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The superior oblique muscle loops through a pulley-like structure (the trochlea of superior oblique) and inserts into the sclera on the posterotemporal surface of the eyeball. 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 body of the superior oblique muscle is located behind the eyeball, but the tendon (redirected by the trochlea) approaches the eyeball from the front. The tendon attaches to the top (superior aspect) of the eyeball at an angle of 51 degrees concerning the primary position of the eye (looking straight forward).
Six of the extraocular muscles, the four recti muscles, and the superior and inferior oblique muscles, control movement of the eye. The other muscle, the levator palpebrae superioris, controls eyelid elevation. The actions of the six muscles responsible for eye movement depend on the position of the eye at the time of muscle contraction. [2]
In the primary position (eyes straight ahead), both of these groups contribute to vertical movement. Elevation is due to the action of the superior rectus and inferior oblique muscles, while depression is due to the action of the inferior rectus and superior oblique muscles. When the eye is abducted, the recti muscles are the prime vertical movers.
Oblique Superior and inferior 2 1 oblique, superior: head, extraocular (left/right) annulus of Zinn at orbital apex, medial to optic canal: outer posterior quadrant of eyeball: ophthalmic artery, lateral muscular branch trochlear nerve [CNIV] abducts, intorts, and depress eye: right medial, superior, and inferior recti (superior and inferior ...
The superior oblique muscle is one of the six extraocular muscles that allow movement of eye. Specifically, the superior oblique muscle primarily intorts the eye (such that the top of the eye rolls toward the nose), with secondary actions of depression (downgaze) and abduction (looking away from the nose).
The muscles it controls are the striated muscle in levator palpebrae superioris and other extraocular muscles except for the superior oblique muscle and the lateral rectus muscle. The Edinger-Westphal nucleus supplies parasympathetic fibers to the eye via the ciliary ganglion , and thus controls the sphincter pupillae muscle (affecting pupil ...
Brown syndrome is caused by a malfunction of the superior oblique muscle, causing the eye to have difficulty moving up, particularly during adduction (when eye turns towards the nose). Harold W. Brown first described the disorder in 1950 and initially named it the "superior oblique tendon sheath syndrome". [1]