General Topography and Layers of the Infrahyoid Muscles
Anatomically, infrahyoid muscles are located in the anterior region of the neck. Their superior attachment point is connected to the hyoid bone, while the inferior bundles extend to the sternum, scapula, and thyroid cartilage. The entire group is divided into two distinct layers: superficial and deep.
Superficial Layer
This layer includes two main muscles, whose names reflect their attachment points:
- Sternohyoid muscle (m. sternohyoideus) — connects the sternum and the hyoid bone.
- Omohyoid muscle (m. omohyoideus) — runs from the scapula to the hyoid bone.
Deep Layer
Deep to the superficial muscles lies the deep muscle layer. It is also represented by two structures:
- Sternothyroid muscle (m. sternothyroideus) — fixed between the sternum and the thyroid cartilage.
- Thyrohyoid muscle (m. thyrohyoideus) — located between the thyroid cartilage and the hyoid bone.
Lateral Group: Longus Colli Muscle
Special attention should be given to the lateral group, which includes the longus colli muscle (m. longus colli). This is a rather long anatomical structure structurally subdivided into three separate parts:
- Pars obliqua superior (superior oblique part) — originates from the vertebral bodies of C3–C5 and courses upward to the atlas.
- Pars obliqua inferior (inferior oblique part) — originates from the thoracic vertebral bodies of Th1–Th3 and attaches to the transverse processes of the cervical vertebrae C5–C6.
- Pars recta (straight part) — extends vertically from the vertebral bodies of C5–Th3 to the bodies of the upper cervical vertebrae.
Functional Significance: Upon bilateral contraction, this muscle flexes the neck forward. When contracting unilaterally, it bends the neck to the corresponding side.
Blood Supply and Innervation:
- Innervation: supplied by branches of the cervical spinal nerves — nn. cervicales (C2–C7).
- Blood supply: provided by the vertebral arteries (aa. vertebrales) and deep cervical arteries (aa. cervicales profundae).