In: Anatomy and Physiology
The supericial muscles of the neck are the platysma and sternocleidomastoid. The lateral muscles of the neck are sternocleidomastoid and trapezius. The functions, origins, insertions, nerve supply, blood supply and consequences of damage have been described in the following table:
Function | Characterisitics | Origin | Insertion | Nerve supply | Blood Supply | Palsy | |
Platysma | Anterior part depresses the jaw. Produces wrinkling of the skin of the neck in an oblique direction | It is a broad sheet like muscle that covers the upper parts of pectorarlis major and deltoid. It's fibers pass over the clavicle and proceed upward and medially in an oblique fashion along the side of the neck | Subcutaneous tissue of infraclavicular and supraclavicular regions | Base of mandible; skin of cheek and lower lip; angle of mouth; orbicularis oris | Cervical branch of the facial nerve. | Branches of the submental and suprascapular artery | Distorting the shape of the mouth and the skin over the anterior neck region |
Sternocleidomastoid | Rotate the head to the opposite side or obliquely rotate the head. It also flexes the neck. When muscles of both side act together, they can flex the head. It is also an accessory muscle of respiration | It passes obliquely across the side of the neck. It is thick and narrow at its central part, but broader and thinner at either end. It arises from the sternum and clavicle by two heads. | Manubrium and medial portion of the clavicle | Mastoid process of the temporal bone, superior nuchal line | Spinal accessory nerve | Occipital artery and the superior thyroid artery | Absence of the normal ridge shape in the neck and produces an impairment of rotary movements of the neck to the healthy side. |
Trapezius | Rotation, retraction, elevation, and depression of scapula | Diamond shaped muscle. It extends longitudinally from the occipital bone to the lower thoracic vertebrae of the spine and laterally to the spine of the scapula. It has three functional parts. Upper part supports the arm, middle part retracts the scapula and lower part medially rotates and depresses the scapula | External occipital protuberance, spinous processes of vertebrae C7-T12, Nuchal ligament, Occipital Bone | Nuchal ligament, medial superior nuchal line, posterior border of the lateral one-third of the clavicle, acromion process, and spine of scapula | Spinal accessory nerve | Transverse cervical artery, the dorsal scapular artery, and the posterior intercostal arterial branches | Difficulty with arm adduction and abduction, and associated with a drooping shoulder, and shoulder and neck pain. |