Muscles Chapter 10 Objectives: The Muscular System • about 600 human skeletal muscles • constitute about half of our body weight • three kinds of muscle tissue – skeletal, cardiac, smooth • specialized for one major purpose – converting the chemical energy in ATP into the mechanical energy of motion • myology – the study of the muscular system • Learn major groupings of Skeletal muscles • Understand how movements occur at joints • Learn the origin, insertion, function of some major muscles • Functions? Movement, stability, control of body openings, heat production 10-2 11-1 Fascicle Orientation of Muscles Attachment Sites: Origin and Insertion Unipennate Triangular Parallel Bipennate Multipennate Fusiform Tendon Circular Belly Tendon Direct & indirect muscle attachment • Origin = bone that does not move when muscle shortens (normally proximal) • Insertion = movable bone (usually distal) 10-3 11-4 Hints: Names of Skeletal Muscle • Most movements = several muscles working • Most muscles are arranged in opposing pairs at joints – prime mover or agonist - contracts to cause desired action – antagonist stretches and yields to prime mover – synergists & fixators stabilize joints & origin of the prime mover • Direction fibers run, size, shape, action, number of origins/locations • E.G. - Direction: Rectus femoris - Size: gluteus maximus - Shape: serratus anterior - Action: Flexor carpi radialis - Number of origins: Triceps brachii 11-5 11-6 1 11-7 Muscles in Facial Expression Superficial 11-8 Muscles in Facial Expression Deep Galea aponeurotica Frontalis Galea aponeurotica Frontalis (cut) Temporalis Corrugator supercilii Corrugator supercilii Orbicularis oculi Occipitalis Orbicularis oculi Nasalis Nasalis Levator labii superioris Levator labii superioris Levator anguli oris Zygomatic arch Zygomaticus minor Zygomaticus minor Zygomaticus major Masseter Risorius Buccinator Zygomaticus major Orbicularis oris Modiolus Depressor anguli oris Depressor labii inferioris Orbicularis oris Masseter Mentalis (cut) Platysma Modiolus Risorius (cut) Mentalis Within superficial fascia Arise (origin) ??? Insetion? Depressor labii inferioris Depressor anguli oris Buccinator Muscles that Move the Mandible • Masseter, temporalis, & pterygoids • Origin=skull • Insert = mandible • Masseter elevate the mandible (biting) • Temporalis retracts & elevates • Pterygoid muscles Muscles of Chewing and Swallowing • extrinsic muscles of the tongue • intrinsic muscles of tongue – vertical, transverse, and longitudinal fascicles Styloid process Palatoglossus Styloglossus Mastoid process Posterior belly of digastric (cut) Superior pharyngeal constrictor (cut) Inferior longitudinal muscle of tongue Stylohyoid Middle pharyngeal constrictor Genioglossus Hyoglossus Mylohyoid (cut) Hyoid bone Geniohyoid Larynx Inferior pharyngeal constrictor Trachea Esophagus 11-11 2 Muscles Used in Breathing Muscles that Move the Head • Inspiration: thoracic cavity increases in size – external intercostals lift ribs – diaphragm contracts: dome is flattened • During expiration, thoracic cavity decreases in size – internal intercostal mm used in forced expiration Digastric • Sternocleidomastoid muscle – arises from sternum & clavicle & inserts onto mastoid process – contraction of one, laterally flexes the neck and rotates face in opposite direction Scalenes – Cervical Vert. to Ribs 1 & 2 Quadratus lumborum fills in space between 12th rib & iliac crest to create posterior body wall 11-13 11-14 Muscles of Abdominal Wall • 4 layers of muscle in the abdominal wall Muscles of the Anterior Abdominal Wall •Inguinal canal = passageway from pelvis • four pairs of sheetlike muscles – – – – •Inguinal ring = opening external abdominal oblique internal abdominal oblique transverse abdominal rectus abdominis Posterior External abdominal oblique Anterior Internal abdominal oblique Peritoneum Transverse abdominal Rectus abdominis Subcutaneous fat Rectus sheath Linea alba Skin Aponeurosis