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Basic Anatomy for the Artist

Lesson #3

THE FRONT OF THE NECK


The sternomastoid is the most important muscle landmark in the front and side of the neck as its form is always visible. It arises by two attachments, from the sternum and the clavicle. These are called the heads of the sternomastoid. The tendon of the sternal attachment is seen as a taut band as it arises from the front and upper border of the Manubrium. The clavicular head is a wide flat tendon and its lateral edge can usually be seen.

The two heads blend together to joint a thick form of muscle bundles to make a heavy strap. This strap becomes flatter as it turns upward and back to insert into the mastoid process and also the superior nuchal line at the back of the skull. Remember this is a thick muscle which can catch light and turn away into shadow. It is tempting to delineate it by lines on either side which can deny its form.

Its action, when its cells contract, is to bring the region of its insertion into the mastoid process and the back of the skull closer to the sternum. This is possible because the cervical vertebrae can bend forward or backward, and the head is brought closer to the more immobile sternal area. The sternomastoids are the most obvious, and their contractions can be felt the most when the head is being raised from the pillow.

THE STERNUM AND THE SUPRASTERNAL NOTCH

The Sternum (the breast bone) has three parts: The Manubrium, the body, and the Xiphoid process. The manubrium is the large upper part with a thickened upper border. The sternal ends of the clavicles articulate with it making the sterno-clavicular joints, and altogether they create the suprasternal notch. This is a very important landmark at the root of the neck. Along with the two taut tendons of the sternomastoid arising from the manubrium it is a very valuable area for the artist to look at and ponder.

The body of the sternum is composed of four parts which fuse during development. Sometimes there are apparent ridges where this fusion has taken place. The whole body is joined to the manubrium by a moveable joint which acts as a hinge. It allows the body of the sternum, along with the ribs attached to it, to swing up when one breaths in. This can be seen on some people and is called the Sternal Angle of Louis.

The xiphoid process is ossified in the adult and is a small irregular pointed process sometimes seen. The whole sternum protects the great vessels of the heart and the heart itself. The upper ten ribs attach to it by their cartilaginous parts which makes a firm but flexible unit to allow for the movement of the rib cage, in breathing.

The suprasternal notch is a stable point to use in taking relative measurements. By using a midline through the sternum and the notch, the angle of the neck and head can be judged. In the position of the female head shown above, taking the midpoint of the sternal notch as the anchor point, the distance to the right shoulder edge is approximately the same as to the top of her upper lip.

THE NECK AND THE CERVICAL VERTEBRAE

The Foramen Magnum is a large hole in the inferior surface of the skull through which the brain is continuous with the spinal cord. On either side of this foramen are paired lumps of bone shaped like rockers with smooth elliptical surfaces which are convex. These two convex surfaces articulate with two concave elliptical surfaces on the superior surface of the first vertebra, the Atlas. The action possible because of this design is to allow the head to "rock" on the neck in the nodding action to give the "yes" answer. The paired lumps of bone on the skull are called the Occipital Condyles.

The second cervical vertebra is called the axis. From its vertebral body there is a peg of bone called the Dens, which projects upward to lie against the atlas and articulate with it. It is held there by a ligament. This dens allow the atlas to pivot, and thus create the "no" answer. These are important and unique actions of the head in its relationship with the neck.

The Ligamentum Nuchae is the continuation in the neck of the fibrous ligaments which tie the vertabrae together. It is a strong thin sheet in the midline at the back of the neck, attaching to the skull and the spines of the seven cervical vertebra. Two muscles, the splenius and the trapezius are attached to it. A linear indentation is often seen in the midline running up the back of the neck. It is caused by the muscles pulling on the edge of the ligamentum nuchae, the muscles contracting and mounding up on either side of it.

THE PECTORAL GIRDLE

The Pectoral Girdle consists of two bones, the clavicle and the scapula. The clavicle is S-shaped, convex forward in its rounded medial two-thirds, and concave forward in its remaining third, which is flattened. The medial end is enlarged and makes a joint with the manubrium called the Sterno-clavicular joint. The lateral end makes a joint with the acromion process of the scapula. The acromion is the large flat free end of the spine of the scapula, which projects out to the point of the shoulder.

The form of the clavicle with its rounded and flattened parts can usually be seen as the clavicle lies just under the skin (subcutaneous). Its enlarged head making its joint with the manubrium is also a landmark. On the top of the shoulder both the end of the clavicle and the flattened surface of the acromion have visible forms as they are subcutaneous.

In the above drawing, the humerus is included with its head making a joint with the articular shallow cup, the glenoid fossa, of the scapula. When the arm is raised the scapula rotates. Its lower point, the inferior angle, swings forward up and around the rib cage. The glenoid fossa with the head of the humerus rise, and the acromion and lateral end of the clavicle also. The clavicle and the acromion can be located redily on yourself, while they are at rest, and during movement, and their forms studied on yourself in a mirror.

JOINTS

Action takes place in the body because the bones of the skeleton make joints (articulate) with each other, and because muscles act on these joints. There are three main classes of joints: Fibrous, Cartilaginous, and Synoval.

FIBROUS joints are those in which two bones are joined together by fibrous tissue which is composed of strands of non-living material with cells interspersed and, at times, elastic fibers. This plan exists where movement is not desired but a little flexibility may be needed.

CARTILAGINOUS joints exist between the vertebrae of the vertebral column. Here a pliable fibro-cartilaginous cushion is present called a vertebral disc. It is a shock absorber, and it is covered by a capsule of layers of diagonal fibers. This allows the vertebrae to "squeeze down" a little on the softer disc so the vertebral column can bend. The diagonal fibers of the capsule which are attached to the vertebrae above and below the disc strengthen the joint and also allow for rotation.

SYNOVIAL joints are those in which the articulating ends of two bones are contained within a capsule which contains synovial lubricating fluid. The main joints of the body which allow greater movement are in this class. They include the shoulder joint (ball and socket), the hip joint (ball and socket), the elbow
joint (hinge and pivotal), the knee joint (hinge), and others.

See you next time!