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Musculoskeletal muscles 2 - PPT Presentation

Chapter 4 SEHS Muscle Tissue Lecture Outline Principles of Human Anatomy and Physiology 11e 3 INTRODUCTION Motion results from alternating contraction shortening and relaxation of muscles the skeletal system provides leverage and a supportive framework for this movement ID: 934925

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Slide1

Musculoskeletal

muscles

Slide2

2

Chapter

4 SEHS

Muscle Tissue

Lecture Outline

Slide3

Principles of Human Anatomy and Physiology, 11e

3

INTRODUCTION

Motion results from alternating contraction (shortening) and relaxation of muscles; the skeletal system provides leverage and a supportive framework for this movement.

The scientific study of muscles is known as

myology

.

Slide4

Principles of Human Anatomy and Physiology, 11e

4

Chapter 10

Muscle Tissue

Alternating contraction and relaxation of cells

Chemical energy changed into mechanical energy

Slide5

Principles of Human Anatomy and Physiology, 11e

5

OVERVIEW OF MUSCLE TISSUE

Types of Muscle Tissue

Skeletal muscle tissue is primarily attached to bones. It is striated and voluntary.

Cardiac muscle tissue forms the wall of the heart. It is striated and involuntary.

Smooth (visceral) muscle tissue is located in viscera. It is nonstraited (smooth) and involuntary.

Table 4.4 compares the different types of muscle.

Slide6

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3 Types of Muscle Tissue

Skeletal muscle

attaches to bone, skin or fascia

striated with light & dark bands visible with scope

voluntary control of contraction & relaxation

Slide7

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3 Types of Muscle Tissue

Cardiac muscle

striated in appearance

involuntary control

autorhythmic because of built in pacemaker

Slide8

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3 Types of Muscle Tissue

Smooth muscle

attached to hair follicles in skin

in walls of hollow organs -- blood vessels & GI

nonstriated in appearance

involuntary

Slide9

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Functions of Muscle Tissue

Producing body movements

Stabilizing body positions

Regulating organ volumes

bands of smooth muscle called sphincters

Movement of substances within the body

blood, lymph, urine, air, food and fluids, sperm

Producing heat

involuntary contractions of skeletal muscle (shivering)

Slide10

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Properties of Muscle Tissue

Excitability

respond to chemicals released from nerve cells

Conductivity

ability to propagate electrical signals over membrane

Contractility

ability to shorten and generate force

Extensibility

ability to be stretched without damaging the tissue

Elasticity

ability to return to original shape after being stretched

Slide11

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SKELETAL MUSCLE TISSUE

Each skeletal muscle is a separate organ composed of cells called

fibers

.

Slide12

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Skeletal Muscle --

Connective Tissue

Superficial fascia is

loose connective tissue & fat underlying the skin

Deep fascia = dense irregular connective tissue around muscle

Connective tissue components of the muscle include

epimysium = surrounds the whole muscle

perimysium = surrounds bundles (fascicles) of 10-100 muscle cells

endomysium = separates individual muscle cells

All these connective tissue layers extend beyond the muscle belly to form the tendon

Slide13

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Connective Tissue Components

Slide14

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Muscle Fiber or Myofibers

Muscle cells are long, cylindrical & multinucleated

Sarcolemma = muscle cell membrane

Sarcoplasm filled with tiny threads called myofibrils & myoglobin (red-colored, oxygen-binding protein)

Slide15

Principles of Human Anatomy and Physiology, 11e

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Myofibrils & Myofilaments

Muscle fibers are filled with threads called myofibrils separated by SR (sarcoplasmic reticulum)

The

sarcoplasmic reticulum

encircles each myofibril. It is similar to smooth endoplasmic reticulum in nonmuscle cells and in the relaxed muscle stores calcium ions.

Myofilaments (thick & thin filaments) are the contractile proteins of muscle

Slide16

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Sarcoplasmic Reticulum (SR)

System of tubular sacs similar to smooth ER in nonmuscle cells

Stores Ca+2 in a relaxed muscle

Release of Ca+2 triggers muscle contraction

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Filaments and the Sarcomere

Thick and thin filaments overlap each other in a pattern that creates striations (light I bands and dark A bands)

The I band region contains only thin filaments.

They are arranged in compartments called sarcomeres, separated by Z discs.

In the overlap region, six thin filaments surround each thick filament

Slide18

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Sarcomere

Figure 10.5 shows the relationships of the zones, bands, and lines as seen in a transmission electron micrograph.

Exercise can result in torn sarcolemma, damaged myofibrils, and disrupted Z discs (Clinical Application).

