M. cutaneus maximus (Fig. 62, b).—This is a very large,
thin muscle which covers almost the whole side of the body.
It arises from the outer surface of the latissimus dorsi (Fig. 68,
m) near its ventral end and from the bicipital arch (Fig. 65, t′)
in the axilla; from the linea alba for a considerable distance
(two or three inches) caudad of the base of the xiphoid process,
and from the thorax over a line joining the axilla and the base
of the xiphoid. Sometimes a few fibres take origin from the
fascia which covers the pectoantibrachialis on the ventral side
of the arm.
From their origin the fibres diverge. The cranial ones
curve about the base of the forelimb and are inserted into the
skin at or near the middle line caudad of the first thoracic
vertebra. The most cranial fibres of all are inserted about one
to one and a half centimeters from the middorsal line; thence
the line of insertion approaches the middorsal line to reach it
at about the eighth or ninth thoracic vertebra. The middle
fibres run parallel to the middorsal line in the lumbar and
sacral regions as far as the root of the tail, a small bundle
passing onto the dorsal side of the tail, another onto the ventral
side. The fibres of the caudal portion pass onto the thigh, the
ventral ones running in the fold of skin which stretches from
thigh to abdomen, and are finally lost in the fascia along a line
connecting the knee and the root of the tail. A strong fascia
connects the adjacent borders of the cutaneus and platysma and
lies over the scapular region.
Fig. 62.—Muscles of the Skin.
a, a′, a″, M. platysma; b,
M. cutaneus maximus; c, M. orbicularis oris. Between the platysma and the cutaneus maximus are seen the following
deeper muscles: d, M. acromio-trapezius; e, M. levator scapulæ ventralis;
f, M. spino-deltoideus; g, M. acromio-deltoideus; h, M. clavobrachialis;
i, caput laterale of M. triceps brachii; j, caput longum of M. triceps brachii;
k, M. xiphi-humeralis; l, M. pectoralis minor. 1,
external jugular vein.]
This muscle lies immediately beneath the integument. It
covers the first layer of body muscles.
Action.—Moves the skin.
M. platysma (Figs. 62 and 64, a,
a′, a″).—This muscle
forms a thin layer of fibres covering the sides of the neck and
face, in close relation with the integument. Several more or
less distinct portions may be distinguished.
(1) Most of the fibres (a) arise from the middorsal line, from
the occiput to the first thoracic vertebra, in a narrow fascia
common to the muscles of the two sides. The most cranial
fibres of this region arise as a small bundle from the external
occipital crest, beneath the levator auris longus (Fig. 63,
g, g′).
From this origin in the middle line the fibres pass craniolaterad.
The most cranial fibres curve about the ventral side
of the ear and pass toward the caudal angle of the eye, where
they unite with fibres of the zygomaticus (Fig. 64, d) or corrugator
supercilii lateralis (Fig. 64, k), or pass to the lower
eyelid. Caudad of these the fibres cover the side of the face
and become lost among the facial muscles, some passing to the
lower eyelid, some to the fibrous pad which supports the
vibrissæ, some to the angle of the mouth, some to the lower
lip. The most ventral fibres meet the fibres of the opposite
muscle just ventrad of the symphysis of the mandible.
The ventral free border of the platysma is separated on the
ventral side of the neck from the border of the opposite muscle
by a wedge-shaped area having its point at the symphysis
menti.
The fibres of this portion of the muscle are interrupted by
an attachment to the skin, along a line passing from the base
of the ear to about the middle of the coracoid border of the
scapula, The dorsal (a) and ventral (a′) portions of the
muscle, separated by this line of attachment, are sometimes
described as separate muscles (the supercervicocutaneus and
cervicofacial, respectively, of Strauss-Durckheim).
(2) A band of fibres one or two centimeters across (a″)
arises in the fascia of the side of the neck just craniad of the
middle of the coracoid border of the scapula, and passes caudoventrad
toward the manubrium, its fibres crossing the fibres of
the first part of the platysma at right angles. These fibres
become lost in the fascia ventrad of the manubrium, or pass
across the middle line to intermingle with the corresponding
fibres of the opposite side. This portion of the platysma is
sometimes absent.
The platysma is everywhere subcutaneous, except at its
dorsocranial angle, where a small bundle of fibres is covered
by the levator longus auris. It covers the deeper muscles of
the neck and head. Closely attached to its inner surface are
the submentalis and depressor conchæ, whose fibres bridge
over the ventral interval between the borders of the platysmas
of opposite sides.
Action.—Moves the skin of the face and neck.
—The most superficial layer
of muscles on the face and head is formed by differentiation of
the fibres of the platysma. The muscles thus formed are not
clearly distinct from each other; in this region sets of fibres
differing in direction and in origin or insertion receive separate
names even though the different sets of fibres are closely interwoven.
In the quadrangle on the dorsal surface of the head enclosed
between the two eyes and the two ears, a thin superficial sheet
of fibres is found, in which a number of different sets may be
distinguished (Fig. 63). These have received the following
names.
M. intermedius scutulorum (Fig. 63, a).—This consists
of a broad thin sheet of transverse fibres between the two
external ears. The fibres are attached at either end to the
scutiform cartilage (1) of the two ears, and pass without interruption
across the middle line. At its cranial edge this muscle
is continuous with the corrugator supercilii medialis (b); at its
lateral edge with the frontoscutularis; at its caudal edge with
the levator auris longus (g).
Relations.—Outer surface with the integument. Inner surface
with the galea aponeurotica (to which the muscle is closely
united), the epicranius muscle (h) and the temporal muscle (n).
Action.—Draws the two ears dorsad, toward the middle
line.
Fig. 63.—Muscles on the Dorsal
Surface of the Head.
On the right side are shown the superficial muscles; on the left side the superficial
muscles have mostly been removed, exposing the deeper muscles and the bone.
a, M. intermedius scutulorum; b, M. corrugator supercilii medialis; c, M. orbicularis
oculi; d, M. corrugator supercilii lateralis; e, cranial end fibres of M. platysma; f,
M. adductor auris superior; g, g′, M. levator auris longus (g, cranial portion; g′,
caudal portion); h, h′, M. epicranius (h, M. occipitalis;
h′ M. frontalis); i, M. transversus
auriculæ; k, M. auricularis superior (cut on the left side); l, M. abductor
auris brevis; m, M. abductor auris longus; n, M. temporalis; o, cut origin of M.
frontoscutularis; p, p′, M. levator labii superioris alæque nasi (p′, the origin from
the maxillary bone); q, angular head of M. quadratus labii superioris. 1, scutiform
cartilage; 2, external ear; 3, bones of the skull.
M. corrugator supercilii medialis (b).—This consists of
a thin sheet of scattered fibres lying craniad of the last and
intermingling with it. The fibres take origin near the middle
line, pass laterad, then curve craniad, converging, to be
inserted into the whole extent of the upper eyelid, especially
near the caudal angle. Here the fibres unite with those of the
orbicularis oculi (c).
This muscle is continuous caudad with the intermedius
scutulorum (a), craniad with the orbicularis oculi (c); laterad
with the corrugator supercilii lateralis (d). Toward the medial
side the fibres lose themselves in a tendinous sheet that joins
the galea aponeurotica.
Relations.—Outer surface with the integument. Inner surface
with the frontoscutularis and the skull.
Action.—Raises the upper eyelid.
M. orbicularis oculi (Fig. 63, c; Fig. 64, s).—This consists
of two thin bands of muscle-fibres which lie one in either
eyelid parallel to its border and unite at the angle of the eye.
Origin by short tendon-fibres from a tubercle on the surface
of the frontal process of the maxillary bone just dorsad of the
orbital end of the lachrymal canal and between the two parts
of the quadratus labii superioris (Fig. 63, p and q).
The muscle splits into two parts which pass into the two
eyelids. At the outer angle of the eye the two bands unite
by the intervention of tendon-fibres between the muscle-fibre
bundles of the two.
Relations.—Outer surface with the integument. Inner surface
with the inner membrane of the eyelid.
Action.—Closes the eye.
M. corrugator supercilii lateralis (Fig. 63, d; Fig. 64, k).—This
consists of a number of scattered fibres which arise from
among the fibres of the frontoscutularis, and from the tendon
lying just craniad of the external opening of the ear, to which
are united also parts of the zygomaticus (Fig. 64, d) and submentalis
(Fig. 64, c). The fibres pass craniad, converging so
as to form a narrow band which is inserted at the caudolateral
angle of the eye, where it unites with the orbicularis oculi
(Fig. 64, s). This muscle is continuous on the medial side
with the corrugator supercilii medialis (Fig. 64, j) and the
frontoauricularis, on the lateral side with the platysma.
Relations.—Outer surface with the integument. Inner surface
with the frontal bone and the frontoscutularis.
Action.—Pulls the angle of the eye caudad; at the same
time pulls the external ear craniad.
M. frontoauricularis.—A few of the fibres which are
attached along the upper eyelid sometimes pass dorsocaudad,
mingled with fibres of the corrugatores supercilii medialis and
lateralis and the frontoscutularis, to the craniomedial angle of
the auricular cartilage, where they unite with the fibres of the
adductor auris superior. These fibres are sometimes distinguished
as the frontoauricularis muscle.
M. levator auris longus (Fig. 63, g and g′). (Part of the
auricularis posterior of man.)—This lies on the caudal half of
the dorsal surface of the head, forming a laterocaudal continuation
of the intermedius scutulorum (a).
Origin from the middle line of the neck dorsad of the atlas,
and from the sagittal crest for about one centimeter craniad of
the external occipital tubercle. The fibres form a broad thin
sheet which passes craniolaterad as far as the caudal end of the
scutiform cartilage (1). Here the muscle divides; the major
portion is attached to the scutiform cartilage (1), its fibres
intermingling with those of the intermedius scutulorum (a).
The caudal portion of the muscle (g′) passes onto the surface
of the auricle, extending one or two centimeters distad; here
it is inserted on an oblique line which lies directly craniad of
the insertion of the transversus auriculæ (i).
The caudal portion of this muscle (g′) having origin above
the atlas and insertion on the auricle, is sometimes considered
a separate muscle, the supercervicoauricular or cervicoauricular.
The cranial portion (g) with origin on the sagittal crest
and insertion on the scutiform cartilage might be distinguished
as the occipitoscutularis.
The levator auris longus is continuous at its cranial end
medially with M. epicranius (h); laterally with M. intermedius
scutulorum (a).
Relations.—Outer surface with the integument. Inner
surface with the temporal muscle (n), the auricularis superior
(k), the abductor longus auris (m), a narrow strand of the
platysma, and the clavotrapezius.
Action.—Pulls the external ear dorsocaudad.
The four following muscles lie partly or entirely beneath
those already described; they are doubtless formed as differentiations
of the inner layers of the platysma.
M. auricularis superior (or attollens auris) (Fig. 63, k).—This
muscle forms a band about one centimeter broad lying
just beneath the levator longus (g).
Origin on the sagittal crest for about one centimeter craniad
of the interparietal bone. The muscle passes laterad onto the
surface of the auricle and is inserted into the auricular cartilage
a little caudad of the middle of its convex surface. At its
lateral end the cranial margin is closely united to the under
surface of the levator auris longus (g).
Relations.—Outer surface at the medial end with the epicranius
(h), the abductor auris longus (m), and levator auris
longus (g); at the lateral end with the skin. Inner surface
with the temporal muscle (n) and the auricular cartilage.
Action.—Pulls the external ear dorsad.
M. abductor auris longus (Fig. 63, m; Fig. 64, q). (Part
of the auricularis posterior of man.)
Origin on the sagittal crest dorsad of the interparietal bone,
caudad of that of the auricularis superior (k), which it partly
covers.
The muscle passes laterad as a flat band 8 to 10 millimeters
wide over the caudal surface of the concha of the ear, and is
inserted (Fig. 64, q) on the lateral surface of the eminentia
conchæ, caudad of the antitragus.
Relations.—Outer surface with the levator auris longus (g)
and the integument. Inner surface with the auricularis superior
(k), the abductor auris brevis (l), and the concha.
Action.—Pulls the external ear caudad.
M. abductor auris brevis (Fig. 63, l).
Origin by a tendon from the lambdoidal crest for one or
two centimeters laterad of the middle.
The muscle passes lateroventrad lying beneath the abductor
longus (m) as a flat band 6 to 8 millimeters wide which is
inserted into the medial surface of the most proximal portion
of the concha, just distad of its junction with the cartilaginous
auditory meatus.
Relations.—Outer surface with the abductor longus (m), a
small strand of the platysma and the concha. Inner surface
with the temporal muscle (n).
Action.—Pulls the concha caudad.
M. epicranius (or occipitofrontalis) (Fig. 63, h and h′).
Origin on the sagittal crest or suture, just craniad of the
origin of the levator longus auris, to the inner surface of which
this muscle is closely united. From the origin the fibres pass
craniad forming a band (h) about 8 or 10 millimeters in width,
the two muscles lying close to one another and partly united
in the middle line. About two centimeters craniad of their
origin the fibres of both muscles end in a tendinous sheet, the
galea aponeurotica, which covers the surface of the skull in the
region between the ears and eyes, and is formed by the inner
surface of the intermedius scutulorum (a) and other muscles of
this region. The galea aponeurotica passes craniad onto the
surface of the nose, where it gives origin again to a thin sheet
of muscle-fibres (h′) which are inserted into the integument
near the cranial ends of the nasal bones.
M. epicranius is thus formed of two muscular portions
(h and h′), connected by a long tendinous sheet. The caudal
portion is frequently distinguished as the occipital muscle
(M. occipitalis, h), the cranial portion, on the nose, as the
frontal muscle (M. frontalis, h′).
Relations.—Outer surface of the occipitalis (h) with the
intermedius scutulorum (a), the levator auris longus (g), and
the integument; inner surface with the auricularis superior (h),
the abductor auris longus, and the bone. Outer surface of
the frontalis (h′) with the integument; inner surface with the
bones of the skull.
Action.—Moves the integument of the dorsal surface of the
head and of the nose.
Ventrad of the external ear the following three differentiated
portions of the platysma may be distinguished.
M. zygomaticus (major) (Fig. 64, d).—A slender band
connecting the angle of the mouth with the scutiform cartilage
of the ear.
Fig. 64.—Superficial
Muscles on the Lateral Surface of the Head and Neck.
a, a′, a″, M. platysma;
b, M. depressor conchæ; c, M. submentalis; d, M. zygomaticus
(b, c, and d lie beneath the platysma and are seen through it); e, M. zygomaticus
minor; f′, M. caninus; f, g, parts of M. quadratus labii superioris (f,
angular head; g, M. levator labii superioris alæque nasi); h, M. myrtiformis; i, M.
orbicularis oris; j, M. corrugator supercilii medialis; k, M. corrugator supercilii
lateralis; l, M. adductor auris superior; m, M. helicis; n, M. antitragicus; o, M.
adductor auris inferior; p, M. conchæus externus; q, M. abductor auris longus; r,
parts of M. auricularis externus; s, M. orbicularis oculi.
At the angle of the mouth the fibres arise from among those
of the orbicularis oris (i), from both the upper and the lower
lip. They pass thence dorsocaudad across the zygomatic arch
as a band 8 or 10 millimeters wide which is attached to a
tendinous aponeurosis lying just craniad of the external opening
of the ear. To this aponeurosis are attached also, wholly or
partly, the corrugator supercilii lateralis (k) and the submentalis
(c). The aponeurosis is united with the caudoventral angle
of the scutiform cartilage and with the ventral edge of the
cranial margin of the auricular cartilage.
