Inferior rectus muscle
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The inferior rectus muscle is a muscle in the
orbit In celestial mechanics, an orbit is the curved trajectory of an object such as the trajectory of a planet around a star, or of a natural satellite around a planet, or of an artificial satellite around an object or position in space such as ...
near the eye. It is one of the four
recti muscles The extraocular muscles (extrinsic ocular muscles), are the seven extrinsic muscles of the human eye. Six of the extraocular muscles, the four recti muscles, and the superior and inferior oblique muscles, control movement of the eye and the oth ...
in the group of
extraocular muscle The extraocular muscles (extrinsic ocular muscles), are the seven extrinsic muscles of the human eye. Six of the extraocular muscles, the four recti muscles, and the superior and inferior oblique muscles, control movement of the eye and the oth ...
s. It originates from the common tendinous ring, and inserts into the anteroinferior surface of the eye. It depresses the eye (downwards).


Structure

The inferior rectus muscle originates from the common tendinous ring (annulus of Zinn). It inserts into the anteroinferior surface of the eye. This insertion has a width of around 10.5 mm. It is around 7 mm from the
corneal limbus The corneal limbus (''Latin'': corneal border) is the border between the cornea and the sclera (the white of the eye). It contains stem cells in its palisades of Vogt. It may be affected by cancer or by aniridia (a developmental problem), among ...
.


Blood supply

The inferior rectus muscle is supplied by an inferior muscular branch of the
ophthalmic artery The ophthalmic artery (OA) is an artery of the head. It is the first branch of the internal carotid artery distal to the cavernous sinus. Branches of the ophthalmic artery supply all the structures in the orbit around the eye, as well as some s ...
. It may also be supplied by a branch of the infraorbital artery. It is drained by the corresponding veins: the inferior muscular branch of the
ophthalmic vein Ophthalmic veins are vein Veins are blood vessels in humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are the pulmonary and umbilical veins, bot ...
, and sometimes a branch of the infraorbital vein.


Nerve supply

The inferior rectus muscle is supplied by the inferior division of the oculomotor nerve (III).


Development

The inferior rectus muscle develops from the embryonic mesoderm in the
orbit In celestial mechanics, an orbit is the curved trajectory of an object such as the trajectory of a planet around a star, or of a natural satellite around a planet, or of an artificial satellite around an object or position in space such as ...
of the
skull The skull is a bone protective cavity for the brain. The skull is composed of four types of bone i.e., cranial bones, facial bones, ear ossicles and hyoid bone. However two parts are more prominent: the cranium and the mandible. In humans, th ...
. This is similar to the other extraocular muscles.


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 Lateral is a geometric term of location which may refer to: Healthcare *Lateral (anatomy), an anatomical direction * Lateral cricoarytenoid muscle * Lateral release (surgery), a surgical procedure on the side of a kneecap Phonetics *Lateral co ...
. A parasympathetic branch that supplies the
ciliary muscles The ciliary muscle is an intrinsic muscle of the eye formed as a ring of smooth muscleSchachar, Ronald A. (2012). "Anatomy and Physiology." (Chapter 4) . in the eye's middle layer, uvea (vascular layer). It controls accommodation for viewing o ...
of the
pupil The pupil is a black hole located in the center of the Iris (anatomy), iris of the Human eye, eye that allows light to strike the retina.Cassin, B. and Solomon, S. (1990) ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing ...
passes close to the inferior rectus muscle.


Variation

Very rarely, the inferior rectus muscle may be congenitally absent. This may cause inferior rectus palsy, where the eye cannot be depressed.


Function

The inferior rectus muscle depresses, adducts, and helps
extort Extortion is the practice of obtaining benefit through coercion. In most jurisdictions it is likely to constitute a criminal offence; the bulk of this article deals with such cases. Robbery is the simplest and most common form of extortion, al ...
the eye. It is the only muscle that is capable of depressing the
pupil The pupil is a black hole located in the center of the Iris (anatomy), iris of the Human eye, eye that allows light to strike the retina.Cassin, B. and Solomon, S. (1990) ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing ...
when it is in a fully abducted position.


Clinical significance


Strabismus

If the inferior rectus muscle is damaged, weak, or paralysed, this can cause
strabismus Strabismus is a vision disorder in which the eyes do not properly align with each other when looking at an object. The eye that is focused on an object can alternate. The condition may be present occasionally or constantly. If present during a ...
. This can lead to elevation of the eye, as the superior rectus muscle remains stronger. For minor cases, prism glasses can be used to gradually realign the eye. 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. This procedure may lead to overcorrection of the strabismus, but is otherwise generally successful.


Surgery

Any surgery on the inferior rectus muscle may damage the parasympathetic branches to the
ciliary muscles The ciliary muscle is an intrinsic muscle of the eye formed as a ring of smooth muscleSchachar, Ronald A. (2012). "Anatomy and Physiology." (Chapter 4) . in the eye's middle layer, uvea (vascular layer). It controls accommodation for viewing o ...
of the
pupil The pupil is a black hole located in the center of the Iris (anatomy), iris of the Human eye, eye that allows light to strike the retina.Cassin, B. and Solomon, S. (1990) ''Dictionary of Eye Terminology''. Gainesville, Florida: Triad Publishing ...
. This may cause problems with control of the pupil. Nearby blood vessels and nerves may also be damaged.


Additional images

File:Slide12uu.JPG, Inferior rectus muscle File:Slide2abaa.JPG, Extrinsic eye muscle. Nerves of orbita. Deep dissection.


References


External links

* * ()
Diagram at mun.ca
{{Authority control Muscles of the head and neck Human eye anatomy de:Augenmuskeln#Musculus rectus inferior