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80

Muscles

 

 

 

 

 

M. depressor anguli oris. [[Triangularis]]. o:

16

Lateral pterygoid muscle. M. pterygoideus

1

 

1

 

 

 

Anterior and lateral part of mandible. i: Angle

 

lateralis. o: Lateral surface of lateral pterygoid

 

 

 

 

of mouth. I: Facial nerve. A

 

plate and lower surface of greater wing of sphe-

2

 

2

M. transversus menti. Transverse muscular

 

noid. Arises by two heads (variant: three heads),

 

 

 

 

connection between the right and left depres-

 

one from the discocapsular system, the other

 

 

 

 

 

from the pterygoid fossa. The inferior head pulls

 

 

 

 

sor anguli oris muscles below the chin. I: Facial

 

3

 

 

 

 

 

 

 

 

the mandible and discocapsular system forward.

 

 

 

nerve. A

 

 

 

 

 

 

The superior head determines the velocity at

 

 

 

3 M. risorius. o: Parotid fascia and buccal skin. i:

 

4

 

 

 

which the discocapsular system is pulled back

 

 

 

Angle of mouth. I: Facial nerve. A

 

 

 

 

 

into place. I: Mandibular nerve. B

 

4

M. zygomaticus major. o: Lateral side of zygo-

 

 

17

Medial pterygoid muscle. M. pterygoideus me-

5

 

 

 

matic bone. i: Angle of mouth. I: Facial nerve. A

 

dialis. o: Pterygoid fossa and tuber of maxilla. i:

 

 

 

5 M. zygomaticus minor. o: Anterior side of zy-

 

Pterygoid tuberosity and inner aspect of angle of

 

 

 

 

6

 

 

 

gomatic bone. i: Upper lip. I: Facial nerve. A

 

mandible. It courses obliquely downward and

6

M. levator labii superioris [[quadratus labii

 

backward and is a synergist to the temporalis

 

 

 

 

and masseter muscles. I: Mandibular nerve. B

 

 

 

 

sup., M. levator nasi et labii maxillaris lat.]]. o:

 

7

 

 

 

 

 

 

 

18

Buccopharyngeal fascia. Fascia buccopharyn-

 

 

 

Above the infra-orbital foramen. Radiates into

 

 

 

 

orbicularis oris. I: Facial nerve. A

 

gea. It lies on the buccinator muscle and extends

8

7

M. levator labii superioris alaeque nasi [[quad-

 

from the angle of the mouth deeply as far as the

 

pharyngeal constrictor muscle. C

 

 

 

 

ratus labii sup., M. lev. nasi et labii maxillaris

 

 

 

 

 

19

Masseteric fascia. Fascia masseterica. Fascia

9

 

 

 

med]]. o: Medial to orbit. i: Nasal ala and upper

 

 

 

 

covering the masseter muscle, part of which at-

 

 

 

lip. I: Facial nerve. A

 

 

 

 

 

 

taches below the parotid at the upper end of the

 

8

M. depressor labii inferioris [[quadr. labii inf.]].

 

10

 

zygomatic arch. D

 

 

 

Located below the depressor anguli oris. o: Pla-

 

 

 

 

20 Parotid fascia. Fascia parotidea. Fascial covering

 

 

 

 

tysmaandmandible.i:Lowerlip.I:Facialnerve.A

 

 

 

 

 

of the parotid, partly identical with the masse-

11

9

M. levator anguli oris [[Caninus]]. o: Canine

 

 

teric fascia. D

 

 

 

 

fossa. i: Angle of mouth. I: Facial nerve. A

21

Temporal fascia. Fascia temporalis. External

 

 

 

 

12

 

 

9 a Modiolus. Palpable muscular mass lateral to the

 

connective tissue investment of the temporalis

 

 

 

angle of the mouth. Point of convergence of adja-

 

 

 

 

 

 

muscle between the superior temporal line and

 

 

 

 

cent muscles radiating into the orbicularis oris.

 

the zygomatic arch. It consists of the following

13

 

 

 

 

10

M. buccinator. Cheek muscle. o: Pterygoman-

 

two layers. D

 

 

 

 

dibular raphe and adjoining parts of upper and

22

Superficial layer. Lamina superficialis. Layer of

14

 

 

 

lower jaw. i: Angle of mouth and orbicularis oris.

