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Chapter 10 The Muscular System Part B Shilla Chakrabarty, Ph.D. Copyright © 2010 Pearson Education, Inc. 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 Copyright © 2010 Pearson Education, Inc. External intercostal (a) Copyright © 2010 Pearson Education, Inc. Internal intercostal Figure 10.10a Xiphoid process of sternum Foramen for inferior vena cava Central tendon of diaphragm Foramen for aorta 12th rib (b) Copyright © 2010 Pearson Education, Inc. 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 • Muscles that flex vertebral column and compress abdominal wall are: • Internal obliques • External obliques • Transversus abdominis • Rectus abdominis • Origin Pubic crest and symphysis • Insertion Xiphoid process and costal cartilage of ribs 5-7 • Function Flex and rotate lumbar region of vertebral column Copyright © 2010 Pearson Education, Inc. Pectoralis major Serratus anterior Linea alba Transversus abdominis Internal oblique External oblique Aponeurosis of the external oblique (a) Copyright © 2010 Pearson Education, Inc. 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 Copyright © 2010 Pearson Education, Inc. Rectus abdominis Internal oblique External oblique IIiac crest Pubic tubercle Transversus abdominis Inguinal ligament Lumbar fascia Lumbar fascia (b) Copyright © 2010 Pearson Education, Inc. 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 • 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 Anterior Levator ani Symphysis pubis Urogenital diaphragm Urethra Vagina Anal canal Pubococcygeus IIiococcygeus Obturator internus Coccyx Levator ani Coccygeus Piriformis (a) Copyright © 2010 Pearson Education, Inc. Posterior Pelvic diaphragm 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 Copyright © 2010 Pearson Education, Inc. Superficial Muscles of the Thorax • Anterior extrinsic shoulder muscles • Pectoralis minor • Serratus anterior • Subclavius Sternocleidomastoid Deltoid Pectoralis major Sternum Biceps brachii (a) Copyright © 2010 Pearson Education, Inc. Subclavius Clavicle Subscapularis Pectoralis minor Coracobrachialis Serratus anterior Humerus Superficial Muscles of the Posterior Thorax • Posterior extrinsic shoulder muscles Trapezius Levator scapulae Rhomboids (major and minor) Trapezius Levator scapulae Supraspinatus Clavicle Deltoid Rhomboid minor Rhomboid major Spine of scapula Infraspinatus Teres minor Teres major Humerus Latissimus dorsi (c) Copyright © 2010 Pearson Education, Inc. Muscles Crossing the Shoulder Joint • Nine muscles cross the shoulder joint to insert on and move the humerus • 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 Copyright © 2010 Pearson Education, Inc. 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 Muscles Crossing the Elbow Joint • Posterior extensor muscles • Triceps brachii—prime mover of forearm extension • Anconeus—weak synergist Copyright © 2010 Pearson Education, Inc. Muscles Crossing the Shoulder Joint Clavicle Supraspinatus* Spine of scapula Deltoid (cut) Greater tubercle of humerus Infraspinatus* Deltoid Sternum Teres minor* Pectoralis major Coracobrachialis Teres major Triceps brachii: Lateral head Long head Triceps brachii: Lateral head Long head Medial head Latissimus dorsi Biceps brachii Brachialis Brachioradialis (a) Anterior view Copyright © 2010 Pearson Education, Inc. Humerus Olecranon process of ulna Anconeus (b) Posterior view * Rotator cuff muscles Muscles of the Forearm • Actions: movements of the wrist, hand, and fingers • Most anterior muscles are flexors • Some forearm muscles act to produce pronation and supination of the forearm Superficial transverse ligament of palm Palmar aponeurosis Flexor retinaculum Flexor digitorum superficialis Flexor carpi ulnaris Palmaris longus Flexor carpi radialis Copyright © 2010 Pearson Education, Inc. 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 Biceps brachii (a) Muscles of the Forearm Extensor expansion • Most posterior muscles are extensors Tendons of extensor digitorum Extensor pollicis longus Extensor pollicis brevis Abductor pollicis longus Extensor digitorum Extensor carpi radialis brevis Extensor carpi radialis longus (a) Copyright © 2010 Pearson Education, Inc. 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 Antero-medial Postero-lateral 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 Copyright © 2010 Pearson Education, Inc. Muscles Crossing Hip and Knee Joints • Most anterior muscles flex the femur at the hip and extend the leg at the knee (fore swing 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 Copyright © 2010 Pearson Education, Inc. 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 12th rib Quadratus lumborum Psoas minor Iliac crest Psoas major Iliopsoas Iliacus Tensor fasciae latae Pectineus Sartorius Quadriceps femoris • Rectus femoris • Vastus lateralis • Rectus femoris Adductor longus Gracilis Adductor magnus • Vastus medialis Tendon of quadriceps femoris Patella Patellar ligament (a) Copyright © 2010 Pearson Education, Inc. 5th lumbar vertebra Anterior superior iliac spine • Tensor fasciae latae • Assisted by medial adductors and sartorius 12th thoracic vertebra Movements of the Thigh • Thigh extensors • Hamstring muscles (prime movers of extension) • Biceps femoris • Semitendinosus • Semimembranosus • Gluteus maximus (prime mover during forceful extension) Copyright © 2010 Pearson Education, Inc. Muscles of the Thigh that Move the Knee Joint 12th rib • Quadriceps femoris— sole extensor of the knee • Hamstring muscles— flex the knee, and are antagonists to the quadriceps femoris 12th thoracic vertebra Quadratus lumborum Psoas minor Iliac crest Psoas major Iliopsoas Iliacus 5th lumbar vertebra Anterior superior iliac spine Tensor fasciae latae Pectineus Sartorius Quadriceps femoris • Rectus femoris Adductor longus Gracilis Adductor magnus • Vastus lateralis • Vastus medialis Tendon of quadriceps femoris Patella Patellar ligament (a) Copyright © 2010 Pearson Education, Inc. Muscles of the Anterior Compartment of the Leg • Primary toe extensors and ankle dorsiflexors • Tibialis anterior Fibularis longus • Extensor digitorum longus Gastrocnemius • Extensor hallucis longus Tibia • Fibularis tertius (not always present) Tibialis anterior Extensor digitorum longus Soleus Extensor hallucis longus Fibularis tertius Superior and inferior extensor retinacula Extensor hallucis brevis Extensor digitorum brevis Copyright © 2010 Pearson Education, Inc. (a) Muscles of the Posterior Compartment of the Leg • Flexors of the foot and the toes • Gastrocnemius • Soleus • Plantaris Plantaris Gastrocnemius Medial head Lateral head • Popliteus • Tibialis posterior Tendon of gastrocnemius • Flexor digitorum longus Calcaneal tendon • Flexor hallucis longus Medial malleolus Lateral malleolus Calcaneus (a) Superficial view of the posterior leg. Copyright © 2010 Pearson Education, Inc. Anterior Posterior Muscles Origin Insertion Function Ilipsoas Transverse processes ofT12-L5; iliac fossa Lesser trochanter of femur Major flexion of thigh Sartorius Anterior superior iliac spine Proximal tibia Flexes and laterally rotates thigh Copyright © 2010 Pearson Education, Inc. Lateral Copyright © 2010 Pearson Education, Inc. Medial