Transcript Document

Skeletal Muscles: Functional Groups
1. Prime movers
•
Provide the major force for producing a
specific movement
2. Antagonists
•
Oppose or reverse a particular movement
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Skeletal Muscles: Functional Groups
3. Synergists
•
Add force to a movement
•
Reduce undesirable or unnecessary
movement
4. Fixators
•
Synergists that immobilize a bone or
muscle’s origin
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Naming Skeletal Muscles
• Location—bone or body region associated
with the muscle
• Shape—e.g., deltoid muscle (deltoid =
triangle)
• Relative size—e.g., maximus (largest),
minimus (smallest), longus (long)
• Direction of fibers or fascicles—e.g., rectus
(fibers run straight), transversus, and oblique
(fibers run at angles to an imaginary defined
axis)
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Naming Skeletal Muscles
• Number of origins—e.g., biceps (2 origins)
and triceps (3 origins)
• Location of attachments—named according to
point of origin or insertion
• Action—e.g., flexor or extensor, muscles that
flex or extend, respectively
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Muscle Mechanics: Arrangement of Fascicles
• Circular
• Fascicles arranged in concentric rings (e.g.,
orbicularis oris)
• Convergent
• Fascicles converge toward a single tendon
insertion (e.g., pectoralis major)
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Muscle Mechanics: Arrangement of Fascicles
• Parallel
• Fascicles parallel to the long axis of a straplike
muscle (e.g., sartorius)
• Fusiform
• Spindle-shaped muscles with parallel fibers
(e.g., biceps brachii)
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Muscle Mechanics: Arrangement of Fascicles
• Pennate
• Short fascicles attach obliquely to a central
tendon running the length of the muscle (e.g.,
rectus femoris)
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(a)
(b)
(g)
(f)
Circular
(orbicularis oris)
(c)
(e)
(c) Parallel
(sartorius)
(d)
(e) Bipennate
(rectus femoris)
(f) Fusiform
(biceps brachii)
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(b) Convergent
(pectoralis major)
(d) Unipennate
(extensor
digitorum
longus)
(g) Multipennate
(deltoid)
Figure 10.1
Major Skeletal Muscles of the Body
• Grouped by function and location
• Information for each muscle
• Name and description—note information in the name
• Origin and insertion—there is usually a joint between
the origin and the insertion
• Action—insertion moves toward origin; best learned by
acting out muscle movement on one’s own body
• Innervation—name of major nerve that supplies the
muscle
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Head
Temporalis
Masseter
Shoulder
Trapezius
Deltoid
Arm
Triceps brachii
Biceps brachii
Brachialis
Forearm
Pronator teres
Brachioradialis
Flexor carpi radialis
Palmaris longus
Pelvis/thigh
Iliopsoas
Pectineus
Thigh
Rectus femoris
Vastus lateralis
Vastus medialis
Leg
Fibularis longus
Extensor digitorum longus
Tibialis anterior
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Facial
Epicranius, frontal belly
Orbicularis oculi
Zygomaticus
Orbicularis oris
Neck
Sternohyoid
Platysma
Sternocleidomastoid
Thorax
Pectoralis minor
Serratus anterior
Pectoralis major
Intercostals
Abdomen
Rectus abdominis
Internal oblique
Transversus abdominis
External oblique
Thigh
Tensor fasciae latae
Sartorius
Adductor longus
Gracilis
Leg
Gastrocnemius
Soleus
Figure 10.4
Arm
Triceps brachii
Brachialis
Forearm
Brachioradialis
Extensor carpi
radialis longus
Flexor carpi ulnaris
Extensor carpi
ulnaris
Extensor digitorum
Iliotibial tract
Leg
Gastrocnemius
Soleus
Fibularis longus
Calcaneal
(Achilles) tendon
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Neck
Epicranius, occipital belly
Sternocleidomastoid
Trapezius
Shoulder
Deltoid
Infraspinatus
Teres major
Rhomboid major
Latissimus dorsi
Hip
Gluteus medius
Gluteus maximus
Thigh
Adductor magnus
Hamstrings:
Biceps femoris
Semitendinosus
Semimembranosus
Figure 10.5
Muscles of the Head
•
Two groups
1. Muscles of facial expression
2. Muscles of mastication and tongue
movement
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Muscles of Facial Expression
• Insert into the skin
• Important in nonverbal communication