 

the temporal fascia attached to the outer margin

 

 

 

 

I: Facial nerve. A B

 

of the zygomatic arch. D

 

 

 

 

 

15

11

M. mentalis. Arises over the roots of the lower

23

Deep layer. Lamina profunda. Layer of the tem-

 

 

 

 

incisors. i: Skin of chin (chin dimple). I: Facial

 

poral fascia attached to the inner margin of the

 

 

 

 

nerve. A

 

zygomatic arch. D

16

 

 

 

 

12

M. masseter. Most prominent masticatory

24

NECK MUSCLES. Musculi colli (cervicis). A C

 

 

 

 

muscle. Closes jaw and, together with the tem-

25

Platysma. Cutaneous muscle occupying an ex-

 

 

 

 

17

 

 

 

poral and medial pterygoid muscles, determines

 

tensive area of the neck. It extends from the

 

 

 

the degree of masticatory power. It is comprised

 

lower part of the face to the upper thorax. I: Fa-

 

 

 

 

 

 

 

 

 

of a superficial and deep part. I: Mandibular

 

cial nerve. A D

18

 

 

 

 

 

 

 

nerve. A C

26

Sternocleidomastoid muscle. M. sternoclei-

 

13

Superficial part. Pars superficialis. o: Anterior

 

domastoideus. o: Sternum und clavicle. i: Mas-

19

 

 

 

two-thirds of zygomatic arch. i: Angle of

 

toid process and superior nuchal line. It elevates

 

 

 

 

mandible. It courses obliquely backward and

 

the chin and rotates it to the opposite side. I: Ac-

20

 

 

 

downward. It also draws the mandible some-

 

cesory nerve, cervical plexus. C

 

 

 

what forward. C

 

 

14 Deep part. Pars profunda. Size varies. Arises

21from the zygomatic arch proximal to the mandibular joint and discocapsular system. i: Mandible. Action: Together with fibers of the

22temporal muscles, it ensures lateral stabilization of the discocapsular system during laterotrusal

23movement. C

15M. temporalis. o: Temporal fossa. i: Coronoid process that extends downward to the occlusal

24plane and to the region of the pterygomandibular raphe. Action: Elevation and retraction of the

25mandible, fixation of the pharynx when swallowing; cf. pp. 12, 14. I: Mandibular nerve. B

Muscles 81

 

 

 

 

 

 

 

 

 

 

 

 

7

 

3

6

9

 

4

5

 

410

3

 

 

 

 

12

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6

1

8

11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

25

2

 

 

 

 

15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10

A

Facial muscles, anterior view

16

 

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12

 

 

 

 

 

 

17

10

 

 

 

 

 

 

 

 

Masticatory

 

 

 

 

 

 

 

 

 

 

14

 

 

 

 

 

B

 

13

 

 

 

 

 

 

 

 

 

 

 

muscles

 

 

 

 

 

 

 

 

 

 

 

13

 

 

 

 

14

 

 

 

 

 

 

 

18

 

 

 

 

26

 

 

 

15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

 

 

22

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

23

 

 

 

 

 

 

 

 

20

 

 

 

 

 

 

 

Muscles of head and neck,

 

 

 

 

 

 

 

 

 

 

 

C

20

 

 

 

21

 

right inferior view

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

 

22

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23

 

 

 

 

25

 

 

 

 

 

 

 

 

 

24

D Fasciae of the head

25

a

 

82

Muscles

 

 

 

 

 

 

 

 

M. longus colli. Arches to connect the 2nd to 5th

15

M. omohyoideus. o: Upper margin of scapula

1

 

1

 

 

 

cervical vertebrae with the lower cervical and

 

medial to scapular notch. i: Body of hyoid bone.

