Chapter 10 *Lecture PowerPoint The Muscular System Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.

Introduction Facts about muscles Three kinds of muscle tissue Muscles constitute nearly half of the body’s weight and occupy a place of central interest in several fields of health care and fitness Physical and occupational therapy, athletes, dancers, trainers, acrobats, nurses, and more Muscular system is closely related to other systems covered previously Chapters 11 and 12 will examine the mechanisms of muscle contraction at the cellular and molecular levels Three kinds of muscle tissue Skeletal, cardiac, smooth Added this from Page 313

Introduction In this chapter we will cover: Structural and functional organization of muscles Muscles of the head and neck Muscles of the trunk Muscles acting on the shoulder and upper limb Muscles acting on the hip and lower limb Figure 10.5

The Structural and Functional Organization of Muscles Expected Learning Outcomes Describe the varied functions of muscles. Describe the connective tissue components of a muscle and their relationship to the bundling of muscle fibers. Describe the various shapes of skeletal muscles and relate this to their functions. Explain what is meant by the origin, insertion, belly, action, and innervation of a muscle. Add this slide, text from page 313

The Structural and Functional Organization of Muscles Cont. Describe the ways that muscles work in groups to aid, oppose, or moderate each other’s actions. Distinguish between intrinsic and extrinsic muscles. Describe in general terms the nerve supply to the muscles and where these nerves originate. Explain how the Latin names of muscles can aid in visualizing and remembering them.

The Structural and Functional Organization of Muscles About 600 human skeletal muscles Constitute about half of our body weight Specialized for one major purpose Converting the chemical energy in ATP into the mechanical energy of motion Myology—the study of the muscular system

The Functions of Muscles Movement Move from place to place, movement of body parts and body contents in breathing, circulation, feeding and digestion, defecation, urination, and childbirth Stability Maintain posture by preventing unwanted movements Antigravity muscles: resist pull of gravity and prevent us from falling or slumping over Stabilize joints Role in communication: speech, writing, nonverbal communications

The Functions of Muscles Control of openings and passageways Sphincters: internal muscular rings that control the movement of food, bile, blood, and other materials within the body Heat production by skeletal muscles As much as 85% of our body heat Glycemic control Regulation of blood glucose concentrations within its normal range by storing glycogen

Connective Tissues of a Muscle Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Tendon Fascia Skeletal muscle Muscle fascicle Nerve Blood vessels Epimysium Figure 10.1a Figure 10.1 a Perimysium Endomysium Muscle fiber Muscle fascicle Perimysium Muscle fiber (a)

Connective Tissues and Fascicles Endomysium Thin sleeve of loose connective tissue surrounding each muscle fiber Allows room for capillaries and nerve fibers to reach each muscle fiber Provides extracellular chemical environment for the muscle fiber and its associated nerve ending Perimysium Slightly thicker layer of connective tissue Fascicles: bundles of muscle fibers wrapped in perimysium Carry larger nerves and blood vessels, and stretch receptors Split this slide 10-8 and 10-9 figure 10.1a

Connective Tissues and Fascicles Epimysium Fibrous sheath surrounding the entire muscle Outer surface grades into the fascia Inner surface sends projections between fascicles to form perimysium Fascia Sheet of connective tissue that separates neighboring muscles or muscle groups from each other and the subcutaneous tissue Split this slide 10-8 and 10-9 figure 10.1a

Connective Tissues of a Muscle Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Perimysium Endomysium Muscle fiber, c.s. Fascicle, c.s. Muscle fiber, l.s. Fascicle, l.s. (c) Victor Eroschenko Figure 10.1c

Fascicles and Muscle Shapes Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Unipennate T riangular Bipennate Parallel Multipennate Fusiform Tendon Circular Belly Pectoralis major Palmar interosseous Tendon Rectus femoris Rectus abdominis Deltoid Biceps brachii Figure 10.2 Orbicularis oculi Strength of a muscle and the direction of its pull are determined partly by the orientation of its fascicles

Muscle Compartments Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Anterior Lateral Medial Posterior Key Posterior compartment, superficial layer deep layer Lateral compartment Anterior compartment Subcutaneous fat Fasciae Intermuscular septa Artery, veins, and nerve Interosseous membrane Fibula Tibia Figure 10.3 A group of functionally related muscles enclosed and separated from others by connective tissue fascia Contains nerves, blood vessels that supply the muscle group Thoracic, abdominal walls, pelvic floor, limbs Intermuscular septa separate one compartment from another

Muscle Attachments Indirect attachment to bone Tendons bridge the gap between muscle ends and bony attachment Collagen fibers of the endo-, peri-, and epimysium continue into the tendon From there into the periosteum and the matrix of bone Very strong structural continuity from muscle to bone Biceps brachii, Achilles tendon Aponeurosis—tendon is a broad, flat sheet (palmar aponeurosis) Retinaculum—connective tissue band that tendons from separate muscles pass under