• All innervated by cranial nerve VII (facial
nerve)
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Muscles of Facial Expression
• Epicranius (occipitofrontalis)
• Bipartite muscle consisting of the
• Frontalis
• Occipitalis
• Galea aponeurotica—cranial aponeurosis
connecting above muscles
• The two muscles have alternate actions of
pulling the scalp forward and backward
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Epicranius
Corrugator
supercilii
Orbicularis oculi
Levator labii
superioris
Zygomaticus
minor and major
Buccinator
Risorius
Orbicularis oris
Mentalis
Depressor
labii inferioris
Depressor anguli oris
Platysma
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Galea
aponeurotica
Frontal belly
Occipital
belly
Temporalis
Masseter
Sternocleidomastoid
Trapezius
Splenius capitis
Figure 10.6
Muscles of Mastication and Tongue
Movement
• Four pairs involved in mastication
• Prime movers of jaw closure
• Temporalis and masseter
• Grinding movements
• Medial and lateral pterygoids
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Muscles of Mastication and Tongue
Movement
• All are innervated by cranial nerve V
(trigeminal nerve)
• Buccinator muscles (of facial expression
group) also help by holding food between the
teeth
• Three muscles anchor and move the tongue
• All are innervated by cranial nerve XII
(hypoglossal nerve)
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Temporalis
Orbicularis
oris
Buccinator
Masseter
(a)
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Figure 10.7a
Lateral
pterygoid
Medial
pterygoid
(b)
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Masseter
pulled away
Figure 10.7b
Tongue
Styloid process
Styloglossus
Hyoglossus
Stylohyoid
Hyoid bone
Genioglossus
Mandibular
symphysis
Geniohyoid
Thyroid cartilage
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Thyrohyoid
(c)
Figure 10.7c
Muscles of the Anterior Neck and Throat
• Most are involved in swallowing
• Two groups
1. Suprahyoid
2. Infrahyoid
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Suprahyoid Muscles of the Anterior Neck
and Throat
• Four deep muscles are involved in swallowing
(they move the hyoid bone and larynx)
• Form the floor of the oral cavity
• Anchor the tongue
• Move the hyoid bone and the larynx
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Infrahyoid Muscles of the Anterior Neck and
Throat
• Straplike muscles that depress the hyoid and
larynx as swallowing ends and during
speaking
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Median raphe
Anterior
Digastric belly
Posterior
belly
Stylohyoid (cut)
Thyrohyoid
Thyroid cartilage
of the larynx
Thyroid gland
Sternothyroid
Mylohyoid
Stylohyoid
Hyoid bone
Omohyoid
(superior belly)
Sternohyoid
Sternocleidomastoid
Omohyoid
(inferior belly)
(a)
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Figure 10.8a
Tensor veli palatini
Levator veli palatini
Styloid process
Superior pharyngeal
constrictor
Middle pharyngeal
constrictor
Hyoid bone
Thyrohyoid
membrane
Inferior
pharyngeal
constrictor
(c)
Esophagus
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Buccinator
Mandible
Mylohyoid
(cut)
Geniohyoid
Hyoglossus
Thyroid
cartilage
of larynx
Trachea
Figure 10.8c
Muscles of the Neck and Vertebral Column
• Two functional groups
• Muscles that move the head
• Muscles that extend the trunk and maintain
posture
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Muscles of the Neck and Vertebral Column:
Head Movement
• Sternocleidomastoid—major head flexor
• Suprahyoid and infrahyoid—synergists to
head flexion
• Sternocleidomastoid and scalenes—lateral
head movements
• Semispinalis capitis—synergist with
sternocleidomastoid
• Splenius (capitis and cervicis portions): head
extension, rotation, and lateral bending
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1st cervical
vertebra
Sternocleidomastoid
Base of
occipital bone
Mastoid
process
Middle
scalene
Anterior
scalene
Posterior
scalene
(a) Anterior
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Figure 10.9a
Mastoid process
Splenius
capitis
Spinous
processes
of the
vertebrae
Splenius
cervicis
(b) Posterior
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Figure 10.9b
Muscles of the Neck and Vertebral Column:
Trunk Extension
• Deep (intrinsic) back muscles
