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Myology. SHANDONG UNIVERSITY Liu Zhiyu. Myology. Morphology of skeletal muscle Muscle belly Tendon aponeurosis Classification Long muscle Short muscle Broad muscle Orbicular muscle. Myology. Origin - the fixed attachment Insertion - the movable attachment Action - PowerPoint PPT Presentation
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Myology
SHANDONG UNIVERSITY
Liu ZhiyuLiu Zhiyu
Myology Morphology of
skeletal muscle Muscle belly Tendon aponeurosis
Classification Long muscle Short muscle Broad muscle Orbicular muscle
Myology Origin - the fixed attachment Insertion - the movable attachment Action
Agonist Antagonist Synergist Fixators
Nomenclature of mucles : shape size Location their points of attachment
Myology
Accessory structures Fascia
Superficial fascia Deep fascia
Synovial bursa
Myology Tendinous sheath
Fibrous layer Synovial layer:
Mesotendon vincula tendinum
Synovial cyst of wrist
Muscles of head
Facial muscles
Epicranius Frontal belly Occipital belly Galea aponeurotica
Orbicularis oculi Buccinator Orbicularis oris Nasalis
Facial muscles
★Masticatory muscles
Temporalis Masseter lateral pterygoid Medial pterygoid
★ Masticatory muscles
Temporalis Origin - temporal fossa Insertion - coronoid process of
mandible Action - elevates and retracts
mandible
Masseter Origin - inferior border and medial
surface of zygomatic arch Insertion - lateral surface of ramus
of mandible and angle of mandible Action - elevates mandible
★ Masticatory muscles
Lateral pterygoid
Medial pterygoid
Muscles of the neck
Muscles of the neck
Superficial group Platysma 颈阔肌 Sternocleidomastoid 胸锁乳突肌
Muscles of the neckSuprahyoid muscles Digastric Mylohyoid Stylohyoid Geniohyoid Elevate (raise) hyoid bone and
depress mandible.
Muscles of the neck
Infrahyoid muscle Sternohyoid
Sternothyroid
Thyrohyoid
Omohyoid
Depress hyoid or larynx after
elevation
Muscles of the neck
Deep group Lateral
Scalenus anterior Scalenus medius Scalenus posterior
Medial longus capitis longus colli
Flex the head, bends the neck forward
Major muscles of the neck
★ Sternocleidomastoid Origin: manubrium and sternal
end of clavicle Insertion: mastoid process of
temporal bone Action: contraction of one
muscle draws head toward the same side, and turn face to opposite side; both muscles act together to draw head backward
Major muscles of the neck
Scalenus anterior Origin: transverse
processes of C3-C6. Insertion: tubercle for
scalenus anterior Action: unilateral, bends
neck laterally; bilateral, elevate first rib, an accessory muscle of inspiration; if rib is fixed, flex neck anteriorly
Major muscles of the neck
★ Scalene fissure Above the first rib, there
is a triangular space between scalenus anterior and medius.
The brachial plexus and the subclavine a. emerge from this space.
Muscles of trunk
The Muscles of Back
Superficial group Trapezius
Levator scapulae
Rhomboideus
Latissimus dorsi
Thoracolumbar fascia
The Muscles of Back
Deep group Splenius
Erector spinae
Major Muscles of BackTrapezius Origin: superior nuchal line, external
occipital protuberance, ligamentum nuchae and spinous processes of seventh cervical and all thoracic vertebrae
Insertion: lateral third of clavicle, acromion, and spine of scapular
Acton: upper fibers elevate scapula, lower fibers depress scapula; if scapula is fixed, one side acting along, draws head toward the same side, and turn face to opposite side; both sides together, draw head directly backward
Nerve supply: accessory nerve ( Ⅺcranial nerve)
Major Muscles of Back
Latissimus dorsi Origin:
Spinous processes of lower six thoracic and all lumbar vertebrae
Median sacral crest Posterior part of iliac crest
Insertion: floor of intertubercular groove of humerus.
Action: trunk fixed, extends, adducts and medially rotates arm ; arm fixed, elevates trunk.
