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Hyoid Bone

Os hyoideum

For medical students2 min readUpdated 2026-10-10

The hyoid bone (os hyoideum) is a unique, unpaired U-shaped bone of the neck located just above the larynx. Its main distinguishing feature is the complete absence of bony articulations with other skeletal elements: it is suspended in place entirely by a complex system of muscles and ligaments.

StructureAn unpaired bone consisting of a central body and two pairs of horns (cornua).
ProjectionLocated in the anterior neck at the level of the third cervical vertebra (C3).
FixationSuspended exclusively by muscles and ligaments; no bony articulations.
LigamentsThe stylohyoid ligament attaches to the lesser horns.

General Structure

Morphologically, the hyoid bone (os hyoideum) is an unpaired structure. Despite its small size, it plays a vital role in the biomechanics of the neck and swallowing. Anatomically, the bone is divided into three key elements:

This architecture provides an optimal surface area for the attachment of soft tissues supporting the structures of the neck.

Anatomy of the Body

The central element of the bone is its body (corpus ossis hyoidei), which forms the anterior, thickened, and most massive portion.

Topographically, the body lies directly superior to the larynx. Projected onto the vertebral column, it corresponds to the level of the third cervical vertebra (C3). As noted, the corpus ossis hyoidei does not articulate with adjacent bones. This "suspended" state is maintained by a robust framework of muscles and ligaments, granting the bone the mobility necessary for swallowing, mastication, and speech.

Greater and Lesser Horns

Paired projections extend from the body of the bone, classified as greater and lesser horns.

  1. Greater horn (cornu majus): A paired structure projecting posteriorly and slightly laterally from the body. The greater horns are elongated and serve as primary attachment sites for suprahyoid, infrahyoid, and pharyngeal musculature.
  2. Lesser horn (cornu minus): A paired, small, cone-shaped projection located at the junction of the body and the greater horn. An important anatomical feature of the lesser horns is that the stylohyoid ligament (ligamentum stylohyoideum) attaches to them.

Anatomical Orientation

To correctly orient an isolated hyoid bone in anatomical position, remember two main landmarks:

An isolated hyoid bone lacks articular surfaces, a head, a neck, or a condyle—these features are absent.

Mnemonic

To properly orient the bone in space, picture a horseshoe: the convex and thick part of the horseshoe (the body) always faces forward, while the free ends (the greater horns) point backward.

Frequently asked questions

Which muscles attach to the greater horns of the hyoid bone?

The greater horns serve as attachment sites for suprahyoid and infrahyoid muscles, as well as pharyngeal constrictors.

From which pharyngeal arches does the hyoid bone develop during embryogenesis?

During embryogenesis, the hyoid bone develops from the mesenchyme of the second and third pharyngeal arches:

  • Second pharyngeal arch (hyoid arch) — contributes to the lesser horns and upper body of the hyoid.
  • Third pharyngeal arch — forms the greater horns and the lower body of the hyoid.
Which bones does the hyoid bone articulate with?

The hyoid bone does not form joints with any other bone in the human body. It is completely suspended by muscles and ligaments.

At what vertebral level is the body of the hyoid bone located?

The body of the hyoid bone typically projects at the level of the third cervical vertebra (C3).

Where are the lesser horns located and what is their function?

The lesser horns are located at the junction of the body and the greater horns. They serve as attachment points for the stylohyoid ligament (ligamentum stylohyoideum).

In what direction do the greater horns project?

The greater horns project posteriorly and slightly laterally from the body of the bone.

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