• Erector spinae (sacrospinalis) group—prime
movers of back extension and lateral bending
• Iliocostalis
• Longissimus
• Spinalis
• Semispinalis and quadratus lumborum—
synergists in extension and rotation
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Mastoid process
of temporal bone
Longissimus capitis
Iliocostalis cervicis
Longissimus
cervicis
Iliocostalis
thoracis
Longissimus thoracis
Spinalis thoracis
Iliocostalis
Erector Longissimus
spinae Spinalis
Iliocostalis
lumborum
External oblique
Ligamentum
nuchae
Semispinalis
capitis
Semispinalis
cervicis
Semispinalis
thoracis
Multifidus
Quadratus
lumborum
(d)
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Figure 10.9d
Muscles of the Thorax
• Muscles of respiration
• External intercostals—more superficial muscles that
elevate ribs for inspiration
• Internal intercostals—deeper muscles that aid forced
expiration
• Diaphragm
• Partition between thoracic and abdominal cavities
• Most important muscle in inspiration
• Innervated by phrenic nerves
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External
intercostal
(a)
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Internal
intercostal
Figure 10.10a
Xiphoid process of sternum
Foramen for inferior
vena cava
Central
tendon of
diaphragm
Foramen
for aorta
12th rib
(b)
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Foramen for
esophagus
Costal cartilage
Diaphragm
Lumbar
vertebra
Quadratus
lumborum
Psoas major
Figure 10.10b
Muscles of the Abdominal Wall
• Four paired muscles; their fasciae and
aponeuroses form the lateral and anterior
abdominal wall
• Internal obliques
• External obliques
• Transversus abdominis
• Rectus abdominis
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Pectoralis major
Serratus anterior
Linea alba
Transversus abdominis
Internal oblique
External oblique
Aponeurosis of the
external oblique
(a)
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Tendinous
intersection
Rectus
abdominis
Inguinal ligament
(formed by free
inferior border of
the external oblique
aponeurosis)
Figure 10.11a
Muscles of the Abdominal Wall
• Fascicles of these muscles run at angles to
one another, providing added strength
• All are innervated by intercostal nerves
• Actions of these muscles
• Lateral flexion and rotation of the trunk
• Help promote urination, defecation, childbirth,
vomiting, coughing, and screaming
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Rectus
abdominis
Internal
oblique
External
oblique
IIiac crest
Pubic
tubercle
Transversus
abdominis
Inguinal
ligament
Lumbar
fascia
Lumbar
fascia
(b)
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Figure 10.11b
Muscles of the Pelvic Floor
• Pelvic floor (pelvic diaphragm) is composed of
two paired muscles
• Levator ani
• Coccygeus
• Both are innervated by sacral nerves
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Muscles of the Pelvic Floor
• Functions of the pelvic diaphragm
• Seals the inferior outlet of the pelvis
• Supports pelvic organs
• Lifts pelvic floor to help release feces
• Resists increased intra-abdominal pressure
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Muscles of the Perineum
• Urogenital diaphragm
• Anterior half of perineum, inferior to pelvic
floor
• Deep transverse perineal muscle
• External urethral sphincter (voluntary control of
urination)
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Anterior
Levator
ani
Symphysis pubis
Urogenital diaphragm
Urethra
Vagina
Anal canal
Pubococcygeus
IIiococcygeus
Obturator
internus
Coccyx
Levator ani
Coccygeus
Piriformis
(a)
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Posterior
Pelvic
diaphragm
Figure 10.12a
Urethral
opening
External urethral
sphincter
Inferior pubic ramus
Deep
transverse
perineal
muscle
Central tendon
Vaginal
opening
Anus
External anal
sphincter
(b)
Male
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Female
Figure 10.12b
Muscles of the Perineum
• Muscles of superficial perineal space
• Ischiocavernosus
• Bulbospongiosus
• Superficial transverse perineal muscles
• External anal sphincter (in posterior half of
perineum)
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Urethral
opening
Vaginal
opening
Clitoris
Anus
Penis
Midline raphe
Ischiocavernosus
Bulbospongiosus
Superficial