This muscle is united at its cranial end with the orbicularis
oris (i); throughout its length more or less with the platysma
(a, a′); at its caudodorsal end with the corrugator supercilii
lateralis (k) on its medial side, and with the submentalis (c) on
its lateral side.
Relations.—Outer surface with the integument and the
platysma (a′). Inner surface with the masseter, temporal,
frontoscutularis, and adductor auris inferior (o).
Action.—Draws the angle of the mouth dorsocaudad; the
external ear ventrocraniad.
M. submentalis (Fig. 64, c).—A flat band, similar to the
last, and closely connected for some distance to its caudal
border.
It arises as scattered fibres near the ventral middle line at
about the level of the larynx, the fibres of the opposite muscles
crossing the middle line and intermingling. The fibres pass
dorsad, converging so as to form a narrower band, which
unites dorsad with the zygomaticus (d), to be inserted with it
into the tendinous aponeurosis above described.
Relations.—Outer surface with the integument and platysma
(a′). Inner surface with the muscles of the hyoid, the
digastricus, the parotid gland, the masseter, the zygomatic arch
and the temporal muscle.
Action.—Draws the external ear ventrad.
M. depressor conchæ (Fig. 64, b).—A thin band of fibres,
caudad of the last and parallel with it. The muscle arises as
scattered fibres on the ventral surface of the neck, one or
two centimeters craniad of the manubrium, the fibres of the
muscles of opposite sides crossing the middle line and interdigitating.
They pass dorsad, gathering together to form a
narrow band which is inserted into the summit of the antitragus.
Relations.—Outer surface with the skin at the ventral end,
and with the platysma (a′) further dorsad. Inner surface with
the deep muscles of the neck and with the parotid gland.
Action.—Draws the external ear ventrad.
Lying deeper than the muscles thus far described, but
closely connected with a number of them, are the following:
M. frontoscutularis. Origin (Fig. 63, o) on the frontal bone, along the supraorbital
margin, from the craniomedial angle of the eye caudad
to the zygomatic process of the frontal.
The fibres form a large muscle which passes dorsocaudad
to the scutiform cartilage and is mostly attached along its
ventrolateral border. Some of the outer fibres, however, pass
distad of the scutiform cartilage toward the cartilage of the ear,
thus joining the adductor auris superior (f).
The outer surface of this muscle is closely connected with
fibres of the intermedius scutulorum (a), the corrugatores
supercilii medialis (b) and lateralis (d), and the frontoauricularis,
when this exists. The outer surface is covered near the
origin by the orbicularis oculi (c), farther dorsad by the muscles
just mentioned and the integument. The inner surface is in
relation with the frontal bone and the adductor auris inferior
(Fig. 64, o).
Action.—Pulls the ear craniad.
M. adductor auris inferior. (Fig. 64, o.) (Part of the
auricularis anterior of man.)—A small muscle lying beneath
the frontoscutularis.
Origin on the ligament which connects the zygomatic
process of the frontal with the frontal process of the malar.
The fibres form a thin band about 7 millimeters wide which
passes craniad, closely united to the inner surface of the frontoscutularis.
At the caudal edge of the zygomaticus (d) the
muscle is interrupted by a short tendinous interval; the fibres
then continue to their insertion on the tip of the antitragus.
Relations.—Outer surface with the frontoscutularis, the
zygomaticus (d), and the integument. Inner surface with the
temporal muscle and M. antitragicus (n).
Action.—Pulls the ear craniodorsad.
The remainder of the muscles of the ear, which, with the
exception of the tragicus lateralis, merely interconnect the
cartilages of the external ear or parts of these cartilages, are
described in connection with the account of the Auditory
Organ.
Owing to the presence of the fibrous pad to which the
whiskers are attached, the facial muscles between the eye and
the mouth differ in the cat in some respects from those of
related animals. This fibrous pad interrupts the muscles, frequently
breaking muscles which are elsewhere single into two.
M. zygomaticus minor, or malaris (Fig. 64, e).—This
muscle is not always present; when it exists it forms a very thin
flat band of fibres passing from the ventral side of the eye
toward the angle of the mouth.
Origin among the fibres of the orbicularis oculi (s) in the
lower eyelid. The fibres pass ventrad; the insertion varies.
In some specimens the insertion is among the fibres of the
orbicularis oris (i), at the angle of the mouth, beneath the
zygomaticus (d). In other cases this muscle is said to be
inserted into the pad on which the whiskers rest.
Relations.—Outer surface with the integument and near its
insertion with the zygomaticus major (d). Inner surface with
the malar bone and the masseter muscle.
Action.—Pulls the angle of the mouth (or the whiskers)
dorsad.
M. orbicularis oris (Fig. 64, i).—This forms a very thin
layer of subcutaneous concentric fibres which surround the
mouth, that of the upper lip being thicker than that of the
lower lip. The part of the muscle in the lower lip has its
fibres intermingled with those of the platysma (a′). In the
median line the fibres of the upper lip are interrupted by a
raphe, and caudad of this are intermingled with those of the
caninus.
M. quadratus labii superioris (Fig. 63, p and q; Fig. 64,
f and g).—This is a complex of muscle-fibres attached chiefly
to the fibrous pad on which the whiskers rest. In it two parts
can be distinguished more or less completely.
(1) M. levator labii superioris alæque nasi (Fig. 63, p;
Fig. 64, g) on the sides of the nose. This arises (a) as a continuation
of the frontal portion of the epicranius, and (b) in a
small bundle (Fig. 63, p) from near the dorsal end of the
frontal process of the maxillary bone, in common with the
next. The two slips thus formed unite craniad and are inserted
partly into the integument on the outer side of the wing of the
nose, partly into the skin of the upper lip, lateroventrad of the
nose, and partly into the pad on which the whiskers are located,
in connection with the next.
(2) The angular head (caput angulare), or levator labii
superioris proprius (Fig. 63, q; Fig. 64, f) is much larger
than the last. It takes origin from a small tubercle at the
cranial border of the orbit, close to the origin of the orbicularis
oculi. The fibres diverge from their origin to their insertion
among the whiskers and in the fibrous pad on which the
whiskers rest.
Action.—Erects the whiskers and raises the upper lip.
M. caninus or levator anguli oris (Fig. 64, f′).
Origin in a depression on the lateral surface of the maxillary
bone, just craniad of the last premolar tooth. The fibres
pass craniad, diverging, toward the whiskers, and have their
insertion into the pad of tissue on which the whiskers rest.
Action.—Retracts the whiskers and raises the upper lip.
M. buccinator.—A thin muscle against the mucous membrane
of the upper lip, partly united with the orbicularis oris
and lying beneath M. caninus.
Origin on the outer surface of the superior maxillary bone
in the depression between the infraorbital foramen and the first
premolar tooth. The fibres pass ventrad, diverging, and
mingle with those of the deep part of the orbicularis oris.
Relations.—Outer surface with the caninus and with the
orbicularis oris. Inner surface with the mucous membrane of
the upper lip.
Action.—Raises the upper lip.
M. myrtiformis (probably corresponds to a part of the
human M. nasalis) (Fig. 64, h).—A thin sheet of muscle-fibres
lying craniad of the levator labii superioris alæque nasi and
passing from the whiskers to the nose and upper lip. It is distinguishable
from the alæque nasi by the direction of the
fibres.
Origin from the pad upon which the whiskers rest. The
fibres diverge and have their
Insertion upon the wing of the nose and into the skin of the
upper lip near the median line.
Action.—Dilator of the nares and elevator of the upper lip.
M. “moustachier” (Str.-D.) (probably corresponds to
one of the Mm. incisivi).—It lies on the upper lip near the
median line.
Origin from the outer surface of the premaxilla near the
suture along the ventral border of the narial opening. The
fibres diverge and pass caudad into the upper lip within the
superficial fibres of the orbicularis oris.
Insertion.—The skin of the upper lip just craniad of the
whiskers. Some of the fibres pass into the pad on which the
whiskers rest.
Action.—It carries the lip craniad.
M. quadratus labii inferioris.—A thin flat band extending
almost the length of the lower lip.
Origin from the alveolar border of the mandible, between
the molar tooth and the canine. The fibres pass dorsad into
the lower lip, where they intermingle with those of the orbicularis
oris. The muscle is perhaps not constant.
Action.—Depressor of the lower lip.
Sometimes a few fibres arising from the cranial portion of
the alveolar border of the mandibula pass mediad, seeming to
join corresponding fibres from the opposite side. Such fibres
would constitute a M. transversus menti.
(a) Muscles of Mastication.
M. digastricus (Fig. 65, b).—The digastric is a thick prismatic
muscle lying mediad of the angle of the lower jaw, connecting
it with the base of the skull.
Origin by fleshy fibres from the outer surface of the jugular
process of the occipital bone, and by a thin tendon from the
tip of the mastoid process and from the ridge between the
mastoid and the jugular processes. The muscle passes craniad,
becoming at the same time broader and more voluminous.
Insertion.—The ventral border of the mandible craniad of
the caudal border of the molar tooth. The insertion area
extends slightly onto both surfaces of the bone and is triangular,
with its apex craniad.
Relations.—Outer (ventral) surface with the following,
beginning at the caudal end: the rectus capitis lateralis, the
cleidomastoid (h), the submaxillary gland (2), the stylohyoid
(d), a large lymph-gland (3), and the integument. Inner
(dorsal) surface with the jugulohyoid, the tympanic bulla, the
masseter (a), the hyoglossus, and the mylohyoid (c).
Action.—Depressor of the lower jaw.
M. masseter (Figs. 65 and 66, a).—The masseter forms
the projecting mass so prominent in the cat behind and below
the eye. Its outer surface is covered by a strong aponeurosis.
The muscle is divided into three layers which are distinct as
to origin, insertion, and direction of fibres, but which are
otherwise not distinct.
The superficial layer takes
Origin by the superficial aponeurosis from the ridge which
runs lengthwise of the outer surface of the malar bone, and by
fleshy fibres from the surface of the malar bone ventrad of this
ridge. The fibres pass obliquely caudad to their insertion.
Insertion.—The caudal half of the lateral margin of the
ventral border of the mandible, by a sheet of fascia which lies
on the inner surface of the muscle. The superficial fibres curve
ventrad of the mandible and are inserted into a tendinous intersection
between this muscle and the internal pterygoid (Fig.
66, c).
The middle layer takes
Origin from the ventral border of the malar bone, from
opposite the molar tooth to within three millimeters of the
mandibular fossa. The fibres pass ventrad and have their
Insertion into the mandible at the ventral border of the
external coronoid fossa by means of the aponeurosis which
covers the inner surface of the muscle.
Fig. 65.—Muscles
on the Ventral Surface of the Thorax, Neck and
Head.
The left side shows the first layer of muscles beneath the skin and skin-muscles;
the right side shows the second layer, except in the head region. a, M. masseter;
b, M. digastricus; c, M. mylohyoideus; d, M. stylohyoideus; e, M. sternohyoideus;
f, M. thyreohyoideus; g, M. sternomastoideus; g′, M. sternothyreoideus; h, M.
cleidomastoideus; i, M. levator scapulæ ventralis; j, M. clavotrapezius; k, M. clavobrachialis;
l, M. pectoralis major; m, M. pectoantibrachialis; n, part of M. scalenus;
o, M. pectoralis minor; p, M. xiphihumeralis; q, M. latissimus dorsi; r, M. epitrochlearis;
s, caput longum of M. triceps brachii; t, M. biceps brachii; t′, bicipital
arch; u, M. acromiodeltoideus; v, M. brachialis. 1, parotid gland; 2, submaxillary
gland; 3, lymphatic glands; 4, external ear; 5, external jugular vein; 6, manubrium;
7, first rib; 8, common carotid artery; 9, molar gland.
The deep layer takes
Origin by a strong tendon from the ventral border of the
zygoma just craniad of the mandibular fossa. The fibres pass
cranioventrad, diverge and have their
Insertion into the external coronoid fossa.
Relations.—Outer surface with the following, beginning at
the caudal border: the external ear, the parotid gland (Fig.
65, 1), the platysma, the submentalis, the zygomaticus (major),
the zygomaticus minor. Ventral border with a lymph gland
caudad of the angle of the mouth (Fig. 65, 3), and the digastric
muscle (b). Inner surface with the bones.
Action.—A very powerful elevator of the lower jaw.
M. temporalis (Fig. 63, n).—The temporal muscle is the
great mass taking origin from the temporal fossa and having
its insertion on both surfaces and both borders of the coronoid
process of the mandible. It may be divided into two layers,
deep and superficial.
The superficial layer. The temporal fascia stretches over
the temporal fossa, being attached to its borders; that is, to the
sagittal and lambdoidal crests, to the curved ridge which connects
the sagittal crest with the zygomatic process of the frontal
bone, to the caudal border of this process, to the caudal border
of the malar bone, to the caudal border of the ligament connecting
the malar bone and the zygomatic process of the
frontal, and to the dorsal border of the zygomatic process of
the temporal bone and its dorsal root. The craniolateral part
of this fascia is much stronger than the remainder.
The muscle-fibres take origin from the strong craniolateral
part of the inner surface of the temporal fascia, from the groove
on the temporal bone dorsad of the dorsal root of its zygomatic
process, from the whole inner surface of this process and of the
zygomatic process of the malar bone, and sometimes also from
that part of the frontal bone which lies within the temporal
fossa.
Insertion.--The outer surface of the coronoid process of the
mandible dorsad of the coronoid fossa, and both borders of the
coronoid process. The cranial fibres may be inserted craniad
of the coronoid process onto the aponeurosis covering the deep
portion of the muscle. The caudal part of this portion is more
or less distinct and is sometimes described as a separate head.
The deep portion.
Origin by fleshy fibres from the whole surface of the temporal
fossa, except in cases where the cranial part of the fossa
is occupied by the superficial portion. The fibres converge
toward the coronoid process, and the ventral third of the outer
surface is covered by strong fascia.
Insertion.—The whole inner surface of the coronoid process
of the mandible.
Relations.—Outer surface with the external ear, the ear-muscles
(Fig. 63), the epicranius (Fig. 63, h), the corrugatores
supercilii lateralis (d) and medialis (b). Inner surface with
the skull, the pterygoideus externus (Fig. 66, b), and the structures
within the orbit.
Action.—Elevator of the lower jaw.
M. pterygoideus externus (Fig. 66, b).—This lies on the
medial side of the mandible, ventrad of the ventral portion of
the temporal.
Origin.—The external pterygoid fossa (Fig. 40, h), which
lies on the lateral surface of the perpendicular plate of the palatine
bone, and on the surface of the pterygoid process of the
sphenoid bone dorsad of the internal pterygoid fossa. The
fossa extends from the foramen rotundum to the sphenopalatine
foramen. The muscle passes with parallel fibres laterad,
ventrad, and caudad and has its
Insertion by a strong flat tendon into the medial surface of
the mandible near its ventral border between the opening of
the mandibular canal and the base of the angular process.
Relations.—Ventral surface with the masseter (a), the
digastric, and the soft palate with its muscles. Dorsal surface
with the temporal, and near its origin with the muscles of the
eye, and other structures in the orbit.
Action.—Elevator of the lower jaw.
M. pterygoideus internus (Fig. 66, c).—This lies caudad
of the pterygoideus externus, nearly parallel to it, and is connected
with it at its lateral end.
Origin from the whole surface of the internal pterygoid
fossa (Fig. 40, s).
Insertion by fleshy fibres into the ventral surface of the
external pterygoid and its tendon, into the medial surface of
the angular process of the mandible and caudad of the angular
process for about one centimeter into a fascia common to it and
the masseter muscle, and into the stylomandibular ligament.
