Exam 3 Flashcards
endomysium
Thin fascial sheath that surrounds the cell membrane of each muscle fiber.
perimysium
Bundles of muscle fibers are called fasciculi, which are surrounded by perimysium
epimysium
Entire muscle covered by
What innervates:
Skeletal muscle?
Smooth muscle?
Cardiac muscle?
Skeletal muscle: somatic nervous system
Smooth muscle: Autonomic Nervous System
Cardiac muscle: Involuntarily controlled– contractions are regulated by intrinsic fibers, hormones, and ANS
Where do you find:
Skeletal muscle?
Smooth muscle?
Cardiac muscle?
Skeletal muscle: Comprises 40-50% of total body weight and is made up of over 600 individual muscles
Smooth muscle:wall of hollow visceral organs and tubes, blood and lymphatic vessels, iris, etc
Cardiac muscle: walls and partitions of the heart
Striated or non-striated:
Skeletal muscle?
Smooth muscle?
Cardiac muscle?
Skeletal muscle: Striated
The Smooth muscle: Non-striated
Cardiac muscle: Striated
Size
Smooth muscle?
Cardiac muscle?
Smooth muscle: Relaxed smooth muscle are 30-200 um, thickest in the middle (3-8 um) and tapered
Cardiac muscle: 50-100 um in length and 14 um in diameter
Which muscle remains contracted and how much longer?
Cardiac muscle: Single action potential remains contracted 10 to 15 times longer than skeletal muscle
Fast fibers:
- anaerobic metabolism
- large in diameter
- densely packed mofibrils
- large glycogen reserves
- few mitochondria
- aka: white muscle fibers, fast-twitch glycolytic fibers, and Type II-A fibers.
Slow fibers:
- half the diameter of fast fibers
- take three times as long to contract after stimulation
- dramatically higher oxygen supply
- contain the red pigment myoglobin
- dark red
- aka: red muscle fibers, slow-twitch oxidative fibers, and Type I fibers
Nucleus:
Skeletal muscle?
Smooth muscle?
Cardiac muscle?
Skeletal muscle: Multinucleated
Smooth muscle: single nucleus
Cardiac muscle: single nucleus (possibly 2)
Muscle examples of 1st class levers
Unusual in the musculoskeletal system
Triceps in elbow
Raises head off chest. Posterior neck muscles provide the effort. Atlanto-occipital joint is the fulcrum, the weight lifted is the facial skeleton.
Muscle examples of 2nd class levers
Unusual in the musculoskeletal system
A push-up
Extension of the metatarsal phalangeal joint while standing
Stand on tip-toe
Muscle examples of 3rd class levers
Most of the musculoskeletal levers in the body are 3rd class
Psoas Major origin
T12-L5
Psoas Major insertion
Lesser trochanter of femur
Psoas Major nerve
L2-L4
Psoas Minor origin
T12 and L1
Psoas Minor insertion
Pectineal line and iliopectineal eminence
Psoas Minor nerve
L1 2
Iliacus origin
Superior 2/3 of iliac fossa, iliac crest and ala of sacrum
Iliacus insertion
Lesser trochanter of femur
Iliacus nerve
Femoral (L2-L4)
Pectineus origin
Pectineal line of pubis
Pectineus insertion
Pectineal line femur
Pectineus nerve
Femoral n.
