Musculus brachiocephalicus
The largest and most superficial neck muscle, running from the head and neck to the upper arm. It is composed of the cleidobrachialis, cleidocephalicus, and cleidomastoideus portions. This is the primary muscle that advances the forelimb and extends the head and neck.
Origin: Mastoid process of the temporal bone, nuchal crest, and cervical transverse processes
Insertion: Crest of the humerus and deltoid tuberosity via the clavicular intersection
Action: Advances the forelimb when the head is fixed; extends the head and neck when the limb is fixed; lateral flexion of the neck
Innervation: Accessory nerve (CN XI) and cervical spinal nerves
Strain from poor head carriage, heavy contact, or working behind the vertical. One of the most common sites of neck muscle soreness in riding horses.
Injury to the suprascapular nerve as it crosses the cranial border of the scapula, typically from direct trauma (collision with doorframes, trees). Causes denervation atrophy of the supraspinatus and
Strain from poor head carriage, heavy contact, or working behind the vertical. One of the most common sites of neck muscle soreness in riding horses. Signs include: Pain on palpation of the ventrolateral neck; resistance to turning or flexing to the affected side; shortened forelimb stride on the affected side; head tilting.
Injury to the suprascapular nerve as it crosses the cranial border of the scapula, typically from direct trauma (collision with doorframes, trees). Causes denervation atrophy of the supraspinatus and infraspinatus muscles. Signs include: Characteristic lateral shoulder instability ('shoulder slip') during weight bearing; rapid atrophy of supraspinatus and infraspinatus creating a visible hollow above the scapular spine; lateral subluxation of the shoulder during weight bearing; Rapid dramatic wasting of the muscles on either side of the scapular spine; the scapular spine becomes extremely prominent; shoulder instability; the shoulder may pop laterally during weight bearing; often from running into a solid object.; Visible wasting along one side of the neck; asymmetric neck musculature; may follow trauma or prolonged pressure on the neck.; Obvious muscle wasting below the scapular spine; shoulder visibly slips laterally during walking; angular shoulder appearance; often recovers spontaneously over months if nerve not severed.
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