Nerve supply: thoracodorsal nerve
Thoracolumbar Fascia
Posterior layerMiddle layer
Anterior layer
Trapezius
Deltoid
Ausculatory triangle
Latissimus dorsiThoracolumbar fascia
Levator scapular
Rhomboideus
Inferior lumbar triangle
Muscles of thorax
Muscles connecting the upper limb to the thoracic wall
Pectoralis major Pectoralis minor Serratus anterior
Muscles of thorax
Intrinsic muscles Intercostales externi Intercostales interni Intercostales intimi Transverses thoracis
Major muscles of thorax
Pectoralis Major Origin: medial half of clavicle,
sternum, upper six costal cartilages. Insertion: lateral lip of the bicipital
groove of humerus Action: adducts the arm and
rotates it medially; the clavicular fibers also flex the arm; with the arm above the head, raise the body as in climbing
Nerve supply: lateral pectoral n.
Major muscles of thorax
Intercostales externi Origin: inferior border of rib
above Insertion: superior border of
rib below Replaced anteriorly by
external intercostals membrane
Action: raise ribs adding in forced inspiration
Major muscles of thorax
Intercostales interni Origin: superior border of rib
below Insertion: inferior border of rib
above Replaced posteriorly by internal
intercostals membrane. Action: depress ribs for forced
expiration
Diaphragm Shape and position: dome-shaped
between thorax and abdomen, consists of a peripheral muscular part and a central tendon
Origin Sternal part: arising from xiphoid
process Costal part: arising from lower six and
costal cartilages Lumbar part: arising by two crura from
upper 2-3 lumbar vertebrae Insertion: central tendon Weak areas:
Lumbocostal triangle Sternocostal triangle
T12
Diaphragm
Openings in the diaphragm
Aortic hiatus lies anterior to the body of the 12th thoracic vertebra between the crura and transmits the aorta, thoracic duct
Esophageal hiatus lies at level of T10. It transmits esophagus and vagus nerves
Vena cava foramen lies at T8 level in the central tendon. It transmits the inferior vena cava.
T8
T10
Diaphragm
Action: Contraction: the dome moving
downward, increases the volume of thoracic cavity which results in inspiration, at the same time the intra-abdominal pressure is increased assists in defecation, vomiting or child birth.
Relaxation: the dome returns to the former position, reduces the volume to the thoracic cavity, resulting in expiration.
Muscles of abdomen
Anterolateral group Obliquus externus
abdominis Obliquus internus
abdominis Transversus abdominis Rectus abdominis
Obliquus externus absominis
General direction of fibers: downward, forward and medially (run down and inward)
Obliquus externus absominis
Structures Inguinal ligament Lacunar ligament Superficial inguinal
ring -triangular-shaped defect in aponeurosis of obliquus externus abdominis above pubic tubercle
Superficial inguinal ring
Obliquus internus abdominis
Deep to obliquus externus abdominis
General direction of fibres: upwards, forwards and medially
Transversus abdominis
Deep to obliquus internus General direction of fibers: run
horizontally forward.
Transversus abdominis
Inguinal falx Obliquus internus abdominis
has a lower, free border that arches over spermatic cord
Inserted with transversus abdominis fiber into medial part of pecten of pubis
Cremaster Dirived from the lower fibers of
the obliquus internus abdominis and transversus abdominis
Around the spermatic cord and testis
Rectus abdominis
Position: lie on to either of midline
Origin: pubic crest and symphysis
Insertion: xiphoid and 5th-7th costal cartilages
Tendinous intersections 3-4
linea semiluaris
Similar functions for above four pairs of muscles
Support and compress the abdominal viscera Increase intra-abdominal pressure, aid in expulsive
efforts-vomiting, coughing, sneezing, defecation, urination and childbirth.
