Sternocleidomastoid muscle - wikipedia Sternocleidomastoid muscle Sternocleidomastoid Neck muscles, with the sternocleidomastoid shaded. The sternocleidomastoid ( right muscle shown ) can be clearly observed when rotating the head. Details Pronunciation ( / ˌstɜːrnoʊˌklaɪdəˈmæsˌtɔɪd, - nə -, - doʊ - / ) Origin Manubrium and medial portion of the clavicle Insertion Mastoid process of the temporal bone, superior nuchal line Artery Occipital artery and the superior thyroid artery Nerve Motor : spinal accessory nerve sensory : cervical plexus Proprioceptive : C2, C3 of ventral rami Actions Unilaterally : contralateral cervical rotation, ipsilateral cervical flexion Bilaterally : cervical flexion, elevation of sternum and assists in forced inhalation. Identifiers Latin Musculus sternocleidomastoideus TA A04. 2.01. 008 FMA 13407 Anatomical terms of muscle ( edit on Wikidata ) The sternocleidomastoid muscle ( also known as sternomastoid, commonly abbreviated as SCM or simply referred to as sterno muscle ), is a paired muscle in the superficial layers of the side of the neck. It is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the accessory nerve. It is given the name sternocleidomastoid because it originates at the manubrium of the sternum ( sterno - ) and the clavicle ( cleido - ), and has an insertion at the mastoid process of the temporal bone of the skull. Contents 1 Structure 1.1 Nerve supply 1.2 Variation 2 Function 2.1 Contraction 2.2 Anatomical landmark 3 Clinical significance 4 History 4.1 Etymology 5 See also 6 References Structure The sternocleidomastoid originates from two locations : the manubrium of the sternum and the clavicle. It travels obliquely across the side of the neck and inserts at the mastoid process of the temporal bone of the skull. The sternocleidomastoid is thick and narrow at its centre, and broader and thinner at either end. The sternal head is a round fasciculus, tendinous in front, fleshy behind, arising from the upper part of the front of the manubrium sterni. It travels superiorly, laterally, and posteriorly. The clavicular head is composed of fleshy and aponeurotic fibers, arises from the upper, frontal surface of the medial third of the clavicle ; it is directed almost vertically upward. The two heads are separated from one another at their origins by a triangular interval ( supraclavicular fossa ) but gradually blend, below the middle of the neck, into a thick, rounded muscle which is inserted, by a strong tendon, into the lateral surface of the mastoid process, from its apex to its superior border, and by a thin aponeurosis into the lateral half of the superior nuchal line of the occipital bone. Nerve supply The sternocleidomastoid is innervated by the accessory nerve of the same side. It supplies only motor fibres. The cervical plexus supplies sensation, including proprioception, via the ventral primary rami of C2 and C3. Variation The clavicular origin of the sternocleidomastoid varies greatly : in some cases the clavicular head may be as narrow as the sternal ; in others it may be as much as 7.5 millimetres ( 0.30 in ) in breadth. When the clavicular origin is broad, it is occasionally subdivided into several slips, separated by narrow intervals. More rarely, the adjoining margins of the sternocleidomastoid and trapezius are in contact. This would leave no posterior triangle. The supraclavicularis muscle arises from the manubrium behind the sternocleidomastoid and passes behind the sternocleidomastoid to the upper surface of the clavicle. Function The function of this muscle is to rotate the head to the opposite side or obliquely rotate the head. It also flexes the neck. When both sides of the muscle act together, it flexes the neck and extends the head. When one side acts alone, it causes the head to rotate to the opposite side and flexes laterally to the same side ( ipsilaterally ). It also acts as an accessory muscle of respiration, along with the scalene muscles of the neck. Contraction The signaling process to contract or relax the sternocleidomastoid begins in Cranial Nerve XI, the accessory nerve. The accessory nerve nucleus is in the anterior horn of the spinal cord around C1 - C3, where lower motor neuron fibers mark its origin. The fibers from the accessory nerve nucleus travel upward to enter the cranium via the foramen magnum. The internal carotid artery to reach both the sternocleidomastoid muscles and the trapezius. After a signal reaches the accessory nerve nucleus in the anterior horn of the spinal cord, the signal is conveyed to motor endplates on the muscle