Fig. 66.—Obliquely
Ventral View of the Deep Muscles of the Lower
Jaw and Palate.
The tongue and other structures forming the floor of the mouth have been removed,
showing the roof of the mouth. On the right side the masseter and pterygoideus
internus have been removed, a, a′, M. masseter; b, M. pterygoideus externus;
c, M. pterygoideus internus; d, d′, M. tensor veli palatini; e, e′, M. levator
veli palatini; f, M. constrictor pharyngis superior. 1, aponeurosis of the velum
palatinum; 2, ridges formed by the palatines and pterygoid portions of the sphenoid;
3, hamular processes; 4, free caudal border of the velum palatinum; 5, bulla tympani.
Relations.—Ventral surface with the styloglossus and the
soft palate. Dorsal surface with the bulla tympani (5) and
base of the skull. Cranial surface with the pterygoideus
externus (b), with which it is partly united.
Action.—Assists the pterygoideus externus.
(b) Muscles of the Hyoid Bone.
M. stylohyoideus (Fig. 65, d).—The stylohyoid is a
ribbon-like muscle about three millimeters wide. It lies on
the superficial surface of the digastric, caudad and ventrad of
the angle of the jaw.
Origin by fleshy fibres from the outer surface of the stylohyal
bone near its middle. The muscle curves over the outer surface
of the digastric (b), and ends about one centimeter from
the middle line in a slender flat tendon.
Insertion into the middle of the ventral surface of the body
of the hyoid bone. Some of the fibres of the mylohyoid (c) are
inserted into its tendon.
Relations.—Outer surface with the submaxillary gland (2)
and the submentalis muscle. Inner surface with the digastric (b),
the hyoglossus (Fig. 67, h), and the geniohyoid (Fig. 67, g).
Action.—Raises the hyoid.
M. geniohyoideus (Fig. 67, g).—The geniohyoid is a long
slender muscle which lies next to the median line between the
symphysis menti and the hyoid bone, closely applied to its
fellow of the opposite side and within (dorsad of) the mylohyoid
(Fig. 65, c).
Origin from the ventral half of the inner surface of the
mandibula for about one millimeter from the symphysis.
Insertion by muscle-fibres into the lateral half of the ventral
surface of the body of the hyoid bone.
Relations.—Outer (ventral) surface with the stylohyoid
(Fig. 65, d) and the mylohyoid (Fig. 65, c); medial border with
the muscle of the opposite side. Lateral border with the
hyoglossus (Fig. 67, h) and genioglossus (Fig. 67, f). Inner
(dorsal) surface with the genioglossus.
Action.—Draws the hyoid forward.
M. jugulohyoideus (Fig. 67, b).—The jugulohyoid is a
small flat quadrangular muscle covering the outer part of the
ventral surface of the tympanic bulla.
Origin from the ventral border of the jugular process.
Insertion into the caudal side of the cartilaginous part of the
stylohyoid opposite the origin of the styloglossus.
Relations.—Ventral surface with the digastric. Dorsal surface
with the tympanic bulla (3).
Action.—Draws the hyoid backward and thus gives a firmer
surface of origin for the styloglossus.
M. mylohyoideus (Fig. 65, c).—The mylohyoid is a large
thin muscle seen after the reflection of the digastric, filling with
its fellow of the opposite side the whole angle between the rami
of the lower jaw. Its fibres are transverse.
Origin from the middle of the medial surface of the body
of the mandible between the caudal opening of the mandibular
canal and the symphysis of the jaw.
Fig. 67.—Muscles
of Tongue, Hyoid Bone, and Pharynx.
a, M. tragicus lateralis; b, M. jugulohyoideus; c, M. pterygoideus externus; d,
partially cut surface of M. pterygoideus internus; e, M. styloglossus; f, M. genioglossus;
g, M. geniohyoideus; h, M. hyoglossus; i, M. glossopharyngeus; j, M.
constrictor pharyngis medius; k, M. constrictor pharyngis inferior; l, M. stylopharyngeus;
m, M. sternohyoideus (cut); n, M. cricothyreoideus; o, M. sternothyreoideus
(cut); p, M. thyreohyoideus. 1, mandible; 1′, angular process of
mandible; 2, stylomandibular ligament; 3, bulla tympani; 4, trachea; 5, œsophagus;
6, thyroid gland; 7, isthmus of the thyroid gland.
Insertion with the opposite muscle into a median raphe
which extends from the symphysis of the jaw to the hyoid bone
and is closely united to the external surface of the geniohyoid.
Some of the fibres gain insertion into the body of the hyoid
bone through their insertion into the tendon of the stylohyoid
(d).
Relations.—Outer surface with the submentalis (Fig. 64, c)
and the digastric (Fig. 65, b). Lateral edge with the masseter
(a), the digastric (b), and the mandibula. Caudal border with
the stylohyoid (d). Inner (dorsal) surface with the geniohyoid
(Fig. 67, g), the hyoglossus (Fig. 67, h), and the genioglossus
(Fig. 67, f).
Action.—Raises the floor of the mouth and thus brings the
hyoid forward.
M. ceratohyoideus.
Origin, the two proximal pieces of the cranial horn of the
hyoid. The fibres pass caudad parallel to one another and
within the middle constrictor of the pharynx.
Insertion into the whole length of the caudal cornu of the
hyoid bone.
Relations.—Outer surface with the middle constrictor of the
pharynx. Inner surface with the pharynx.
Action.—Draws craniad the body of the hyoid by bringing
its cornua together and bending the joint between the two
pieces of the cranial cornua.
The muscles connecting the hyoid and the tongue are
described in connection with the description of the tongue.
A. Muscles of the Shoulder
(connecting the forelimb
with the back) (Fig. 68).
M. trapezius.—The trapezius muscle is divided in the cat
into three portions, the spinotrapezius, the acromiotrapezius,
and the clavotrapezius.
M. spinotrapezius, or trapezius inferior (Fig. 68, j).—The
spinotrapezius (caudal part of the human trapezius) is a flat
triangular muscle.
Origin from the tips of the spinous processes of all or
nearly all the thoracic vertebræ and from the intervening
supraspinous ligament. The origin may extend from a point
anywhere between the first and fourth spines to any point
between the eleventh and thirteenth.
Insertion along an S-shaped line (Fig. 76, k-l) which
crosses the tuberosity of the scapular spine and forms an angle
with the spine of about forty-five degrees. The line extends
on one side onto the fascia covering the supraspinatus muscle,
and on the other side onto the fascia covering the infraspinatus,
but does not reach the borders of the scapula. The cranial
two-thirds of the insertion is by a flat tendon which is broader
craniad.
Relations.—Outer surface with the cutaneus maximus, and
craniad with the acromiotrapezius (h). Inner surface with the
latissimus dorsi (m) caudad and with the rhomboideus, supraspinatus,
and infraspinatus craniad. Caudal border free; cranial
border in contact with the acromiotrapezius (h).
Action.—Draws the scapula dorsocaudad.
M. acromiotrapezius, or trapezius superior (Fig. 68, h).—The
acromiotrapezius (middle part of the human trapezius) is
a flat four-sided muscle just craniad of the spinotrapezius, from
the median dorsal line to the scapular spine.
Origin along the median dorsal line from the spinous process
of the axis to a point anywhere between the spinous processes of
the first and fourth thoracic vertebræ. Its caudal two-thirds is
from a flat tendon which is directly continuous with the muscle
of the opposite side and thus bridges the depression between
the vertebral borders of the scapulæ. This tendon narrows
craniad, and its cranial fourth is attached by a fascia to the
spinous processes of the cervical vertebræ. At the cranial
border of the muscle the fibres sometimes reach the middle
line. The fibres of the muscle run nearly transversely.
Insertion (Fig. 76, h).—Into the outer surface of the metacromion,
the glenoid border of the scapular spine from the
metacromion to the tuberosity, and along a line continued for
about one centimeter from the tuberosity onto the surface of
the spinotrapezius (j) at the junction of its muscular and tendinous
portions.
Fig. 68.—First
Layer of Body-muscles, beneath the Skin and Skin-muscles.
a, M. frontoscutularis; b, M. masseter; c, M. sternomastoideus;
d, M. clavotrapezius; e, M. clavobrachialis; f, M. levator scapulæ
ventralis; g, M. acromiodeltoideus; h, M. acromiotrapezius; i, M. spinodeltoideus; j,
M. spinotrapezius; k, caput longum of M. triceps
brachii; l, caput laterale of M. triceps brachii; m, M. latissimus dorsi; n, M. xiphihumeralis;
o, M. pectoralis minor; p, M. obliquus
abdominis externus; q, M. sartorius; r, M. tensor fasciæ latæ; s,
M. caudofemoralis; t, M. biceps femoris; u, M. semitendinosus; v, M.
extensor caudæ lateralis; w, M. abductor caudæ externus; x, M. flexor caudæ
longus; y, lumbodorsal fascia, superficial layer; z, fascia lata.
1, parotid gland; 2, submaxillary gland.
Relations.—Outer surface with the cutaneus maximus, the
integument and platysma. Inner surface with a mass of fat
partially covering the rhomboideus; with the occipitoscapularis,
spinotrapezius, supraspinatus, levator scapulæ, and splenius.
Near its origin its caudal border touches the outer surface of the
spinotrapezius (j). Its cranial border is overlaid near its
insertion by the levator scapulæ ventralis (f) and is closely
related to the caudal border of the clavotrapezius (d) near its
origin.
Action.—The two muscles hold the scapulæ together.
M. clavotrapezius (Fig. 68, d).—The clavotrapezius
(cranial part of the human trapezius) is a flat muscle passing
from the lambdoidal crest and middorsal line to the clavicle
and covering the side of the neck.
Origin.—The medial half of the lambdoidal crest and the
middorsal line between the crest and the caudal end of the
spine of the axis. The fibres are parallel and pass caudoventrad
so that the muscle covers the ventral surface of the neck
caudally and fills the concavity at the front of the shoulder.
Insertion into the clavicle and into a raphe between the
clavotrapezius and the clavobrachial (e) muscles. This raphe
extends along the clavicle and for some distance laterad of it.
The muscle is partly continuous with the clavobrachial (e).
Relations.—Outer surface with the platysma, and at its
craniomedial angle with the levator auris longus. Inner surface
with the rhomboideus, splenius, occipitoscapularis, levator
scapulæ, cleidomastoid, and supraspinatus. The cranial edge
touches the sternomastoid. The caudal border touches the
acromiotrapezius near the origin.
Action.—Draws the scapula craniodorsad.
This muscle and the clavobrachial (e) are sometimes considered
as forming a single muscle, the cephalohumeral, or
cephalobrachial.
M. occipitoscapularis (or levator scapulæ dorsalis or
rhomboideus capitis) (Fig. 73, a).—The occipitoscapularis
(equivalent to a part of the human rhomboideus) is a slender
flat muscle from the lambdoidal ridge to the coracovertebral
angle of the scapula.
Origin, the medial half of the lambdoidal ridge beneath the
clavotrapezius (Fig. 68, d). The origin does not extend quite
to the middle line. The muscle passes almost directly caudad.
Its caudal end is thicker and narrower than the cranial end and
is wedged between the rhomboideus dorsally and the levator
scapulæ ventrally.
Insertion either into the inner surface of the levator scapulæ
near its dorsocranial border at its insertion or into the scapula
near the coracovertebral angle (Fig. 78, f) or into both. Its
fibres are very closely related to those of the rhomboideus.
Relations.—By its outer surface with the clavotrapezius
(Fig. 68, d) and acromiotrapezius (h). At its insertion it is
often overlaid by either the rhomboideus or the levator scapulæ
or both. By its inner surface with the splenius (Fig. 73, b).
Its caudal third is wedged between the rhomboideus and the
levator scapulæ.
Action.—Draws forward and rotates the scapula.
M. rhomboideus (probably equivalent to the human rhomboideus
major and rhomboideus minor).—A rather thick trapezoid
muscle connecting the vertebral border of the scapula with
the spinous processes of the adjacent vertebræ.
Origin from the caudal two or three fifths of the cervical
supraspinous ligament and from the sides and tips of the first
four thoracic vertebral spines and the interspinous ligaments
caudad of these four spines. It passes lateroventrad, and the
fibres converge somewhat so that the line of insertion is shorter
than the line of origin.
Insertion by a short tendon (1 millimeter long) into the
vertebral border of the scapula, the line of insertion passing
gradually from the inner (Fig. 78, e) to the outer (Fig. 76, i)
surface; and by fleshy fibres into the outer surface of the glenovertebral
angle of the scapula (Fig. 76, i) in close connection
with the origin of the teres major (j). A bundle of fibres at
the cranial border may be inserted into the cranial border of
the levator scapulæ at its insertion.
Relations.—By its outer surface with the spinotrapezius
(Fig. 68, j), acromiotrapezius (h), latissimus dorsi (m), and
clavotrapezius (d); it is usually partially separated from these
muscles by a mass of fat. By its inner surface near its insertion
with the serratus anterior (Fig. 73, i) and levator scapulæ
(Fig. 73, h), and craniad with the splenius (Fig. 73, b), and
the tendon of the serratus posterior superior (Fig. 73, l). At
its lateral end it touches the occipitoscapularis (Fig. 73, a),
serratus anterior (i), levator scapulæ (h), supraspinatus (Fig.
75, a), and infraspinatus (Fig. 75, c), and the teres major (Fig.
75, d).
Action.—Draws the scapula toward the vertebral column.
M. cleidomastoideus (clavicular portion of the human sternocleidomastoid)
(Fig. 65, h).—A narrow flat muscle between
the mastoid process and the clavicle.
Origin from the apex and caudal margin of the mastoid
process of the temporal bone, by tendon and muscle fibres.
The muscle passes caudad, becoming broader and thinner.
Insertion into the lateral four-fifths of the clavicle within
the insertion of the clavotrapezius, and into the raphe which
continues laterad of the clavicle.
Relations.—Outer or lateral surface at the caudal end with
the clavotrapezius (Fig. 65, j); further craniad with the
depressor conchæ (Fig. 64, b), the platysma, and the sternomastoid
(Fig. 65, g). Inner or medial surface with the supraspinatus
(Fig. 75, a) caudad, with the mass of fat in the axilla
at its middle, with the levator claviculæ ventralis (Fig. 65, i)
and obliquus capitis superior (Fig. 71, e) craniad.
Action.—Pulls the clavicle craniad when the head is fixed.
Turns the head and depresses the snout when the clavicle is
fixed.
M. levator scapulæ ventralis, or levator claviculæ (Fig.
68, f; Fig. 65, i; Fig.
72, c, c′, c″) (not usually found in man).
Origin (Fig. 72, c′, c″) in two parts. (1) By fleshy fibres
from the ventral surface of the atlantal transverse process near
its caudal border (c′). (2) By a small tendon from the ventral
surface of the basioccipital opposite the middle of the length of
the bulla tympani (c″) in common with the longus capitis (a).
The two heads unite to form a flat band which passes caudoventrad
and is inserted (Fig. 76, f) by a flat short tendon,
about eight millimeters broad, into the outer surface of the
metacromion along its ventral border, and into the infraspinatus
fossa for one or two millimeters distad of that border.
Relations.—Near the insertion the dorsal border overlaps
the border of the acromiotrapezius (Fig. 68, h), and the ventral
border is attached by strong fascia to the border of the clavotrapezius
(Fig. 68, d). The outer surface is in relation with
the longissimus capitis (Fig. 73, g), clavotrapezius (Fig.
