MuscleExtraocular muscles

Superior oblique

Latin: M. obliquus superior

Location: Head

View the superior oblique in 3D

Origin

Sphenoid bone superomedial to the optic canal.

Insertion

Sclera beneath the superior rectus, passing through the trochlea pulley.

Action

Depresses, abducts and intorts the eye — the head-tilt muscle of the Bielschowsky test.

Nerve supply

Trochlear nerve (CN IV) — the longest, thinnest cranial nerve.

Blood supply

Ophthalmic artery.

Clinical relevance

CN IV palsy causes vertical diplopia worst on descending stairs; children with it tilt their head to compensate.

Educational anatomy reference, not medical advice. About this content.