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Head and Neck Anatomy
Muscles: Origins, Insertions, Actions, and Innervations
58
Health Care
Professional
07/28/2008

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Term
Levator scapulae
Definition
  • Origin:  Transverse processes of first four cervical vertebrae
  • Insertion:  Vertebral border of scapula near superior angle
  • Action:  Elevates scapula
  • Innervation:  Cervical nerves C3-C4 and dorsal scapular nerve (C5)
Term
Rhomboid major
Definition
  • Origin:  Spinous processes of superior thoracic vertebrae
  • Insertion:  Vertebral border of scapula from spine to inferior angle
  • Action:  Adducts and performs downward rotation of the scapula
  • Innervation:  Dorsal scapular nerve (C5)
Term
Rhomboid minor
Definition
  • Origin:  Spinous process of vertebrae C7-T1
  • Insertion:  Vertebral border of scapula
  • Action:  Adducts and performs downward rotation of the scapula
  • Innervation: Dorsal scapular nerve (C5)
Term
Subclavius
Definition
  • Origin:  First rib
  • Insertion:  Clavicle (inferior border)
  • Action:  Depresses and protracts shoulder
  • Innervation:  Nerve to subclavius (C5-C6)
Term
Trapezius
Definition
  • Origin:  Occipital bone, ligamentum nuchae, and spinous processes of thoracic vertebrae
  • Insertion:  Clavicle and scapula
  • Action:  May elevate, retract, depress, or rotate scapula upward
  • Innervation:  Accessory nerve (CN XI) and cervical spinal nerves (C3-C4)
Term
Latissimus dorsi
Definition
  • Origin:  Spinous process of inferior thoracic and all lumbar vertebrae, ribs 8-1, and thoracolumbar fascia
  • Insertion:  Floor of intertubercular groove of the humerus
  • Action:  Extension, adduction, and medial rotation at shoulder
  • Innervation:  Thoracodorsal nerve (C5-C8)
Term
Anterior belly of digastric
Definition
  • Origin: From inferior surface of mandible at chin
  • Insertion:  Hyoid bone
  • Action:  Depresses mandible, opening mouth, and/or elevates larynx
  • Innervation:  Trigeminal nerve (CN V), mandibular branch
Term
Posterior belly of digastric
Definition
  • Origin:  From mastoid region of temporal bone
  • Insertion:  Hyoid bone
  • Action: Depresses mandible, opening mouth, and/or elevates larynx
  • Innervation:  Facial nerve (CN VII)
Term
Geniohyoid
Definition
  • Origin:  Medial surface of mandible at chin
  • Insertion:  Hyoid bone
  • Action:  Depresses mandible, opening mouth, and/or elevates larynx and retracts hyoid bone
  • Innervation:  Cervical nerve C1 via hypoglossal nerve (CN XII)
Term
Mylohyoid
Definition
  • Origin:  Mylohyoid line of mandible
  • Insertion:  Median connective tissue (raphe)
  • Action:  Elevates floor of mouth, elevates hyoid bone, and/or depresses mandible
  • Innervation:  Trigeminal nerve (CN V), mandibular branch
Term
Omohyoid (superior and inferior bellies)
Definition
  • Origin:  Superior border of the scapula near the scapular notch
  • Insertion:  Hyoid bone
  • Action:  Depresses hyoid bone and larynx
  • Innervation:  Cervical spinal nerves C2-C3
Term
Sternohyoid
Definition
  • Origin:  Clavicle and manubrium
  • Insertion:  Hyoid bone
  • Action:  Depresses hyoid bone and larynx
  • Innervation:  Cervical spinal nerves C1-C3
Term
Sternothyroid
Definition
  • Origin:  Dorsal surface of manubrium and first costal cartilage
  • Insertion:  Thyroid cartilage of larynx
  • Action:  Depresses hyoid bone and larynx
  • Innervation:  Cervical spinal nerves C1-C3
Term
Stylohyoid
Definition
  • Origin:  Styloid process of temporal bone
  • Insertion:  Hyoid bone
  • Action:  Elevates larynx
  • Innervation:  Facial nerve (CN VII)
Term
Thyrohyoid
Definition
  • Origin:  Thyroid cartilage of larynx
  • Insertion:  Hyoid bone
  • Action:  Elevates larynx, depresses hyoid bone
  • Innervation:  Cervical spinal nerves C1-C2 via hypoglossal nerve (CN XII)
Term
Sternocleidomastoid
Definition
  • Origin:  Attaches to sternal end of clavicle and manubrium
  • Insertion:  Mastoid region of skull and lateral portion of superior nuchal line
  • Action:  Flex the neck or bends neck toward shoulder and turns face to opposite side
  • Innervation:  Accessory nerve (CN XI) and cervical spinal nerves (C2-C3) of cervical plexus
Term
Genioglossus
Definition
  • Origin:  Medial surface of mandible around chin
  • Insertion:  Body of tongue, hyoid bone
  • Action:  Depresses and protracts tongue
  • Innervation:  Hypoglossal nerve (CN XII)
Term
Masseter
Definition
  • Origin:  Zygomatic arch