68, d), cleidomastoid (Fig. 73, d), platysma, and the skin.
The inner surface is in relation caudad with the supraspinatus
and with a mass of fat and a lymphatic gland which occupy the
hollow of the shoulder. Craniad it is in relation with the
cleidomastoid (Fig. 73, d), the scalenus (Fig. 73, f), the
longus capitis (Fig. 73, e), and the obliquus superior (Fig.
71, e).
Action.—Pulls the scapula craniad.
M. latissimus dorsi (Fig. 68, m; Fig. 65,
q; Fig. 77, e).—A
large triangular sheet covering rather more than the dorsocranial
half of the abdomen and thorax. It arises from the
middorsal line, from the pelvis to the fifth thoracic spine, and
is inserted into the humerus.
Origin from the tips of the neural spines of the vertebræ
from the fourth or fifth thoracic to about the sixth lumbar.
As far as the tenth or eleventh thoracic vertebra the origin is
directly by muscle-fibres. Caudad of this is a broad triangular
tendon which may be so closely united to the tendons of the
underlying muscles that it cannot be separated. The muscle
passes cranioventrad, the fibres converging to the axilla. In
the axilla a part of the cutaneus maximus and the epitrochlearis
(Fig. 65, r) take origin from the outer surface.
Insertion.—The muscle then ends in a flat tendon, to the
cranial surface of which the fibres of the teres major (Fig.
77, c) are attached. Five to ten millimeters from the humerus
the muscle-fibres of the teres give place to the tendon-fibres,
and the conjoined tendon of the teres and latissimus which is
thus formed (Fig. 79, d′) is inserted into a rough elongated
area (Fig. 82, f) which lies parallel with the pectoral ridge on
the medial surface of the shaft of the humerus (Fig. 48, g).
The teres tendon forms the proximal part of the conjoined
tendon. A part of the tendon of the latissimus may join the
pectoralis minor at its distal or caudal border (Fig. 65), and
thus it may contribute to the formation of both pillars of the
bicipital arch (Fig. 65, t′).
Relations.—Its outer surface is covered caudad by the
cutaneus maximus, and craniad by the spinotrapezius (Fig.
68, j) and the long head of the triceps (Fig. 68, k). The
cranial border comes into relation with the spinotrapezius (j)
and teres major (Fig. 77, c). The caudal border is in contact
at the ventral end with the xiphihumeralis (Fig. 65, p) and
pectoralis minor (Fig. 65, o). The inner surface of the latissimus
covers near its cranioventral end parts of the xiphihumeralis
(Fig. 68, n), pectoralis minor (Fig. 68, o), teres major
(Fig. 77, c), and serratus anterior (Fig. 73, i). The caudal
border covers a portion of the obliquus externus abdominis
(Fig. 68, p); the dorsal and middle portions cover parts of the
longissimus dorsi (Fig. 69, f″), the spinalis dorsi (Fig. 69, g),
the serratus posterior superior (Fig. 73, l), and serratus posterior
inferior (Fig. 73, n).
Action.—Pulls the arm caudodorsad.
M. serratus anterior and levator scapulæ (Fig. 73, i and h)
in the cat are continuous at both origin and insertion, and it is
barely possible to separate their contiguous borders without
cutting the fibres. The muscle extends from the transverse
processes of the last five cervical vertebræ and from the first
nine or ten ribs to the medial surface of the scapula near its
vertebral margin (Fig. 78, c and d).
M. serratus anterior (or serratus magnus) (Fig. 73, i).
Origin.—From the first nine or ten ribs in as many subdivisions.
The first subdivision arises from the whole or nearly
the whole of the caudal border of the first rib. The next four
or five arise either from the ribs or from the costal cartilages
near or at their junction with the ribs. The last four subdivisions
arise from the ribs at increasing distances from the cartilages.
The fibres converge and the subdivisions join one
another.
Insertion (Fig. 78, c) into a narrow area on the medial surface
of the scapula near the vertebral border. The glenoid
half of the insertion is by a short tendon, the remainder by
muscle-fibres.
Relations.—Outer (lateral) surface with the latissimus dorsi
(Fig. 68, m), teres major (Fig. 77,
c), subscapularis (Fig.
77, a), and near the origin with the rectus abdominis (Fig.
73, k), the scalenus (Fig. 73, f-f‴), and the obliquus externus
(Fig. 68, p). Inner (medial) surface with the serratus posterior
superior (Fig. 73, l) and its tendon, and with the intercostales
externi (Fig. 73, m). At its insertion the muscle touches the
rhomboideus. The cranial edge is united to the caudal edge
of the levator scapulæ (Fig. 73, h).
Action.—Depressor of the scapula.
M. levator scapulæ (Fig. 73, h).
Origin.—From the dorsal tubercles of the transverse processes
of the last five cervical vertebræ and from the ligaments
between the tubercles. A slip sometimes arises from the atlas.
Insertion (Fig. 78, d) into a triangular area on the medial
surface of the scapula near its vertebral border. It is continuous
with the insertion of the serratus anterior.
Relations.—Outer (lateral) surface with a mass of fat separating
it from the clavotrapezius (Fig. 68, d) and cleidomastoid
(Fig. 65, h), and with the subscapularis (Fig. 77, a).
Inner (medial) surface with the splenius (Fig. 73, b), the tendon
of the serratus posterior superior (Fig. 73, l), and the cervical
portion of the longissimus dorsi (Fig. 69, f″). Near the insertion
the muscle touches the occipitoscapularis (Fig. 73, a) and
rhomboideus. Caudal border united with the serratus anterior
(Fig. 73, i).
Action.—Draws the scapula cranioventrad.
B. Muscles of the Back
(interconnecting parts of the
vertebral column) (Fig. 69).—The muscles connected with the
vertebral column form a mass which is less markedly differentiated
into distinct muscles than is the case in the limbs. A
great longitudinal mass of fibres begins in the sacral region and
extends along the vertebral column to the head. This mass
contains fibres running in various directions and attached at one
or both ends to the sacrum, the innominate bones, the spinous,
transverse, and articular processes, and to the arches, of the vertebræ;
to the ribs and to the head, and having in general the
function of moving the vertebræ in various ways, or of moving
parts connected with the vertebræ. In some regions, especially
the cervical, it is possible to distinguish clearly distinct muscles
which have been differentiated from this mass. In the greater
part of its extent, however, it is possible to distinguish only
more or less closely interconnected bundles,—the more clearly
marked of which have received special names.
The great dorsal mass running along each side of the
vertebral column, occupying the space between the spinous
processes and the transverse processes, receives the general
name of M. extensor dorsi communis; the separate muscles
are to be considered as parts or differentiations of this. The
largest part of the mass is in the lumbar region (first portion
of the longissimus dorsi, Fig. 69, f). At the caudal end of
the thorax a lateral mass, parts of which become connected
with the ribs, is separated off from the main part of the
muscle; this extends craniad into the cervical region as
M. iliocostalis (h). The main portion of the longissimus dorsi
(f′) continues craniad on the medial side of the iliocostal into
the neck region. At about the level of the eighth or ninth
thoracic vertebra a strip begins to become separated off on the
medial side of the longissimus; further forward it becomes
clearly distinct, forming the spinalis dorsi (g). The separate
muscles connecting the cervical vertebræ with each other and
with the head are differentiations of the extensor dorsi communis.
A still deeper set of fibres, interconnecting the vertebræ,
forms the multifidus spinæ and a number of other small
muscles.
A description of the different bundles of fibres, under the
names usually given, follows. Certain general principles are
observed in some of the names used. Muscles which interconnect
the spinous processes of the vertebræ receive the name
spinalis. Those interconnecting contiguous spinous processes
are called interspinalis. Muscles attached at one end to
transverse processes, at the other to the spinous processes,
receive the name transversospinalis. Semispinalis has the
same signification as transversospinalis, but is a name usually
applied to subdivisions of the transversospinalis group. The
intertransversarii are muscles interconnecting the transverse
processes.
Fig. 69.—Deep
Muscles of Body, Exposed after Removal of the Muscles shown in Fig. 73.
a, M. biventer cervicis; b, M. complexus;
c, M. obliquus capitis superior; d, M. longus atlantis; e,
cut end of M. longissimus capitis; f, f′, f″,
M. longissimus dorsi; g, M. spinalis dorsi; h, M. iliocostalis; i,
Mm. intercostales externi; k, Mm. intercostales interni; l, M. transversus abdominis.
(a) Muscles of the Lumbar and Thoracic Regions.
—The
muscles of the lumbar and thoracic regions are mostly covered
by a strong fascia, known as the lumbodorsal fascia (Fig.
68, y). This consists of two sheets, the superficial sheet being
applied directly to the outer surface of the inner sheet, or separated
from it by a mass of fat.
The superficial sheet (Fig. 68, y) overlies the lumbar region
and the caudal half of the thoracic region. On the medial side
it is attached to the spinous processes of the vertebræ and is
united closely to the deeper layer. Laterally this fascia is
continuous with the latissimus dorsi (m) and obliquus abdominis
externus (p). Caudad it is attached to the spine of the ilium
and becomes continuous with the fascia covering the gluteus
muscles.
The deeper sheet (Fig. 70, c) is of a tendinous character,
forming the external tendinous layer of the longissimus dorsi,
many of whose fibres take origin from its under surface. It is
described more fully in the account of this muscle.
M. longissimus dorsi (Fig. 69, f, f′,
f″; Fig. 70, a
and b).—A very large muscle, filling most of the region
between the spinous processes and transverse processes of the
lumbar and thoracic vertebræ, and extending into the cervical
region.
The muscle is largest in the lumbar region (Fig. 69, f;
Fig. 70), where it is divided into a narrow medial (Fig. 70, a)
and a thick lateral portion (Fig. 70, b), the latter being again
partially subdivided by the fascia. The two parts unite farther
craniad.
The medial division (Fig. 70, a) consists of muscular
bundles connecting the spinous processes of the vertebræ with
the accessory and mammillary processes of other vertebræ; it
is continuous caudad with the extensor caudæ lateralis (Fig.
70, f). The muscle-fibres take origin in the sacral region by
small round tendons from the spinous processes of the last two
sacral and the caudal vertebræ. They curve cranioventrad,
forming a large belly, and are inserted into the accessory and
mammillary processes of the lumbar vertebræ. In the thoracic
region this division unites with that portion of the lateral division
in which the fibres coming
from the fascia of origin are inserted
into the laminæ and transverse
processes of the thoracic
vertebræ.
The lateral division (Fig.
70, b) is much larger than the
medial one, forming in the
lumbar region a nearly cylindrical
mass.
Fig. 70.—Muscles on the Dorsal
Side of the Vertebral Column
in the Lumbar, Sacral, and Caudal
Regions.
Both sheets of the lumbodorsal fascia
have been removed, the deep layer (c)
being cut where it passes into the longissimus
dorsi. 1, crest of ilium; 4-7, tips
of spinous processes of the fourth to
seventh lumbar vertebræ. I, II, tips of
spinous processes of first two sacral vertebræ.
a, b, M. longissimi dorsi (a,
medial portion; b, lateral portion; b′,
portion taking origin from the lumbodorsal
fascia); c, cut edge of deep layer
of lumbodorsal fascia; d, M. multifidus
spinæ; e, M. extensor caudæ medialis;
f, M. extensor caudæ lateralis, g, M.
abductor caudæ externus.
Origin from the crest of the
ilium (Fig. 70, 1) and the medial
surface of the ilium as far caudad
as the auricular impression; also
from the deep layer of the lumbodorsal
fascia (c). This fascia
is connected with the crest of
the ilium and with the tips of
the spinous processes of the
vertebræ in the lumbar and
thoracic regions, and from it a
large proportion of the fibres of
the longissimus take origin. In
the lumbar region it dips into
the muscle as an intermediate
longitudinal sheet (c), partially
dividing it lengthwise into two
parts. Fibres taking origin from
the lateral surface of this intermediate
sheet curve cranioventrad,
and are inserted on the
transverse processes of the lumbar
vertebræ. Fibres taking
origin from the medial surface
of the sheet pass mediocraniad
and are inserted into the accessory
processes and the surfaces
of the vertebral arches. In the thoracic region (Fig. 69,
f′)
most of the fibres are inserted in separate bundles by small
tendons on the transverse processes of the vertebræ, while
some of the medial fibres unite with tendinous strands which
become attached to the laminæ and articular processes of the
vertebræ. At the region of the eighth or ninth thoracic vertebra
the spinalis dorsi (Fig. 69, g) begins to be separated off
on the medial side, the separation becoming complete only
some distance farther craniad; the longissimus dorsi then continues
into the cervical region (f″). Bundles of fibres become
attached in the manner above described to transverse processes
of all the thoracic vertebræ. In the cervical region (f″) the
muscle spreads out and becomes thinner, and bundles of fibres
become attached to the transverse processes of the cervical
vertebræ as far forward as the second. In the more cranial
portion of its extent the muscle receives fibres having origin on
the articular processes and laminæ of the cervical and a few of
the more cranial thoracic vertebræ.
The portion of the muscle which is inserted on the cervical
transverse processes (f″) is sometimes distinguished as the
longissimus cervicis; it is not well separated from the rest of
the muscle in the cat. The longissimus capitis (Fig. 69, c;
Fig. 73, g) is to be considered a differentiated cranial portion
of this muscle.
Relations.—Outer surface with the following, beginning
with the caudal end: the sartorius (Fig. 68, q), the latissimus
dorsi (Fig. 68, m), the lumbodorsal fascia (Fig. 68, y), the
serratus posterior inferior (Fig. 73, n) and superior (Fig.
73, l), and the levator scapulæ (Fig. 73, h). Lateral margin
with the abdominal muscles, the iliocostal (Fig. 69, h), and
the levator scapulæ (Fig. 73, h). Medial side with the multifidus
spinæ (Fig. 70, d), the spinous processes of the thoracic
vertebræ, the spinalis dorsi (Fig. 69, g), the complexus (Fig.
69, b), the biventer cervicis (Fig. 69, a), and the longissimus
capitis (Fig. 69, e).
Action.—Extends the vertebral column.
M. iliocostalis (Fig. 69, h).—This is a muscle about 1½
to 2 centimeters wide, lying on the dorsal portion of the ribs,
laterad of the longissimus dorsi (f′). It is composed of many
partly separated bundles, each with an oblique tendon. The
muscle begins at the last or next to the last rib, where it is
connected with the longissimus by a rather small bundle of
fibres. The rest of the muscle-fibres take origin in bundles
from the lateral surface of the ribs, at about the angles, or from
thin tendons connecting the angles, of the ribs; they pass
obliquely craniad and are inserted, usually by tendons, on the
lateral surface of the third or fourth rib craniad of the one on
which the given bundle has origin. The insertions on any
given rib lie ventrad of the origins on the same rib. In the
cat this muscle is confined to the thoracic region.
Relations.—Outer surface with the serratus posterior inferior
(Fig. 73, n) and superior (Fig. 73, l), and the levator scapulæ
(Fig. 73, h). Inner surface with the dorsal surface of the ribs,
the external intercostals (Fig. 69, i), and craniad with the
levatores costarum. Medial edge in contact with the longissimus
dorsi (Fig. 69, f′).
Action.—Draws the ribs together.
M. spinalis dorsi (Fig. 69, g).—A muscle interconnecting
the spinous processes of vertebræ some distance apart, in the
thoracic and cervical regions. It lies on the medial side of the
longissimus dorsi (f′).