Depress ribs, assist in (the act of force(4)expiration. Flex, lateral flex, and rotate vertebral column
Sheath of rectus abdominis Anterior layer Formed by fusion of
aponeurosis of obliquus externus abdominis and anterior leaf of aponeurosis of obliquus internus abdominis
Sheath of rectus abdominis Posterior layer Formed by fusion of posterion
leaf of aponeurosis of obliquus internus abdominis and aponeurosis of transversus abdominis
Absent in about 4-5cm below the umbilicus, where aponeuroses of all three muscles form anterior layer the lower free border named arcuate line
Below this line rectus abdominis in contact with transverse fascia
Muscles of abdomen
Linea alba - tendinous raphe between right and left recti from xiphoid to pubic symphysis
Landmarks and surface anatomy
Linea alba Rectus abdominis Tendinous intersections Linea semilunaris Umbilicus: at the level of L3 ~ L4 Inguinal ligament
Muscles of abdomen
Posterior group Quadratus lumborum Psoas major
Muscles of upper limb
Muscles of shoulder
Deltoid Supraspinatus Infraspinatus Teres minor Teres major Subscapularis
Muscles of arm
Antererior group Biceps brachii Coracobrachialis Brachialis
Posterior group Triceps brachii
Muscles of forearm
Antererior group (9) Superficial layer (5)
Brachioradialis
Pronator teres
Flexor carpi radialis
Palmaris longus
Flexor carpi ulnaris
Muscles of forearmAntererior group (9) Second layer (1)
Flexor digitorum
superficialis Third layer (2)
Flexor digitorum profundus
Flexor pollicis longus Fourth layer (1)
Pronator quadratus
Action: flex radiocarpal joint and fingers, pronate forearm
Muscles of forearm
Posterior group (10) Superficial layer (5)
Extensor carpi radialis longus
Extensor carpi radialis brevis
Extensor digitorum
Extensor digiti minimi
Extensor carpi ulnaris
Muscles of forearmPosterior group (10) Deep layer (5)
Supinator Abductor pollicis longus Extensor pollicis brevis Extensor pollicis longus Extensor indicis
Action: extend radiocapral joint and
fingers, and supinate forearm
Muscles of hand
Lateral group- thenar (4) Abductor pollicis brevis Flexor pollicis brevis Opponens pollicis Adductor pollicis
Action: flex, abduct, adduct and oppose thumb
Medial group - hypothenar 小鱼际( 3) Abductor digiti minimi Flexor digiti minimi brevis Opponens digiti minimi
Action: flex, abduct , and oppose little finger
Muscles of hand Intermedial group
Lumbricales (4) flex fingers at MP joints; extend fingers at IP joints Palmar interossei (3) adduct fingers towards middle finger at MP joints Dorsal interossei (4) abduct fingers away from middle finger at MP joints
Major muscles of upper limb
Deltoid Origin: lateral third of
clavicle, acromion, and spine of scapula
Insertion: deltoid tuberosity of humerus
Action: abducts the arm , anterior fibers flex and medially rotate arm; posterior fibers extend and laterally rotate arm
Major muscles of upper limb Teres major Origin:
dorsal surface of inferior angle of scapula Insertion: crest of lesser
tubercle of humerus Action: medially rotates
and adducts arm
Major muscles of upper limb Trilateral and quadrilateral
foramina Between the subscapularis and teres
major, there is a long triangular space whose lateral side is surgical neck of humerus.
The long head of triceps brachii subdivides this space into a medial trilateral foramen and a lateral quadrilateral foramen.
Major muscles of upper limb
Biceps brachii Origin: long head, supraglenoid
tubercle; short head, coracoid process
Insertion: radical tuberosity Action: supinator of forearm,
flexor of elbow joint, weak flexor of should joint
Nerve supply: Musculocutaneous n.
Major muscles of upper limb
Triceps brachii Origin: long head,
infraglenoid tubercle; lateral head, above groove for radical n., medical head, below groove for radical n.
Insertion: olecranon of ulna Action: extends elbow joint,
long head can extend and adduct shoulder joint
Major muscles of upper limb
Pronator teres Origin: medical epicondyle of
humerus and deep fascia of
forearm Insertion: middle of lateral
surface of radius Action: pronation of forearm and
flexion of elbow Nerve supply: median n.
