A Treatise on Anatomy, Physiology, and Hygiene (Revised Edition)

CHAPTER VIII THE MUSCLES.

149. All the great motions of the body are caused by the movement of some of the bones which form the framework of the system; but these, independently of themselves, have not the power of motion, and only change their position through the action of other organs attached to them, which, by contracting, draw the bones after them. In some of the slight movements, as the winking of the eye, no bones are displaced. These moving, contracting organs are the Mus´cles, (lean meat.)

ANATOMY OF THE MUSCLES.

150. The MUSCLES, by their size and number, constitute the great bulk of the body, upon which they bestow form and symmetry. In the limbs, they are situated around the bones, which they invest and defend, while they form, to some of the joints, their principal protection. In the trunk, they are spread out to enclose cavities, and constitute a defensive wall, capable of yielding to internal pressure, and reassuming its original state.

151. In structure, a muscle is composed of fas-cic´u-li (bundles of fibres) of variable size. These are enclosed in a cellular membranous investment, or sheath. Every bundle composed of a number of small fibres, and each fibre consists of a number of filaments, each of which is enclosed in 65 a delicate sheath. Toward the extremity of the organ the muscular fibre ceases, and the cellular structure becomes aggregated, and so modified as to constitute ten´dons, (cords,) by which the muscle is tied to the surface of the bone. The union is so firm, that, under extreme violence, the bone will sooner break than permit the tendon to separate from its attachment. In some situations, there is an expansion of the tendon, in the manner of a membrane, called Ap-o-neu-ro´sis, or Fas´ci-a.

149. How are all the motions of the body produced? What are these motor organs called? 150–160. Give the anatomy of the muscles. 150. What is said of the muscles? 151. Give their structure.

Observation. The pupil can examine a piece of boiled beef, or the leg of a fowl, and see the structure of the fibres and tendons of a muscle.

Fig. 36.

Fig. 36. 1, A representation of the direction and arrangement of the fibres in a fusiform, or spindle-shaped muscle. 2, In a radiated muscle. 3, In a penniform muscle. 4, In a bipenniform muscle. t, t, The tendons of a muscle.

152. Muscles present various modifications in the arrangement of their fibres, as relates to their tendinous structure. Sometimes they are completely longitudinal, and terminate, at each extremity, in a tendon, the entire muscle being spindle-shaped. In other situations, they are disposed like the rays of 66 a fan, converging to a tendinous point, and constituting a ra´di-ate muscle. Again they are pen´ni-form, converging, like the plumes of a pen, to one side of a tendon, which runs the whole length of the muscle; or they are bi-pen´ni-form, converging to both sides of the tendon.

How are tendons or cords formed? What is the expansion of a tendon called? How can the structure of muscles and their fibres be shown? What does fig.36 represent? 152. Give the different arrangements of muscular fibres.

153. In the description of a muscle, its attachments are expressed by the terms “origin” and “insertion.” The term origin is generally applied to the more fixed or central attachment, or to the point toward which motion is directed; while insertion is assigned to the more movable point, or to that most distant from the centre. The middle, fleshy portion is called the “belly,” or “swell.” The color of a muscle is red in warm-blooded fish and animals; and each fibre is supplied with arteries, veins, lymphatics, and both sensitive and motor nervous filaments.

154. The FASCIA is of various extent and thickness, distributed through the different regions of the body, for the purpose of investing and protecting the softer and more delicate organs. An instance is seen in the membrane which envelopes a leg of beef, and which is observed on the edges of the slices when it is cut for broiling. When freshly exposed, it is brilliant in appearance, tough, and inelastic. In the limbs it forms distinct sheaths to all the muscles.

155. This tendinous membrane assists the muscles in their action, by keeping up a tonic pressure on their surface. It aids materially in the circulation of the fluids, in opposition to the laws of gravity. In the palm of the hand and sole of the foot, it is a powerful protection to the structures that enter into the formation of these parts. In all parts of the system, the separate muscles are not only invested by fascia, but they 67 are arranged in layers, one over another. The sheath of each muscle is loosely connected with another, by the cellular membrane.

153. What is meant by the origin of a muscle? The insertion? The swell? What is the color of muscles? With what is each muscular fibre supplied? 154. What is said of fascia? What is its appearance when freshly exposed? 155. What effect has it on the muscles? Give other uses of the fascia.

156. The interstices between the different muscles are filled with adipose matter, or fat. This is sometimes called the packing of the system. To the presence of this tissue, youth are indebted for the roundness and beauty of their limbs.

Fig. 37.

Fig. 37. A transverse section of the neck. The separate muscles, as they are arranged in layers, with their investing fasciÆ, are beautifully represented. As the system is symmetrical, figures are placed only on one side. In the trunk the muscles are arranged in layers, surrounded by fasciÆ, as in the neck. The same is true of the muscles of the upper and lower limbs.

12, The trachea, (windpipe.) 13, The oesophagus, (gullet.) 14, The carotid artery and jugular vein. 28, One of the bones of the spinal column. The figures that are placed in the white spaces represent some of the fasciÆ; the other figures indicate muscles.