Origin by strong tendons from the tips of the spinous processes
of the tenth to the thirteenth thoracic vertebræ. These
tendons represent the cranial portion of the deep layer of the
lumbodorsal fascia, and give origin also to many fibres of the
longissimus dorsi, so that the two muscles are completely
united at the origin of the spinalis. They become separated at
about the level of the sixth thoracic vertebra, the spinalis forming
a strong separate bundle passing into the neck region close
against the sides of the spinous processes. The insertion is by
fleshy bundles into the sides of the spinous processes of the first
nine or ten thoracic vertebræ and of the cervical vertebræ as
far forward as the second. Some of the fibres of this muscle
pass craniad into the biventer cervicis (Fig. 69, a).
Relations.—Outer surface with the tendons of the serratus
posterior inferior (Fig. 73, n) and serratus posterior superior
(Fig. 73, l), and with the splenius (Fig. 73,
b), biventer
cervicis (Fig. 69, a), and complexus (Fig. 69, b). Lateral
and ventral surface with the longissimus dorsi (f′); medial
surface with the spinous processes and the multifidus spinæ.
Action.—Extensor of the vertebral column.
M. multifidus spinæ.—This consists of bundles of fibres
which have origin on the transverse processes or neighboring
parts, pass craniodorsad across one or more vertebræ, and are
inserted into the spinous processes of vertebræ lying some distance
craniad of the origin. They lie deeper than the muscles
previously described. The muscle is most strongly developed
in the lumbar region (Fig. 70, d), where it forms a thick interwoven
mass in which it is difficult to distinguish separate
bundles. The fibres in this region have origin on the accessory
or mammillary processes and usually pass over more than one
vertebra between origin and insertion; their insertions reach
the dorsal ends of the spinous processes, so that part of the
muscle lies immediately beneath the lumbar fascia. In other
regions the multifidus is covered by other muscles. In the
thoracic region the separate bands are more distinct, and
usually pass in their course over but one intervening vertebra.
In the cervical region the bands are interconnected, forming a
fairly distinct single muscle, which is described separately
below as the semispinalis cervicis (Fig. 71, c). The portion
of this muscle attached to the head (semispinalis capitis) forms
the biventer cervicis (Fig. 69, a) and complexus (b). Caudad
this muscle passes onto the tail as the extensor caudæ medialis
(Fig. 70, c).
Relations.—Outer and lateral surface in the lumbar region
with the longissimus dorsi (Fig. 69, f) and the lumbodorsal
fascia (Fig. 68, y); in the thoracic region with the longissimus
dorsi (Fig. 69, f′) and spinalis dorsi (g). Inner surface with
the arches, articular processes, and spinous processes of the
vertebræ.
Action.—Extends the back when the muscles of both sides
work together. Turns the vertebral column obliquely sideways
when one set acts alone.
The deepest layer of the multifidus forms what is sometimes
distinguished as the Mm. rotatores; no separate layer of this
sort is to be made out in the cat.
Mm. interspinales.—Muscle-bundles passing from the
spinous process of one vertebra to that of the vertebra immediately
craniad or caudad of it. They are best developed in
the lumbar region.
Mm. intertransversarii.—Muscle-fibres interconnecting
the transverse processes. In the lumbar region the intertransversarii
mediales connect the accessory and mammillary
processes; the intertransversarii laterales lying between the
transverse processes. In other regions only one set of the
intertransversarii is to be distinguished.
(b) Dorsal Muscles of the Cervical Region.
—The clavotrapezius
(Fig. 68, d) and occipitoscapularis (Fig. 73, a) have
been described in connection with the muscles of the shoulder.
The remaining muscles of this region may be considered as
differentiations of the general vertebral musculature (M. extensor
dorsi communis).
M. splenius (Fig. 73, b.)—A large sheet of muscle covering
the dorsal part of the side of the neck, beneath the trapezii.
Origin from the whole cervical ligament and from the fascia
covering the deeper muscles along a line which extends from
the first thoracic spinous process caudolaterad for about two
centimeters.
Insertion by a thin tendon into the whole lambdoidal ridge.
Laterad the tendon may be fused with that of the longissimus
capitis (Fig. 73, g).
Relations.—Outer surface with the sternomastoid (Fig.
68, c), occipitoscapularis (Fig. 73, a), clavotrapezius (Fig.
68, d), rhomboideus, tendon of the serratus posterior superior
(Fig. 73, l), and the levator scapulæ (Fig. 73, h). Lateral edge
closely united with the longissimus capitis (Fig. 73, g). Inner
surface with the longissimus capitis, complexus (Fig. 69, b),
and biventer cervicis (Fig. 69, a).
Action.—Lateral flexor of the head. The two together
elevate the head.
M. longissimus capitis (trachelomastoideus) (Fig. 73, g;
Fig. 69, e).—This is a slender muscle lying
close against the
lateral border of the splenius (Fig. 73, b), and sometimes fused
with the splenius at its craniad end. It is a cranial continuation
of the longissimus dorsi (Fig. 69, f″).
Origin by five slips which are attached by strong tendons
to the anterior articular processes of the last four cervical
vertebræ. The tendons are common to this muscle and the
complexus. The five slips unite to form a flat belly which has
its
Insertion by a strong rounded tendon into the mastoid
process of the temporal bone. The tendon may be closely
united to that of the splenius.
Relations.—Lateral surface with the sternomastoid (Fig.
68, c), the levator scapulæ (Fig. 73, h), and longissimus dorsi
(Fig. 69, f″). Medial surface with the splenius (Fig. 73, b)
(to which it is partly united), the complexus (Fig. 69, b), and
the longus atlantis (Fig. 69, d).
Action.—Lateral flexor of the head.
M. biventer cervicis (Fig. 69, a) (medial portion of
M. semispinalis cervicis et capitis).—The biventer cervicis is
a flat muscle which lies beneath the splenius (Fig. 73, b), next
the median line of the neck, with its fibres longitudinal.
Origin in three or four slips from the surface of the three
or four aponeurotic arches which take origin from the tips of
the spinous processes of the last cervical and the first three
thoracic vertebræ and pass laterad and caudad to the anterior
processes of the second, third, fourth, and fifth thoracic vertebræ.
These arches are deviated from their straight course by
four aponeurotic bands which pass from them obliquely caudad
and dorsad to the sides of the spinous processes of the vertebræ
into which the arches are inserted. The arches form the
beginning of the sheet of fascia which passes outside of the
longitudinal supraspinous muscles, and the anchoring bands
form the beginning of a similar sheet which passes within the
longitudinal supraspinous muscles. An additional slip may
take origin from the cervical ligament between the last cervical
and the first thoracic vertebræ. The fibres form a flat band
divided by two or three oblique tendinous intersections. It
adheres closely to the cervical supraspinous ligament.
Insertion by a strong tendon into the medial part of the
lambdoidal crest.
Relations.—Outer surface with the splenius (Fig. 73, b) and
at the caudal end with the longissimus dorsi (Fig. 69, f″).
Inner surface with the spinalis dorsi (Fig. 69, g), the semispinalis
cervicis (Fig. 71, c), and the rectus capitis posterior
major (Fig. 71, a). Medial edge with the muscle of the opposite
side; lateral edge with the complexus (Fig. 69, b).
Action.—Raises the snout.
M. complexus (Fig. 69, b) (lateral portion of M. semispinalis
cervicis et capitis).—The complexus is closely associated
with the biventer cervicis (a) and lies on its lateral side
beneath the splenius (Fig. 73, b).
Origin by tendinous bands from the anterior articular
processes of the last five or six cervical and the first one, two,
or three thoracic vertebræ. The same bands give origin
externally to the fibres of the longissimus capitis (Fig. 69, e),
and internally to those of deeper muscles of the neck. The
six or more muscular slips continued from these tendons unite
to form a flat band, the
Insertion of which is by a flat tendon into the medial third
of the lambdoidal crest some distance ventrad of the free edge
of the crest. Near the insertion the lateral border of the
muscle is connected by an aponeurotic band to the lateral
border of the transverse process of the atlas.
Relations.—Outer surface at the dorsal border with the
biventer cervicis (Fig. 69, a); at the middle with the splenius
(Fig. 73, b); at the ventral border with the longissimus capitis
(Fig. 69, e) and the longissimus dorsi (Fig. 69, f″). Inner
surface with the cervical portion of the spinalis dorsi, with the
semispinalis cervicis (Fig. 71, c), the obliquus capitis inferior
(Fig. 71, b), the rectus capitis posterior major (Fig. 71, a), and
the obliquus superior (Fig. 71, e).
Action.—Raises the head.
M. spinalis dorsi extends into the cervical region; it has
been described.
M. semispinalis cervicis (Fig. 71, c).—This represents
that portion of the multifidus spinæ which extends into the
cervical region. It is not composed of distinct bundles, like
the multifidus of the thoracic region, but all the fibres are
united into a fairly well-defined muscle.
Origin from the articular processes of the last five cervical
vertebræ.
Insertion into the spinous processes of the cervical vertebræ
up to the second, the largest part of the muscle being inserted
into the caudal end of the spine of the atlas.
Relations.—Outer surface with the spinalis dorsi (Fig.
69, g) and the complexus (Fig. 69, b). Inner surface with
the vertebræ.
Action.—Extends the neck.
M. longissimus dorsi extends into the cervical region,
where it is often distinguished as the longissimus cervicis
(Fig. 69, f″). It has been described.
M. longus atlantis (Fig. 71, f; Fig. 69, d).—This represents
a differentiated portion of the longissimus dorsi.
Origin from the transverse process and the side of the
vertebral arch of the third cervical vertebra.
Insertion into the caudolateral angle of the wing of the
atlas.
Relations.—Dorsal surface with the complexus (Fig. 69, b),
the longissimus capitis (Fig. 69, e), and the obliquus inferior
(Fig. 71, b). Ventral surface with the scalenus (Fig. 71, g),
longissimus dorsi (Fig. 69, f″), and levator scapulæ (Fig.
71, h).
Action.—Extends the neck and turns the head sideways.
M. rectus capitis posterior major (Fig. 71, a).
Origin.—The whole length of the spinous process (or
crest) of the axis, or its caudal part only. It is united by a
raphe to the opposite muscle. The muscle passes craniad and
laterad to its
Insertion into an area ventrad of the medial part of the
lambdoidal crest beneath the insertion of the complexus (Fig.
69, b) and the biventer cervicis (Fig. 69, a).
Relations.—Dorsal surface with the biventer cervicis (Fig.
69, a). Ventral surface with the rectus capitis posterior medius
(Fig. 71, d) and the obliquus capitis inferior.
Action.—Raises the snout.
M. rectus capitis posterior medius (Fig. 71, d). (This
is in man a part of the rectus capitis posterior major.)—It lies
beneath the rectus capitis posterior major (Fig. 71, a).
Fig. 71.—Deep
Muscles of the Neck, after the Removal of Mm. Biventer
Cervicis and Complexus.
a, M. rectus capitis posterior major; b, M. obliquus capitis inferior; c, M. semispinalis
cervicis; d, M. rectus capitis posterior medius; e, M. obliquus capitis superior;
f, M. longus atlantis; g, M. scalenus (part of cervical portion); h, cut end of M.
levator scapulæ.
Origin from the cranial end of the axial spine. It forms a
triangular prismatic mass which passes craniad and has its
Insertion into an elongated area on the occipital bone,
ventrad of the median half of the lambdoidal crest.
Relations.—Dorsal surface with the rectus capitis posterior
major (Fig. 71, a). Ventral surface with the atlas and the
rectus capitis posterior minor.
Action.—Assists the rectus capitis posterior major.
M. rectus capitis posterior minor.—A small triangular
muscle beneath the rectus capitis posterior medius (Fig. 71, d).
Origin by the apex of the triangle from the cranial border
of the dorsal arch of the atlas for about two millimeters laterad
of the median line. The muscle passes over the ligament
which connects the atlas to the occiput and adheres to it.
Insertion into an elongated area on the occipital bone,
ventrad of the insertion of the rectus capitis posterior medius
for about five millimeters next to the median line.
Relations.—Dorsal surface with the rectus capitis posterior
medius. Ventral surface with the posterior atlanto-occipital
membrane.
Action.—Assists the rectus capitis posterior major.
M. obliquus inferior (Fig. 71, b).
Origin from the whole lateral surface of the spine of the
axis. The parallel fibres form a thick mass which passes
laterad and craniad.
Insertion into the dorsal surface of the transverse process
of the atlas along a narrow area near its lateral margin.
Relations.—Outer surface with the rectus capitis posterior
major (Fig. 71, a), the complexus (Fig. 69, b), and the
obliquus superior (Fig. 71, e). Inner surface with the axis.
Action.—Rotates the head.
M. obliquus capitis superior (Fig. 71, e; Fig. 72, e).—This
is a triangular muscle passing from the outer border of the
atlas laterad of the recti capitis posteriores to the occiput.
Origin from the lateral border of the transverse process of
the atlas on its ventral margin. The fibres pass craniad and
diverge.
Insertion into the caudal side of the mastoid process of the
temporal bone and into a line parallel with the lambdoidal
ridge and ventrad of it, from the mastoid process to within one
centimeter of the median line.
Relations.—Outer surface with the splenius (Fig. 73, b),
complexus (Fig. 69, b), and longissimus capitis (Fig. 73, g).
Inner surface with the obliquus inferior (Fig. 71, b), the wing
of the atlas, and the rectus lateralis (Fig. 72, d). Ventral
border with the cleidomastoid (Fig. 73, d) and one head of the
levator scapulæ ventralis (Fig. 72, c′).
Action.—Flexes the head laterally.
Mm. interspinales and intertransversarii are found in the
neck region also; they are described with the muscles of the
back.
C. Muscles of the Tail.
—M. extensor caudæ medialis
(Fig. 70, e).—This is a continuation caudad of
the multifidus
spinæ (Fig. 70, d); it lies next to the dorsal median line, the
muscles of right and left side touching one another in the
middle line.
Origin by numerous fleshy bundles from the spinous
processes of the sacral and first caudal vertebræ. The fibres
pass caudad and are inserted by tendons into the articular
processes and the dorsal surface of the caudal vertebræ.
Action.—Extends (raises) the tail.
M. extensor caudæ lateralis (Fig. 70, f).—This is a continuation
caudad of the medial portion of the longissimus dorsi
(Fig. 70, a); it lies just laterad of the extensor caudæ medialis
(Fig. 70, e).
Origin in many fleshy bundles from the articular processes
of the sacral vertebræ, and the transverse processes of the
caudal vertebræ. The fibres curve dorsocaudad and are
inserted by many long slender tendons on the dorsal surfaces
of the caudal vertebræ. The muscle grows continually smaller
as it passes caudad.
Action.—Raises the tail.
M. abductor caudæ (coccygis) externus (Fig. 68, w; Fig.
70, g).—A rounded muscle on the lateral surface of the cranial
part of the tail.
Origin from the medial side of the dorsal border of the
ilium, and from the dorsal surface of the sacrum. The muscle
passes caudad, lying just ventrad of the extensor lateralis, and
is inserted into the transverse processes and lateral surfaces of
the caudal vertebræ, as far back as the eighth or ninth.
Action.—Bends the tail sideways.
M. abductor caudæ internus (or M. coccygeus).—A large
flat muscle, having origin on the spine of the ischium. The
muscle passes dorsomediad, spreading out, and is inserted into
the transverse processes of the second to the fourth caudal
vertebræ.
Relations.—Lateral surface with the caudofemoralis (Fig.
68, s), gluteus maximus, and pyriformis. Medial surface with
the iliocaudalis and the flexor caudæ longus (Fig. 68, x).
