Survey							
                            
		                
		                * Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Chapter 9B Gross Anatomy and Functions of Skeletal Muscles Back Muscles • These muscles extend, laterally flex, and rotate the vertebral column. They also hold the vertebral column erect • A superficial group of muscles, the Erector spinae, runs from the pelvis to the skull, extending from the vertebrae to the ribs – Consist of three subgroups on each side of the vertebrae: Iliocostalis, Longissimus, and Spinalis – Lateral bending of the back is accomplished by unilateral contraction of these muscles Fig. 9.10 Tab. 9.6 Abdominal Wall Muscles • The abdominal wall is composed of four paired muscles (Internal and External obliques, Transversus abdominis, and Rectus abdominis), their fasciae, and their aponeuroses • Fascicles of these muscles run at right and oblique angles to one another, giving the abdominal wall added strength • In addition to forming the abdominal wall, these muscles: – Are involved with lateral flexion and rotation of the trunk – Aid in functions such as forced expirations (coughing and screaming), vomiting, defecation, urination, and childbirth Fig. 9.11 Tab. 9.7 Pelvic Floor and Perineum • The pelvic diaphragm is composed of two paired muscles: Levator ani and Coccygeus – These muscles: • • • • Close the inferior outlet of the pelvis Support the pelvic floor Elevate the pelvic floor to help release feces Resist increased intra-abdominal pressure • Two sphincter muscles allow voluntary control of urination (External urethral sphincter) and defecation (External anal sphincter) • The Ischiocavernosus and Bulbospongiosus assist in erection of the penis and clitoris Fig. 9.12 Tab. 9.8 Thoracic Muscles • Mainly involved in the process of breathing • Diaphragm: most important muscle in respiration • External intercostals: more superficial layer that lifts the rib cage and increases thoracic volume to allow inspiration • Internal intercostals: deeper layer that aids in forced expiration Fig. 9.13 Tab. 9.9 Scapular Muscles and Movements • The scapula is attached to the rest of the skeleton only by the clavicle • Six muscles attach the scapula to the trunk and enable the scapula to function as an anchor point for the muscles and bones of the arm – – – – – Trapezius Levator scapulae Rhomboideus (major and minor) Serratus anterior Pectoralis minor • Prime movers of shoulder elevation are the trapezius and levator scapulae Fig. 9.14 Tab. 9.10 Upper Limb Muscles and Arm Movements • Nine muscles attach the humerus to the scapula. Two additional muscles attach the humerus to the trunk • Trunk muscles moving the arm: – Pectoralis major: flexes the extended shoulder and extends the flexed shoulder – Latissimus dorsi: adducts and medially rotates arm; shoulder extension • Muscles located in the shoulder moving the arm: – Posterior fibers of the deltoid: shoulder extension – Anterior fibers of the deltoid: shoulder flexion – Lateral fibers of the deltoid: arm abduction and rotation – Teres major: shoulder extension Fig. 9.15 Fig. 9.16 Tab. 9.11 Upper Limb Muscles and Arm Movements • Muscles located in the shoulder that move the arm (cont): – Rotator cuff muscles: Supraspinatus, Infraspinatus, Teres minor, and Subscapularis (mnemonic SITS) • Function mainly to reinforce the capsule of the shoulder by holding the head of the humerus in the glenoid cavity • Secondarily act as synergists and fixators • Muscles located in the arm that move the arm – Coracobrachialis – Biceps brachii – Triceps brachii • Actions of the trunk, shoulder, and arm muscles on the shoulder and arm are summarized in Table 9.12 Fig. 9.17 Tab. 9.12 Upper Limb Muscles and Forearm Movements • Flexion and extension of the elbow are accomplished by three muscles located in the arm and two in the forearm • Most anterior muscles are flexors, and posterior muscles are extensors – Forearm flexion • Brachialis and Biceps brachii are the chief forearm flexors • The Brachioradialis acts as a synergist and helps stabilize the elbow – Forearm extension • The Triceps brachii is the prime mover of forearm extension • The Anconeus is a weak synergist • Supination and pronation are accomplished primarily by forearm muscles – The Supinator muscle is a synergist with the Biceps brachii in supinating the forearm – The Pronator teres and Pronator quadratus pronate the forearm Fig. 9.18 Forearm Muscles and Wrist, Hand, and Finger Movements • Most anterior muscles are flexors, and posterior muscles are extensors • Forearm muscles – Muscles that originate on the medial epicondyle are responsible for flexion of the wrist and fingers – Muscles extending the wrist and fingers originate on the lateral epicondyle – Forearm muscles moving the wrist, hand and fingers are summarized in Table 9.14 • Extrinsic hand muscles are in the forearm – Retinaculum: covers the flexor and extensor tendons and holds them in place around the wrist • Intrinsic hand muscles are in the hand – Thenar muscles, hypothenar muscles, midpalmar muscles Fig. 9.19 Fig. 9.20 Hip and Lower Limb Muscles • Most anterior compartment muscles of the hip and thigh flex the femur at the hip and extend the leg at the knee • Posterior compartment muscles of the hip and thigh extend the thigh and flex the leg • The medial compartment muscles all adduct the thigh • These three groups are enclosed by the fascia lata Hip Muscles and Thigh Movements • Gluteus maximus extends the hip • Gluteus medius and minimus help hold the hip level while walking or running • Deep hip muscles laterally rotate the thigh • Anterior hip muscles flex the hip • The thigh can be divided into three compartments – Anterior muscles flex the hip – Posterior muscles extend the hip – Medial muscles adduct the thigh Fig. 9.21 Thigh Muscles and Leg Movements • Anterior thigh muscles – Quadriceps femoris: extends the knee – Sartorius: flexes the knee – Tensor fasciae latae: stabilizes the knee • Posterior thigh muscles flex the knee • One medial thigh muscle flexes the knee: Gracilis • Summarized in Table 9.16 Fig. 9.22 Tab. 9.16 Fig. 9.23 Tab. 9.17 Lower Limb Muscles and Ankle, Foot, and Toe Movements • The leg is divided into three compartments – Muscles in the anterior compartment cause dorsiflexion, inversion, or eversion of the foot and extension of the toes – Muscles of the lateral compartment plantar flex and evert the foot – Muscles of the posterior compartment flex the leg, plantar flex and invert the foot, and flex the toes • Intrinsic foot muscles flex or extend and abduct or adduct the toes • Summarized in Table 9.18 Fig. 9.25 Fig. 9.26