Rectus capitis posterior major muscle

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Rectus capitis posterior major muscle
Rectus capitis posterior major muscle.PNG
Deep muscles of the back. (Rect. post. major visible at upper left.)
Details
Origin Spinous process of the axis (C2)
Insertion Inferior nuchal line of the occipital bone
Artery Occipital Artery
Nerve Dorsal ramus of C1 (suboccipital nerve), sub-occipital nerve
Actions Ipsilateral rotation of head and extension
Identifiers
Latin musculus rectus capitis posterior major
TA98 A04.2.02.004
TA2 2249
FMA 32525
Anatomical terms of muscle

The rectus capitis posterior major (or rectus capitis posticus major[ citation needed ]) is a muscle in the upper back part of the neck. It is one of the suboccipital muscles. Its inferior attachment is at the spinous process of the axis (first cervical vertebra); its superior attachment is onto the outer surface of the occipital bone on and around the side part of the inferior nuchal line. The muscle is innervated by the suboccipital nerve (the posterior ramus of cervical spinal nerve C1). The muscle acts to extend the head and rorate the head to its side.

Contents

Anatomy

The rectus capitis posterior major muscle is one of the suboccipital muscles. It forms the superomedial boundary of the suboccipital triangle. [1]

The muscle extends obliquely [2] superiolaterally from its inferior attachment to its superior attachment. [1] [2] It becomes broader superiorly. [1]

Attachments

Its inferior attachment is (via a pointed tendon [1] ) at (the external aspect of) the (bifid) [2] spinous process of the axis (cervical vertebra C2). [1]

Its superior attachment is at (the lateral portion of [1] [2] ) the inferior nuchal line [1] and the surface of the occipital bone just inferior to this line. [1] [2]

Innervation

The muscle receives motor innervation from the suboccipital nerve (the posterior ramus of cervical spinal nerve C1). [2] [1]

Relations

Superiorly, as the two muscles diverge laterally, they create between them a triangular space in which parts of the two recti capitis posteriores minores muscles are exposed. [1]

Actions/movements

The muscle extends the head and (acting together with the obliquus capitis inferior muscle [1] ) ipsilaterally rotates the head. [1] [2]

Function

Its main actions are to extend and rotate the atlanto-occipital joint.

Research

A soft tissue connection bridging from the rectus capitis posterior major to the cervical dura mater was described in 2011. Various clinical manifestations may be linked to this anatomical relationship. [3] It has also been postulated that this connection serves as a monitor of dural tension along with the rectus capitis posterior minor and the obliquus capitis inferior.[ citation needed ]

See also

Additional images

Related Research Articles

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The obliquus capitis inferior muscle is a muscle in the upper back of the neck. It is one of the suboccipital muscles. Its inferior attachment is at the spinous process of the axis; its superior attachment is at the transverse process of the atlas. It is innervated by the suboccipital nerve. The muscle rotates the head to its side.

<span class="mw-page-title-main">Obliquus capitis superior muscle</span>

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<span class="mw-page-title-main">Rectus capitis posterior minor muscle</span> Tendon

The rectus capitis posterior minor is a muscle in the upper back part of the neck. It is one of the suboccipital muscles. Its inferior attachment is at the posterior arch of atlas; its superior attachment is onto the occipital bone at and below the inferior nuchal line. The muscle is innervated by the suboccipital nerve. The muscle acts as a weak extensor of the head.

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The nuchal lines are four curved lines on the external surface of the occipital bone:

<span class="mw-page-title-main">Squamous part of occipital bone</span>

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The posterior atlantooccipital membrane is a broad but thin membrane extending between the to the posterior margin of the foramen magnum above, and posterior arch of atlas below. It forms the floor of the suboccipital triangle.

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<span class="mw-page-title-main">Suboccipital muscles</span>

The suboccipital muscles are a group of muscles defined by their location to the occiput. Suboccipital muscles are located below the occipital bone. These are four paired muscles on the underside of the occipital bone; the two straight muscles (rectus) and the two oblique muscles (obliquus).

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The myodural bridge or miodural ligament is a bridge of connective tissue that extends between the suboccipital muscles and the cervical spinal dura mater, the outer membrane that envelops the spinal cord. It provides a physical connection between the musculoskeletal and nervous systems, and the circulation of cerebrospinal fluid. Its importance has been highlighted by various authors.

References

PD-icon.svgThis article incorporates text in the public domain from page 401 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 3 4 5 6 7 8 9 10 11 12 Standring, Susan (2020). Gray's Anatomy: The Anatomical Basis of Clinical Practice (42th ed.). New York. pp. 848–849. ISBN   978-0-7020-7707-4. OCLC   1201341621.{{cite book}}: CS1 maint: location missing publisher (link)
  2. 1 2 3 4 5 6 7 Sinnatamby, Chummy S. (2011). Last's Anatomy (12th ed.). p. 430. ISBN   978-0-7295-3752-0.
  3. Frank Scali; Eric S. Marsili; Matt E. Pontell (2011). "Anatomical Connection Between the Rectus Capitis Posterior Major and the Dura Mater". Spine. 36 (25): E1612–4. doi:10.1097/BRS.0b013e31821129df. PMID   21278628. S2CID   31560001.