Slide19

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Thick & Thin Myofilaments

Supporting proteins (M line, titin and Z disc help anchor the thick and thin filaments in place)

Slide20

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Thick & Thin Myofilaments Overlap

Dark(A) & light(I) bands (electron microscope)

Slide21

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The Proteins of Muscle

Myofibrils are built of 3 kinds of protein

contractile proteins

myosin and actin

regulatory proteins which turn contraction on & off

troponin and tropomyosin

structural proteins which provide proper alignment, elasticity and extensibility

titin, myomesin, nebulin and dystrophin

Slide22

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The Proteins of Muscle -- Myosin

Thick filaments are composed of myosin

each molecule resembles two golf clubs twisted together

myosin heads (cross bridges) extend toward the thin filaments

Held in place by the M line proteins.

Slide23

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The Proteins of Muscle -- Actin

Thin filaments are made of actin, troponin, & tropomyosin

The myosin-binding site on each actin molecule is covered by tropomyosin in relaxed muscle

The thin filaments are held in place by Z lines. From one Z line to the next is a sarcomere.

Slide24

http://www.youtube.com/watch?v=0kFmbrRJq4w

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Slide25

http://www.blackwellpublishing.com/matthews/myosin.html

Principles of Human Anatomy and Physiology, 11e

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Slide26

Human back muscles

http://www.scivee.tv/node/2413

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Slide27

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Structural Proteins

Structural proteins keep the thick and thin filaments in the proper alignment, give the myofibril elasticity and extensibility, and link the myofibrils to the sarcolemma and extracellular matrix.

Titin

helps a sarcomere return to its resting length after a muscle has contracted or been stretched.

Myomesin

forms the M line.

Nebulin

helps maintain alignment of the thin filaments in the sarcomere.

Dystrophin

reinforces the sarcolemma and helps transmit the tension generated by the sarcomeres to the tendons.

Table 10.1 reviews the type of proteins in skeletal muscle.

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The Proteins of Muscle -- Titin

Titan anchors thick filament to the M line and the Z disc.

The portion of the molecule between the Z disc and the end of the thick filament can stretch to 4 times its resting length and spring back unharmed.

Role in recovery of the muscle from being stretched.

Slide29

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Structural Proteins

The M line (myomesin) connects to titin and adjacent thick filaments.

Nebulin, an inelastic protein helps align the thin filaments.

Dystrophin links thin filaments to sarcolemma and transmits the tension generated to the tendon.

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Sliding Filament Mechanism Of Contraction

Myosin cross bridges

pull on thin filaments

Thin filaments slide

inward

Z Discs come toward

each other

Sarcomeres shorten.The muscle fiber shortens. The muscle shortens

Notice :Thick & thin filaments do not change in length

Slide31

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Overview: From Start to Finish

Basic Structures

Nerve ending

Neurotransmitter

Muscle membrane

Stored Ca

+2

ATP

Muscle proteins

Slide32

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How Does Contraction Begin?

Nerve impulse reaches an axon terminal & synaptic vesicles release acetylcholine (ACh)

ACh diffuses to receptors on the sarcolemma & Na

+

channels open and Na

+

rushes into the cell

A muscle action potential spreads over sarcolemma and down into the transverse tubules

SR releases Ca

+2

into the sarcoplasm

Ca

+2 binds to troponin & causes troponin-tropomyosin complex to move & reveal myosin binding sites on actin--the contraction cycle begins

Slide33

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Contraction Cycle

Repeating sequence of events that cause the thick & thin filaments to move past each other.

4 steps to contraction cycle

ATP hydrolysis

attachment of myosin to actin to form crossbridges

power stroke

detachment of myosin from actin

Cycle keeps repeating as long as there is ATP available & there is a high Ca

+2

level near the filaments.

Slide34

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Steps in the Contraction Cycle

Notice how the myosin head attaches and pulls on the thin filament with the energy released from ATP

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ATP and Myosin

Myosin heads are activated by ATP

Activated heads attach to actin & pull (power stroke)

ADP is released. (ATP released P & ADP & energy)

Thin filaments slide past the thick filaments

ATP binds to myosin head & detaches it from actin

All of these steps repeat over and over

if ATP is available &

Ca+ level near the troponin-tropomyosin complex is high

Slide36

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Excitation - Contraction Coupling

All the steps that occur from the muscle action potential reaching the T tubule to contraction of the muscle fiber.

