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Chapter 10 Muscular System Gross Anatomy 10-1 General Principles • Tendons: attach muscles to bones – Aponeurosis: a very broad tendon • Muscle terminology – – – – – – Origin or head: muscle end attached to more stationary of two bones Insertion: muscle end attached to bone with greatest movement Belly: largest portion of the muscle between origin and insertion Agonist: muscle that, when it contracts, causes an action Antagonist: a muscle working in opposition to agonist Synergists: muscles that work together to cause a movement • Prime mover: plays major role in accomplishing movement • Fixators: stabilize joint/s crossed by the prime mover; prevent movement of the origin of the prime mover. 10-2 1 Muscle attachment 10-3 Muscle Types 10-4 2 Examples of Muscle Shapes 10-5 Nomenclature • Muscles are named according to: – – – – – Location: pectoralis gluteus, brachial Size: maximus, minimus, longus, brevis Shape: deltoid, quadratus, teres Orientation: rectus Origin and insertion: sternocleidomastoid, brachioradialis – Number of heads: biceps, triceps – Function: abductor, adductor, masseter 10-6 3 Muscle Movements • Muscles and their tendons and bones act together as lever systems to move either parts of the body or the whole body. Muscle contractions are a pull or force by relative positions of – Lever: rigid shaft or bone – Fulcrum: pivot point or joint – Weight or resistance (force of gravity either in the form of the weight of the body parts or the weight of an object being lifted, pulled, or pushed) 10-7 Muscle Anatomy: Anterior View 10-8 4 Muscle Anatomy: Posterior View 10-9 Head and Neck Muscles • Flexion: muscles deep within the neck along the anterior margins of the vertebral bodies • Extension: posterior neck muscles attached to occipital bone • Rotation and abduction: lateral and posterior groups • Examples: sternocleidomastoid, trapezius, splenius muscles 10-10 5 Muscles of Facial Expression • Cutaneous; origin and insertion in the superficial fascia. • Confined primarily to head and neck. • Move the skin; some act as sphincters. • Examples: orbicularis oris, orbicularis oculi, platysma. 10-11 Tongue Movements • Important in speech: changes shape • Swallowing – Moves food around in mouth – Holds food in place during grinding – Pushes food up to palate and back toward pharynx • (Intrinsic: entirely within • Extrinsic: change in shape and movement) 10-12 6 Muscles of Larynx 10-13 Extrinsic Muscles of the Eye • Rectus muscles: insert on sclera anterior to center of sphere. Move eyeball and thus pupil laterally, superiorly, inferiorly, and medially • Oblique muscles: insert onto the posterolateral margin of the eyeball and both laterally deviate the eyeball. The superior oblique passes through a pulley-like trochlea 10-14 7 Muscles that Move the Vertebral Column • Muscles that extend, laterally flex, and rotate the vertebral column. Used to produce erect posture • Divided into deep and superficial groups – (Deep group: from vertebra to vertebra – Superficial group extend from vertebrae to ribs) 10-15 Thoracic Muscles • Involved in breathing • Four groups associated with rib cage – Scalenes: elevate first two ribs during inspiration – External intercostals: elevate the ribs – Internal intercostals: depress ribs during expiration – Transversus thoracis: depresses ribs during expiration – Diaphragm: major movement of inspiration. Flattens during contraction and increases the volume of the thoracic cavity 10-16 8 Abdominal Wall • Flex and rotate vertebral column, decrease volume of abdominal and thoracic cavities • Aid in forced expiration, vomiting, defecation, urination, childbirth • Crossing pattern of muscles adds strength to abdominal wall to support organs 10-17 Abdominal Wall • Rectus Abdominis – Flexes vertebral column • External abdominal oblique: flexes and rotates abdomen • Internal abdominal oblique: flexes and rotates abdomen • Transversus abdominis: compresses abdominal wall 10-18 9 Scapular Movements • Muscles that attach the upper limb to the body and move or stabilize the scapula and clavicle. • Originate on the axial skeleton. • Trapezius, levator scapulae, rhomboideus, serratus anterior, pectoralis minor 10-19 Arm Movements • Muscles that attach arm to thorax: pectoralis major, latissimus dorsi • Deltoid and pectoralis major both act as flexors and extensors of the shoulder • Deltoid abducts and medially and laterally rotates arm 10-20 10 Rotator Cuff • Primary muscles holding humerus in the glenoid cavity • Form a cuff or cap over the proximal humerus • Involved in flexion, extension, abduction, adduction, rotation and circumduction • Infraspinatus, subscapularis, supraspinatus, teres minor 10-21 Forearm Movement • Movements at the elbow • Extension: triceps brachii and anconeus • Flexion: biceps brachii, brachioradialis, and brachialis • Supination and pronation: – Supination: supinator and biceps brachii – Pronation: pronator quadratus and pronator teres 10-22 11 Wrist, Hand, and Finger Movements • Muscles on anterior surface of forearm: flexion as well as abduction and adduction of the wrist. • Muscles on posterior surface of forearm: extension and abduction. • Retinacula- bands of deep fascia which hold tendons of muscles of forearm, blood vessels, and nerves close to wrist. – Flexor retinaculum (transverse carpal ligament): on the flexor surface – Extensor retinaculum (dorsal carpal ligament): on the extensor surface 10-23 Intrinsic Muscles of the Hand • Originate and insert in hand. 10-24 12 Thigh Movement • Originate on coxa; insert onto femur • Anterior, posterolateral, deep – Anterior: flex hip. Iliacus and psoas major often referred to as iliopsoas since they share a tendon of insertion – Posterolateral: gluteals and tensor fasciae latae Extension of thigh – Deep: thigh rotators 10-25 Leg Movements • Quadriceps femoris: anterior surface of thigh – Extension of the leg at the knee. – Rectus femoris also flexes the hip. – Insert by common tendon (patellar tendon) on and around the patella – Patellar tendon extends from patella to tibial tuberosity • Sartorius: flexes hip and knee, laterally rotates thigh • Medial thigh muscles: adduction • Posterior thigh muscles: hamstrings. Flexion and rotation of the knee 10-26 13 Muscles that Move the Leg 10-27 Ankle, Foot, and Toe Movements • Extrinsic foot muscles • Three leg compartments – Anterior compartment: extensors involved in dorsiflexion and eversion/inversion of foot; extension of toes. Dorsiflex foot, extend toes. – Lateral compartment: plantar flexion and eversion. – Posterior compartment• Superficial muscles (plantar flexion) have common tendon of insertion called the calcaneal (Achilles) tendon. Gastrocnemius, plantaris • Deep muscles: plantar flex and invert foot 10-28 14 Extrinsic Muscles of the Foot 10-29 Extrinsic Muscles of the Foot 10-30 15 Intrinsic Muscles of the Foot • Analogous to intrinsics of hand, but serve in support and locomotion • Flexion, extension, abduction and adduction of toes • Deep fascia forms plantar aponeurosis. 10-31 16