Figure 10.14 10-15 11-16 Deep Muscles of the Back Superficial Muscles of Back • erector spinae: Superficial – iliocostalis, longissimus, spinalis – from cranium to sacrum – extension and lateral flexion of vertebral column Deep Semispinalis capitis Sternocleidomastoid Splenius capitis Trapezius Levator scapulae Splenius capitis Supraspinatus Splenius cervicis Infraspinatus Teres minor Erector spinae: Semispinalis capitis Semispinalis cervicis Semispinalis thoracis Iliocostalis Longissimus Teres major Erector spinae Longissimus capitis Serratus posterior superior Rhomboideus minor Rhomboideus major Deltoid Superior nuchal line Spinalis Serratus anterior Serratus posterior inferior Latissimus dorsi Serratus posterior inferior External abdominal oblique External abdominal oblique Thoracolumbar fascia Internal abdominal oblique Gluteus medius Gluteus minimus Internal abdominal oblique Multifidus Quadratus lumborum External abdominal oblique (cut) Gluteus maximus Lateral rotators 10-17 Figure 10.18 10-18 3 Anterior Group of Muscles of Pectoral Girdle • pectoralis minor Male Ischiocavernosus Bulbospongiosus • serratus anterior – ribs 1-9 to scapula – abducts and rotates or depresses scapula – ribs 3-5 to scapula Female Ischiocavernosus Urethra Bulbospongiosus Copyright © The McGraw-Hill Companies, Inc. 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Vagina Anus Gluteus maximus Subclavius Gluteus maximus Pectoralis minor (cut) (a) Superficial perineal space, inferior view Pectoralis minor Internal intercostals Serratus anterior External intercostals Rectus abdominis (cut) Rectus sheath • three muscles found just deep to the skin • ischiocavernosus – • bulbospongiosus – External abdominal oblique (cut) Internal abdominal oblique (cut) Internal abdominal oblique Posterior wall of rectus sheath (rectus abdominis removed) Inguinal ligament Transverse abdominal (cut) 10-19 (b) Deep Stabilizing the Pectoral Girdle 10-20 Figure 10.15b Stabilizing the Pectoral Girdle • Anterior thoracic muscles – Subclavius extends from 1st rib to clavicle – Pectoralis minor extends from ribs to coracoid process – Serratus anterior extends from ribs to inner surface of scapula Posterior thoracic muscle – Trapezius extends from skull & vertebrae to clavicle & scapula – Levator scapulae extends from cervical vertebrae to scapula – Rhomboideus extends from thoracic vertebrae to vertebral border of scapula (major and minor) 11-21 11-22 Muscles Acting on Arm Muscles Acting on Arm • nine muscles cross the shoulder joint and insert on humerus • two are axial muscles because they originate on axial skeleton 1. pectoralis major – 2. latissimus dorsi – • 7 scapular muscles originate on scapula 1. deltoid • rotates and abducts arm • intramuscular injection site • extension and medial rotation of humerus Supraspinatus Clavicle Spine of scapula Sternum Greater tubercle of humerus Infraspinatus Pectoralis major Triceps brachii: Lateral head Long head Medial head Coracobrachialis Biceps brachii Brachialis Figure 10.24a (a) Anterior view Humerus Pectoralis major Supraspinatus 3. coracobrachialis Teres minor Teres major Triceps brachii: Sternum Brachioradialis 2. teres major Deltoid Clavicle Deltoid Spine of scapula Greater tubercle of humerus Infraspinatus • flexes and medially rotates arm Triceps brachii: Lateral head Long head Coracobrachialis Lateral head Long head Medial head Humerus Teres minor Teres major Biceps brachii Latissimus dorsi Brachialis Brachioradialis Triceps brachii: Lateral head Long head 4 – 7 remaining four form the rotator cuff (a) Anterior view Figure 10.24a Latissimus dorsi (b) Posterior view Figure 10.24b 10-23 Figure 10.24b 10-24 (b) Posterior view 4 Rotator Cuff Muscles Rotator Cuff Muscles • tendons of the remaining four scapular muscles form the rotator cuff • “SITS” muscles – for the first letter of their names – supraspinatus – infraspinatus – teres minor – subscapularis Anterior Posterior Clavicle Rotator cuff (SITS) muscles: Acromion Supraspinatus Coracoid process Glenoid cavity Infraspinatus Teres minor Subscapularis Inferior angle Figure 10.26 10-25 Anterior View of Cadaver Chest 10-26 Back Muscles of Cadaver Copyright © The McGraw-Hill Companies, Inc. 