fibers located at the clavicle. Acetylcholine ( ACH ) is released from vesicles and is sent over the synaptic cleft to receptors on the postsynaptic bulb. The ACH causes the resting potential to increase above - 55mV, thus initiating an action potential which travels along the muscle fiber. Along the muscle fibers are t - tubule openings which facilitate the spread of the action potential into the muscle fibers. The t - tubule meets with the sarcoplasmic reticulum at locations throughout the muscle fiber, at these locations the sarcoplasmic reticulum releases calcium ions that results in the movement of troponin and tropomyosin on thin filaments. The movement of troponin and tropomyosin is key in facilitating the myosin head to move along the thin filament, resulting in a contraction of the sternocleidomastoid muscle. Anatomical landmark The sternocleidomastoid muscle with nearby structures labeled, such as the triangles of the neck. The sternocleidomastoid is within the investing fascia of the neck, along with the trapezius muscle, with which it shares its nerve supply ( the accessory nerve ). It is thick and thus serves as a primary landmark of the neck, as it divides the neck into anterior and posterior cervical triangles ( in front and behind the muscle, respectively ) which helps define the location of structures, such as the lymph nodes for the head and neck. Many important structures relate to the sternocleidomastoid, including the common carotid artery, accessory nerve, and brachial plexus. Clinical significance Examination of the sternocleidomastoid muscle forms part of the examination of the cranial nerves. It can be felt on each side of the neck when a person moves their head to the opposite side. The triangle formed by the clavicle and the sternal and clavicular heads of the sternocleidomastoid muscle is used as a landmark in identifiyng the correct location for central venous catheterization. History Etymology It is given the name sternocleidomastoid because it originates at the manubrium of the sternum ( sterno - ) and the clavicle ( cleido - ), and has an insertion at the mastoid process of the temporal bone of the skull. See also Wikimedia Commons has media related to Sternocleidomastoid muscles. References This article incorporates text in the public domain from page 390 of the 20th edition of Gray 's Anatomy ( 1918 ) Jump up ^ `` Sternocleidomastoid ''. Merriam - Webster Dictionary. Retrieved 2016 - 01 - 21. Jump up ^ `` Sternocleidomastoid ''. Oxford Dictionaries. Oxford University Press. Retrieved 2016 - 01 - 21. Jump up ^ `` The Neurologic System, Cranial Nerve XI : The Spinal Accessory Nerve. '' accessed on 3 October 2016 https://www.ncbi.nlm.nih.gov/books/NBK387/ ^ Jump up to : Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 87 This article uses anatomical terminology ; for an overview, see Anatomical terminology. hide Muscles of the neck Cervical Platysma Sternocleidomastoid Longus capitis Longus colli Scalene anterior middle posterior Rectus capitis anterior muscle Rectus capitis lateralis muscle Suboccipital Rectus capitis posterior major minor Obliquus capitis inferior superior Suprahyoid Mylohyoid Stylohyoid Digastric Geniohyoid Infrahyoid Thyrohyoid Sternohyoid Sternothyroid Omohyoid Pharynx Pharyngeal constrictor superior middle inferior Stylopharyngeus Salpingopharyngeus Larynx Cricothyroid Cricoarytenoid posterior lateral Arytenoid oblique arytenoid aryepiglottic transverse arytenoid Thyroarytenoid vocal thyroepiglottic Trachea Trachealis Fasciae Deep cervical fascia Pretracheal fascia Prevertebral fascia Investing layer Carotid sheath Alar fascia Palatine aponeurosis Buccopharyngeal fascia Pharyngobasilar fascia Pharyngeal raphe Anatomy portal Retrieved from `` https://en.wikipedia.org/w/index.php?title=Sternocleidomastoid_muscle&oldid=839797819 '' Categories : Wikipedia articles incorporating text from the 20th edition of Gray 's Anatomy ( 1918 ) Muscles of the head and neck Hidden categories : Pages with unresolved properties Talk Contents About Wikipedia Български Català Čeština Deutsch Ελληνικά Español Esperanto Euskara فارسی Français Galego Hrvatski Bahasa Indonesia Italiano Latina Magyar Nederlands 日本 語 Polski Português Română Русский Slovenščina Српски / srpski Srpskohrvatski / српскохрватски Suomi Svenska ไทย Українська 中文 22 more Edit links This page was last edited on 5 May 2018, at 18 : 55 ( UTC ). 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Question: what structure is located in the upper third of the sternocleidomastoid muscle
Answer: The clavicular head