Slide37

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Relaxation

Acetylcholinesterase (AChE) breaks down ACh within the synaptic cleft

Muscle action potential ceases

Ca

+2

release channels close

Active transport pumps Ca

+2

back into storage in the sarcoplasmic reticulum

Calcium-binding protein (calsequestrin) helps hold Ca

+2

in SR (Ca+2 concentration 10,000 times higher than in cytosol)Tropomyosin-troponin complex recovers binding site on the actin

Slide38

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Overview: From Start to Finish

Nerve ending

Neurotransmittor

Muscle membrane

Stored Ca

+2

ATP

Muscle proteins

Slide39

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CARDIAC MUSCLE TISSUE - Overview

Cardiac muscle tissue is found only in the heart

walland

top

of Aorta (see Chapter 20).

Its fibers are arranged similarly to skeletal muscle fibers.

Cardiac muscle fibers

connect to adjacent fibers by

intercalated discs

which contain

desmosomes

and gap junctions (Figure 4.1e).Cardiac muscle contractions last longer than the skeletal muscle twitch due to the prolonged delivery of calcium ions from the sarcoplasmic reticulum and the extracellular fluid.

Cardiac muscle fibers contract when stimulated by their own autorhythmic fibers.

This continuous, rhythmic activity is a major physiological difference between cardiac and skeletal muscle tissue.

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Cardiac versus Skeletal Muscle

More sarcoplasm and mitochondria

Larger transverse tubules located at Z discs, rather than at A-l band junctions

Less well-developed SR

Limited intracellular Ca+2 reserves

more Ca+2 enters cell from extracellular fluid during contraction

Prolonged delivery of Ca+2 to sarcoplasm, produces a contraction that last 10 -15 times longer than in skeletal muscle

Slide41

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SMOOTH MUSCLE

Smooth muscle

tissue is nonstriated and involuntary and is classified into two types:

visceral (single unit) smooth muscle

(Figure 10.18a) and

multiunit smooth muscle

(Figure 10.18b).

Visceral (single unit) smooth muscle

is found in the walls of hollow viscera and small blood vessels; the fibers are arranged in a network and function as a “single unit.”

Multiunit smooth muscle

is found in large blood vessels, large airways, arrector pili muscles, and the iris of the eye. The fibers operate singly rather than as a unit.

Slide42

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Two Types of Smooth Muscle

Visceral (single-unit)

in the walls of hollow viscera & small BV

autorhythmic

gap junctions cause fibers to contract in unison

Multiunit

individual fibers with own motor neuron ending

found in large arteries, large airways, arrector pili muscles,iris & ciliary body

Slide43

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INTRODUCTION

The voluntarily controlled muscles of the body make up the

muscular system

.

The muscular system and muscle tissue contribute to homeostasis by producing movement, stabilizing body position, regulating organ volume, moving substances within the body, and producing heat.

This chapter discusses how skeletal muscles produce movement and describes the principal skeletal muscles.

Slide44

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Chapter 11

The Muscular System

Skeletal muscle major groupings

How movements occur at specific joints

Learn the origin, insertion, function and innervation of all major muscles

Important to allied health care and physical rehabilitation students

Slide45

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Muscle Attachment Sites:

Origin and Insertion

Skeletal muscles shorten & pull on the bones they are attached to

Origin is the bone that does not move when muscle shortens (normally proximal)

Insertion is the movable bone (some 2 joint muscles)

Fleshy portion of the muscle in between attachment sites = belly

Slide46

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Tenosynovitis

Inflammation of tendon and associated connective tissues at certain joints

wrist, elbows and shoulder commonly affected

Pain associated with movement

Causes

trauma, strain or excessive exercise

Slide47

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Lever Systems and Leverage

A lever is a rigid structure that moves around a fixed point, the

fulcrum

(F)

The lever is acted on by two different forces: (Figure 11.1b).

resistance

(

load

) (L), which opposes movement

effort

(E) which causes movement Bones serve as levers and joints serve as

fulcrums.Leverage, the mechanical advantage gained by a lever, is largely responsible for a muscle’s strength and range of motion (ROM), i.e., the maximum ability to move the bones of a joint through an arc.

Slide48

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Levers

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Levers are categorized into three types –

First class levers (EFL) e.g. a seesaw – the head on the vertebral column (Figure 11.2a)

Second-class (FLE) eg. a wheelbarrow(Figure 11.2b)

Third-class (FEL) (Figure 11.1b) e.g. forceps - the elbow joint (Figure 11.2c).

