fibers, or transverse of the trapezius arise from the spinous process of the seventh cervical ( both in the back of the neck ), and the spinous processes of the first, second, and third thoracic vertebrae.
38.
The middle fibers, or transverse of the trapezius arise from the spinous process of the seventh cervical ( both in the back of the neck ), and the spinous processes of the first, second, and third thoracic vertebrae.
39.
It arises by a series of small tendons from the transverse processes of the sixth to the tenth thoracic vertebrae, and is inserted, by tendons, into the spinous processes of the upper four thoracic and lower two cervical vertebrae.
40.
Bone marrow aspiration may also be performed on the tibial ( shinbone ) site in children up to 2 years of age while spinous process aspiration is frequently done in a lumbar puncture position and on the L3-L4 vertebrae.
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