Tensor Fasciae Latae origin
Lanteriorsuperior iliac crest
Tensor Fasciae Latae insertion
iliotibial tract
Tensor Fasciae Latae nerve
Superior gluteal (L4 5 S1)
Sartorius origin
(ASIS) Anterior superior iliac spine
Sartorius insertion
Pes anserine
Sartorius nerve
Femoral (L2 3 (4))
Vastus medialis origin
medial lip of linea aspera
Vastus medialis nerve
femoral
Vastus medialis insertion
tibial tuberosity via quadriceps tendon
Vastus intermedius origin
prox. 2/3 anteriolateral surface of femur
Vastus intermedius nerve
femoral
Vastus intermedius insertion
tibial tuberosity via quadriceps tendon
Gluteus Maximus origin
ilium
sacrum
thoracolumbar fascia
sacrotuberous ligament
Gluteus Maximus insertion
Gluteal tuberosity and iliotibial tract
Gluteus Maximus nerve
Inferior gluteal (L5 S1 2)
Gluteus Minimus origin
ilium
Gluteus Minimus insertion
greater trochanter
Gluteus Minimus nerve
Superior gluteal (L4 5 S1)
Gluteus Medius origin
ilium
Gluteus Medius insertion
greater trochanter
Gluteus Medius nerve
Superior gluteal (L4 5 S1)
Piriformis origin
sacrum
Piriformis insertion
greater trochanter
Piriformis nerve
S1-2
Gemellus Superior origin
ischial spine
Gemellus Superior insertion
greater trochanter
Gemellus Superior nerve
L5 S1
Obturator Internus origin
obturator membrane
Obturator Internus insertion
greater trochanter
Obturator Internus nerve
L5 S1
Gemellus Inferior origin
ischial tuberosity
Gemellus Inferior insertion
greater trochanter
Gemellus Inferior nerve
L5 S1
Quadratus Femoris origin
ischial tuberosity
Quadratus Femoris insertion
intertrochanteric crest
Quadratus Femoris nerve
L5 S1
Vastus Lateralis Origin
Greater trochanter
Intertrochanteric line
Linea aspera
Vastus Lateralis Insertion
Tibial tuberosity
Vastus Lateralis nerve
femoral
Rectus femoris origin
AIIS and superior brim of acetabulum
Rectus femoris insertion
tibial tuberosity
Rectus femoris nerve
femoral n
Semimembranosus Origin
Ischial tuberosity
Semimembranosus Insertion
Medial condyle of tibia
Semimembranosus nerve
sciatic nerve
Semitendinosus Origin
Ischial tuberosity
Semitendinosus Insertion
Pes anserinus
Semitendinosus nerve
Sciatic
Biceps Femoris (long and short heads) Origin
Long: Ischial tuberosity, sacrotuberous lig.
Short: Linea aspera
Biceps Femoris (long and short heads) Insertion
Long: head of fibula
Short: head of fibula
Biceps Femoris (long and short heads) nerve
long head: tibial
short head: common fibular nerve
Gracilis origin
Lateral inferior ramus of pubis and ischium
Gracilis insertion
pes anserine
Gracilis action
Knee flexion and internal rotation, hip adduction
Gracilis nerve
Obturator
Adductor Brevis origin
inferior ramus of pubis
Adductor Brevis insertion
Upper 1/3 of linea aspera
Adductor Brevis action
Hip adduction, slight medial rotation, extension, flexion
Adductor Brevis nerve
Obturator
Adductor Longus origin
Body of pubis
Adductor Longus insertion
medial lip of linea aspera
Adductor Longus action
Hip adduction, slight internal rotation, extension, flexion
Adductor Longus nerve
Obturator
Adductor Magnus origin
ischial tuberosity and inferior ramus of ischium and pubis
Adductor Magnus insertion
Entire length of linea aspera; medial supracondylar ridge of femur, and adductor tubercle
Adductor Magnus action
Hip adduction, external rotation, extension (lower portion), flexion (upper portion)
Adductor Magnus nerve
Obturator and Sciatic
Popliteus origin
posteromedial part of tibia
Popliteus insertion
lateral femoral condyle
popliteus action
knee flexion
popliteus nerve
tibial n.
Fibularis Brevis origin
Lower two-thirds of lateral fibula
Fibularis Brevis insertion
Fifth metatarsal
Fibularis Brevis action
Plantarflexion, eversion
Fibularis Brevis innervation
Superficial fibular nerve
Fibularis Longus origin
Upper 2/3 lateral fibula, lateral condyle of tibia
Fibularis Longus insertion
1st metatarsal, 1st cuneiform
Fibularis Longus action
plantarflexion, eversion, support arches
Fibularis Longus innervation
Superficial fibularis nerve
Plantaris origin
Lateral supracondylar ridge of the femur.
Plantaris insertion
Medial calcaneus
Plantaris action
Flexion of the knee. Plantarflexion.
Plantaris innervation
Tibial Nerve
Soleus origin
posterior upper 1/3 of fibula, soleal line of the tibia, interosseus membrane
Soleus insertion
achilles tendon
Soleus action
-Plantar flexion -Reversed origin insertion action: when standing, the calcanius becomes the fixed origin of the muscle; -stabilizes the tibia on the calcaneus limiting forward sway.
Soleus innervation
Tibial nerve
Gastrocnemius origin
lateral and medial condyle of femur.
Gastrocnemius insertion
achilles tendon
Gastrocnemius action
Flexion of the knee. Plantarflexion.
