Inferior rectus muscle
Inferior rectus | |
---|---|
extorsion | |
Identifiers | |
Latin | musculus rectus inferior bulbi |
TA98 | A15.2.07.011 |
TA2 | 2043 |
FMA | 49036 |
Anatomical terms of muscle] |
The inferior rectus muscle is a
Structure
The inferior rectus muscle originates from the common tendinous ring (annulus of Zinn).[1] It inserts into the anteroinferior surface of the eye.[2] This insertion has a width of around 10.5 mm.[2] It is around 7 mm from the corneal limbus.[2]
Blood supply
The inferior rectus muscle is supplied by an inferior muscular branch of the ophthalmic artery.[1] It may also be supplied by a branch of the infraorbital artery.[1] It is drained by the corresponding veins: the inferior muscular branch of the ophthalmic vein, and sometimes a branch of the infraorbital vein.[1]
Nerve supply
The inferior rectus muscle is supplied by the inferior division of the oculomotor nerve (III).[1]
Development
The inferior rectus muscle develops from the embryonic mesoderm in the orbit of the skull.[1][3] This is similar to the other extraocular muscles.[3]
Relations
The insertion of the inferior rectus muscle is around 6 mm from the insertion of the medial rectus muscle, and around 8 mm from the insertion of the lateral rectus muscle.[2] A parasympathetic branch that supplies the ciliary muscles of the pupil passes close to the inferior rectus muscle.[1]
Variation
Very rarely, the inferior rectus muscle may be congenitally absent.[3][4] This may cause inferior rectus palsy, where the eye cannot be depressed.[3]
Function
The inferior rectus muscle
Clinical significance
Strabismus
If the inferior rectus muscle is damaged, weak, or paralysed, this can cause strabismus.[1][6] This can lead to elevation of the eye, as the superior rectus muscle remains stronger.[6] For minor cases, prism glasses can be used to gradually realign the eye.[6] Alternatively for serious cases, it may be surgically corrected by slightly weakening the superior rectus muscle (opposite) - this reduces the elevation of the eye, and corrects the strabismus.[6] This procedure may lead to overcorrection of the strabismus, but is otherwise generally successful.[7]
Surgery
Any surgery on the inferior rectus muscle may damage the parasympathetic branches to the ciliary muscles of the pupil.[1] This may cause problems with control of the pupil.[1] Nearby blood vessels and nerves may also be damaged.[1]
Additional images
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Inferior rectus muscle
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Extrinsic eye muscle. Nerves of orbita. Deep dissection.
References
- ^ PMID 30085520, retrieved 2021-09-27
- ^ PMID 7257065.
- ^ PMID 14566316.
- PMID 3814423.
- ^ "Eye Theory". Cim.ucdavis.edu. Archived from the original on 2014-05-27. Retrieved 2010-11-27.
- ^ PMID 10849393.
- PMID 8350221.
External links
- Anatomy figure: 29:01-07 at Human Anatomy Online, SUNY Downstate Medical Center
- lesson3 at The Anatomy Lesson by Wesley Norman (Georgetown University) (orbit5)
- Diagram at mun.ca