Origin: Upper border of the scapula
Insertion: Hyoid bone
Nerve: Facial nerve (CN VII)
Action: Elevate the hyoid during swallowing
The Omohyoideus (Omohyoid muscle) consists of two fleshy bellies united by a central tendon. It arises from the upper border of the scapula, and occasionally from the superior transverse ligament which crosses the scapular notch, its extent of attachment to the scapula varying from a few millimetres to 2.5 cm. From this origin, the inferior belly forms a flat, narrow fasciculus, which inclines forward and slightly upward across the lower part of the neck, being bound down to the clavicle by a fibrous expansion; it then passes behind the Sternocleidomastoideus, becomes tendinous and changes its direction, forming an obtuse angle. It ends in the superior belly, which passes almost vertically upward, close to the lateral border of the Sternohyoideus, to be inserted into the lower border of the body of the hyoid bone, lateral to the insertion of the Sternohyoideus. The central tendon of this muscle varies much in length and form, and is held in position by a process of the deep cervical fascia, which sheaths it, and is prolonged down to be attached to the clavicle and first rib; it is by this means that the angular form of the muscle is maintained.