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Inferior rectus muscle

From Wikipedia, the free encyclopedia
Muscle of the eye
Inferior rectus
Theinferior rectus muscle, is shown in this superior view of the eye, along with its axis of rotation. The other muscle is the superior oblique muscle, which angles around the trochlea.
Details
OriginCommon tendinous ring at the orbital apex
Insertion6.8 mm inferior to thecorneal limbus
ArteryInferior muscular branch of theophthalmic artery,infraorbital artery
VeinInferior muscular branch of theophthalmic vein
NerveInferior branch of oculomotor nerve
ActionsDepression,adduction,extorsion
Identifiers
Latinmusculus rectus inferior bulbi
TA98A15.2.07.011
TA22043
FMA49036
Anatomical terms of muscle

Theinferior rectus muscle is amuscle in theorbit near theeye. It is one of the fourrecti muscles in the group ofextraocular muscles. It originates from thecommon tendinous ring, and inserts into the anteroinferior surface of the eye. It depresses the eye (downwards).

Structure

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See also:Extraocular muscles

The inferior rectus muscle originates from thecommon 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 6.6 mm from thecorneal limbus.[2]

Blood supply

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The inferior rectus muscle is supplied by an inferior muscular branch of theophthalmic artery.[1] It may also be supplied by a branch of theinfraorbital artery.[1] It is drained by the corresponding veins: the inferior muscular branch of theophthalmic vein, and sometimes a branch of theinfraorbital vein.[1]

Nerve supply

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The inferior rectus muscle is supplied by the inferior division of theoculomotor nerve (III).[1]

Development

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The inferior rectus muscle develops from the embryonicmesoderm in theorbit of theskull.[1][3] This is similar to the otherextraocular muscles.[3]

Relations

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The insertion of the inferior rectus muscle is around 6 mm from the insertion of themedial rectus muscle, and around 8 mm from the insertion of thelateral rectus muscle.[2] Aparasympathetic branch that supplies theciliary muscles of thepupil passes close to the inferior rectus muscle.[1]

Variation

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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

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See also:Eye movement

The inferior rectus muscledepresses,adducts, and helpsextort the eye.[1] It is the only muscle that is capable of depressing thepupil when it is in a fully abducted position.[5]

Clinical significance

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Strabismus

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If the inferior rectus muscle isdamaged,weak, orparalysed, this can causestrabismus.[1][6] This can lead to elevation of theeye, as thesuperior 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 thesuperior 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

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Anysurgery on the inferior rectus muscle may damage theparasympathetic branches to theciliary muscles of thepupil.[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
    Inferior rectus muscle
  • Extrinsic eye muscle. Nerves of orbita. Deep dissection.
    Extrinsic eye muscle. Nerves of orbita. Deep dissection.

References

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  1. ^abcdefghijklShumway, Caleb L.; Motlagh, Mahsaw; Wade, Matthew (2021),"Anatomy, Head and Neck, Eye Inferior Rectus Muscle",StatPearls, Treasure Island (FL): StatPearls Publishing,PMID 30085520, retrieved2021-09-27
  2. ^abcdApt, L (1980)."An anatomical reevaluation of rectus muscle insertions".Transactions of the American Ophthalmological Society.78:365–375.ISSN 0065-9533.PMC 1312149.PMID 7257065.
  3. ^abcdAstle, William F; Hill, Vivian E; Ells, Anna L; Chi, Nguyen Thi Thanh; Martinovic, Elaine (2003-10-01)."Congenital absence of the inferior rectus muscle—diagnosis and management".Journal of American Association for Pediatric Ophthalmology and Strabismus.7 (5):339–344.doi:10.1016/S1091-8531(03)00214-3.ISSN 1091-8531.PMID 14566316.
  4. ^Ingham, Peter N.; McGOVERN, Stephen T.; Crompton, John L. (1986)."Congenital Absence of the Inferior Rectus Muscle".Australian and New Zealand Journal of Ophthalmology.14 (4):355–358.doi:10.1111/j.1442-9071.1986.tb00471.x.ISSN 1440-1606.PMID 3814423.
  5. ^"Eye Theory". Cim.ucdavis.edu. Archived fromthe original on 2014-05-27. Retrieved2010-11-27.
  6. ^abcdPaysse, Evelyn A.; Saunders, Richard A.; Coats, David K. (2000-06-01)."Surgical management of strabismus after rupture of the inferior rectus muscle".Journal of American Association for Pediatric Ophthalmology and Strabismus.4 (3):164–167.doi:10.1016/S1091-8531(00)70007-3.ISSN 1091-8531.PMID 10849393.
  7. ^Sprunger, Derek T.; Helveston, Eugene M. (1993-05-01)."Progressive Overcorrection After Inferior Rectus Recession".Journal of Pediatric Ophthalmology & Strabismus.30 (3):145–148.doi:10.3928/0191-3913-19930501-04.PMID 8350221.

External links

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