Gastrocnemius innervation
Tibial nerve
Tibialis Posterior origin
Interosseus membrane, post. tibia and fibula
Tibialis Posterior insertion
Navicular, cuboid, cuneiform bones, 2, 3, 4 metatarsals
Tibialis Posterior nerve
Tibial nerve
Tibialis Posterior action
Inversion Plantar flexion
Flexor Digitorum Longus origin
Middle of posterior tibia
Flexor Digitorum Longus insertion
4 tendons to base of dist. 2-5 phalanges on plantar surface
Flexor Digitorum Longus nerve
Tibial nerve
Flexor Digitorum Longus action
Flexion of the four smaller digits
Flexor Hallicus Longus origin
Lower 2/3 of post fibula and inteosseus membrane
Flexor Hallicus Longus insertion
Plantar surface of base of distal phalanx of hallux
Flexor Hallicus Longus nerve
tibial nerve
Flexor Hallicus Longus action
flexes all joints of the big toe, plantar flexion of the ankle joint
Abductor Hallucis origin
medial process of calcaneus tuberosity, plantar aponeurosis
Abductor Hallucis insertion
medial side of first phalanx of 1st toe
Abductor Hallucis action
Abducts toe
Abductor Hallucis nerve
Medial plantar
Flexor Digitorum Brevis origin
anterior aspect of calcaneus tuberosity, plantar aponeurosis
Flexor Digitorum Brevis insertion
second phalanges of four outer toes (tendon bifurcates)
Flexor Digitorum Brevis action
Toe flexion
Flexor Digitorum Brevis nerve
Medial plantar
Abductor Digiti Minimi origin
Lateral process of tuberosity of calcaneus, plantar aponeurosis
Abductor Digiti Minimi insertion
Lateral side of the first phalanx of the fifth toe
Abductor Digiti Minimi action
Abducts the small toe
Abductor Digiti Minimi nerve
Lateral plantar nerve
Quadratus Plantae origin
Calcaneus (2 heads)
Quadratus Plantae insertion
Tendon of flexor digitorum longus
Quadratus Plantae action
Toe flexion
Quadratus Plantae nerve
Lateral plantar
Lumbricals origin
Tendons of the flexor digitorum longus
Lumbricals insertion
Tendons of the extensor digitorum longus muscles and into the medial side of the first phalanx of the corresponding toes
Lumbricals action
Flexes toes at the metatarsophalangeal joints, extends toes in interphalangeal joints of four lateral toes
Lumbricals nerve
Medial plantar
Lateral plantar
Flexor hallucis brevis origin
plantar surface of cuboid bone, tendon of tibialis posterior
Flexor hallucis brevis insertion
first phalanx of 1st toe
Flexor hallucis brevis action
Fexes great toe
Flexor hallucis brevis innervation
med. plantar
Adductor hallucis origin
oblique head: bases of 2nd, 3rd and 4th metatarsal; transverse head: lateral 4 MTP joints
Adductor hallucis insertion
lateral side of base of proximal phalanx of 1st toe
Adductor hallucis action
Adducts great toe
Adductor hallucis innervation
lat. plantar
Flexor digiti minimi origin
5th metatarsal
Flexor digiti minimi insertion
first phalanx 5th toe
Flexor digiti minimi action
Flexion of proximal phalanx, 5th toe
Flexor digiti minimi innervation
lat. plantar
Dorsal interossei origin
two heads from adjacent sides of metatarsals
Dorsal interossei insertion
1: medial side of 1st phalanx, 2nd toe
2: lateral side of 1st phalanx, 2nd toe
3: lateral side of 1st phalanx, 3rd toe
4: lateral side of 1st phalanx, 4th toe
Dorsal interossei action
Toe flexion
Dorsal interossei innervation
lat. plantar
Plantar interossei origin
medial side of 3, 4, 5 metatarsals
Plantar interossei insertion
medial side of 3, 4, 5 toes, 1st phalanx
Plantar interossei action
Toe flexion
Plantar interossei innervation
lat. plantar
Tibialis anterior origin
upper 2/3 lat. Tibia
Tibialis anterior insertion
medial plantar aspect 1stmetatarsal, 1stcuneiform
Tibialis anterior action
Dorsiflexion, inversion
Tibialis anterior innervation
deep fibular nerve
Extensor digitorum longus origin
upper ¾ ant. fibula, interosseus membrane, lateral condyle tibia
Extensor digitorum longus insertion
4 tendons to middle and distal phalanges toes 2-5
Extensor digitorum longus action
Toe extension, dorsiflexion, eversion
Extensor digitorum longus innervation
deep fibular nerve
Extensor hallucis longus origin
middle fibula, interosseus membrane
Extensor hallucis longus insertion
dorsum distal phalanx hallux
Extensor hallucis longus action
toe extension, dorsiflexion, inversion
Extensor hallucis longus innervation
deep fibular nerve
Fibularis tertius origin
lower 1/3 ant-lat fibula
Fibularis tertius insertion
base of dorsum 5th metatarsal bone
Fibularis tertius action
Dorsiflexion, eversion
Fibularis tertius innervation
deep fibular nerve
Extensor hallucis brevis origin
calcaneus (sinus tarsi)
Extensor hallucis brevis insertion
dorsum of 1st phalanx of 1st toe
Extensor hallucis brevis action
Extends proximal phalanx of great toe
Extensor hallucis brevis innervation
