Muscles in the Body 20121

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    MUSCLES

    IN THE BODY

    5. 10.2012

    Kaan YcelM.D., Ph.D.

    http://yeditepepharmanatomy.wordpress.com

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    http://www.youtube.com/yeditepeanatomy

    The muscular system consists of all the muscles of the body. The disciplined related to the study of muscles is

    myology. All skeletal muscles are composed of one specific type of muscle tissue. These muscles move the

    skeleton, therefore, move the body parts.

    There are three muscle types:

    Skeletal striated muscle is voluntary somatic muscle that makes up the gross skeletal muscles. Striated

    muscles are innervated by the somatic nervous system. Cardiac striated muscle is involuntary visceral muscle that forms most of the walls of the heart and adacent

    parts of the great vessels

    Smooth muscle !unstriated muscle" is involuntary visceral muscle. #on$striated and cardiac muscles are

    innervated by the autonomic nervous system.

    %any terms provide information about a structure&s shape, si'e, location, or function or about the

    resemblance of one structure to another. %uscles may be described or classified according to their shape, for

    which a muscle may also be named.

    A prime mover !agonist" is the main muscle responsible for producing a specific movement of the body. A

    fi(ator steadies the pro(imal parts of a limb. A synergist complements the action of a prime mover. An antagonist

    is a muscle that opposes the action of another muscle.

    The facial muscles !muscles of facial e(pression" move the skin and change facial e(pressions to convey

    mood. %ost muscles attach to bone or fascia and produce their effects by pulling the skin.

    The platysma !). flat plate" is a broad, thin sheet of muscle in the subcutaneous tissue of the neck. *t helps

    depress the mandible and draw the corners of the mouth inferiorly.

    Cutaneous !sensory" innervation of the face and anterosuperior part of the scalp is provided primarily by the

    trigeminal nerve !C# +", whereas motor innervation to the facial muscles is provided by the facial nerve !C#

    +**".

    The sternocleidomastoid !SC%" muscle is a broad, strap$like muscle that has two heads: The rounded

    tendon of the sternal head attaches to the manubrium, and the thick fleshy clavicular head attaches to the superior

    surface of the clavicle. Trape'ius is a large, flat triangular muscle that covers the posterolateral aspect of the neck

    and thora(.our anterior pectoral muscles move the pectoral girdle: pectoralis maor, pectoralis minor, subclavius, and

    serratus anterior.

    The name latissimus dorsi !-. widest of back" was well chosen because the muscle covers a wide area of the

    back. This large, fan$shaped muscle passes from the trunk to the humerus and acts directly on the glenohumeral

    oint and indirectly on the pectoral girdle !scapulothoracic oint".

    The si( scapulohumeral muscles including the deltoid muscle are relatively short muscles that pass from the

    scapula to the humerus and act on the glenohumeral oint.

    f the four maor arm muscles, three fle(ors !biceps brachii, brachialis, and coracobrachialis" are in the

    anterior !fle(or" compartment, supplied by the musculocutaneous nerve, and one e(tensor !triceps brachii" is in

    the posterior compartment, supplied by the radial nerve.

    There are /0 muscles crossing the elbow oint, some of which act on the elbow oint e(clusively, whereasothers act at the wrist and fingers.

    The fle(or muscles of the forearm are in the anterior !fle(or$pronator" compartment of the forearm and are

    separated from the e(tensor muscles of the forearm by the radius and ulna and, in the distal two thirds of the

    forearm, by the interosseous membrane that connects them. The e(tensor muscles of the forearm are in the

    posterior !e(tensor$supinator" compartment of the forearm, and all are innervated by branches of the radial nerve.

    The intrinsic muscles of the hand are located in five compartments.

    The gluteus ma(imus is the most superficial gluteal muscle. *t is the largest, heaviest, and most coarsely

    fibered muscle of the body. The main actions of the gluteus ma(imus are e(tension and lateral rotation of the

    thigh.