Muscle Attachments Direct (fleshy) attachment to bone Little separation between muscle and bone Muscle seems to immerge directly from bone Margins of brachialis, lateral head of triceps brachii

Muscle Origins and Insertions Bony attachment at stationary end of muscle Belly Thicker, middle region of muscle between origin and insertion Insertion Bony attachment to mobile end of muscle Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Origins Origins Humerus Scapula Bellies Extensors: Flexors: Triceps brachii Biceps brachii Long head Brachialis Lateral head Insertion Radius Insertion Ulna Figure 10.4

Muscle Origin and Insertions Also can be determined by proximal or distal or superior and inferior attachments, especially on limbs Some muscles insert not on bone but on the fascia or tendon of another muscle or on collagen fibers of the dermis Distal tendon of the biceps brachii inserts on the fascia of the forearm Facial muscles insert in the skin

Functional Groups of Muscles Action—the effects produced by a muscle To produce or prevent movement Four categories depending on action Prime mover (agonist) Muscle that produces most of force during a joint action Synergist: muscle that aids the prime mover Stabilizes the nearby joint Modifies the direction of movement

Functional Groups of Muscles Cont. Antagonist: opposes the prime mover Relaxes to give prime mover control over an action Preventing excessive movement and injury Antagonistic pairs—muscles that act on opposite sides of a joint Fixator: muscle that prevents movement of bone

Functional Groups of Muscles Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Prime mover—brachialis Synergist—biceps brachii Antagonist—triceps brachii Fixator—muscle that holds scapula firmly in place Rhomboids Origins Origins Humerus Scapula Bellies Extensors: Flexors: Triceps brachii Biceps brachii Long head Brachialis Lateral head Insertion Radius Insertion Ulna Figure 10.4

Intrinsic and Extrinsic Muscles Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Intrinsic muscles—entirely contained within a region, such as the hand Both its origin and insertion there Extrinsic muscles—act on a designated region, but has its origin elsewhere Fingers: extrinsic muscles in the forearm Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Common flexor tendon Tendon sheath First dorsal interosseous Tendon of flexor digitorum profundus Adductor pollicis Tendon of flexor digitorum superficialis Tendon of flexor pollicis longus Lumbricals Flexor digitorum superficialis Opponens digiti minimi Flexor pollicis brevis Flexor digiti Abductor pollicis brevis Abductor digiti minimi Flexor pollicis longus Opponens pollicis Flexor retinaculum T endons of: Tendons of: Abductor pollicis longus Flexor carpi ulnaris Flexor digitorum superficialis Flexor carpi radialis Flexor pollicis longus Palmaris longus Flexor digitorum superficialis tendons (a) Palmar aspect, superficial Figure 10.31a Flexor digitorum profundus tendons (b) Intermediate flexor Figure 10.28b

Muscle Innervation Innervation of a muscle—refers to the identity of the nerve that stimulates it Enables the diagnosis of nerve, spinal cord, and brainstem injuries from their effects on muscle function Spinal nerves arise from the spinal cord Emerge through intervertebral foramina Immediately branch into a posterior and anterior ramus Innervate muscles below the neck Plexus: weblike network of spinal nerves adjacent to the vertebral column

Muscle Innervation Cranial nerves arise from the base of the brain Emerge through skull foramina Innervate the muscles of the head and neck Numbered CN I to CN XII

Blood Supply Muscular system receives about 1.25 L of blood per minute at rest (one-quarter of the blood pumped by the heart) During heavy exercise total cardiac output rises and the muscular system’s share is more than three-quarters (11.5 L/min) Capillaries branch extensively through the endomysium to reach every muscle fiber

How Muscles Are Named Latin names Depressor labii inferioris, flexor digiti minimi brevis Describes distinctive aspects of the structure, location, or action of a muscle

