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Section 2 The Joints of the bones of Trunk 1 cervical curvature forward thoracic curvature backward lumbar curvature forward sacral curvature backward 2 6 ligaments: (body ) (1,anterior longitudinal lig. 2, posterior longitudina 3, intervertibral disc ) ligaments flava interspinal lig. supraspinal lig. intertransverse lig. intervertibral disc annulus fibrosus nucleus pulposus 3 Lumbosacral joint Synosteoses Craniovertibral joints: atlantooccipital joints median atlantoaxial joint lateral atlantoaxial joints 4 Thoracic joints: 1. Costovertebral joints: costocapital joint costotransverse joint 2. Sternocostal joints: 1st rib by synchondrosis 2nd-7th by Sternocostal joints 7th-10th : costal arch 5 6 The thoracic cage 7 Section 3 The Joints of the bones of limbs 8 1. The joints of the upper limb A. The joints of the girdle of the upper limb 1. The sternoclavicular joint 9 2. acromioclavicular joint 3. coracoclavicular ligment 4. coracoacromial ligment 10 B. The joints of the free upper limb 1. The shoulder joint coracohumeral lig. glenoid labrum tendon of long head of biceps brachii 11 2. The elbow joint humeroulnar joint— humeroradial joint proximal radioulnar joint 12 3. The joints between ulnar and radius proximal radioulnar joint interosseous membranes of forarm proximal radioulnar joint 13 4. The joints of the hand The wrist joint The intercarpal joints The carpometacarpal joints The intermetacarpal joint The metacarpophalangeal joints The interphalangeal joints 14 2. The joints of the lower limb A) The joints of the pelvic girdle of the lower limb 1. The pubic symphsis 2. The sacroiliac joint 3. The sacrotuberous and sacrospinous ligaments 4. The obturator membrane obturator canal 5. The pelvis terminal line greater pelvis lesser pelvis 15 16 B) The joints of the free lower limb 1. The hip joint acetabulum head of femur acetabular labrum transverse acetabular ligamenr ligament of head of femur 17 2. The knee joint patellar ligament tibial collateral ligament fibular collateral ligament 18 anterior cruciate ligament posterior cruciate ligament lateral meniscus medial meniscus alar folds uprapatellar bursa 19 3. The tibiofibular union tibiofibular joint crural interosseous membrane tibiofibular syndesmosis 4. The joints of foot The ankle joint The intertarsal joints The tarsometatarsal joints The intermetatarsal joints The metatarsophalangeal joints The interphalangeal joints of foot 5. The arches of foot 20 21 Section 4 The Joints of skull most bones of the skull are connected together by suture, synchodroseis, or synostosis. 22 The temporomandibular joint head of mandibular condyle temporal articular tubercle mandibular fossa of temporal bone temporomandibular ligament articular disc 23 Chapter 3 Myology 24 Section 1 The general description A. Three variations of muscular tissue 1. According to the gross structure 1) skeletal muscle 2) smooth muscle 3) cardiac muscle 2. According to the microscopic structure 1) striped(striated) muscle (skeletal muscle and cardiac muscle) 2) unstriated muscle (smooth muscle) 3. According to the function 1) voluntary muscle (skeletal muscle) 2) involuntary muscle (smooth and cardiac muscles) 25 B. The morphology of skeletal muscles 1. 4 kinds of skeletal muscles long, short, broad, orbicular muscles. 2. The direction of muscular fibers bipennate muscles unipennate muscles multipennate muscles 3. The tendinous number digastric m., biceps m., triceps m., quadriceps m.. 26 bipennate muscles unipennate muscles multipennate muscles digastric m., biceps m., triceps m., quadriceps m.. 27 bipennate muscles unipennate muscles multipennate muscles 28 C.The gross structures of a skeletal muscle: 1. Belly and tendon : aponeurosis, tendinous intersection intermediate tendon digastric m. triceps m. biceps m. quadriceps m. 29 D.The origin, insertion of skeletal muscle: 1.The fixation of muscles: most muscles are attached to bones, cartilages, ligaments, fasciae or combination of them, some are attached to organs, skin or mucous membrane. 2. Origin and insertion: a) in general, when a muscle contracts or shortens, fixed attachment is origin, the moveable one is insertion, so in limbs, the distal parts of muscles usually are insertion. b) sometimes the flexion and movement parts of the muscle may be exchanged each other. 30 31 E . The action of the muscles: 1. Prime movers or agonists: contract actively 2. Antagonists: oppose the action of a prime mover 3. Synergist: cooperate in performing an action 4. Fixators 32 F.The nomenclature of muscles: The names of muscles indicated shape, location, actions or their combination of muscles. 33 The nomenclature of the muscle The names of muscles indicated shape, location, actions or their combination of muscles. 34 G.The accessory structures of the muscles 1.The fascia: a) superficial fascia (fat, the trunks of subcutaneous vessels and nerves, the superficial lymph notes, the mammary gland and cutaneous muscles.) b) deep fascia (proper fascia) ---form some sheaths for each or group of muscles and for vessels and nervous. ---intermuscular septa separating the groups of muscles ---retinaculum for its underlying tendons. 35 G. The accessory structures of the muscles 1. The fascia 1) The superficial fascia --- immediately beneath the cutis, covering almost the entire body. --- to be composed of loose connective tissue containing fat in varying quantity. --- varies in thickness in different individuals and different parts of the body. --- contains the trunks of the subcutaneous vessels and nerves, the superficial lymph nodes the mammary gland and certain cutaneous muscles. 36 2) The deep fascia (proper fascia) --- forms some sheaths for each or group of muscles and for vessels and nerves. --- intermuscular septa separating the groups of muscles. --- retinaculum for its underlying tendons. 37 38 retinaculum 39 2.The synovial tendon sheath (or tendinous sheath): 2 layers a) fibrous layer (or fibrous sheath of tendon) b) synovial layer (or synovial sheath of tendon) --- parietal layer and visceral layer (synovial fluid) --- mesotendon (mesotendineum) carries blood vessels to the tendon. 40 3. The synovial bursa 4. The sesamoid bones 41 The groups, layers of bodily muscles 42 Section 2 The Muscles of Trunk . The muscles of back trapezius, latissimus, levattor scapulae, rhomboid muscles erector spinae (sacrospinelis) thoracolumbar fascia . The muscles of thorax 1) The extrinsic muscles pectoralis major, pectoralis minor, serratus anterior 2) The intrinsic muscles intercostales extrerni, intercostales interni . The diaphragm . The muscles of abdomen 43 44 45 46 47 Section 3 The Muscles of Head and Neck . The muscles of head 1. The facial muscles 2. The masticatory muscles . The muscles of neck 1. The superficial group plytama, sternocleidomastoid 2. The hyoid muscle 1) The suprahyoid muscles digastric, mylohyoid, stylohyoid, geniohyoid 2) The infrahyoid muscles 48 sternohyoid, omohyoid; sternothyoid, thyrohyoid 49 50 Section 4 The Muscles of Upper Limb 51 52 53 54 55 Section 5 The Muscles of lower Limb 56 57 58 59 60 61 62