Guide to Gross
Anatomy
Muscles of the
Back {FAP Figs 11-11, 11-12; APL Figs 10.4, 10.9}
The superficial back
muscles will be dealt with along with the extremities upon which
they act. The deep (intrinsic) back muscles fall into two
groups - the more superficial transversocostal muscles and the
deep transversospinal muscles.
a) The
transversocostal muscles turn laterally as they ascend and
collectively the muscles form a muscle group called the
sacrospinalis (for its location) or erector spinae (for its
function). It is sheathed in the thoracolumbar fascia, a dense
layer of connective tissue.
- Study the
sacrospinalis (erector spinae) group on the models and charts.
What is the major function of this group?
b) The
transversospinalis muscles are smaller, more distinct muscles
which turn medially as they ascend. Study the text figures to
get some idea of their numbers, actions, and distributions.
Because they are difficult to find and view in our models, we will not deal
with them in this course.
Muscles of the
Neck {FAP Fig. 11-5, 11-10 to 11-14; APL Fig. 10.2, 10.3}
a) The ligamentum
nuchae (nuchal ligament) is a prominent midline structure of the posterior neck.
It is formed from the fused supraspinous ligaments of the
cervical vertebrae. In quadruped animals it holds the head up.
The human head is fairly well balanced on the atlas and the
ligamentum nuchae helps maintain this balance. It also serves
as a surface for attachment of the superficial muscles of the
upper back and posterior neck.
-
What lever type (I, II, III) is the atlantooccipital joint?
b) The more
superficial posterior neck muscles are essentially a
continuation of the erector spinae. We will study the two most
rostral, which attach to the occipital bone and move the head.
Study the origins, insertions, and actions of the:
splenius
capitis
semispinalis capitis
c) The suboccipital
triangle is a deep muscle group of the posterior neck. They
have very impressive names for such little muscles. Study the
origins, insertions, and actions of the:
rectus capitis posterior major
obliquus capitis inferior
rectus capitis posterior minor
obliquus capitis superior
- Note that
these muscles define the three sides of a triangle, thus the
group name.
- Note also that
these are small postural muscles, rather than large "prime
movers" of the head.
d) Study the
sternocleidomastoideus muscle on the models and charts. This
and the trapezius (next week) are the superficial lateral neck
muscles.
- Note
that the sternocleidomastoideus is named for its origins and
insertion. What are the actions of this muscle?
e) The platysma is
a broad flat very superficial muscle that defines the contours
of the anterior neck and lower face.
- Notice that its
origins and insertions are diffuse and principally from fascia
and other muscles, rather than from bony prominences.
- The sternocleidomatoideus muscles originate
ventrally, but are they ventral or dorsal flexors of the neck
and head?
f) The suprahyoid
and infrahyoid groups have the collective actions of raising and
lowering the hyoid bone and base of the tongue during
swallowing.
g) The scalenes
are a set of three muscles on each side which connect the
transverse processes of the middle cervical vertebrae to the
first two ribs. They are auxiliary respiratory muscles, and the
gaps between them provide passage for structures traveling
laterally from the thoracic cavity to the upper extremity.
Muscles of the
Thorax {FAP Figs. 11-12, 11-14; APL Figs. 10.5, 10.6}
a) Study the
origins and insertions of the internal and external intercostal
muscles. Note that there are 11 pairs of these muscles.
- Based on the
direction in which the fibers run , which muscle set lifts and
expands the thorax (inspiration)? Which depresses and contracts
the thorax (expiration)?
b) Study the fan-shaped transverse thoracis muscle which radiates across the
posterior surface of the sternum and costal cartilages and aids
in forced expiration.
c) Study the
domed-shaped diaphragm, the principal muscle involved in relaxed
inspiration. Note that it forms the boundary between the
thoracic and abdominal cavities. Its origin is around the
periphery - the xiphoid, ribs 7-12 and their costal cartilages,
and the lumbocostal arches. Its insertion is upon itself in a
central tendon.
- What are the
principal structures passing through each of the three large
openings in the diaphragm?
- How does the
diaphragm change shape as it contracts? How does this increase
the size of the thoracic cavity?
d) Virtually every
other muscle that originates or inserts on the rib cage can
serve as a "auxiliary" respiratory muscle if its other
attachment point is stabilized. These muscles only aid
respiration under extreme circumstances, such as active physical
exertion or respiratory distress.
- Think of
examples from this week's and next week's muscles.
Muscles of the
Abdomen &
Pelvis {FAP Figs. 11-12, 11-13; APL Fig. 10.7}
a) The
anteriolateral abdominal muscles have three major functions:
containment of the abdominal organs, respiration, and flexion of
the lumbar spine. Study the origins, insertions, and actions of
these muscles:
external oblique abdominis
transversus abdominis
internal oblique abdominis
rectus abdominis
- Pay particular
attention to the direction in which the fibers of each muscle
run. How does the crisscrossing of fiber directions strengthen
the lateral abdominal wall?
b) Note that the
fiber directions of the external and internal oblique abdominis
muscles parallel those of the external and internal
intercostals, and that the thoracic and abdominal muscle fibers
intermingle with each other across the boundary between the
thorax and abdomen.
c) How could these
abdominal muscles aid in respiration? If you are having trouble
with this question, do the following:
- First breathe so
that only your chest expands and contracts (thoracic
breathing). What muscles are you using?
- Now breathe so
that only your abdomen expands and contracts (abdominal
breathing). What muscles are you using now?
- Which method is
generally recommended for singing? Why?
- Which method is
more readily available in the late stages of pregnancy?
Why?
d) On the models
study the location of the inguinal ligament.
- From the
aponeurosis of which abdominal muscle is it formed? Between what
two bony prominences of the pelvis does it run?
e) The inguinal
canal is a roughly tube-like structure that passes deep to the
inguinal ligament. At each end is an inguinal ring formed from
a split in the aponeuroses. The internal inguinal ring opens
into the abdominal cavity, while the external inguinal ring
opens into the scrotum or labia. We will return to the inguinal
canal several times in this course.
- What passes
through this canal in the male? In the female?
- What is an
inguinal hernia? Is this more likely to happen in a male
or a female (think about howcompressible the structures running
through the inguinal canal are in each)?
f) An aponeurosis
is a broad, flat, tendinous sheet. The aponeuroses of the
anterior abdominal muscles fuse at the midline into a structure
called the linea alba.
- Notice that the
relationship of the rectus abdominis to the medial aponeuroses
of the other three muscles changes at the level of the umbilicus.
- Where is the
bulk of the muscle mass of the external oblique, internal
oblique, and transverse abdominis muscles located, medially or
laterally?
g) Study the rectus
abdominis muscles in the models.
- Notice that the
muscle is broken up into discrete masses separated by the
"tendinous inscriptions".
- For what action
are the right and left rectus abdominis muscles synergists (same
action)? For what action are they antagonists (opposing
action)?
- The rectus
abdominis changes “levels” at the umbilicus, diving from within
the internal oblique aponeurosis to behind it. This
discontinuity creates a weak spot in the abdominal wall. What
do you suppose an umbilical hernia is?
h) Study the origin
and insertion of the quadratus lumborum in the posterior
abdominal wall.
- For what action
is each quadratus lumborum muscle a synergist with the
ipsilateral (same side) rectus abdominis? For what action is it
an antagonist?
i) The floor of
the pelvic cavity is formed by the levator ani muscle anteriorly,
the coccyx posteriomedially, and the coccygeus muscle
posteriolaterally.
- Study
the levator ani on the models and trace its origins and
insertions on a skeleton.
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