Slide50

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Muscle acts on rigid rod (bone)

that moves around a

fixed point called a fulcrum

Resistance is weight of body

part & perhaps an object

Effort or load is work done

by muscle contraction

Mechanical advantage

the muscle whose attachment is farther from the joint will produce the most force

the muscle attaching closer to the joint has the greater range of motion and the faster the speed it can produce

Lever Systems and Leverage

Slide51

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First - Class Lever

Can produce mechanical advantage or not depending on location of effort & resistance

if effort is further from fulcrum than resistance, then a strong resistance can be moved

Head resting on vertebral column

weight of face is the resistance

joint between skull & atlas is fulcrum

posterior neck muscles provide effort

Slide52

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Second - Class Lever

Similar to a wheelbarrow

Always produce mechanical advantage

resistance is always closer to fulcrum than the effort

Sacrifice of speed for force

Raising up on your toes

resistance is body weight

fulcrum is ball of foot

effort is contraction of calf muscles which pull heel up off of floor

Slide53

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Third - Class Lever

Most common levers in the body

Always produce a mechanical disadvantage

effort is always closer to fulcrum than resistance

Favors speed and range of motion over force

Flexor muscles at the elbow

resistance is weight in hand

fulcrum is elbow joint

effort is contraction of biceps brachii muscle

Slide54

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Fascicle Arrangements

A contracting muscle shortens to about 70% of its length

Fascicular arrangement represents a compromise between force of contraction (power) and range of motion

muscles with longer fibers have a greater range of motion

a short fiber can contract as forcefully as a long one.

Slide55

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Coordination Within Muscle Groups

Most movement is the result of several muscle working at the same time

Most muscles are arranged in opposing pairs at joints

prime mover or agonist contracts to cause the desired action

antagonist stretches and yields to prime mover

synergists contract to stabilize nearby joints

fixators stabilize the origin of the prime mover

scapula held steady so deltoid can raise arm

Slide56

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HOW SKELETAL MUSCLES ARE NAMED

The names of most of the nearly 700 skeletal muscles are based on several types of characteristics.

These characteristics may be reflected in the name of the muscle.

The most important characteristics include the direction in which the muscle fibers run, the size, shape, action, numbers of origins, and location of the muscle, and the sites of origin and insertion of the muscle

Examples from Table 11.2

triceps brachii -- 3 sites of origin

quadratus femoris -- square shape

serratus anterior -- saw-toothed edge

Slide57

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PRINCIPLE SKELETAL MUSCLES

Exhibits 11.1 through 11.20 list the principle skeletal muscles in various regions of the body.

Figure 11.3 shows general anterior and posterior views of the muscular system.

The exhibits contain objectives, an overview which provides a general orientation to the muscles, muscle names, origins, insertions, and actions, “relating muscles to movements,” innervation, and Figures (11.4-11.23) that show the muscles under consideration.

Slide58

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Muscles of Abdominal Wall

Notice 4 layers of muscle in the abdominal wall

Slide59

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Muscles of Abdominal Wall

4 pairs of sheetlike muscles

rectus abdominis = vertically oriented

external & internal obliques and transverses abdominis

wrap around body to form anterior body wall

form rectus sheath and linea alba

Inguinal ligament from anterior superior iliac spine to upper surface of body of pubis

Inguinal canal = passageway from pelvis through body wall musculature opening seen as superficial inguinal ring

Inguinal hernia = rupture or separation of abdominal wall allowing protrusion of part of the small intestine (more common in males)

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Transverse Section of Body Wall

Rectus sheath formed from connective tissue aponeuroses of other abdominal muscles as they insert in the midline connective tissue called the linea alba

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Muscles Used in Breathing

Breathing requires a change in size of the thorax

During inspiration, thoracic cavity increases in size

external intercostal lift the ribs

diaphragm contracts & dome is flattened

During expiration, thoracic cavity decreases in size

internal intercostal mm used in forced expiration

Diaphragm is innervated by phrenic nerve (C3-C5) but intercostals innervated by thoracic spinal nerves (T2-T12)

Quadratus lumborum fills in space between 12th rib & iliac crest to create posterior body wall

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Muscles Used in Breathing

Breathing requires a change in size of the thorax

During inspiration, thoracic cavity increases in size

external intercostal lift the ribs

diaphragm contracts & dome is flattened

During expiration, thoracic cavity decreases in size

internal intercostal mm used in forced expiration

Diaphragm is innervated by phrenic nerve (C3-C5) but intercostals innervated by thoracic spinal nerves (T2-T12)

Quadratus lumborum fills in space between 12th rib & iliac crest to create posterior body wall

Slide63

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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

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Axial Muscles that Move the Arm

Pectoralis major & Latissimus dorsi extend from body wall to humerus.