The Muscular System Figure 10.5a Figure 10.5b Superficial Deep Deep Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Superficial Deep Deep Superficial Frontalis Orbicularis oculi Occipitalis Masseter Zygomaticus major Orbicularis oris Semispinalis capitis Sternocleidomastoid Sternocleidomastoid Splenius capitis Platysma Trapezius Levator scapulae Trapezius Pectoralis minor Supraspinatus Deltoid Rhomboideus minor Coracobrachialis Rhomboideus major Pectoralis major Serratus anterior Deltoid (cut) Infraspinatus Infraspinatus Teres minor Brachialis Biceps brachii Teres major Rectus abdominis Serratus anterior Triceps brachii (cut) Triceps brachii Supinator Serratus posterior inferior Latissimus dorsi Flexor digitorum profundus External abdominal oblique Extensor carpi radialis longus and brevis Brachioradialis Flexor carpi radialis Flexor pollicis longus Internal abdominal oblique Transverse abdominal External abdominal oblique External abdominal oblique Erector spinae Internal abdominal oblique Extensor digitorum Flexor carpi ulnaris Gluteus medius Tensor fasciae latae Pronator quadratus Extensor digitorum (cut) Extensor carpi ulnaris Gluteus minimus Gluteus maximus Lateral rotators Adductor longus Adductor magnus Sartorius Adductors Gracilis Rectus femoris Vastus lateralis Iliotibial band Semitendinosus Vastus lateralis Vastus intermedius Semimembranosus Iliotibial band Vastus medialis Gracilis Biceps femoris Biceps femoris Gastrocnemius (cut) Soleus (cut) Fibularis longus Gastrocnemius Gastrocnemius Tibialis posterior Tibialis anterior Soleus Flexor digitorum longus Soleus Extensor hallucis longus Extensor digitorum longus Extensor digitorum Fibularis longus longus Calcaneal tendon Figure 10.5a Figure 10.5b (a) Anterior view (b) Posterior view

A Learning Strategy Examine models, cadavers, dissected animals, or a photographic atlas to get visual images of the muscle When studying a particular muscle, palpate it on yourself if possible Locate origins and insertions of muscles on an articulated skeleton

A Learning Strategy Study derivation of each muscle name Usually describes the muscle’s location, appearance, origin, insertion, or action Say the names aloud to yourself or study partner, and spell them correctly

Muscles of Facial Expression Muscles that insert in the dermis and subcutaneous tissues Tense the skin and produce facial expressions Innervated by facial nerve (CN VII) Paralysis causes face to sag Found in scalp, forehead, around the eyes, nose, and mouth, and in the neck

Compartment Syndrome Fasciae of arms and legs enclose muscle compartments very snugly If a blood vessel in a compartment is damaged, blood and tissue fluid accumulate in the compartment Fasciae prevent compartment from expanding with increasing pressure Compartment syndrome—mounting pressure on the muscles, nerves, and blood vessels triggers a sequence of degenerative events Blood flow to compartment is obstructed by pressure

Compartment Syndrome Cont. If ischemia (poor blood flow) persists for more than 2 to 4 hours, nerves begin to die After 6 hours, muscles begin to die Nerves can regenerate after pressure relieved, but muscle damage is permanent Myoglobin in urine indicates compartment syndrome Treatment: immobilization of limb and fasciotomy (incision to relieve compartment pressure)

Carpal Tunnel Syndrome Flexor retinaculum—bracelet-like fibrous sheet, which the flexor tendons of the extrinsic muscles that flex the wrist pass on their way to their insertions Carpal tunnel—tight space between the flexor retinaculum and the carpal bones Flexor tendons passing through the tunnel are enclosed in tendon sheaths Enable tendons to slide back and forth quite easily

Carpal Tunnel Syndrome Carpal tunnel syndrome—prolonged, repetitive motions of wrist and fingers can cause tissues in the carpal tunnel to become inflamed, swollen, or fibrotic Puts pressure on the median nerve of the wrist that passes through the carpal tunnel along with the flexor tendons Tingling and muscular weakness in the palm and medial side of the hand Pain may radiate to arm and shoulder Treatment: anti-inflammatory drugs, immobilization of the wrist, and sometimes surgery to remove part or all of flexor retinaculum

Carpal Tunnel Syndrome Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Repetitive motions cause inflammation and pressure on median nerve Tendon of flexor digitorum superficialis Lumbrical Opponens digiti minimi Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Adductor pollicis Flexor digiti minimi brevis Tendon sheath First dorsal interosseous Flexor pollicis brevis Abductor digiti minimi Tendon of flexor digitorum profundus Adductor pollicis Abductor pollicis brevis Tendon of flexor digitorum superficialis Tendon of flexor pollicis longus Lumbricals Pisiform bone Tendon of extensor pollicis brevis Opponens digiti minimi Flexor pollicis brevis Flexor digiti minimi brevis Flexor digitorum superficialis Abductor pollicis brevis Tendon of flexor carpi radialis Abductor digiti minimi Opponens pollicis Flexor retinaculum Tendons of: (b) Palmar dissection, superficial Tendons of: Abductor pollicis longus Flexor carpi ulnaris Figure 10.31b Flexor digitorum superficialis Flexor carpi radialis Flexor pollicis longus Palmaris longus (a) Palmar aspect, superficial Figure 10.31a 10-35

Common Athletic Injuries Muscles and tendons are vulnerable to sudden and intense stress Proper conditioning and warm-up needed Common injuries include: Compartment syndrome Shinsplints Pulled hamstrings Tennis elbow Pulled groin Rotator cuff injury Treat with rest, ice, compression, and elevation “No pain, no gain” is a dangerous misconception