Sesamoid bone Sesamoid bone In anatomy, a sesamoid bone () is a bone embedded within a tendon or a muscle. It is derived from the Latin word ("sesame seed"), due to the small size of most sesamoids. Often, these bones form in response to strain, or can be present as a normal variant. The kneecap is the largest sesamoid bone in the body. Sesamoids act like pulleys, providing a smooth surface for tendons to slide over, increasing the tendon's ability to transmit muscular forces. The sesamoid is a small nodular bone most often present embedded in tendons in the region of the
Splenius capitis muscle of the temporal bone, and into the rough surface on the occipital bone just below the lateral third of the superior nuchal line. The splenius capitis is deep to sternocleidomastoideus at the mastoid process, and to the trapezius for its lower portion. It is one of the muscles that forms the floor of the posterior triangle of the neck. The splenius capitis muscle is innervated by the posterior ramus of spinal nerves C3 and C4. The splenius capitis muscle is a prime mover for head extension. The splenius capitis can also allow lateral flexion and rotation of the cervical spine.