 

 

 

 

upper thoracic vertebrae. Its fibers also extend

 

An intermediate tendon situated above the

2

 

 

 

from the vertebral bodies to the transverse

 

jugular vein divides it into two bellies. A: Draws

 

 

 

 

processes with the C6 transverse process as the

 

the hyoid downward and tenses the cervical fas-

 

 

 

 

central point. A: Lateral and forward flexion of

 

cia. I: see p. 13. A C

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

the neck. I: Ventral ramus of spinal nerve. D

16

Superior belly. Venter superior. Upper segment

 

 

 

 

 

 

2

M. scalenus anterior. o: Transverse processes of

 

of omohyoid between the hyoid and interme-

4

 

 

 

 

C3−6. i: Scalene tubercle on 1st rib. A: Elevation of

 

diate tendon. A

 

 

 

 

 

 

 

1st rib, lateral flexion and rotation of neck. It sep-

17

Inferior belly. Venter inferior. Lower half of

 

 

 

 

5

 

 

 

arates the anterior and posterior or scalenus

 

 

 

gaps. I: see p. 1. D

 

omohyoid from the intermediate tendon to the

 

 

 

 

 

scapular notch. A

 

 

 

 

 

3 M. scalenus medius. o: Transverse processes of

 

 

 

6

 

 

18

M. sternothyroideus. o: Posterior surface of

 

 

 

C2−7. i: 1st rib behind groove for subclavian

 

 

 

 

artery. A: Elevation of 1st rib and lateral flexion of

 

manubrium and 1st rib. i: Oblique line of thyroid

7

 

 

 

 

cartilage. A: Draws larynx downward. I: see p. 13.

 

 

 

neck. I: see p. 1. D

 

 

 

 

 

A

 

 

 

 

 

 

 

 

 

 

 

 

 

4

M. scalenus posterior. o: Transverse processes

19

M. thyrohyoideus. o: Oblique line of thyroid

8

 

 

 

of C4−6. i: Upper margin of 2nd rib. A: Elevates the

 

cartilage. i: Greater horn of hyoid bone. A: Brings

 

 

 

 

rib, laterally flexes the neck. I: see p. 1. D

 

hoyid and thyroid cartilage closer together. I: C1

 

 

 

 

 

9

5

[M. scalenus minimus]. Extra muscle occasion-

 

via hypoglossal nerve. A

 

 

 

 

 

 

ally present between scalenus anterior and me-

20 [M. levator glandulae thyroideae]. Part of the

 

 

 

 

10

 

 

 

dius. o: Transverse processes of C6 or 7. i: 1st rib

 

thyrohyoid muscle that extends to the thyroid

 

 

 

and pleural cupola.

 

 

 

 

 

gland.

 

 

 

 

6

SUPRAHYOID MUSCLES M. suprahyoidei. The

21 CERVICAL FASCIA. Fascia cervicalis. Collective

11

 

 

 

following muscles above the hyoid bone. A

 

 

 

 

term for the connective tissue layers of the neck.

 

 

 

7 M. digastricus. o: Notch medial to the mastoid

22 Superficial (investing) layer. Lamina superfi-

12

 

 

 

 

 

process. i: Inner side of mandible. It has an inter-

 

 

 

 

cialis. Superficial layer of cervical fascia that sur-

 

 

 

 

mediate tendon which acts on the lesser horn of

 

rounds the sternocleidomastoid and trapezius

13

 

 

 

the hyoid bone by means of a connective tissue

 

 

 

 

 

muscles. It is attached to the anterior margin of

 

 

 

 

sling. A: Elevation of hyoid. A

 

the manubrium, the clavicle and the mandible. C

 

8

Anterior belly. Venter anterior. It extends from

 

14

23

Pretracheal layer. Lamina pretrachealis. Layer

 

 

 

the mandible to the intermediate tendon. A:

 

 

 

 

Pulls mandible forward and depresses it. I: Mylo-

 

that spreads

between

the

two omohyoid

15

 

 

 

 

muscles and is attached to the posterior margin

 

 

 

hyoid nerve. A E

 

 

 

 

 

of the manubrium and clavicle. It surrounds the

 

 

 

 

 

 

 

9

Posterior belly. Venter posterior. It passes from

 

infrahyoid muscles. C

 

 

16

 

 

 

 

 

 

the mastoid process to the intermediate tendon.

24

Prevertebral

layer. Lamina

prevertebralis.