transverse
perineal muscle
Levator ani
Gluteus maximus
(c)
Male
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Female
Figure 10.12c
Superficial Muscles of the Thorax
• Most are extrinsic shoulder muscles
• Act in combination to fix the shoulder girdle
(mostly the scapula) and move it to increase
range of arm movements
• Actions include elevation, depression, rotation,
lateral and medial movements, protraction,
and retraction
• Two groups of muscles: anterior and posterior
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Superficial Muscles of the Thorax
• Anterior extrinsic shoulder muscles
• Pectoralis minor
• Serratus anterior
• Subclavius
• (Pectoralis major considered later with
muscles that act on the humerus)
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Sternocleidomastoid
Deltoid
Pectoralis
major
Sternum
Biceps brachii
(a)
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Subclavius
Clavicle
Subscapularis
Pectoralis minor
Coracobrachialis
Serratus anterior
Humerus
Superficial Muscles of the Posterior Thorax
• Posterior extrinsic shoulder muscles
• Trapezius
• Levator scpulae
• Rhomboids (major and minor)
• (Latissimus dorsi considered later with
muscles that act on the humerus)
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Levator
scapulae
Trapezius
Supraspinatus
Clavicle
Deltoid
Rhomboid
minor
Rhomboid
major
Spine of
scapula
Infraspinatus
Teres minor
Teres major
Humerus
Latissimus
dorsi
(c)
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Figure 10.13c
Muscles Crossing the Shoulder Joint
• Nine muscles cross the shoulder joint to insert
on and move the humerus
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Muscles Crossing the Shoulder Joint
• Some originate off the scapula; others
originate off the axial skeleton
• Three are prime movers of the arm
• Pectoralis major
• Latissimus dorsi
• Deltoid
• Actions include flexion, extension, adduction,
abduction, and rotation of humerus
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Muscles Crossing the Shoulder Joint
• Four muscles are rotator cuff muscles
• Supraspinatus
• Infraspinatus
• Teres minor
• Subscapularis
• Reinforce the capsule of the shoulder
• Act as synergists and fixators
• Two additional muscles are synergists:
coracobrachialis and teres major
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Clavicle
Deltoid
Sternum
Pectoralis major
Coracobrachialis
Triceps brachii:
Lateral head
Long head
Medial head
Biceps brachii
Brachialis
Brachioradialis
(a) Anterior view
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Figure 10.14a
Supraspinatus*
Spine of scapula
Deltoid (cut)
Greater tubercle
of humerus
Infraspinatus*
Teres minor*
Teres major
Triceps brachii:
Lateral head
Long head
Latissimus dorsi
Humerus
Olecranon process
of ulna
Anconeus
(b) Posterior view
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* Rotator cuff muscles
Figure 10.14b
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Table 10.12 Part 1
Muscles Crossing the Elbow Joint
• Anterior flexor muscles
• Brachialis and biceps brachii—chief forearm
flexors
• Brachioradialis—synergist and stabilizer
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Clavicle
Deltoid
Sternum
Pectoralis major
Coracobrachialis
Triceps brachii:
Lateral head
Long head
Medial head
Biceps brachii
Brachialis
Brachioradialis
(a) Anterior view
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Figure 10.14a
Muscles Crossing the Elbow Joint
• Posterior extensor muscles
• Triceps brachii—prime mover of forearm
extension
• Anconeus—weak synergist
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Supraspinatus*
Spine of scapula
Deltoid (cut)
Greater tubercle
of humerus
Infraspinatus*
Teres minor*
Teres major
Triceps brachii:
Lateral head
Long head
Latissimus dorsi
Humerus
Olecranon process
of ulna
Anconeus
(b) Posterior view
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* Rotator cuff muscles
Figure 10.14b
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Table 10.12 Part 2
Muscles of the Forearm
• Actions: movements of the wrist, hand, and
fingers
• Most anterior muscles are flexors and insert
via the flexor retinaculum
• Most posterior muscles are extensors and
insert via the extensor retinaculum