M. iliocaudalis (Str.-D.) (Fig. 162,
11′, page 398).—This
represents a portion of the levator ani of man, and in some
specimens is united with that muscle (Fig. 162, 11) in the
cat.
Origin along the ventral half of the medial surface of the
ilium, caudad of the sacrum. The fibres pass caudad and are
inserted by a flat tendon into the ventral surface of the caudal
vertebræ, from the second or third to about the seventh.
Relations.—Lateral surface with the gluteus maximus
and abductor caudæ internus (Fig. 68, w). Medial surface with
the levator ani (Fig. 162, 11), with which this muscle may be
partly united.
Action.—The two muscles together flex the tail.
M. flexor caudæ longus (Fig. 162,
12; Fig. 113, c, page
270).
Origin on the ventral surface of the last lumbar vertebra,
of the sacrum, and of the transverse processes of the caudal
vertebræ. Caudad the muscle forms long, strong tendons
which are inserted on the ventral surface of the tail.
Relations.—Lateral surface with the ilium, the gluteus
maximus, the abductor caudæ internus, the iliocaudalis, and the
skin of the tail. Dorsally it touches in the caudal region the
abductor caudæ externus (Fig. 68, w), medially the flexor caudæ
brevis (Fig. 162, 13).
Action.—Flexes the tail.
M. flexor caudæ brevis (Fig. 162, 13).
Origin on the ventral surface of the caudal vertebræ, from
the first to the seventh or eighth. The principal head comes
from the first vertebra. The bundles thus formed pass caudad
and are inserted each into the ventral surface of a vertebra
some distance caudad of the origin. The muscle extends to
about the tenth caudal vertebra, and its most caudal parts are
closely interconnected with the flexor caudæ longus.
Relations.—Lateral edge with the flexor caudæ longus.
Medial edge in the sacral region with the levator ani (Fig. 162,
11) and the iliocaudalis (Fig. 162,
11′); in the caudal region
with the muscle of the opposite side.
Action.—Flexes the tail.
A. Lumbar and Thoracic Regions.
—The iliopsoas (Fig.
162, 8) belongs in this group, but since it moves the leg it is
described with the muscles of the pelvic limbs.
M. psoas minor (Fig. 162, 9,
page 398).—This muscle lies
along the ventral surface of the vertebral column, next to the
peritoneum, and extends from the thoracic vertebræ to the
ilium.
Origin usually by five heads, from the caudal border of the
centra of the last two (or one) thoracic and first three (or four)
lumbar vertebræ. These heads also serve as origin for a part
of the iliopsoas, and are closely united at their origin with the
quadratus lumborum. They unite to form an, at first, rather
large flat muscle, which rapidly becomes smaller caudad,
finally forming a slender tendon which is inserted on the iliopectineal
line, just craniad of the acetabulum.
Relations.—Dorsolateral surface with the quadratus lumborum
and iliopsoas (Fig. 162, 8). Ventral surface with the
pleura and diaphragm near the origin; with the peritoneum
caudad.
Action.—Flexes the back in the lumbar region.
M. quadratus lumborum.—A flat muscle lying on the
ventral surface of the transverse processes of the lumbar vertebræ.
Craniad it has origin on the ventral surface of the last
two thoracic vertebræ, and by a few fibres from the last rib.
The muscle passes caudad, lying on the lateral side of the
psoas minor (Fig. 162, 9), and becomes attached to each of the
transverse processes of the lumbar vertebræ. Caudad the
muscle passes into a strong flat tendon which is inserted into
the anterior inferior spine of the ilium.
Relations.—Dorsal surface with the transverse processes
and the intertransverse muscles. Ventral and medial surfaces
with the psoas minor (Fig. 162, 9) and
iliopsoas (Fig. 162, 8).
Action.—Bends the vertebral column sideways.
B. Muscles on the Ventral Side of the Neck
(Fig. 65, page 109).—M.
sternomastoideus (Fig. 65, g; Fig.
68, c).—The sternomastoid (sternal portion of the human
sternocleidomastoid) is a flat band one to three centimeters
wide extending from the cranial end of the manubrium and the
midventral line craniad of it to the lambdoidal ridge.
The origin extends from the cranial end of the manubrium
along the midventral line as far as the caudal border of the
cricoid cartilage, and is in two parts. The caudal portion
arises from the lateral surface of the manubrium along the
dorsal half of its cranial end, and from the median raphe for
about one centimeter craniad of the manubrium. Its fibres are
parallel and tend to diverge into two layers. The cranial
portion arises by means of fibres which cover the median line
and interdigitate with the fibres of the opposite muscle between
the cricoid cartilage and a point a few millimeters craniad of
the manubrium. Its caudal border is thus overlaid by the
caudal portion. Its fibres converge and join those of the
caudal portion. The muscle passes dorsocraniad and is
Inserted by means of a flat tendon into the lateral half of
the lambdoidal ridge and into a continuation of the ridge onto
the mastoid portion of the temporal bone as far as the mastoid
process. The thickest part of the tendon is inserted into the
mastoid process.
Relations.—Outer surface at the caudal end with the pectoralis
major (Fig. 65, l); in the middle part with the platysma,
the depressor conchæ (Fig. 64, b), and with the external jugular
vein (Fig. 65, 5), which crosses it obliquely; at the cranial
end with the submaxillary (Fig. 65, 2)
and parotid (1) glands.
Inner surface with the sternohyoid (Fig. 65, e), sternothyroid
(g′), internal jugular vein, longus capitis muscle, the cleidomastoid
(h), levator scapulæ ventralis (i), a large lymphatic
gland ventrad of the ear, and the splenius (Fig. 73, b).
Action.—One muscle turns the head and depresses the
snout. Both together depress the snout.
M. sternohyoideus (Fig. 65, e).—A slender muscle on the
midventral line of the neck close to the opposite muscle.
Origin from the cranial border of the first costal cartilage.
The muscle passes craniad closely united near its caudal end
to the sternothyroid (g′).
Insertion (Fig. 67,
m) into the outer half of the ventral surface
of the body of the hyoid bone caudad of the origin of the
geniohyoid (Fig. 67, g).
Relations.—Outer surface with
the sternomastoid (Fig.
65, g). Inner surface with the thyrohyoid (Fig. 65, f; Fig.
67, p), the trachea (Fig. 67, 4), and the larynx.
Action.—Draws the hyoid caudad. Raises the ribs and
sternum when the hyoid is fixed.
M. sternothyreoideus (Fig. 65, g′).—The sternothyroid
lies beneath the sternohyoid and is connected with it at its
caudal end.
Origin from the first costal cartilage beneath the sternohyoid.
Insertion (Fig. 67, o) into the lateral part of the caudal
border of the thyroid cartilage of the larynx.
Relations.—Outer surface with
the sternohyoid (Fig. 65, e)
and laterally with the sternomastoid (Fig. 65, g). Inner surface
with the trachea (Fig. 67, 4), and at the lateral edge with
the thyroid gland (Fig. 67, 6).
Action.—Pulls the larynx caudad.
M. scalenus (Fig. 73, f-f‴).—This is a large and complex
muscle lying on the ventral side of the neck and the
lateral surface of the thorax. It might equally well be classified
with the muscles of the thorax. It is divisible into a considerable
number of interconnected bundles which are sometimes
described as separate muscles.
The largest, middle portion (scalenus medius) (f′) takes
origin by thin tendons from the sixth, seventh, eighth, and
ninth ribs, just dorsad of their junction with the cartilages;
these tendons unite near their origins to form a flat band which
becomes fleshy at about the fifth rib, passes craniad, and unites
just craniad of the first rib with the other parts of the muscle.
The dorsal portion (scalenus posterior) (f″) has origin by a
very slender tendon from about the middle of the outer surface
of the third or fourth rib; it extends craniad as a narrow band
which passes laterad between the heads of the serratus anterior
(i) that are attached to the second and third (or third and
fourth) ribs, and unites with the other heads. The ventral
head (part of scalenus anterior) (f‴) arises by one or two
minute tendons from the cartilages of the second and third ribs;
they are partly united with the transversus costarum (j). This
ventral head passes craniad and unites with the other heads.
These three divisions unite just craniad of the first rib with
each other and with the cervical portion of the muscle (f)
(part of scalenus anterior). This consists of a number of
small bundles of fibres which arise from the first rib and the
transverse processes of the first thoracic and the last six cervical
vertebræ.
The insertion is onto the transverse processes of all the cervical
vertebræ, including the axis and atlas. According to Strauss-Durckheim
the fibres from any given transverse process are inserted
into the transverse processes of all the vertebræ craniad of it.
The muscle is partly continuous craniad with the longus
capitis (e). The cervical nerves pass out between the bundles
of the cervical portion.
Relations.—Outer (lateral) surface in the thoracic region
with the external oblique (Fig. 68, p), the pectoralis minor
(Fig. 65, o), and in part with the serratus anterior (Fig. 73, i);
in the cervical region with the sternomastoid (Fig. 65, g).
Inner (medial) surface with the serratus anterior (Fig. 73, i),
the levator scapulæ (Fig. 73, h), the longus atlantis, the transverse
processes of the cervical vertebræ, and the longus capitis
(Fig. 73, e).
Action.—Flexes the neck and draws the ribs craniad.
M. longus capitis (or rectus capitis anterior major) (Fig.
72, a; Fig. 73, e).—This is a long muscle lying on the ventral
aspect of the cervical vertebræ. With the muscle of the
opposite side and the underlying longus colli (Fig. 72, g′) it
forms a trough in which lie the œsophagus, pharynx, and
trachea.
Origin by five (or six) heads from the ventral margins of
the transverse processes of the cervical vertebræ from the
second to the sixth inclusive. The heads unite into a common
belly, the lateral border of which is united with the levator
scapulæ ventralis (Fig. 72, c) near its insertion.
Insertion into the body of the sphenoid bone between the
bulla and the middle line. The insertion extends craniad
onto the basisphenoid.
Relations.—Ventral surface with the sternomastoid (Fig.
65, g) and the large lymphatic gland ventrad of the external
ear. Lateral surface with the scalenus (Fig. 72, h) and craniad
with the levator scapulæ ventralis
(Fig. 72, c-c″). Medial
surface with the carotid artery,
the trachea, œsophagus, and
pharynx. Dorsal edge with
the vertebræ, the longus colli
(Fig. 72, g′), and the rectus capitis
anterior minor (Fig. 72, b).
Action.—Lowers the snout.
M. rectus capitis anterior
minor (Fig. 72, b).—This is a
flat band beneath (dorsad of)
the longus capitis (a).
Origin from the ventral surface
of the inferior arch (body)
of the atlas (3) for about five
millimeters laterad of the middle
line.
Insertion into a deep depression
on the basioccipital caudad
of the insertion of the longus
capitis (a) and between the
caudal end of the bulla (1) and
the median line.
Relations.—Ventral surface
with the longus capitis (a).
Dorsal surface with the anterior
(ventral) atlanto-occipital membrane
(2).
Action.—Depresses the
snout.
Fig. 72.—Muscles on the Ventral
Surface of the Cervical Vertebræ.
On the left side the longus capitis and
one head of the levator scapulæ ventralis
have been cut, in order to show the rectus
capitis anterior minor. a, M. longus
capitis; b, M. rectus capitis anterior
minor; c, M. levator scapulæ ventralis
(c′, its atlantal head; c″, its occipital
head); d, M. rectus capitis lateralis; e,
M. obliquus capitis superior; f, M. longissimus
capitis; g, M. longus colli (g′, its
cervical portion; g″, its thoracic portion);
h, part of M. scalenus. 1, bulla
tympani; 2, ventral atlanto-occipital
membrane; 3, ventral arch of atlas; 4,
first rib.
M. rectus capitis lateralis (Fig. 72, d).—This lies ventrad
of the obliquus superior (e) on
the ventral face of the transverse
process of the atlas and at first
appears to be a part of the obliquus superior.
Origin from the median half of the ventral surface of the
transverse process of the atlas. The fibres form a cylindrical
mass which passes craniad and slightly laterad.
Insertion into the fossa laterad of the condyle of the occipital
bone.
Relations.—Ventral surface with the digastric (Fig. 65, b)
and the lymphatic gland ventrad of the ear. Dorsal surface
with the wing of the atlas.
Action.—Flexes the head laterally.
M. longus colli (Fig. 65, g′, g″).—A long, rather slender
muscle lying on the ventral surface of the cervical and first six
thoracic vertebræ. It consists of many separate bundles, and
is divisible into a thoracic and a cervical portion.
The thoracic portion (g″) has origin by six heads from the
ventral surface of the first six thoracic vertebræ. The separate
heads join to form a band which passes craniad and is inserted
for the most part into the processus costarius of the sixth
cervical vertebra; a portion of it joins the cervical division of
the muscle.
The cervical portion (g′) is a continuation craniad of the
thoracic portion. It arises in small bundles from the transverse
processes and sides of the ventral surfaces of the centra of the
cervical vertebræ. These bundles pass craniomediad, so that
those from the muscles of opposite sides meet and are inserted
on the centra of the vertebræ in the middle line, each pair of
bundles forming a V opening caudad. The most cranial
insertion is into the tubercle on the middle of the ventral surface
of the ventral arch of the atlas (3).
Relations.—Dorsal surface with the centra of the vertebræ.
Ventral surface in the thorax with the trachea; in the neck
with the œsophagus. Medial edge with the muscle of the
opposite side. Lateral margin in the cervical region with the
longus capitis (a).
Action.—Bends the neck.
A. Breast-muscles (connecting the arm and thorax)
(Fig. 65, page 109).
The muscles connecting the arm with the sternum, corresponding
to the pectoralis muscles of man, fall into a considerable
number of not always clearly separated bundles in the cat.
We shall distinguish by name four such bundles; these might
be, and frequently are, further subdivided.
M. pectoantibrachialis (Fig. 65, m).—This is a small flat
bundle about one or two centimeters wide, forming the most
superficial portion of the pectoralis group.
Origin on the lateral surface of the manubrium. The
muscle passes laterad onto the arm and is inserted by a flat
tendon into the superficial fascia of the dorsal border of the
forearm, near the elbow-joint. The tendon is continuous
craniad with the border of the clavobrachial (k), so that a bundle
of fibres may pass from this muscle to be inserted with the
clavobrachial, or a bundle from the clavobrachial to be inserted
with this. The tendon is continuous caudad with that of the
epitrochlearis (r). The fascia of insertion may be traced to an
attachment into the dorsal border of the ulna. This muscle
usually receives near its insertion a slip, sometimes called its
caudal division, from the deep layer of the pectoralis major.
Relations.—Outer surface with the integument. Inner surface
with both divisions of the pectoralis major (l) on its medial
two-thirds, and with the biceps (t) and bicipital arch (t′) in its
lateral one-third. The cranial border is closely applied to that
of the clavobrachial (k), except at the two ends.
Action.—Draws the arm mediad.
M. pectoralis major, or ectopectoralis (Fig. 65, l, l′).—In
this it is usually possible to distinguish a superficial and a
deep layer.
The superficial (l′) layer is a flat band of fibres one or two
centimeters wide.
Origin from a raphe in the midventral line, along the
cranial half of the manubrium and for five to ten millimeters
craniad of it.
Insertion (Fig. 81, f).—The pectoral ridge of the middle
third of the shaft of the humerus, slightly dorsad of the line of
insertion of the deep portion.
Relations.—Outer surface with the clavobrachial (Fig.
65, k) and integument, the medial end caudally with the
pectoantibrachialis (m), and the distal end with the brachialis
(v). Inner surface with the deep portion (l), the fibres of
which it crosses obliquely.
