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The physiologic basis of the head tilt test was explained by Alfred Bielschowsky and Hofmann [8] in 1935. [9] However, Nagel described it 30 years prior to Bielschowsky when he noted that the combined action of the superior rectus muscle and the superior oblique muscle of one eye and of the inferior rectus and inferior oblique muscles in the fellow eye causes incycloduction and excycloduction ...
It is the pulley system that gives superior oblique its actions, causing depression of the eyeball despite being inserted on the superior surface. Superior oblique nerve. The superior oblique arises immediately above the margin of the optic foramen, superior and medial to the origin of the superior rectus, and, passing forward, ends in a ...
The superior oblique muscle originates at the back of the orbit (a little closer to the medial rectus, though medial to it), getting rounder as it [5] courses forward to a rigid, cartilaginous pulley, called the trochlea, on the upper, nasal wall of the orbit. The muscle becomes tendinous about 10mm before it passes through the pulley, turning ...
To summarize, the actions of the superior oblique muscle are (1) depression of the eyeball, especially when the eye is adducted; and (2) intorsion of the eyeball, especially when the eye is abducted. The clinical consequences of weakness in the superior oblique (caused, for example, by fourth nerve palsies) are discussed below.
Oblique Superior and inferior 2 1 rectus, inferior: head, eye, orbit (left/right) annulus of Zinn at orbital apex 6.5 mm inferior to corneal limbus: ophthalmic artery: oculomotor nerve [CNIII], inferior branch: adducts and depresses eye: Oblique Superior and inferior 2 1 rectus, medial: head, eye, orbit (left/right) annulus of Zinn at orbital apex
The examiner notes the speed, smoothness, range and symmetry of movements and observes for unsteadiness of fixation. These nine fields of gaze test the extraocular muscles: inferior, superior, lateral and medial rectus muscles, as well as the superior and inferior oblique muscles.
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).
The superior rectus muscle is related to the other extraocular muscles, particularly to the medial rectus muscle and the lateral rectus muscle. [3] The insertion of the superior rectus muscle is around 7.5 mm from the insertion of the medial rectus muscle, around 7.1 mm from the insertion of the lateral rectus muscle, and around 7.9 from the corneal limbus. [1]