Deep fibular
Extensor digitorum brevis origin
calcaneus (sinus tarsi)
Extensor digitorum brevis insertion
lateral side of tendons of extensor digitorum longus of medial toes
Extensor digitorum brevis action
Extends 3 medial toes
Extensor digitorum brevis innervation
deep fibular
Psoas Major action
Hip flexion and external rotation
Psoas Minor action
Flexion of th pelvis and lumbar spine
Iliacus action
hip flexion and ext rotation
Pectineus action
thigh adduction, flexion, and slight internal rotation
Tensor Fasciae Latae action
tenses fasciae latae, hip flexion, abduction and iternal rotation
Sartorius action
hip flexion, abduction and external rotation, knee flexion, and internal rotation
Vastus medialis action
knee extension
Vastus intermedius action
knee extension
Gluteus Maximus action
Extends hip, assists in adduction and external rotation
Gluteus Minimus action
hip internal rotation
Gluteus Medius action
abducts hip, rotates thigh internally when leg is extended, stabilization of opposite hip
Piriformis action
External rotation of extened hi, abducts hip when limb is flexed
Gemellus Superior action
hip external rotation
Obturator Internus action
hip extenal rotation
Gemellus Inferior action
hip external rotation
Quadratus Femoris action
hip external rotation, adduction
Vastus Lateralis action
knee extension
Rectus femoris action
hip flexion, knee extension
Semimembranosus action
hip extension, knee flexion, knee internal rotation
Semitendinosus action
Hip extension, knee flexion, knee internal rotation
Biceps Femoris (long and short heads) action
hip extension, knee flexion, knee external rotation
What is the tarsal tunnel?
Tibialis Posterior (Tom)
Flexor Digitorum longus (Dick)
Post. tibial artery (Bloody)
Tibial nerve (Nervous)
Flexor Hallucis longus (Harry)
What makes up the anterior compartment of the lower leg?
What nerve innervates it?
Tibialis anterior, extensor digitorum longus, extensor hallucis longus, fibularis tertius
deep fibular nerve
What makes up the lateral compartment of the lower leg?
What nerve innervates it?
Fibularis longus, fibularis brevis
superficial fibular nerve
What makes up the superficial posterior compartment of the lower leg?
What nerve innervates it?
Gastrocnemius, soleus, plantaris
Tibial n.
What makes up the deep posterior compartment of the lower leg?
What nerve innervates it?
Tibialis posterior, flexor digitorum longus, flexor hallucis longus, popliteus
Tibial nerve
Which compartment does the superior gluteal nerve innervate and which muscles?
hip abductors
Gluteus medius, Gluteus minimus, TFL
Which compartment does the sacral plexus innervate and which muscles?
external rotators
Piriformis, Obturator internus, Obturator externus, Gemellus superior, Gemellus inferior, Quadratus femoris
What compartment and muscles does the obturator nerve innervate?
Adductors
Adductors brevis, longus, magnus, pectineus, gracilis
Which compartment does the superficial fibularis nerve innervate and which muscles?
Lateral compartment
Fibularis longus, fibularis brevis, and superficial fibularis.
Which compartment does the tibial nerve innervate and which muscles?
Superficial posterior compartment (Gastrocnemius, Soleus, Plantaris)
and
Dee posterior compartment (Tibialis posterior, Flexor digitorum longus, Flexor hallucis longus, Popliteus)
Agonist
the worker muscle- the muscle that causes the desired action
Antagonist
a muscle that can cause movement opposite to the agonist - “true Antagonist” has exactly the opposite action or actions of the agonist
Stabilizer
a muscle that fixes or holds a bone so the agonist can do the intended movement, or eliminates undesirable movement
Synergist
a muscle that has at least one antagonistic action to the agonist and contracts to eliminate an undesirable movement, thus enabling the agonist to be more efficient.
Neutralizer
a muscle that has a common and an antagonistic action with the agonist. The antagonistic actions cancel each other and the common action results.
Co-contraction
the simultaneous contraction of antagonistic muscles
The length-tension relationship
The length-tension relationship states that the contractile tension that the muscle is able to produce increases with the length of the muscle and is maximum when the muscle is at its resting length.
The contractile tension
The contractile tension produced decreases as the muscle becomes shorter, or as the muscle is stretched beyond resting length.
1st class lever
fulcrum or axis of rotation is in between the effort and resistive torques

2nd class lever
the resistive torque is between the fulcrum and the effort torques

3rd class lever
the effort torque is between the fulcrum and the resistive torque
