_Structure._—The muscle arises by a wide aponeurosis, which fuses with
that of the serratus posticus and with the lumbo-dorsal fascia. The
muscular portion is at first rather thin, but by the convergence of its
fibers becomes thicker as it approaches the arm. The anterior fibers
pass almost vertically downward over the dorsal angle of the scapula and
its cartilage. The posterior fibers are directed downward and forward.
The thick belly formed by the convergence of these passes under the
triceps to end on the flat tendon of insertion, which is common to this
muscle and the teres major.
_Blood-supply._—Subscapular, intercostal, and lumbar arteries.
_Nerve-supply._—Brachial plexus (eighth cervical and dorsal roots).
B. VENTRAL DIVISION
1. =Mastoido-humeralis= (M. brachiocephalicus; levator humeri).—This
muscle extends along the side of the neck from the head to the arm. It
is incompletely divisible into two portions.
_Origin._—(1) The mastoid process of the petrous temporal bone and the
occipital crest; (2) the wing of the atlas and the transverse processes
of the second, third, and fourth cervical vertebræ.
_Insertion._—The deltoid tuberosity and the curved rough line which
extends from this to the distal extremity of the humerus.
_Action._—When the head and neck are fixed, to draw the limb forward,
extending the shoulder joint. When the limb is fixed, to extend the head
and neck, if the muscles act together; acting separately, to incline the
head and neck to the same side.
_Structure._—As already mentioned, the muscle is capable of incomplete
division into two parts, the line of division being indicated by the
emergence of superficial branches of the ventral divisions of the
cervical nerves. The mastoid portion (M. cleido-mastoideus) partly
overlaps the other portion (M. cleido-transversarius), which lies dorsal
to it. The former is attached to the mastoid process and the occipital
bone by a broad tendon which fuses with that of the splenius and
trachelo-mastoideus; it is also attached to the tendon of insertion of
the sterno-cephalicus by aponeurosis. The dorsal portion is attached to
the transverse processes by four fleshy digitations. The belly of the
muscle is adherent superficially to the cervical fascia and the
panniculus, and deeply to the subscapulo-hyoideus. In front of the
shoulder its deep face is marked by a tendinous intersection of variable
development.[56] Here the muscle becomes wider, covers the shoulder
joint, passes between the brachialis and biceps, and is inserted by
means of a wide tendon which it shares with the superficial pectoral
muscle.
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