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Muscles of the Forearm
• Some forearm muscles act to produce
pronation and supination of the forearm
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Muscles of the Forearm
• Pronators: pronator teres and pronator
quadratus
• Supinator: a synergist with the biceps brachii
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Muscles of the Forearm: Anterior
Compartment
• Flexors
• Flexor carpi radialis
• Palmaris longus
• Flexor carpi ulnaris
• Flexor digitorum muscles (superficialis and
profundus)
• Flexor pollicis longus
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Superficial transverse
ligament of palm
Palmar aponeurosis
Flexor retinaculum
Flexor digitorum
superficialis
Flexor carpi ulnaris
Palmaris longus
Flexor carpi radialis
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Flexor pollicis longus
Extensor carpi radialis longus
Brachioradialis
Pronator teres
Medial epicondyle
of humerus
Medial head of
triceps brachii
Pronator quadratus
Tendon of biceps brachii
(a)
Biceps brachii
Figure 10.15a
Tendon of flexor
digitorum profundus
Tendon of flexor digitorum
superficialis (cut)
Lumbricals
Tendon of flexor
pollicis longus
Thenar muscles of thumb
Tendon of flexor
carpi ulnaris (cut)
Pronator quadratus
Flexor pollicis longus
Flexor digitorum
profundus
Supinator
(c)
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Figure 10.15c
Muscles of the Forearm: Posterior
Compartment
• Extensors
• Extensor carpi radialis longus and brevis
• Extensor digitorum
• Extensor carpi ulnaris
• Extensor pollicis brevis and longus
• Extensor indicis
• Abductor pollicis longus
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Extensor
expansion
Tendons of
extensor
digitorum
Extensor pollicis
longus
Extensor pollicis
brevis
Abductor
pollicis longus
Extensor digitorum
Extensor carpi
radialis brevis
Extensor carpi
radialis longus
Tendons of extensor carpi
radialis brevis and longus
Extensor indicis
Extensor digiti
minimi
Extensor carpi
ulnaris
Flexor carpi
ulnaris
Anconeus
Insertion of
triceps brachii
Brachioradialis
(a)
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Figure 10.16a
Interossei
Extensor indicis
Extensor pollicis brevis
Extensor pollicis longus
Abductor pollicis longus
Supinator
Anconeus
Olecranon process of ulna
(b)
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Figure 10.16b
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Figure 10.12 Part 3
Intrinsic Muscles of the Hand
• Small weak muscles
• Lie entirely within the palm of the hand
• Control precise movements of metacarpals
and fingers (e.g., threading a needle)
• Abductors and adductors of the fingers
• Produce opposition—move the thumb toward
the little finger
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Finger and Thumb Movements
• Flexion
• Thumb—bends medially along the palm
• Fingers—bend anteriorly
• Extension
• Thumb—points laterally
• Fingers—move posteriorly
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Intrinsic Muscles of the Hand
• Three groups
• Thenar eminence (ball of the thumb)
• Hypothenar eminence (ball of the little finger)
• Each of the above groups has a flexor, an abductor,
and an opponens muscle
• Midpalmar muscles: lumbricals and palmar and
dorsal interossei extend the fingers
• Interossei muscles also abduct and adduct the fingers
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Tendons of:
Flexor digitorum
profundus
Flexor digitorum
superficialis
Third
lumbrical
Fourth
lumbrical
Opponens
digiti minimi
Flexor digiti
minimi brevis
Abductor
digiti minimi
Pisiform bone
Flexor carpi
ulnaris tendon
Flexor digitorum
superficialis
tendons
(a) First superficial layer
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Fibrous sheath
Second lumbrical
Dorsal interossei
First lumbrical
Adductor pollicis
Flexor pollicis
brevis
Abductor pollicis
brevis
Opponens pollicis
Flexor retinaculum
Abductor pollicis
longus
Tendons of:
Palmaris longus
Flexor carpi radialis
Flexor pollicis longus
Figure 10.18a
Flexor digitorum
profundus tendon
Flexor digitorum
superficialis tendon
Dorsal interossei
Palmar interossei
Adductor pollicis
Opponens digiti
minimi
Flexor pollicis
brevis
Flexor digiti minimi
brevis (cut)
Abductor digiti minimi
(cut)
(b) Second layer