  • Insertin:  Lateral surface and angle of mandibular ramus
  • Action:  Elevates mandible and closes jaw
  • Innervation:  Trigeminal nerve (CN V), mandibular branch
Term
Temporalis
Definition
  • Origin:  Along temporal lines of skull
  • Insertion:  Coronoid process of mandible
  • Action:  Elevates mandible and closes jaws
  • Innervation:  Trigeminal nerve (CN V), mandibular branch
Term
Buccinator
Definition
  • Origin:  Alveolar processes of maxilla and mandible
  • Insertion:  Blends into fibers of orbicularis oris
  • Action:  Compresses cheeks
  • Innervation:  Facial nerve (CN VII)
Term
Depressor labii inferioris
Definition
  • Origin:  Mandible between the anterior midline and the mental foramen
  • Insertion:  Skin of lower lip
  • Action:  Depresses lower lip
  • Innervation:  Facial nerve (CN VII)
Term
Levator labii superioris
Definition
  • Origin:  Inferior margin of orbit, superior to the infraorbital foramen
  • Insertion:  Orbicularis oris
  • Action:  Elevates upper lip
  • Innervation:  Facial nerve (CN VII)
Term
Mentalis
Definition
  • Origin:  Incisive fossa of mandible
  • Insertion:  Skin of chin
  • Action:  Elevates and protrudes lower lip
  • Innervation:  Facial nerve (CN VII)
Term
Orbicularis oris
Definition
  • Origin:  Maxilla and mandible
  • Insertion:  Lips
  • Action:  Compresses, purses lips
  • Innervation:  Facial nerve (CN VII)
Term
Risorius
Definition
  • Origin:  Fascia surrounding parotid salivary gland
  • Insertion:  Angle of mouth
  • Action:  Draws corner of mouth to the side
  • Innervation:  Facial nerve (CN VII)
Term
Depressor anguli oris
Definition
  • Origin:  Anterolateral surface of mandibular body
  • Insertion:  Skin at angle of mouth
  • Action:  Depresses corner of mouth
  • Innervation:  Facial nerve (CN VII)
Term
Zygomaticus major and minor
Definition
  • Origin:  Zygomatic bone
  • Insertion:  Angle of mouth/ Upper lip
  • Action:  Retracts and elevates corner of mouth/ upper lip
  • Innervation:  Facial nerve (CN VII)
Term
Corrugator supercilli
Definition
  • Origin:  Orbital rim of frontal bone near frontonasal suture
  • Insertion:  Eyebrow
  • Action:  Pulls skin inferiorly and anteriorl; wrinkles brow
  • Innervation:  Facial nerve (CN VII)
Term
Levator palpebrae superioris
Definition
  • Origin:  Tendinous band around optic foramen
  • Insertion:  Upper eyelid
  • Action:  Elevates upper eyelid
  • Innervation:  Oculomotor nerve (CN III)
Term
Orbicularis oculi
Definition
  • Origin:  Medial margin of orbit
  • Insertion:  Skin around eyelids
  • Action:  Closes eye
  • Innervation:  Facial nerve (CN VII)
Term
Procerus
Definition
  • Origin:  Nasal bone and lateral nasal cartilages
  • Insertion:  Aponeurosis at bridge of nose and skin of forehead
  • Action:  Moves nose, changes position, shape of nostrils
  • Innervation:  Facial nerve (CN VII)
Term
Nasalis
Definition
  • Origin:  Maxilla and alar cartilage of nose
  • Insertion:  Bridge of nose
  • Action:  Compresses bridge, depresses tip of nose, elevates corners of nostrils
  • Innervation:  Facial nerve (CN VII)
Term
Platysma
Definition
  • Origin:  Superior thorax between cartilage of second rib and acromion of scapula
  • Insertion:  Mandible and skin of cheek
  • Action:  Tenses skin of neck, depresses mandible
  • Innervation:  Facial nerve (CN VII)
Term
Inferior rectus
Definition
  • Origin:  Sphenoid around optic canal
  • Insertion:  Inferior, medial surface of eyeball
  • Action:  Eye looks down
  • Innervation:  Oculomotor nerve (CN III)
Term
Medial rectus
Definition
  • Origin:  Sphenoid around optic canal
  • Insertion:  Medial surface of eyeball
  • Action:  Eye looks medially
  • Innervation:  Oculomotor nerve (CN III)
Term
Superior rectus
Definition
  • Origin:  Sphenoid around optic canal
  • Insertion:  Superior surface of eyeball
  • Action:  Eye looks up
  • Innervation:  Oculomotor nerve (CN III)
Term
Lateral rectus
Definition
  • Origin:  Sphenoid around optic canal
  • Insertion:  Lateral surface of eyeball
  • Action:  Eye looks laterally
  • Innervation:  Abducens nerve (CN VI)
Term
Inferior oblique
Definition
  • Origin:  Maxilla at anterior portion of orbit
  • Insertion:  Inferior, lateral surface of eyeball
  • Action:  Eye rolls, looks up and laterally
  • Innervation:  Oculomotor nerve (CN III)
Term
Superior oblique
Definition
  • Origin:  Sphenoid around optic canal
  • Insertion:  Superior, lateral surface of eyeball
  • Action:  Eye rolls, looks down and laterally