 

 

 

 

A: It draws back the hyoid bone. I: Facial nerve. A

 

 

 

 

 

Layer that lies between the vertebral column and

17

 

 

 

E

 

pharyngeal constrictors as well as the

 

 

 

 

 

 

10

M. stylohyoideus. o: Styloid process. i: Lesser

 

esophagus, covers the scaleni muscles and con-

 

 

18

 

 

 

horn of hyoid bone. It accompanies the posterior

 

tains the sympathetic trunk and phrenic nerve. C

 

 

 

 

 

 

 

 

 

 

 

belly of the digastric muscle and can pass

25

Carotid sheath. Vagina

carotica. Connective

 

 

 

 

 

 

 

 

through it via a fissure. A: It pulls the hyoid back-

 

 

 

 

 

tissue investing the neurovascular bundle

19

 

 

 

 

 

 

 

ward and upward. I: Facial nerve. A E

 

 

 

 

 

(carotid artery, jugular vein and vagus nerve)

 

11

M. mylohyoideus. Muscle of the floor of the

 

and continuous with the pretracheal layer. C

 

 

 

 

 

 

20mouth. o: Mylohyoid line of mandible. i: Body of hyoid bone. A: Draws the hyoid forward and upward and forms the diaphragma oris. I: Mylohy-

21oid nerve. A B

22

12

M. geniohyoideus. o: Mental spine. i: Body of

 

hyoid bone. A: Draws the hyoid forward and up-

 

 

ward. I: C1 via the hypoglossal nerve. B

23

 

13

Infrahyoid muscles. Mm. infrahyoidei. The

 

 

muscles below the hyoid bone (infrahyoid m.). I:

24

 

Ansa cervicalis. A

14 M. sternohyoideus. o: Posterior surface of ma-

25nubrium sterni. i: Body of hyoid bone. A: Draws the hyoid downward. I: see p. 13. A

Muscles 83

 

 

 

 

 

 

 

 

 

 

 

 

 

10

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

9

 

9

10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Segment of A

 

 

 

 

 

 

 

 

 

 

 

 

E

 

 

 

11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

16

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18

 

 

 

 

 

 

 

 

 

 

 

11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11

12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Muscles of hyoid bone

 

 

 

 

 

 

Muscles of floor of mouth

A

 

 

 

 

B

23

22

 

 

 

 

 

 

 

from above and behind

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

80.26

25

15

23

22

24

3

2

 

 

5

C

Fasciae of the neck

4

 

 

1 1

DDeep neck muscles, anterior view

a

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

 

84

Muscles

 

 

 

 

 

MUSCLES OF THORAX. Musculi thoracis. A−F

18

Internal intercostal membrane. Membrana in-

1

 

1

 

2

[M. sternalis]. Muscle that occasionally (4%)

 

tercostalis interna. Continuation of the internal

 

 

 

intercostal muscles from the rib angle to the

 

 

 

 

crosses the pectoralis major muscle parallel and

 

2

 

 

 

 

vertebrae. E

 

 

 

proximal to the sternum. A

 

 

 

3

M. pectoralis major. Consists of the three parts

19

Innermost intercostal muscles. Mm. inter-

 

 

3

 

costales intimi. Internal portion of the internal

 

 

 

listed below (nos. 4−6). o: Clavicle, sternum, first

 

 

 

 

 

intercostal muscles separated by the intercostal

 

 

 

 

4−6 costal cartilages and rectus sheath. i: Crest of

 

 

 

 

 

 

vessels. F

4

 

 

 

greater tubercle and humerus. A: Adduction and

 

 

 

 

20

Subcostal muscles. Mm. subcostales. Internal

 

 

 

medial rotation of arm. I: Medial and lateral pec-

 

 

 

 

toral nerves. A

 

intercostal muscles that pass over 1−2 ribs. I:

5

4

Clavicular part. Pars clavicularis. The portion

 

see p. 17. E

21

M. transversus thoracis. Situated on the inner

 

 

 

 

originating from the clavicle. A

 

 

 

 

6

5

Sternocostal part. Pars stenocostalis. The por-

 

surface of the anterior thoracic wall, it radiates

 

obliquely upward from the sternum to costal

 

 

 

 

tion arising from the sternum and ribs. A

 

cartilages 2−6. I: see p. 17. C

 

 

 

 

 

7

6

Abdominal part. Pars abdominalis. The portion

 

22

Thoracic fascia. Fascia thoracica. Epimysium of

 

 

 

 

arising from the rectus sheath. A

 

the inner thoracic musculature.