The deep portion (l) is a flat band of parallel fibres about
three times as broad as the superficial portion.
Origin.—The ventral surface of the manubrium and of the
first three divisions of the sternum, and the median raphe for
about one centimeter craniad of the manubrium. It passes
directly laterad.
Insertion (Fig. 81, e) along a line which begins at the
infraspinatus fossa of the great tuberosity, and runs parallel to
the deltoid ridge until it reaches the pectoral ridge at the junction
of the second and third fourths of the humerus and then
continues in the direction of the pectoral ridge as far as the
junction of the third and fourth fourths of the humerus. Some
of its fibres may pass caudad of the biceps and be inserted with
the epitrochlearis. Into the part of the line which is parallel
to the deltoid ridge the muscle is inserted by a flat tendon;
into the remainder of the line it is usually inserted directly by
muscle-fibres, though at its caudal end its insertion may again
be tendinous.
Relations.—Outer surface with the cutaneus maximus, the
outer layer of the pectoralis major (Fig. 65, l′), the pectoantibrachialis
(m), and the clavobrachial (k). Inner surface with
the pectoralis minor (o), the proximal end of the humerus, the
coracobrachialis (Fig. 77, f), and the supraspinatus (Fig.
77, d) at the insertion of the latter. At the cranial part of its
origin it touches the sternomastoid (Fig. 65, g) and sternohyoid
(Fig. 65, e).
Action.—Draws the arm mediad and turns the foot forward.
M. pectoralis minor, or entopectoralis (Fig. 65, o).—This
is a fan-shaped mass of fibres, flat but thicker than the pectoralis
major.
Origin from the lateral half of the first six divisions of the
body of the sternum and sometimes from the xiphoid process.
The fibres are divisible into several bundles which vary in
extent and distinctness and are sometimes described as separate
muscles. They pass craniolaterad and converge so that the line
of insertion is about one-half as long as that of the origin.
Insertion (Fig. 81, d) into the humerus along a line which
forms the ventral border of the bicipital groove at the proximal
end of the bone, passes thence onto the pectoral ridge and
continues in the direction of the pectoral ridge nearly as far as
the middle of the length of the humerus. The cranial and
caudal fibres are inserted by means of a thin tendon; the
middle fibres directly. The cranial border of the tendon of
insertion is continued as a thin tendon to the coracoid process;
it is closely united with the insertion of the supraspinatus.
Relations.—By its outer surface with the pectoralis major
(Fig. 65, l) over its cranial half; with the cutaneus maximus,
latissimus dorsi (Fig. 65, q), and integument over its caudal
half. By its inner surface with the xiphihumeralis (Fig. 65, p),
rectus abdominis (Fig. 73, k), and a mass of fat in the axilla.
The tendon of the xiphihumeralis is also connected with its
inner surface near its insertion. Its cranial border is free. Its
caudal border is in relation at its medial end with the xiphihumeralis,
at its lateral end with the tendon of the latissimus
dorsi (Fig. 65, q).
Action.—Draws the arm toward the middle line.
M. xiphihumeralis (Fig. 65, q).—A long, thin, narrow
muscle which may be considered as part of the pectoralis
minor.
Origin a median raphe along the xiphoid process or at an
angle to the median line on the rectus abdominis muscle. It
passes craniad, becoming gradually smaller, and about two
centimeters from its insertion ends in a thin tendon.
Insertion.—It ends in a flat tendon which in passing is connected
by a strong fascia with the tendon of the latissimus
(Fig. 65, q). It passes along the inner surface of the pectoralis
minor (o) to be inserted with its cranial fibres near the ventral
border of the bicipital groove.
Relations.—Outer surface with the cutaneus maximus at
its medial end, with the pectoralis minor (o) at its distal end.
Inner surface with the external oblique (Fig. 68, p), the rectus
abdominis (Fig. 73, k), and a mass of fat in the axilla. Borders
free. Some of the fibres of the cutaneus maximus are attached
to its outer surface.
Action.—Assists the pectoralis minor.
B. Muscles of the Wall of the Thorax.
—M. serratus
posterior superior (Fig. 73, l).—A thin sheet of muscle
and tendon beneath the serratus anterior (i) on the dorsal part
of the thorax and neck.
Origin by fleshy slips from the outer surfaces of the first
nine ribs just ventrad of their angles. The origin may extend
as far as the tenth or eleventh ribs. The first slip is usually
delicate. The fibres are directed dorsad and craniad and unite
to form a continuous sheet. This ends along a longitudinal
line opposite the vertebral transverse processes in the aponeurosis
which covers the longissimus dorsi and other muscles in this
region. Its insertion is into the median dorsal raphe between
the axial spinous process and the tenth thoracic spinous
process.
Relations.—Outer surface with the serratus anterior (i), the
latissimus dorsi (Fig. 68, m), and the rhomboideus. Inner
surface with the external intercostals (Fig. 73, m), the iliocostal
(Fig. 69, h), the longissimus dorsi (Fig. 69, f), the spinalis
dorsi (Fig. 69, g), and the splenius (Fig. 73, b).
Action.—Draws the ribs craniad.
M. serratus posterior inferior (Fig. 73, n).—The serratus
posterior inferior is a thin muscle lying caudad of the serratus
posterior superior (l) and sometimes overlying the caudal end
of the latter.
Origin by four or five heads from the last four or five ribs.
In some specimens only three heads may be present. The
separate bundles pass dorsocaudad and unite to form a continuous
sheet which ends in a continuation of the aponeurosis of
the serratus posterior superior (l).
Insertion into the lumbar spinous processes and the intervening
interspinous ligaments.
Relations.—Outer surface with the latissimus dorsi (Fig.
68, p), and at the origins with the intercostales externi (Fig.
73, m). Inner surface with the intercostales interni (Fig. 69, k)
at the origin and with the intercostales externi (Fig. 69, i),
iliocostal (Fig. 69, h), longissimus dorsi (Fig. 69, f), and the
caudal end of the spinalis dorsi (Fig. 69, g).
Fig. 73.—Body
Muscles exposed after Removal of the Forelimb and the Muscles shown in Fig. 68.
a, M. occipitoscapularis (cut); b, M. splenius; c,
M. levator scapulæ ventralis (cut); d, M. cleidomastoideus (cut); e, M. longus capitis; f,
M. scalenus (f′, middle division; f″, dorsal division; f‴,
ventral division; f, cervical portion); g, M. longissimus capitis; h, M. levator
scapulæ (cut); i, M. serratus anterior (cut); j, M. transversus costarum; k,
M. rectus abdominis (k′, its tendon); l, M. serratus posterior
superior; m, M. intercostales externi; n, M. serratus posterior inferior; o,
M. obliquus abdominis internus; p, lumbodorsal fascia.
Action.—Assists the serratus posterior superior.
M. transversus costarum, or sternocostalis externus (Fig. 73,
j).—This is a thin muscle applied to the cranial part
of the side of the thorax, covering the cranial end of the rectus
abdominis (k).
Origin by tendon from the side of the sternum between the
attachments of the third and sixth ribs. The muscle passes
dorsocraniad to its
Insertion on the first rib and the lateral portion of its costal
cartilage.
Relations.—Outer surface with the pectoralis minor (Fig.
65, o). Inner surface with the scalenus (Fig. 73, f‴), the
rectus abdominis (Fig. 73, k), and the intercostales externi
(Fig. 73, m). At its insertion it is united with a portion of the
scalenus (Fig. 73, f‴).
Action.—Draws the sternum forward.
Mm. levatores costarum.—Small muscles having origin
on the transverse processes of the thoracic vertebræ, passing
caudoventrad, and becoming inserted on the angle of the rib
lying immediately caudad of the origin. They are continuous
with the external intercostals.
Relations.—Outer surface with the longissimus dorsi (Fig.
69, f), and craniad with the iliocostal (Fig. 69, h). Inner
surface with the internal intercostals (Fig. 69, k).
Action.—Pull the ribs dorsocraniad.
Mm. intercostales externi (Fig. 73, m; Fig. 69, i).—The
external intercostals are placed in the outer portion of the
intercostal spaces. They are composed of bundles of fibres
attached by their ends to the adjacent borders of the ribs and
having in general the direction of the external oblique muscle,
i.e., they pass from their cranial ends caudoventrad. They
occupy the intercostal spaces between the true ribs and extend
even caudad into the spaces between the false ribs. They are
lacking between the ventral ends of the costal cartilages of the
first six to eight ribs, so that the internal intercostals (Fig.
69, k) are here exposed. The more caudal external intercostals
are more nearly craniocaudal in direction.
Relations.—Outer surface with obliquus abdominis externus
(Fig. 68, p), latissimus dorsi (Fig. 68, m), serratus posterior
inferior (Fig. 73, n) and superior (Fig. 73, l), serratus anterior
(Fig. 73, i), scalenus (Fig. 73,
f), and iliocostal (Fig. 69, h).
Inner surface with the internal intercostals (Fig. 69, k).
Action.—Protractors of the ribs.
Mm. intercostales interni (Fig. 69, k).—The internal
intercostals are similar to the external intercostals, beneath
which they lie. Their fibres pass between the ribs at nearly
right angles to those of the external intercostals and have nearly
the direction of the fibres of the internal oblique. They occupy
all the intercostal spaces from the first to the thirteenth ribs.
Relations.—Outer surface with the external intercostals
(Fig. 69, i), and ventrad with the scalenus (Fig. 73, f), transversus
costarum (Fig. 73, j), and rectus abdominis (Fig.
73, k). Inner surface with the pleura and the transversus
thoracis.
Action.—Retractors of the ribs.
M. transversus thoracis (triangularis sterni; sternocostalis
internus).—This represents a thoracic portion of the transversus
abdominis. It consists of five or six flat muscular bands lying
on the inner surface of the thoracic wall.
Origin on the lateral borders of the dorsal face of the
sternum, opposite the attachments of the cartilages of the third
to the eighth ribs. The six bands thus formed, each about one
centimeter wide, pass laterad and are inserted into the cartilages
of the ribs near their junction with the ribs, and into the fascia
which covers the inner surface of the internal intercostals in this
region.
Relations.—Outer surface with the internal intercostals and
the cartilages of the ribs. Inner surface with the pleura.
Diaphragma (Fig. 74).—The diaphragm consists of a central
so-called semilunar tendon (e) and of muscular fibres which
pass radially from the body wall to the tendon. It forms a
complete oblique partition between the abdominal and thoracic
cavities. The dorsal end is farther caudad than the ventral.
The central tendon (e) is thin and irregularly crescent-shaped,
with the convexity ventrad and the horns of the crescent
prolonged as two tendinous bands (e′) which end in two
triangular membranous portions (d) of the diaphragm, one on
each side of the spinal column. It is pierced by an opening
for the vena cava (f).
Fig. 74.—Diaphragm,
Caudal Surface seen Obliquely from the Right.
a, right crus; b, left crus; c,
c′, sternocostal part of diaphragm; d, d′, membranous
portions of the diaphragm; e, central tendon; e′, prolongations of central tendon;
f, opening for posterior vena cava; g, œsophagus; h, aorta; i, M. transversus
abdominis.
The muscular portion is in two parts: (a) The vertebral
portion (a, b) arises by a single tendon from the ventral surface
of the second, third, and fourth lumbar centra. The tendon
diverges into two, the right one (a) of which is much stronger,
and from each of the two arise muscle-fibres. Each mass of
fibres is one of the two crura (sing. crus) of the diaphragm. The
aorta (h) enters the abdomen between the crura dorsally. The
fibres of each crus diverge to be inserted into the central tendon
and the dorsal continuation of its horn. The two sets of fibres
unite ventrad of the opening of the aorta. Between this opening
and the central tendon is another opening for the œsophagus
(g); this lies entirely in that part of the diaphragm which
arises from the right crus (a). The fibres are again united
ventrad of the œsophageal opening.
(b) The sternocostal part (c, c′) takes origin from the
xiphoid process and the last five ribs, by fleshy bundles which
interdigitate with those of the transversus abdominis (i). The
fibres converge to the central tendon (e). Between the crus
of each side and the most dorsal of the costal fibres is the
membranous interval (d) mentioned above.
M. obliquus abdominis externus
(Fig. 68, p).—A large, thin sheet of muscle covering the whole
abdomen and part of the thorax ventrally.
Origin.—(a) From the last nine or ten ribs by means of as
many tendons, which are interconnected to form arches that
span the slips of the serratus anterior. The muscle-fibres
arise from these tendons and from their intervening arches.
(b) From the lumbodorsal aponeurosis common to it and the
internal oblique. The cranial fibres pass nearly ventrad, the
caudal fibres caudad, and the intervening fibres take an intermediate
course. The fibres end in a thin aponeurosis of insertion
along a curved line which passes at first caudad and then
laterodorsad. The aponeurosis fibres continue in the direction
of the muscle-fibres to the
Insertion into the median raphe ventrad of the sternum from
the insertion of the seventh costal cartilage to the xiphoid
process, into the linea alba from the sternum to the pubic
tubercle, and into the tubercle and the cranial border of the
pubis. Caudad of the xiphoid process the aponeurosis is closely
united to the superficial layer of the internal oblique, where it
forms the outer layer of the sheath of the rectus abdominis.
Laterad of the pubic tubercle the tendon is perforated by the
inguinal canal. In the cat neither the caudal part of the muscle
nor its tendon is attached to the ilium, as it is in man and the
dog, so that no Poupart’s ligament, or inguinal ligament, is
formed.
Relations.—Outer surface with the cutaneus maximus,
the integument, and near the origin with the latissimus dorsi
(Fig. 68, m). Inner surface with the obliquus internus (Fig.
73, o), the rectus abdominis (Fig. 73, k), the intercostales externi
(Fig. 73, m), a small part of the serratus posterior inferior
(Fig. 73, n), and by its dorsal tendon with the longissimus
dorsi (Fig. 69, f).
Action.—Constrictor of the abdomen.
M. obliquus abdominis internus (Fig. 73, o).—A thin
sheet similar to the preceding but of less extent. Its fibres
cross those of the external oblique nearly at right angles and
lie beneath them.
Origin.—(1) Between the fourth and seventh lumbar vertebræ
from the lumbar aponeurosis which is common to it and the
external oblique. The lumbar aponeurosis takes origin from
the lumbar spinous processes and the interspinous ligaments,
and is continuous craniad with the aponeurosis of the serratus
posterior inferior. Laterad it splits into three sheets, two for
the above-named muscles and a third which passes to the
vertebral transverse processes and forms the fascia covering the
supraspinous muscles of the lumbar region. (2) By a similar
aponeurosis from the ventral half of the iliac crest. (3) By
fleshy fibres from the three crural arches. These are three
delicate ligamentous arches which stretch from the crest of the
ilium to the pubic spine. The dorsal one gives exit to the
iliopsoas muscle, the middle to the femoral vessels, and the
ventral to the spermatic cord. In the female the middle and
ventral arches may fuse. The pillar between the dorsal and
middle arches is attached to the iliopectineal eminence.
Insertion.—The fibres pass cranioventrad and end along a
longitudinal line in a thin aponeurosis of insertion, which is
united in the linea alba to those of the external oblique and
transversus. At the caudal end of the aponeurosis all its fibres
pass outside of the rectus abdominis (Fig. 73, k). At its
cranial end the fibres divide into two sheets or laminæ, one of
which passes outside of the rectus and the other inside. The
outer lamina unites with the aponeurosis of the external
oblique, while the inner lamina unites with that of the transversus.
There is thus formed a sheath for the cranial part of
the rectus muscle.
Relations.—Outer surface with the obliquus
externus (Fig.