157. The muscles may be arranged, in conformity with the general division of the body, into four parts: 1st. Those of the Head and Neck. 2d. Those of the Trunk. 3d. Those of the Upper Extremities. 4th. Those of the Lower Extremities.

156. Give a reason why the limbs of youth are rounder than those of the aged. Describe fig.37.

Fig. 38.

Fig. 38. The superficial layer of muscles on the face and neck. 1, 1, The occipito-frontalis muscle. 2, The orbicularis palpebrarum. 6, The levator labii superioris 7, The levator anguli oris. 8, The zygomaticus minor. 9, The zygomaticus major 10, The masseter. 11, The depressor labii superioris. 13, The orbicularis oris. 15, The depressor anguli oris. 16, The depressor labii inferioris. 18, The sterno-hyoideus. 19, The platysma-myodes. 20, The superior belly of the omo-hyoideus. 21, The sterno-cleido mastoideus. 20, The scalenus medius. 23, The inferior belly of the omo-hyoideus. 24, The trapezius.[5]

Practical Explanation. The muscle 1, 1, elevates the eyebrows. The muscle 2 closes the eye. The muscle 6 elevates the upper lip. The muscles 7, 8, 9, elevate the angle of the mouth. The muscle 10 brings the teeth together when eating. The muscle 11 depresses the upper lip. The muscle 13 closes the mouth. The muscle 15 depresses the angle of the mouth. The muscle 16 draws down the lower lip. The muscles 18, 19, 20, 23, depress the lower jaw and larynx and elevate the sternum. The muscle 21, when both sides contract, draws the head forward, or elevates the sternum; when only one contracts, the face is turned one side toward the opposite shoulder. The muscles 18, 19, 20, 21, 22, 23, 24, aid in respiration.

Observation. When we are sick, and cannot take food, the body is sustained by absorption of the fat. The removal of it into the blood causes the sunken cheek, hollow eye, and prominent appearance of the bones after a severe illness.

158. The number of muscles in the human body is more than five hundred; in general, they form about the skeleton two layers, and are distinguished into superficial and deep-seated muscles. Some of the muscles are voluntary in their motions, or act under the government of the will, as those which move the fingers, limbs, and trunk; while others are involuntary, or act under the impression of their proper stimulants, without the control of the individual, as the heart.

Observations. 1st. The abdominal muscles are expiratory, and the chief agents for expelling the residuum from the rectum, the bile from the gall bladder, the contents of the stomach and bowels when vomiting, and the mucus and irritating substances from the bronchial tubes, trachea, and nasal passages by coughing and sneezing. To produce these effects they all act together. Their violent and continued action sometimes produces hernia, and, when spasmodic, may occasion ruptures of the different organs.

2d. The contraction and relaxation of the abdominal muscles and diaphragm stimulate the stomach, liver, and intestines to a healthy action, and are subservient to the digestive powers. If the contractility of their muscular fibres is destroyed or impaired, the tone of the digestive apparatus will be diminished, as in indigestion and costiveness. This is frequently attended by a displacement of those organs, as they generally gravitate towards the lower portion of the abdominal cavity, when the sustaining muscles lose their tone and become relaxed.

What causes the hollow eye and sunken cheek after a severe sickness? 158. How many muscles in the human system? Into how many layers are they arranged? What is a voluntary muscle? Give examples. What is an involuntary muscle? Mention examples. Give observation 1st, respecting the use of the abdominal muscles? Observation 2d.

Fig. 39.

Fig. 39. A front view of the muscles of the trunk. On the left side the superficial layer is seen; on the right, the deep layer. 1, The pectoralis major muscle. 2, The deltoid muscle. 6, The pectoralis minor muscle. 9, The coracoid process of the scapula. 11, The external intercostal muscle. 12, The external oblique muscle 13, Its aponeurosis. 16, The rectus muscle of the right side. 18, The internal oblique muscle.

Practical Explanation. The muscle 1 draws the arm by the side, and across the chest, and likewise draws the scapula forward. The muscle 2 elevates the arm. The muscle 6 elevates the ribs when the scapula is fixed, or draws the scapula forward and downward when the ribs are fixed. The muscles 12, 16, 18, bend the body forward or elevate the hips when the muscles of both sides act. They likewise depress the rib in expiration. When the muscles on only one side act, the body is twisted to the same side.

Explain fig.39. Give the function of some of the most prominent muscles, from this figure.

Fig. 40.

Fig. 40. A lateral view of the muscles of the trunk. 3, The upper part of the external oblique muscle. 4, Two of the external intercostal muscles. 5, Two of the internal intercostals. 6, The transversalis muscle. 7, Its posterior aponeurosis. 8, Its anterior aponeurosis. 11, The right rectus muscle. 13, The crest of the ilium, or haunch-bone.

Practical Explanation. The rectus muscle, 11, bends the thorax upon the abdomen when the lower extremity of the muscle is the fixed point; but when the upper extremity is the fixed point, the effect is to bring forward and raise the pelvis and lower extremities. They likewise depress the ribs in respiration. The transverse muscle, 6, 7, 8, lessens the cavity of the abdomen, and presses the intestines; stomach, and liver upward, against the diaphragm, in expiration.