Slide65

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Muscles that Move the Arm

Deltoid arises from acromion & spine of scapula & inserts on arm

abducts, flexes & extends arm

Rotator cuff muscles extend from scapula posterior to shoulder joint to attach to the humerus

supraspinatus & infraspinatus: above & below spine of scapula

subscapularis on inner surface of scapula

Slide66

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Flexors of the Forearm (elbow)

Cross anterior surface of elbow joint & form flexor muscle compartment

Biceps brachii

scapula to radial tuberosity

flexes shoulder and elbow & supinates hand

Brachialis

humerus to ulna

flexion of elbow

Brachioradialis

humerus to radius

flexes elbow

Slide67

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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

extends elbow & shoulder joints

Anconeus

assists triceps brachii in extending the elbow

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Cross-Section Through Forearm

If I am looking down onto this section is it from right or left arm?

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Muscle that Pronate & Flex

Pronator teres

medial epicondyle to radius so contraction turns palm of hand down towards floor

Flexor carpi muscles

radialis

ulnaris

Flexor digitorum muscles

superficialis

profundus

Flexor pollicis

Slide70

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Muscles that Supinate & Extend

Supinator

lateral epicondyle of humerus to radius

supinates hand

Extensors of wrist and fingers

extensor carpi

extensor digitorum

extensor pollicis

extensor indicis

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Muscles that Move the Vertebrae

Quite complex due to overlap

Erector spinae fibers run longitudinally

3 groupings

spinalis

iliocostalis

longissimus

extend vertebral column

Smaller, deeper muscles

transversospinalis group

semispinalis, multifidis & rotatores

run from transverse process to dorsal spine of vertebrae above & help rotate vertebrae

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Muscles Crossing the Hip Joint

Iliopsoas flexes hip joint

arises lumbar vertebrae & ilium

inserts on lesser trochanter

Quadriceps femoris has 4 heads

Rectus femoris crosses hip

3 heads arise from femur

all act to extend the knee

Adductor muscles

bring legs together

cross hip joint medially

see next picturePulled groin muscleresult of quick sprint activitystretching or tearing of iliopsoas or adductor muscle

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Adductor Muscles of the Thigh

Adductor group of muscle extends from pelvis to linea aspera on posterior surface of femur

pectineus

adductor longus

adductor brevis

gracilis

adductor magnus (hip extensor)

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Muscles of the Butt & Thigh

Gluteus muscles

maximus, medius & minimus

maximus extends hip

medius & minimus abduct

Deeper muscles laterally rotate femur

Hamstring muscles

semimembranosus (medial)

semitendinosus (medial)

biceps femoris (lateral)

extend hip & flex knee

Pulled hamstringtear of origin of muscles from ischial tuberosity

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Cross-Section through Thigh

3 compartments of muscle with unique innervation

anterior compartment is quadriceps femoris innervated by femoral nerve

medial compartment is adductors innervated by obturator nerve

posterior compartment is hamstrings innervated by sciatic nerve

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Muscles of the Calf (posterior leg)

3 muscles insert onto calcaneus

gastrocnemius arises femur

flexes knee and ankle

plantaris & soleus arise from leg

flexes ankle

Deeper mm arise from tibia or fibula

cross ankle joint to insert into foot

tibialis posterior

flexor digitorum longus

flexor hallucis longus

flexing ankle joint & toes

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Muscles of the Leg and Foot

Anterior compartment of leg

extensors of ankle & toes

tibialis anterior

extensor digitorum longus

extensor hallucis longus

tendons pass under retinaculum

Shinsplits syndrome

pain or soreness on anterior tibia

running on hard surfaces

Lateral compartment of leg

peroneus mm plantarflex the foottendons pass posteriorly to axis of ankle joint and into plantar foot

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Muscles of the Plantar Foot

Intrinsic muscles

arise & insert in foot

4 layers of muscles

get shorter as go into deeper layers

Flex, adduct & abduct toes

Digiti minimi muscles move little toe

Hallucis muscles move big toe

Plantar fasciitis (painful heel syndrome) chronic irritation of plantar aponeurosis at calcaneus

improper shoes & weight gain

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Compartment Syndrome

Skeletal muscles in the limbs are organized in units called

compartments

.

In

compartment syndrome

, some external or internal pressure constricts the structures within a compartment, resulting in damaged blood vessels and subsequent reduction of the blood supply to the structures within the compartment.

Without intervention, nerves suffer damage, and muscle develop scar tissue that results in permanent shortening of the muscles, a condition called

contracture

.

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IM injection

Intramuscular injection penetrates the skin, subcutaneous tissue and enters the muscle.

They are given when rapid absorption is necessary, for large doses, or when a drug is irritating to subcutaneous tissue.

Common sites of injection are the gluteus medius, vastul lateralis, and deltoid.

Intramuscular injections are faster than oral medications, but slower than IV.