  • Innervation:  Trochlear nerve (CN IV)
Term
Splenius capitis
Definition
  • Origin:  Spinous processes and ligaments connecting inferior cervical and superior thoracic vertebrae
  • Insertion:  Mastoid process, occipital bone of skull
  • Action:  Extend neck or laterally flex neck to one side
  • Innervation:  DPRs
Term
Spinalis
Definition
  • Origin: 
  • Insertion:  Spinous process of axis and superior thoracic vertebrae
  • Action:  Extends neck and vertebral column
  • Innervation:  VPRs
Term
Longissimus
Definition
  • Origin:  Transverse processes of vertebrae
  • Insertion:  Transverse proceses of vertebrae and mastoid process
  • Action:  Extend neck and vertebral column or flex to one side
  • Innervation:  DPRs
Term
Iliocostalis
Definition
  • Origin: Superior border of ribs and crests of lumbar processes
  • Insertion:  Transverse processes of vertebrae
  • Action:  Extends neck and vertebral column and stabilizes thoracic vertebrae
  • Innervation:  DPRs
Term
Semispinalis capitis
Definition
  • Origin:  Processes of inferior cervical and superior thoracic vertebrae
  • Insertion:  Occipital bone, between nuchal lines
  • Action:  Extend neck or laterally flexes neck and turns head to opposite side
  • Innervation:  DPRs
Term
Serratus posterior superior
Definition
  • Origin:  Spinous processes of C7-T3 and ligamentum nuchae
  • Insertion:  Superior borders of ribs 2-5 near angles
  • Action:  Elevates ribs, enlarges thoracic cavity
  • Innervation:  VPRs
Term
Serratus posterior inferior
Definition
  • Origin:  Aponeurosis from spinous processes of T10-L3
  • Insertion:  Inferior borders of ribs 8-12
  • Action:  Pulls ribs inferiorly; also pulls outward, opposing diaphragm
  • Innervation:  VPRs
Term
Scalenes
Definition
  • Origin:  Transverse and costal processes of cervical vertebrae C2-C7
  • Insertion:  Superior surface of first two ribs
  • Action:  Elevate ribs and/or flex neck
  • Innervation:  Cervical spinal nerves (VPRs)
Term
Frontalis
Definition
  • Origin:  Epicranial aponeurosis
  • Insertion:  Skin of eyebrow and bridge of nose
  • Action:  Raises eyebrows, wrinkles forehead
  • Innervation:  Facial nerve (CN VII)
Term
Occipitalis
Definition
  • Origin:  Superior nuchal line
  • Insertion:  Epicranial aponeurosis
  • Action:  Tenses and retracts scalp
  • Innervation:  Facial nerve (CN VII)
Term
Sphincter pupillae
Definition
  • Origin/ Insertion:  Circular band in iris surrounding the pupil
  • Action:  Constricts pupil
  • Innervation:  Oculomotor nerve (CN III)
Term
Dilator pupillae
Definition
  • Origin/ Insertion:  Radiating out in deep layers of iris from pupil
  • Action:  Dilates pupil
  • Innervation:  SYmpathetic from superior cervical ganglion via long and short ciliary nerves
Term
Ciliary muscle
Definition
  • Origin/ Insertion:  Located in ciliary body adjacent to iris and attached to suspensory ligament of lens
  • Action:  Releases pressure on suspensory ligament of lens
  • Innervation:  Oculomotor nerve (CN III)
Term
Depressor septi
Definition
  • Origin:  Maxilla
  • Insertion:  Septum and ala of nose
  • Action:  Constricts nares
  • Innervation:  Facial nerve (CN VII), buccal branch
Term
Levator anguli oris
Definition
  • Origin:  Canine fossa of maxilla
  • Insertion:  Corner of mouth
  • Action:  Lifts corner of mouth
  • Innervation:  Facial nerve (CN VII), buccal branch
Term
Levator labii superioris alaque nasi
Definition
  • Origin:  Maxilla, frontal process
  • Insertion:  Upper lip and alar cartilage
  • Action:  Dilates nares and elevates upper lip
  • Innervation:  Facial nerve (CN VII), buccal branch
Term
Cricothyroid
Definition
  • Origin:  Arch of the cricoid cartilage
  • Insertion:  Lamina and inferior cornu of thyroid cartilage
  • Action:  Tenses vocal cord
  • Innervation:  External branch of superior laryngeal nerve
Term
Rectus capitis posterior major
Definition
  • Origin:  Spine of the axis
  • Insertion:  Below and on the inferior nuchal line of the occipital bone
  • Action:  Draws the head back and turns the face laterally
  • Innervation:  Dorsal primary ramus of suboccipital nerve (C1)
Term
Rectus capitis posterior minor
Definition
  • Origin:  Tubercle of the posterior arch of the atlas
  • Insertion:  Above superior lip of foramen magnum to inferior nuchal line
  • Action:  Pulls head directly posteriorly
  • Innervation:  Dorsal primary ramus of suboccipital nerve (C1)
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