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Levator scapulae Rhomboideus minor Rhomboideus major Deltoid Infraspinatus Deltoid Teres minor Pectoralis major Medial border of scapula Biceps brachii: Long head Teres major Short head Serratus anterior Triceps brachii: Lateral head Long head External abdominal oblique Latissimus dorsi (a) Anterior view (b) Posterior view © The McGraw-Hill Companies, Inc./Rebecca Gray, photographer/Don Kincaid, dissections 10-27 Flexors of the Forearm (elbow) • Cross anterior surface of elbow joint & form flexor muscle compartment • Biceps brachii – scapula to radial tuberosity – flexes shoulder & elbow & supinates hand • Brachialis – humerus to ulna 11-29 Figure 10.25b 10-28 Extensors of the Forearm (elbow) • Cross posterior surface of elbow joint & forms extensor muscle compartment • Triceps brachii – long head arises scapula – medial & lateral heads from humerus inserts on ulna 11-30 5 Cross Section of Upper Limb Biceps brachii Deltoid Triceps brachii Pectoralis major Biceps brachii: Short head Long head Brachialis Common flexor tendon Common flexor tendon (a) Coracobrachialis Supinator Pronator teres Humerus Aponeurosis of biceps brachii Anterior view Latissimus dorsi tendon (b) Interosseous membrane Teres major Brachioradialis Triceps brachii: Lateral head Long head (c) Flexor carpi radialis Palmaris longus (a) Flexor digitorum superficialis Flexor digitorum profundus Flexor pollicis longus Flexor pollicis longus Flexor carpi ulnaris Extensor carpi radialis longus and brevis Anterior Biceps brachii Lateral Flexor digitorum superficialis Medial Brachialis Flexor retinaculum Posterior Triceps brachii: Medial head Long head Lateral head Key Anterior (flexor) compartment, superficial Anterior (flexor) compartment, deep (b) Posterior (extensor) compartment Palmar aponeurosis Other muscles Supinator Pronator teres Flexor carpi radialis Palmaris longus Radius Flexor digitorum superficialis Brachioradialis (a) Superficial flexors Extensor carpi radialis longus Flexor digitorum superficialis tendons Flexor digitorum superficialis tendons Flexor digitorum profundus tendons Flexor digitorum profundus tendons (b) Intermediate flexor (c) Deep flexors Flexor pollicis longus Flexor carpi ulnaris Extensor carpi radialis brevis Extensor digitorum Flexor digitorum profundus Ulna Anconeus Extensor digiti minimi 10-31 Figure 10.28 Extensor carpi ulnaris (c) Intrinsic Hand Muscles • Retinaculum Triceps brachii Brachioradialis • dorsal interosseous muscles • palmar interosseous muscles • lumbricals Olecranon Anconeus Extensor carpi radialis longus Anconeus Supinator Extensor carpi radialis brevis Posterior view Flexor carpi ulnaris Abductor pollicis longus Extensor digiti minimi Extensor pollicis brevis First dorsal interosseous Tendon of flexor digitorum profundus Adductor pollicis Tendon of flexor digitorum superficialis Extensor pollicis brevis Extensor pollicis longus Tendon of flexor pollicis longus Lumbricals Extensor indicis Opponens digiti minimi Extensor pollicis longus Tendon of extensor indicis Tendon sheath Abductor pollicis longus Extensor digitorum Extensor carpi ulnaris Flexor pollicis brevis Flexor digiti minimi brevis Tendons of extensor carpi radialis longus and brevis Abductor pollicis brevis Abductor digiti minimi Tendons of extensor digitorum Opponens pollicis Flexor retinaculum Tendons of: Tendons of: Abductor pollicis longus Flexor carpi ulnaris Flexor carpi radialis Flexor digitorum superficialis Flexor pollicis longus Palmaris longus (a) Palmar aspect, superficial (b) Deep extensors (a) Superficial extensors Posterior Muscles Acting on Hip and Femur Muscles Acting on the Hip and Femur • anterior muscles of the hip – iliacus • flexes thigh