Major muscles of upper limb
Supinator Origin: lateral epicondyle of
humerus and upper part of
lateral border of ulna Insertion: upper third of
anterior surface of radius Action: supination of forearm
Muscles of lower limb
Muscles of lower limb
The muscles of lower limb are divided into:
Muscles of hip Muscles of thigh Muscles of leg Muscles of foot
Muscles of hip
Anterior group Iliopsoas
Iliacus
Psoas major
Psoas minor
Tensor fasciae
latae
Muscles of hip
Posterior group Gluteus maximus Gluteus medius Gluteus minimus Piriformis Obturator internus Obturator externus Quadratus femoris
Muscles of thigh
Anterior group Sartorius Quadricep
Rectus femoris Vastus lateralis Vastus intermedius Vastus medialis
Blood supply: femoral artery Nerve supply: femoral nerve
Muscles of thigh
Medial group Pectineus Adductor longus Adductor brevis Adductor magnus Gracilis
Action: adduct thigh at hip joint
Blood supply: Deep femoral a. Obturator a.
Nerves supply: obturator n.
Muscles of thigh
Posterior group Biceps femoris
Semitendinosus
Semimembranosus
Action Flex the leg at knee joint
Extend the thigh at hip joint
Muscles of leg
Anterior group Tibialis anterior Extensor hallucis longus Extensor digitorum longus Peroneus tertius
Blood supply: Anterior tibial a.
Nerve supply: Deep peroneal
n.
Muscles of leg
Lateral group Peroneus longus
Peroneus brevis
Action: plantar flex and evert the
foot
Blood supply: branches from the
peroneal artey
Nerve supply: superficial peroneal
n.
Muscles of leg
Posterior group
Superficial lager
triceps surae
Gastrocnemius
Soleus
Muscles of leg
Posterior group
Deep layer
Popliteus
Flexor digitorum longus
Tibialis posterior
Flexor hallucis longus Nerve supply: tibial n.
Muscles of foot
Muscles on dorsum: extensor digitorum brevis
Muscles in sole: medial, lateral and intermediate groups
Muscles of hip
Iliopsoas Origin:
Psoas major: transverse processes and lateral surface of bodies of lumbar vertebrae
Iliacus: iliac fossa Insertion: lesser trochanter
of femur Action: flexes thigh on trunk Nerve supply: lumbar
plexus
Muscles of hip
Gluteus maximus Origin: gluteal surface of ilium
and dorsal aspect of sacrum Insertion: gluteal tuberosity of
femur and iliotibial tract Action: extends and laterally
rotates thigh at hip joint; raises trunk when the lower limb is fixed
Nerve supply: inferior gluteal n.
Muscles of thigh
Sartorius Origin: anterior superior
iliac spine Insertion: upper medial
surface of tibia Action: flexes hip and knee
joints; rotates flexed knee medially
Nerve supply: femoral n.
Muscles of thigh
Quadriceps femoris Origin:
Rectus femoris: anterior inferior iliac spine Vastus medialis: medial lip of linea aspera Vastus lateralis: lateral lip of linea aspera Vastus intermedius: anterior surface of
femur Insertion: tibial tuberosity via patellar
ligament Action: extends leg at knee joint; rectus
femoris also flexes thigh at hip joint Nerve supply: femoral n.
Muscles of leg
Tibialis anterior Origin: lateral surface of
tibia Insertion: medial
cuneiform and base of 1st metatarsal
Action: dorsiflexes and inverts foot
Nerve supply: deep peroneal n.
Muscles of leg
Triceps surae Origin:
Gastrocnemius: medial and lateral condyles of femur
Soleus: soleal line of tibia and upper third of fibula
Insertion: calcaneum via tendo calcaneus
Action: flexes knee joint and plantar flexes foot at ankle joint; steadies leg on foot during standing
Nerve supply: tibial n.
Muscles of leg
Tibialis posterior Origin: posterior surface of
tibia and fibula and interosseous membrane
Insertion: tuberosity of navicular, all cuniforms
Action: plantar flexes and inverts foot
Nerve supply: tibial n.