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Abductor pollicis
brevis
Opponens pollicis
Flexor pollicis longus
tendon
Figure 10.18b
Palmar interossei
(c) Palmar interossei (isolated)
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Figure 10.18c
Dorsal interossei
(d) Dorsal interossei (isolated)
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Figure 10.18d
Muscles Crossing Hip and Knee Joints
• Most anterior muscles flex the femur at the hip
and extend the leg at the knee (foreswing of
walking)
• Most posterior muscles extend the thigh and
flex the leg (backswing of walking)
• Medial muscles all adduct the thigh
• All three groups are enclosed by the fascia
lata
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Movements of the Thigh
• Include flexion, extension, abduction,
adduction, circumduction, and rotation
• Thigh flexors pass in front of the hip joint
• Iliopsoas (iliacus and psoas major): prime
mover of flexion
• Tensor fasciae latae
• Rectus femoris
• Assisted by medial adductors and sartorius
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12th rib
Quadratus lumborum
Psoas minor
Iliac crest
Psoas major
Iliopsoas
Iliacus
12th thoracic vertebra
5th lumbar vertebra
Anterior superior iliac spine
Tensor fasciae latae
Pectineus
Sartorius
Quadriceps femoris
• Rectus femoris
• Vastus lateralis
• Vastus medialis
Adductor longus
Gracilis
Adductor magnus
Tendon of quadriceps femoris
Patella
Patellar ligament
(a)
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Figure 10.19a
Movements of the Thigh
• Thigh extensors
• Hamstring muscles (prime movers of
extension)
• Biceps femoris
• Semitendinosus
• Semimembranosus
• Gluteus maximus (prime mover during
forceful extension)
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Gluteus medius
Gluteus maximus
Adductor magnus
Gracilis
Iliotibial tract
Long head Biceps
Short head femoris
Semitendinosus
Semimembranosus
Hamstrings
(a)
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Figure 10.20a
Movements of the Thigh
• Adductors (also medially rotate thigh)
• Adductor magnus
• Adductor longus
• Adductor brevis
• Pectineus
• Gracilis
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Pectineus
(cut)
Adductor
brevis
Adductor
longus
Adductor
magnus
Femur
(b)
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O = origin
I = insertion
Figure 10.19b
Movements of the Thigh
• Abductors
• Gluteus maximus (also laterally rotates thigh)
• Gluteus medius (also medially rotates thigh)
• Gluteus minimus (also medially rotates thigh)
• Piriformis (also laterally rotates thigh)
• Obturator externus (also laterally rotates thigh)
• Obturator internus (also laterally rotates thigh)
• Gemellus (also laterally rotates thigh)
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Gluteus medius (cut)
Gluteus minimus
Superior
gemellus
Piriformis
Obturator
internus
Obturator
externus
Quadratus
femoris
Inferior
gemellus
Gluteus
maximus
(cut)
(c)
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Figure 10.20c
Muscles of the Thigh that Move the Knee
Joint
• Quadriceps femoris—sole extensor of the
knee
• Hamstring muscles—flex the knee, and are
antagonists to the quadriceps femoris
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12th rib
Quadratus lumborum
Psoas minor
Iliac crest
Psoas major
Iliopsoas
Iliacus
12th thoracic vertebra
5th lumbar vertebra
Anterior superior iliac spine
Tensor fasciae latae
Pectineus
Sartorius
Quadriceps femoris
• Rectus femoris
• Vastus lateralis
• Vastus medialis
Adductor longus
Gracilis
Adductor magnus
Tendon of quadriceps femoris
Patella
Patellar ligament
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Gluteus medius
Gluteus maximus
Adductor magnus
Gracilis
Iliotibial tract
Long head Biceps
Short head femoris
Semitendinosus
Semimembranosus
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Hamstrings
Muscles of the Leg: Movements
• Various leg muscles produce the following
movements
• Ankle—dorsiflexion and plantar flexion
• Intertarsal joints—inversion and eversion of
the foot
• Toes—flexion and extension
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Muscles of the Anterior Compartment of
the Leg
• Primary toe extensors and ankle dorsiflexors
• Tibialis anterior
• Extensor digitorum longus