at hip • iliacus portion arises from iliac crest and fossa – psoas major • flexes thigh at hip • arises from lumbar vertebrae – they share a common tendon on the femur • lateral and posterior muscles of the hip Iliopsoas: Iliacus Psoas major – tensor fasciae latae – gluteus maximus Piriformis • prime hip extensor Pectineus Adductor magnus Adductor brevis Adductor longus Obturator externus – gluteus medius and minimus • abduct and medially rotate thigh • 6 under gluteus minimus!! Gracilis Superficial Deep Iliac crest Gluteus medius Sacrum Gluteus maximus Coccyx Ischial tuberosity Gluteus minimus Lateral rotators: Piriformis Gemellus superior Obturator internus Obturator externus Gemellus inferior Quadratus femoris Insertion of gracilis on tibia Figure 10.33 10-35 10-36 6 Muscles Crossing the Hip Joint Muscles Acting on Hip and Femur • medial (adductor) compartment of thigh • primary adductors of the thigh – – – – Iliopsoas: Iliacus Psoas major Piriformis Pectineus Obturator externus Adductor magnus Adductor brevis Adductor longus adductor longus adductor magnus gracilis pectineus Adductor muscles – bring legs together – cross hip joint medially • Pulled groin muscle Gracilis Insertion of gracilis on tibia Figure 10.33 10-37 11-38 Anterior Thigh Cadaver Muscles Muscles Acting on the Knee and Leg Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Lateral Iliac crest Quadriceps femoris has 4 heads 1. Rectus femoris crosses hip (biggie) 2. Vastus lateralis 3. Vastus intermedius 4. Vastus medialus Iliopsoas: Iliacus Psoas major Medial L5 Anterior superior iliac spine Tensor fasciae latae Tensor fasciae latae Femoral vein Iliopsoas Femoral artery Medial compartment: Adductor magnus Pectineus Pectineus Sartorius Adductor brevis Iliotibial band Adductor longus Gracilis Adductor longus Iliotibial band Anterior compartment: Sartorius Quadriceps femoris: Vastus intermedius Rectus femoris Vastus lateralis Vastus medialis • Sartorius!!!!!! Gracilis Quadriceps femoris: Rectus femoris Vastus lateralis Vastus medialis Quadriceps femoris tendont Patella Quadriceps tendon Patellar ligament Patella (a) Superficial (b) Deep © The McGraw-Hill Companies, Inc./Rebecca Gray, photographer/Don Kincaid, dissections Figure 10.36 10-39 10-40 Figure 10.35 Anterior Compartment of Leg Muscles Acting on the Knee and Leg Patella Patellar ligament • posterior (flexor) compartment of the thigh – hamstring muscles Gluteus medius Gluteus maximus Tibia Gastrocnemius Fibularis longus Soleus Fibularis brevis Gracilis – from lateral to medial; biceps femoris semitendinosus semimembranosus Adductor magnus Tibialis anterior Extensor digitorum longus Tibialis anterior Iliotibial band Extensor hallucis longus Extensor digitorum longus Vastus lateralis Extensor retinacula Fibularis tertius Hamstring group: Biceps femoris Long head Short head Extensor hallucis brevis Semitendinosus Extensor digitorum brevis Semimembranosus (a) Figure 10.37 10-41 (b) (c) (d) 10-42 7 Posterior Compartment of Leg Superficial Group Intrinsic Muscles of Foot Lumbricals Plantaris Heads of gastrocnemius (cut) Flexor digiti minimi brevis Popliteus Fibularis longus Abductor digiti minimi Flexor hallucis longus tendon Gastrocnemius: Soleus Medial head Lateral head Flexor digitorum longus tendon Abductor hallucis (cut) Abductor hallucis Flexor digitorum brevis Quadratus plantae Plantar aponeurosis (cut) Flexor digitorum brevis (cut) Calcaneus Tendon of plantaris (a) Layer 1, plantar view (b) Layer 2, plantar view Gastrocnemius (cut) Fibularis longus Tendon of gastrocnemius Fibularis brevis Flexor digitorum longus Flexor hallucis longus Adductor hallucis Flexor hallucis brevis Flexor digiti minimi brevis Flexor hallucis longus tendon (cut) Calcaneal tendon Plantar interosseous Dorsal interosseous Abductor hallucis (cut) Calcaneus (a) Quadratus plantae (cut) Flexor digitorum longus tendon (cut) (b) 10-43 (c) Layer 3, plantar view (d) Layer 4, plantar view (e) Layer 4, dorsal view 10-44 8