 

 

 

 

 

87 M. pectoralis minor. It lies beneath the pec- 23 Diaphragm. Diaphragma [thoraco-abdomi- toralis major. o: Ribs 3−5. i: Coracoid process. A: nale]. Dome-shaped, muscular partition be-

 

 

Draws scapula forward and downward and ribs

 

tween the thoracic and abdominal cavities. I:

9

 

 

 

upward. Accessory respiratory muscle. I: see

 

Phrenic nerve. C D

 

 

p. 3. A

24 Lumbar part of diaphragm. Pars lumbalis dia-

 

 

10

8

M. subclavius. o: 1st costal cartilage. i: Lower

 

phragmatis. Medial part of the diaphragm aris-

 

 

surface of clavicle. A: Stabilizes sternoclavicular

 

ing from the lumbar vertebral bodies, inter-

 

 

 

 

 

joint against tension. I: Subclavian nerve. A

 

vertebral discs and fibrous arches. D

11

 

 

9

Pectoral fascia. Fascia pectoralis. It covers the

25

Right crus of lumbar part. Crus dextrum. o:

 

 

 

pectoralis major muscle, is attached to the

 

L1−3(4). D

 

12

 

 

 

 

clavicle and sternum and is continuous with the

26

Left crus of

lumbar part. Crus sinistrum. o:

 

 

axillary fascia.

 

 

 

L1−2(3). D

 

13

10

Clavipectoral fascia. Fascia clavipectoralis. Fas-

 

 

27

Costal part of diaphragm. Pars costalis dia-

 

 

cia attached to the coracoid process and the

 

phragmatis. The part of the diaphragm originat-

 

 

 

14

 

clavicle. It covers the pectoralis minor and sub-

 

ing from ribs 7−12. C D

 

clavius muscles. A

28 Sternal part of diaphragm. Pars sternalis dia-

 

11

M. serratus anterior. o: Ribs 1−9. i: Medial mar-

 

 

phragmatis. The part of the diaphragm arising

15

 

 

gin of scapula. A: Supports, lowers and rotates

 

from the sternum. C D

 

 

the scapula and draws it forward. It assists in

29 Aortic (opening) hiatus. Hiatus aorticus. Pas-

16

 

raising the arm high above the horizontal plane.

 

 

sageway for the aorta between the right and left

 

I: Long thoracic nerve. A

 

 

 

 

crus of the lumbar part. D

 

12 Mm. levatores costarum. Muscles behind and

 

17

30

Esophageal

(opening) hiatus. Hiatus oe-

 

below the long back muscles. o: Thoracic trans-

 

 

 

sophageus. Passageway for the esophagus and

 

 

verse processes. i: Ribs. I: Posterior ramus of spi-

 

the vagus nerves above the aortic opening. D

18

 

nal nerve. B

 

 

31 Central tendon. Centrum tendineum. Clover-

 

13

Mm. levatores costarum longi. o: Transverse

 

 

leaf-shaped, tendinous central area of the dia-

19

 

processes. i: Passes over a rib to insert on the next

 

 

 

phragm. D

 

 

 

lower rib. A: Elevates the ribs. B

32 Foramen for the inferior vena cava. Foramen

 

14

Mm. levatores costarum breves. o: Transverse

20

 

venae cavae. Opening in the central tendon for

 

 

process. i: Next lower rib. B

 

the inferior vena cava. D

 

15

External intercostal muscles. Mm. inter33

Medial arcuate ligament. Lig. arcuatum medi-

21

 

costales externi. They extend obliquely forward

 

ale. Tendinous arch between the body and trans-

 

 

and downward between the ribs. A: Inspiration,

 

verse process of L1 or L2 forming the passageway

22

 

bracing of the ribs. I: Intercostal nerves. A E F

 

for the psoas muscle. D

 

16

External intercostal membrane. Membrana in-

34

Lateral arcuate ligament. Lig. arcuatum

 

23

 

tercostalis externa. Membrane that replaces the

 

laterale. Tendinous arch over the quadratus lum-

 

external intercostal muscles anteriorly between

 

borum muscle between the transverse process

 

 

 

 

 

the costal cartilages. A

 

of L1 and the 12th rib. D

24

 

 

17

Internal intercostal muscles. Mm. intercostales

35

Median arcuate ligament. Lig. arcuatum medi-

 

 

interni. They pass obliquely backward and

 

anum. Tendinous arch over the aortic hiatus. D

25downward between the ribs. A: Partially expiratory, bracing of the ribs. I: Intercostal nerves. E F