    The posterior thigh muscles include the hamstring muscles. There are four muscles in the anterior

    compartment of the leg. The large anterior compartment of the thigh contains the anterior thigh muscles, thefle(ors of the hip and e(tensors of the knee. The posterior compartment of the leg !plantarfle(or compartment" is

    the largest of the three leg compartments. The superficial group of calf muscles !muscles forming prominence of

    1calf2 of posterior leg" includes the gastrocnemius, soleus, and plantaris. The gastrocnemius and soleus share a

    common tendon, the calcaneal tendon, which attaches to the calcaneus. The calcaneal tendon !-. tendo calcaneus,

    Achilles tendon" is the most powerful !thickest and strongest" tendon in the body.3

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    The muscular system consists of all the muscles of the body. The disciplined related

    to the study of muscles is myology. Musculus muscle! is deri"ed from the word mus#mouse$ musculus# little mouse. All s%eletal muscles are composed of one speci&c type of

    muscle tissue. These muscles mo"e the s%eleton' therefore' mo"e the body parts.

    . . TYPES OF MUSCLES

    There are three muscle types:

    ( )%eletal striated muscle is "oluntary somatic muscle that ma%es up the gross s%eletal

    muscles that compose the muscular system' mo"ing or stabili*ing bones and other

    structures e.g.' the eyeballs!. )triated muscles are inner"ated by the somatic ner"ous

    system.

    ( +ardiac striated muscle is in"oluntary "isceral muscle that forms most of the walls of

    the heart and ad,acent parts of the great "essels' such as the aorta' and pumps blood.

    ( )mooth muscle unstriated muscle! is in"oluntary "isceral muscle that forms part of the

    walls of most "essels and hollow organs "iscera!' mo"ing substances through them by

    coordinated se-uential contractions pulsations or peristaltic contractions!. on#striated

    and cardiac muscles are inner"ated by the autonomic ner"ous system.All s%eletal muscles' commonly referred to simply as muscles'0 ha"e 1eshy' reddish'

    contractile portions one or more heads or bellies! composed of s%eletal striated muscle.

    )ome muscles are 1eshy throughout' but most also ha"e white non#contractile portions

    tendons!' composed mainly of organi*ed collagen bundles' that pro"ide a means of

    attachment. 2hen referring to the length of a muscle' both the belly and the tendons are

    included. 3n other words' a muscle4s length is the distance between its attachments.

    Most s%eletal muscles are attached directly or indirectly to bones' cartilages' ligaments' orfascias or to some combination of these structures. )ome muscles are attached to organs

    the eyeball' for e5ample!' s%in such as facial muscles!' and mucous membranes intrinsic

    tongue muscles!. Muscles are organs of locomotion mo"ement!' but they also pro"ide

    static support' gi"e form to the body' and pro"ide heat.

    The architecture and shape of muscles "ary. The tendons of some muscles form 1at

    sheets' or aponeuroses' that anchor the muscle to the s%eleton usually a ridge or a series

    of spinous processes! and/or to deep fascia such as the latissimus dorsi muscle of the

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    . GENERAL CONSIDERATIONS ON

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    bac%!' or to the aponeurosis of another muscle such as the obli-ue muscles of the

    anterolateral abdominal wall!.

    1.2. MUSCLE TERMINOLOGY

    Many terms pro"ide information about a structure4s shape' si*e' location' or function or

    about the resemblance of one structure to another.

    Muscles may be described or classi&ed according to their shape' for which a muscle may

    also be named:

    ( 6lat muscles ha"e parallel &bers often with an aponeurosis7for e5ample' the e5ternal

    obli-ue broad 1at muscle!. The sartorius is a narrow 1at muscle with parallel &bers.

    ( 8ennate muscles are feather#li%e 9. pennatus' feather! in the arrangement of their

    fascicles' and may be unipennate' bipennate' or multi#pennate7for e5ample' the e5tensor

    digitorum longus unipennate!' the rectus femoris bipennate!' and deltoid multi#pennate!.

    ( 6usiform muscles are spindle shaped with a round' thic% belly or bellies! and tapered

    ends7for e5ample' biceps brachii.

    ( +on"ergent muscles arise from a broad area and con"erge to form a single tendon7for

    e5ample' the pectoralis ma,or.

    ( uadrate muscles ha"e four e-ual sides 9. -uadratus' s-uare!7for e5ample' the rectus

    abdominis' between its tendinous intersections.( +ircular or sphincteral muscles surround a body opening or ori&ce' constricting it when

    contracted7for e5ample' orbicularis oculi closes the eyelids!.

    ( Multi#headed or multi#bellied muscles ha"e more than one head of attachment or more

    than one contractile belly' respecti"ely. ;iceps muscles ha"e two heads of attachment

    e.g.' the biceps brachii!' triceps muscles ha"e three heads e.g.' triceps brachii!' and the

    digastric and gastrocnemius muscles ha"e two bellies.