3d. The region of the back, in consequence of its extent, is common to the neck, the upper extremities, and the abdomen. The muscles of which it is composed are numerous, and are arranged in six layers.

What is represented by fig.40? Give the function of some of the muscles represented by this figure.

Fig. 41.

Fig. 41 The first, second, and part of the third layer of muscles of the back. The first layer is shown on the right, and the second on the left side. 1, The trapezius muscle. 2, The spinous processes of the vertebrÆ. 3, The acromion process and spine of the scapula. 4, The latissimus dorsi muscle. 5, The deltoid muscle. 7, The external oblique muscle. 8, The gluteus medius muscle. 9, The gluteus maximus muscle, 11, 12, The rhomboideus major and minor muscles. 15, The vertebral aponeurosis. 16, The serratus posticus inferior muscle. 22, The serratus magnus muscle. 23, The internal oblique muscle.

Practical Explanation. The muscles 1, 11, 12, draw the scapula back toward the spine. The muscles 11, 12, draw the scapula upward toward the head, and slightly backward. The muscle 4 draws the arm by the side, and backward, The muscle 5 elevates the arm. The muscles 8, 9, extend the thigh on the body. The muscle 1 draws the head back and elevates the chin. The muscle 16 depresses the ribs in expiration. The muscle 22 elevates the ribs in inspiration.

159. The diaphragm, or midriff, is the muscular division between the thorax and the abdomen. It is penetrated by the oesophagus on its way to the stomach, by the aorta conveying blood toward the lower extremity, and by the ascending vena cava, or vein, on its way to the heart.

Fig. 42.

Fig. 42. A representation of the under, or abdominal side of the diaphragm. 1, 2, 3, 4, The portion which is attached to the margin of the ribs. 8, 10, The two fleshy pillars of the diaphragm, which are attached to the third and fourth lumbar vertebrÆ. 9, The spinal column. 11, The opening for the passage of the aorta. 12, The opening for the oesophagus. 13, The opening for the ascending vena cava, or vein.

Observation. The diaphragm may be compared to an inverted basin, its bottom being turned upward into the thorax, while its edge corresponds with the outline of the edges of the lower ribs and sternum. Its concavity is directed toward the abdomen, and thus, this cavity is very much enlarged at the expense of that of the chest, which is diminished to an equal extent.

159. Describe the diaphragm. What vessels penetrate this muscular septum?

160. “The motions of the fingers do not merely result from the action of the large muscles which lie on the fore-arm, these being concerned more especially in the stronger actions of the hands. The finer and more delicate movements of the fingers are performed by small muscles situated in the palm and between the bones of the hand, and by which the fingers are expanded and moved in all directions with wonderful rapidity.”

Fig. 43.

Fig. 44.

Fig. 43. A front view of the superficial layer of muscles of the fore-arm. 5, The flexor carpi radialis muscle. 6, The palmaris longus muscle. 7, One of the fasciculi of the flexor sublimis digitorum muscle, (the rest of the muscle is seen beneath the tendons of the pintails longus.) 8, The flexor carpi ulnaris muscle. 9, The palmar fascia. 11, The abductor pollicis muscle. 12, One portion of the flexor orevis pollicis muscle. 13, The supinator longus muscle. 14, The extensor ossis metacarpi, and extensor primi internodii pollicis muscles, curving around the lower border of the fore-arm. 15, The anterior portion of the annular ligament, which binds the tendons in their places.

Practical Explanation. The muscles 5, 6, 8, bend the wrist on the bones of the fore-arm. The muscle 7 bends the second range of finger-bones on the first. The muscle 11 draws the thumb from the fingers. The muscle 12 flexes the thumb. The muscle 13 turns the palm of the hand upward. The muscles 8, 13, 14, move the hand laterally.

Fig. 44. A back view of the superficial layer of muscles of the fore-arm. 5, The extensor carpi radialis longior muscle. 6, The extensor carpi radialis brevior muscle. 7, The tendons of insertion of these two muscles. 8, The extensor communis digitorum muscle. 9, The extensor minimi dlgiti muscle. 10, The extensor carpi ulnaris muscle. 13, The extensor ossis metacarpi and extensor primi internodii muscles, lying together. 14, The extensor secundi internodii muscle; its tendon is seen crossing the two tendons of the extensor carpi radialis longior and brevior muscles. 15, The posterior annular ligament. The tendons of the common extensor muscle of the fingers are seen on the back of the hand, and their mode of distribution on the back of the fingers.

Practical Explanation. The muscles 5, 6, 10, extend the wrist on the fore-arm. The muscle 8 extends the fingers. The muscle 9 extends the little finger. The muscles 13 extend the metacarpal bone of the thumb, and its first phalanx. The muscle 14 extends the last bone of the thumb. The muscles 10, 13, 14, move the hand laterally.

160. Where are the muscles situated that effect the larger movements of the hand? That perform the delicate movements of the fingers? Give the use of some of the muscles represented by fig. 43. Those represented by fig.44.

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