• Extensor hallucis longus
• Fibularis tertius (not always present)
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Fibularis longus
Gastrocnemius
Tibia
Tibialis anterior
Extensor digitorum longus
Soleus
Extensor hallucis longus
Fibularis tertius
Superior and inferior
extensor retinacula
Extensor hallucis brevis
Extensor digitorum brevis
(a)
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Figure 10.21a
Muscles of the Lateral Compartment of
the Leg
• Plantar flexion and eversion of the foot
• Fibularis longus
• Fibularis brevis
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Patella
Head of fibula
Gastrocnemius
Soleus
Fibularis longus
Extensor digitorum longus
Fibularis brevis
Flexor hallucis longus
Fibular retinaculum
Tibialis anterior
Extensor hallucis longus
Fibularis tertius
Superior and inferior extensor
retinacula
Extensor hallucis brevis
Extensor digitorum brevis
Lateral malleolus
(a)
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5th metatarsal
Figure 10.22a
Muscles of the Posterior Compartment of
the Leg
• Flexors of the foot and the toes
• Gastrocnemius
• Soleus
• Plantaris
• Popliteus
• Tibialis posterior
• Flexor digitorum longus
• Flexor hallucis longus
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Plantaris
Gastrocnemius Medial head
Lateral head
Tendon of
gastrocnemius
Calcaneal tendon
Medial malleolus
Lateral malleolus
Calcaneus
(a) Superficial view of the posterior leg.
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Figure 10.23a
Gastrocnemius
medial head (cut)
Plantaris (cut)
Gastrocnemius
lateral head (cut)
Popliteus
Soleus (cut)
Tibialis posterior
Fibula
Flexor digitorum
longus
Fibularis longus
Tendon of tibialis
posterior
Fibularis brevis
Flexor hallucis longus
Medial malleolus
Calcaneal tendon (cut)
Calcaneus
(c) The triceps surae has been removed to show the
deep muscles of the posterior compartment.
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Figure 10.23c
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Table 10.17 Part 1
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Table 10.17 Part 2
Intrinsic Muscles of the Foot
• Help flex, extend, abduct, and adduct the toes
• Support the arches of the foot along with
some leg tendons
• Extensor digitorum brevis—dorsal foot muscle
that helps extend the toes
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Fibularis longus
Gastrocnemius
Tibia
Tibialis anterior
Extensor digitorum longus
Soleus
Extensor hallucis longus
Fibularis tertius
Superior and inferior
extensor retinacula
Extensor hallucis brevis
Extensor digitorum brevis
(a)
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Figure 10.21a
Plantar Muscles
• The plantar muscles occur in four layers
1. Superficial layer
• Flexor digitorum brevis
• Abductor hallucis
• Abductor digiti minimi
2. Second layer
• Flexor accessorius
• Lumbricals
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Tendon of flexor hallucis longus
Lumbricals
Flexor hallucis brevis
Flexor digiti minimi brevis
Abductor hallucis
Flexor digitorum brevis
Flexor accessorius
Abductor digiti minimi
Calcaneal tuberosity
(a) First layer (plantar aspect)
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Figure 10.24a
Lumbricals
Flexor hallucis brevis
Flexor hallucis longus tendon
Flexor digitorum longus (tendon)
Flexor digiti minimi brevis
Abductor digiti minimi
Flexor accessorius
Fibularis longus (tendon)
Flexor digitorum longus (tendon)
Flexor hallucis longus (tendon)
(b) Second layer (plantar aspect)
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Figure 10.24b
Plantar Muscles
3. Third layer
• Flexor hallucis brevis
• Adductor hallucis
• Flexor digiti minimi brevis
4. Deepest layer
• Plantar and dorsal interossei
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Adductor hallucis (transverse head)
Adductor hallucis (oblique head)
Interosseous muscles
Flexor hallucis brevis
Flexor digiti minimi brevis
Fibularis longus (tendon)
Flexor accessorius
Flexor digitorum longus (tendon)
Flexor hallucis longus (tendon)
(c) Third layer (plantar aspect)
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Figure 10.24c
Plantar interossei
(d) Fourth layer (plantar aspect): plantar interossei
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