    6igure

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    .3. CONTRACTION OF MUSCLES

    )%eletal muscles function by contracting$ they pull and ne"er push. 2hen a muscle

    contracts and shortens' one of its attachments usually remains &5ed while the other more

    mobile! attachment is pulled toward it' often resulting in mo"ement. Attachments of

    muscles are commonly described as the origin and insertion$ the origin is usually the

    pro5imal end of the muscle' which remains &5ed during muscular contraction' and theinsertion is usually the distal end of the muscle' which is mo"able. =owe"er' this is not

    always the case. )ome muscles can act in both directions under di>erent circumstances.

    2hereas the structural unit of a muscle is a s%eletal striated muscle &ber' the

    functional unit of a muscle is a motor unit' consisting of a motor neuron and the muscle

    &bers it controls. 2hen a motor neuron in the spinal cord is stimulated' it initiates an

    impulse that causes all the muscle &bers supplied by that motor unit to contract

    simultaneously.

    .4. FUNCTIONS OF MUSCLES

    Muscles ser"e speci&c functions in mo"ing and positioning the body.

    A prime mo"er agonist! is the main muscle responsible for producing a speci&c mo"ement

    of the body. 3t contracts concentrically to produce the desired mo"ement' doing most of

    the wor% e5pending most of the energy! re-uired. A &5ator steadies the pro5imal parts of

    a limb through isometric contraction while mo"ements are occurring in distal parts. A

    synergist complements the action of a prime mo"er. An antagonist is a muscle that

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    opposes the action of another muscle. The same muscle may act as a prime mo"er'

    antagonist' synergist' or &5ator under di>erent conditions.

    .5. NERVES AND ARTERIES TO MUSCLES

    ?ariation in the ner"e supply of muscles is rare$ it is a nearly constant relationship. 3n the

    limb' muscles of similar actions are generally contained within a common fascial

    compartment and share inner"ation by the same ner"es. The blood supply of muscles is

    not as constant as the ner"e supply and is usually multiple. Arteries generally supply the

    structures they contact.

    The facial muscles muscles of facial e5pression! mo"e the s%in and change facial

    e5pressions to con"ey mood. Most muscles attach to bone or fascia and produce their

    e>ects by pulling the s%in.

    The occipitofrontalis is a 1at digastric muscle which ele"ates the eyebrows and produce

    trans"erse wrin%les across the forehead. This gi"es the face a surprised loo%.

    )e"eral muscles alter the shape of the mouth and lips during spea%ing as well as during

    such acti"ities as singing' whistling' and mimicry. The shape of the mouth and lips iscontrolled by a comple5 three#dimensional group of muscular slips' which include the

    following:

    ( @le"ators' retractors' and e"ertors of the upper lip.

    ( Depressors' retractors' and e"ertors of the lower lip.

    ( The orbicularis oris' the sphincter around the mouth.

    ( The buccinator in the chee%.

    6igure . 6acial muscleshttp://www."idport.co/refli#/science/$!an%od&/M!sc!lar'&ste/$ead(aceM!scles.htm

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    2. MUSCLES OF THE FACE & SCALP

    http://www.kidport.com/reflib/science/HumanBody/MuscularSystem/HeadFaceMuscles.htmhttp://www.kidport.com/reflib/science/HumanBody/MuscularSystem/HeadFaceMuscles.htmhttp://www.kidport.com/reflib/science/HumanBody/MuscularSystem/HeadFaceMuscles.htmhttp://www.kidport.com/reflib/science/HumanBody/MuscularSystem/HeadFaceMuscles.htm
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    The platysmaB. 1at plate! is a broad' thin sheet of muscle in the subcutaneous tissue of

    the nec%. 3t helps depress the mandible and draw the corners of the mouth inferiorly.

    +utaneous sensory! inner"ation of the face and anterosuperior part of the scalp is

    pro"ided primarily by the trigeminal ner"e + ?!' whereas motor inner"ation to the facial

    muscles is pro"ided by the facial ner"e + ?33!.

    6igure C. 8latysma

    http://antrani".or)/!scles-of-the-head/

    The sternocleidomastoid (SCM) muscleis a broad' strap#li%e muscle with two

    heads. ne head attaches on the sternum' and the other on the cla"icle. ;ilateral

    contractions of the )+Ms will cause e5tension of the ele"ating the chin. Acting unilaterally'

    the )+M laterally 1e5es the nec% bends the nec% sideways! and rotates the head so the

    ear approaches the shoulder of the ipsilateral same! side.

