_Insertion._—The body of the hyoid bone, in common with the hyoid branch
of the preceding muscle.
_Action._—To depress the hyoid bone.
_Structure._—The muscle is composed of parallel fleshy fibers, except at
its origin, where it has a thin tendon.
_Relations._—In the first part of its course the muscle passes forward
between the supraspinatus, anterior deep pectoral, mastoido-humeralis
(outwardly), and the scalenus (inwardly). It is intimately adherent to
the mastoido-humeralis. In the middle of the neck it is related
superficially to the mastoido-humeralis, sterno-cephalicus, and the
jugular vein; deeply, to the rectus capitis anterior major, the carotid
artery, the vagus, sympathetic, and recurrent nerves, the trachea, and,
on the left side, the œsophagus. In its anterior part the muscle blends
with the hyoid part of the sterno-thyro-hyoideus, the two covering the
thyroid portion of the latter muscle, the thyroid gland, and the ventral
face of the larynx.
_Blood-supply._—Carotid and inferior cervical arteries.
_Nerve-supply._—Ventral branches of the cervical nerves.
6. =Scalenus= (M. scalenus primæ costæ).—This muscle is deeply situated
on the side of the posterior half of the neck. It is composed of two
parts, between which the roots of the brachial plexus of nerves emerge.
_Origin._—The anterior border and outer surface of the first rib.
_Insertion._—(1) The dorsal (smaller) portion is attached to the
transverse process of the seventh cervical vertebra; (2) the ventral
portion is attached to the transverse processes of the sixth, fifth, and
fourth cervical vertebræ.
_Action._—The neck is flexed or inclined laterally, according as the
muscles act together or singly. If the neck be the fixed point, the
muscle may have a respiratory action by pulling forward or fixing the
first rib.
_Structure._—The dorsal portion is composed of three or four fleshy
bundles.[43] The ventral portion, which is much larger, is almost
entirely fleshy, and not so divided.
_Relations._—Superficially, the anterior deep pectoral,
mastoido-humeralis, and omo-hyoideus muscles, the phrenic nerve, and the
other branches of the brachial plexus; deeply, the vertebræ, the longus
colli and intertransversales muscles, the œsophagus (on the left side),
the trachea (on the right side), the vertebral vessels, the vagus,
sympathetic, and recurrent nerves. The roots of the brachial plexus form
a flat anastomosis, which lies between the two portions of the muscle.
The brachial vessels cross the ventral edge close to the first rib.
_Blood-supply._—Carotid, vertebral, and inferior cervical arteries.
_Nerve-supply._—Ventral branches of the cervical nerves.
7. =Rectus capitis anterior major= (M. longus capitis).—This is the
largest of the three special flexors of the head, and lies along the
ventro-lateral surface of the anterior cervical vertebræ and the base of
the cranium.
_Origin._—The transverse processes of the fifth, fourth, and third
cervical vertebræ.
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