    6igure E. )ternocleidomastoid muscle

    http://dassa)e.co/wp-content/!ploads/2011/02/'*M+s#l.pn)

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    3. MUSCLES OF THE NECK

    http://antranik.org/muscles-of-the-head/http://dmmassage.com/wp-content/uploads/2011/02/SCM_smbl.pnghttp://antranik.org/muscles-of-the-head/http://dmmassage.com/wp-content/uploads/2011/02/SCM_smbl.png
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    Trapezius is a large' 1at triangular muscle that co"ers the posterior aspect of the

    nec% and the superior half of the trun%. The trape*ius pro"ides a direct attachment of the

    pectoral girdle to the trun%. 3t was gi"en its name because the muscles of the two sides

    form a trape*ium B. irregular four#sided &gure!. The trape*ius assists in suspending the

    upper limb.

    6our anterior a5ioappendicular muscles pectoral muscles! mo"e the pectoral girdle.

    Pectoralis majoris the biggest of these four. The pectoralis majoris a large' fan#

    shaped muscle that co"ers the superior part of the thora5. 3t produces powerful adduction

    and medial rotation of the arm.

    The super&cial and intermediate groups of e5trinsic bac% muscles attach the superior

    appendicular s%eleton of the upper limb! to the a5ial s%eleton in the trun%!.

    The posterior shoulder muscles are di"ided into three groups:

    ( )uper&cial e5trinsic shoulder muscles: trape*ius and latissimus dorsi.

    ( Deep e5trinsic shoulder muscles: two muscles

    ( 3ntrinsic shoulder muscles: deltoid' teres ma,or' and the four rotator cu> muscles.

    The namelatissimus dorsi9. widest of bac%! was well chosen because the muscle

    co"ers a wide area of the bac%. passes from the trun% to the humerus and acts directly on

    the shoulder ,oint and indirectly on the pectoral girdle. The latissimus dorsi e5tends'

    retracts' and rotates the humerus medially e.g.' when folding the arms behind the bac% or

    scratching the s%in o"er the opposite scapula!.

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    4. MUSCLES OF PECTORAL AND SCAPULAR

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    The deltoid is a thic%' powerful' coarse#te5tured muscle co"ering the shoulder and

    forming its rounded contour. As its name indicates' the deltoid is shaped li%e the in"erted

    Bree% letter delta F!. The deltoid abducts the arm.

    6igure G. Muscles of the chest and abdomenhttp://api.nin).co/files/wY2w)d%w10DK&&d3p456!7w8K*Y%;6D

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    The iceps rac!iiis the 1e5or of the arm. The brachialis is the main 1e5or of the

    forearm. The triceps brachii is the main e5tensor of the forearm.

    6igure J. Muscles of the arm

    http://.#p.#lo)spot.co/->Y@9-'6w/?&68E"t;/777777777nB/5M&cdMs6/s1C00/#icepF!scle.;p)

    There are

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    6igure

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    and in"ert the foot and 1e5 the toes. The super&cial group of calf muscles muscles

    forming prominence of calf0 of posterior leg! includes the gastrocnemius' soleus' and

    plantaris. The gastrocnemius and soleus share a common tendon' the calcaneal tendon'

    which attaches to the calcaneus. The calcaneal tendon 9. tendo calcaneus' Achillestendon! is the most powerful thic%est and strongest! tendon in the body. These muscles

    raise heel during wal%ing$ 1e5 the leg at the %nee ,oint. 6our muscles ma%e up the deep

    group in the posterior compartment of the leg.

    f the indi"idual muscles of the foot' ect body posture. The deeper the muscle is located

    i.e. the closer to the spine!' the more powerful e>ect it will ha"e' and therefore' the

    greater capacity it will ha"e for creating and maintaining a healthy spine. 6rom deep to

    super&cial the abdominal muscles are:

    trans"erse abdominal

    internal obli-ues

    e5ternal obli-ues

    rectus abdominis

    The trans"erse abdominus muscle is the deepest of the H abdominal muscles. The

    rectus abdominus muscle is the most super&cial of the abdominal muscles co"ered by the

    aponeurosis of the trans"ersus abdominis. The rectus abdominis has tendineous

    intersections.

    6igure

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