68, p). Inner surface with the transversus abdominis (Fig.
69, l), and by its ventral tendon with the rectus.
Action.—Compressor of the abdomen.
M. transversus abdominis (Fig. 69, l).—A thin sheet
covering the whole surface of the abdomen and lying beneath
the internal oblique. Its fibres are nearly transverse.
Origin.—(1) By fleshy fibres or by a thin aponeurosis from
the cartilages of all the false and floating ribs, by interdigitation
with the fibres of the diaphragm. (2) From the tips of all the
lumbar transverse processes. (3) From the ventral border of
the ilium. (4) From the dorsal and middle of the three crural
arches, where it may blend partly with the internal oblique.
The muscle is continuous craniad with the transversus thoracis
muscle. Near the lateral border of the rectus abdominis the
muscle ends in a thin aponeurosis of insertion which is continued
(its fibres having the direction of the muscle-fibres) to
the
Insertion in the linea alba.
Relations.—Outer surface with the internal oblique (Fig.
73, o) and the rectus abdominis (Fig. 73, k), dorsad also with
the longissimus dorsi (Fig. 69, f). Inner surface with a thin
fascia covering the peritoneum and ventrocaudad with the
rectus (Fig. 73, k). The dorsal edge of the muscle touches
the iliopsoas and longissimus dorsi; the ventral edge touches
the muscle of the opposite side.
Action.—Constrictor of the abdomen.
M. rectus abdominis (Fig. 73, k).—A rather thick, flat
muscle which lies near the median ventral line separated by
the linea alba from its fellow of the opposite side and stretching
from the pubis to the first costal cartilage. Opposite the first
lumbar vertebra it is approximately four centimeters wide. It
narrows at both ends.
Origin by a strong tendon from the tubercle of the pubis.
The muscle passes craniad at first between the peritoneal fascia
and the transversus aponeurosis, then in the sheath formed by
the internal and external oblique and the transversus aponeurosis.
It emerges from the sheath opposite the xiphoid process
and passes ventrad of the costal cartilages. Between the third
and fourth costal cartilages it ends in a thin tendon which
passes beneath the transversus costarum and is
Inserted into the first costal cartilage near its middle, into
the second costal cartilage near its sternal end, and into the
sternum between the first and fourth cartilages.
Relations.—Outer surface of the cranial part of the muscle
and its tendon with the pectoralis minor (Fig. 68, o) and the
transversus costarum (Fig. 73, j); caudad the muscle is covered
by the outer layer of the rectus sheath. Lateral edge with the
obliquus externus (Fig. 68, p), obliquus internus (Fig. 73, o),
and transversus abdominis (Fig. 69, l). Medial edge with the
muscle of the opposite side. Inner surface with the internal
intercostals (Fig. 69, k) and the rib cartilages; the inner layer
of the rectus sheath and the peritoneum.
Action.—Retracts the ribs and sternum and compresses the
abdomen.
The muscles connecting the thoracic limbs with the rest of
the body have been described.
A. Muscles on the Lateral Surface of the
Shoulder.
M. deltoideus.—The deltoid muscle of the cat is divided
into two (or three) portions which are together equivalent to
the human deltoid. These are the spinodeltoid, the acromiodeltoid,
and possibly the clavobrachial, which is frequently
called clavodeltoid.
M. spinodeltoideus (Fig. 75, e; Fig. 68, i).—A rather
thick, flat muscle between the scapular spine and the deltoid
ridge of the humerus. It forms a chord of the angle between
the glenoid border of the scapula and the humerus.
Origin by short tendon-fibres from the glenoid border of
somewhat more than the middle third of the spine of the
scapula (Fig. 76, g), and from a tendinous raphe between the
spinotrapezius (Fig. 68, j), acromiotrapezius
(Fig. 68, h), and
infraspinatus (Fig. 75, c). The origin may pass toward the
vertebral border of the scapula onto the infraspinatus muscle
(Fig. 75, c).
Insertion (Fig. 81, h) by a flat tendon upon the deltoid
ridge of the humerus, nearly parallel to that of the pectoralis
major.
Relations.—Outer surface with the integument and at the
insertion with the acromiodeltoideus (Fig. 75, f). Inner surface
with the infraspinatus (c), teres minor (Fig. 80, c), caput
laterale (Fig. 75, h), and caput longum (Fig. 75, g) of the
triceps muscle.
Action.—Flexes the humerus and rotates it outward.
M. acromiodeltoideus (Fig. 75, f; Fig. 68, g).—A flat
muscle which overlies the distal end of the spinodeltoideus
(Fig. 75, c). It connects the acromion with the humerus.
Origin (Fig. 76, d).—From the glenoid border of the
acromion, and sometimes the adjacent metacromion as far as
the tip.
Insertion.—Mostly upon the outer surface of the spinodeltoideus
(Fig. 75, c). The outer fibres are continued to the
bone, especially at the lateral border of the muscle, and are
inserted along a line ventrad of the line of insertion of the
spinodeltoideus, and extending farther distally (Fig. 81, g).
Some of the outer fibres pass into the brachialis (Fig. 80, h).
Relations.—Outer surface with the integument and the
clavobrachial (Fig. 68, e). Inner surface with the infraspinatus
(Fig. 75, c), teres minor (Fig. 80,
c), spinodeltoid (Fig. 75, e),
and caput laterale of the triceps (Fig. 75, h).
Action.—Like that of the spinodeltoid.
M. clavobrachialis (Fig. 65, k;
Fig. 68, e).—A flat, triangular
muscle on the cranial surface of the shoulder, forming
a direct continuation of the clavotrapezius (Fig. 68, d). These
two are frequently described as constituting a single muscle,
the cephalohumeral or cephalobrachial. (The clavobrachial is
frequently given the name clavodeltoid; as its homology with
the human clavodeltoid appears doubtful, it seems well to use
the name clavobrachial, as proposed by Clasen.)
Fig. 75.—Muscles on the
Lateral Surface of
the Arm.
a, M. supraspinatus; b,
part of insertion of M. rhomboideus;
c, M. infraspinatus;
d, M. teres major; e, M. spinodeltoideus;
f, M. acromiodeltoideus;
g, caput longum
of M. triceps brachii; h, caput
laterale of M. triceps brachii;
i, M. brachialis; j, M. biceps;
k, M. brachioradialis; l, M.
extensor carpi radialis longus;
m, M. extensor communis
digitorum (m′, tendon
of same); n, M. extensor lateralis
digitorum; (n′, tendon
of same); o, M. extensor
carpi ulnaris (o′, tendon of
same); p, M. extensor indicis
proprius; q, fifth head of M.
flexor profundus digitorum;
r, M. flexor carpi ulnaris. 1,
vertebral border of the scapula;
2, spine of the scapula;
3, greater tuberosity of the
humerus; 4, olecranon; 5,
transverse ligament of the
wrist.
Origin.—Its superficial fibres are continuations of
the
clavotrapezius (Fig. 68, d); other fibres have origin from the
clavicle and from a raphe laterad of the clavicle which is common
to this muscle and the clavotrapezius. It passes distad
along the cranial surface of the arm, growing narrower as
it approaches the convexity of the elbow.
Insertion.—Eight to ten millimeters from the ulna it joins
the brachialis muscle (Fig. 79, i) to be inserted with it by a
flat tendon (Fig. 79, i; Fig. 87, c) upon a rough area on the
medial surface of the ulna just distad of the semilunar notch,
and about midway between the dorsal and ventral borders.
Relations.—Outer surface with the integument. Inner
surface with the pectoralis major (Fig. 65, l), biceps (Fig.
77, g), lateral head of the triceps (Fig. 75, h), acromiodeltoid
(Fig. 75, f), and brachialis (Fig. 80, h). Medial border with
the pectoantibrachialis (Fig. 65, m). Lateral border free
except near the insertion, where it is in relation with the
brachialis.
Action.—Flexor of the antibrachium.
M. supraspinatus (Fig. 75, a) occupies the whole of the
supraspinatus fossa of the scapula. It is covered by strong
fascia which stretches from the free edge of the spine to the
coracoid border of the scapula and to the coracoid half of its
vertebral border.
Origin (Fig. 76, b) by fleshy fibres from the whole surface
of the supraspinatus fossa, from the above-mentioned fascia,
and from the subscapularis (Fig. 77, a) craniad of the coracoid
border of the scapula.
Insertion (Fig. 83, a).—It passes over the capsule of the
shoulder-joint, to which it is closely attached, and is inserted
into the free border of the great tuberosity ventrad (or proximad)
of the fossa for the infraspinatus (Fig. 83, c).
Relations.—Outer surface with the spinotrapezius (Fig.
68, j), acromiotrapezius (Fig. 68, h), levator scapulæ ventralis
(Fig. 68, f), clavotrapezius (Fig. 68, d), and cleidomastoid
(Fig. 65, h). Inner surface with the scapula. The distal end
of the coracoid border is closely related to the pectoralis minor
(Fig. 79, f). The glenoid border is related to the origin of
the deltoidei.
Action.—Extends the humerus after it has been flexed on
the scapula.
M. infraspinatus (Fig. 75, c).—This fills the infraspinatus
fossa, its fibres converging to the insertion on the great tuberosity
of the humerus.
Fig. 76.—Lateral
Surface of the Scapula, with the Areas of Attachment
of Muscles.
a, M. infraspinatus; b, M. supraspinatus; c,
origin of M. biceps; d, M. acromiodeltoideus;
e, M. teres minor; f, M. levator scapulæ ventralis; g, M. spinodeltoideus;
h, M. acromiotrapezius; i, M. rhomboideus; j, M. teres major; k-l, line of insertion
of M. spinotrapezius.
Origin (Fig. 76, a).—By fleshy fibres from the whole infraspinatus
fossa, and by a raphe between it and the teres major
(Fig. 75, d), and sometimes by fibres from the teres minor
(Fig. 80, c), triceps, spinodeltoideus (Fig. 75, e), spinotrapezius
(Fig. 68, j), and subscapularis (Fig. 77, a).
Insertion (Fig. 83, c).—By a flat tendon which passes over
the capsule of the joint, into the ventral half of the infraspinatus
fossa on the great tuberosity of the humerus. (The dorsal half
of the fossa is covered by a synovial bursa.)
Relations.—Outer surface with the spinotrapezius (Fig.
68, j), spinodeltoid (Fig. 68, i), acromiodeltoid (Fig. 68, g),
teres major (Fig. 75, d), and levator scapulæ
ventralis (Fig.
68, f). Inner surface with the scapula. Glenoid border with
the teres minor (Fig. 80, c), the teres major (Fig. 75, d), and
the long head of the triceps (Fig. 75, g).
Action.—Rotates the humerus outward.
M. teres minor (Fig. 80, c).—A small muscle from the
glenoid border of the scapula to the proximal end of the
humerus.
Origin (Fig. 76, e) by a sheet of tendinous fibres from the
glenoid border of the scapula beginning about one-fifth the
length of the border from the glenoid fossa and extending to
its middle. It is often attached to the infraspinatus (Fig.
80, b) and the caput longum of the triceps (Fig. 75, g).
Insertion (Fig. 83, d) by a short tendon into the tubercle
just distad of the infraspinatus fossa on the great tuberosity of
the humerus.
Relations.—Outer surface with the spinodeltoideus (Fig.
75, e), acromiodeltoideus (Fig. 75, f), and the infraspinatus
(Fig. 80, b). Inner surface with the lateral (Fig. 75, h) and long
(Fig. 75, g) heads of the triceps and the capsule of the joint.
Action.—Assists the infraspinatus to rotate the humerus
outward.
B. Muscles on the Medial Surface of the Shoulder.
(Fig. 77.)
M. subscapularis (Fig. 77, a).—A triangular mass from
the subscapular fossa to the lesser tuberosity of the humerus.
Origin (Fig. 78, a).—From the whole subscapular fossa
except along the fusiform area for the attachment of the levator
scapulæ and the serratus anterior near the vertebral border,
and except over a quadrangular area about one centimeter long
near the glenoid angle. The origin is by fleshy fibres directly
from the periosteum except along two or three lines marked
by oblique ridges. To these lines are attached tendinous fibres.
At the glenoid border the area of origin sometimes occupies
part or the whole of the surface of the fossa for the origin of the
teres major, so that the teres arises from the fascia on the surface
of the subscapularis. At the coracoid border some of the
fibres may take origin from the adjacent fascia of the supraspinatus
(Fig. 77, d).
Insertion (Fig. 82, b).—The fibres converge to the glenoid
border, and the insertion is by
a strong, flat tendon into the
dorsal border of the lesser
tuberosity of the humerus.
Fig. 77.—Muscles on the Medial Side
of the Arm.
M. epitrochlearis, M. clavobrachialis, and the
breast-muscles have been removed. a, M.
subscapularis; b, insertion of M. levator scapulæ
and of M. serratus anterior; c, M. teres major;
d, M. supraspinatus; e, M. latissimus dorsi (e′,
cut edge of that part which becomes united with
the bicipital arch); f, M. coracobrachialis; g, M.
biceps brachii (the capsule of the joint has been
laid open to show its tendon); h, cut insertions
of pectoralis muscles; i, caput longum of M. triceps
brachii; j, long portion of caput mediale
of M. triceps brachii; k, intermediate portion of
caput mediale of M. triceps brachii; l, short portion
of caput mediale of M. triceps brachii; m,
cut end of M. clavobrachialis; n, M. brachioradialis;
o, M. extensor carpi radialis longus; p,
M. extensor carpi radialis brevis; q, M. pronator
teres; r, M. flexor carpi radialis; s, M.
palmaris longus (s′, its tendons); t, M. flexor carpi
ulnaris (t, ulnar head; t′, humeral head); u, third
head of M. flexor profundus digitorum; u′, fifth
head of M. flexor profundus digitorum; u″, one
of the tendons of M. flexor profundus digitorum;
v, M. pronator quadratus; w, M. abductor brevis
pollicis; x, ulnar part of M. flexor sublimis digitorum.
1, transverse ligament of the wrist.
Relations.—Lateral
surface with the scapula
and the capsule of the
shoulder-joint. Medial
surface with the levator
scapulæ (Fig. 73, h), serratus
anterior (Fig. 73, i),
part of the scalenus (Fig.
73, f), the transversus costarum
(Fig. 73, j), and the
coracobrachialis (Fig. 77, f).
Cranial border with the supraspinatus
(Fig. 77, d). Caudal border
with the teres major (Fig. 77, c) and infraspinatus (Fig.
75, c).
Action.—Pulls the humerus inward (mediad).
M. teres major (Fig. 75, d; Fig. 77, c).—A thick muscle,
triangular in cross-section, lying parallel with the glenoid border
of the scapula.
Origin (Fig. 76, j; Fig. 78, b) from the vertebral one-third
of the glenoid border of the scapula, and from fascia covering
the subscapularis (Fig. 77, a)
and the infraspinatus (Fig. 75, c)
over a small area near the glenovertebral
angle of the scapula.
It may touch the insertion of the
rhomboideus.
Insertion (Fig. 82, f) by a
tendon common to it and the
latissimus dorsi (Fig. 79, d′), as
already described.
Relations.—Outer surface
with the caput longum (Fig. 75,
g) and the long portion (Fig.
80, f) of the caput mediale of
the triceps, the latissimus dorsi
(Fig. 77, e), and the cutaneus
maximus. Inner surface with
the serratus anterior (Fig. 73, i),
the scalenus (Fig. 73, f), the
transversus costarum (Fig. 73, j),
and the biceps (Fig. 77, g).
Dorsal border with the subscapularis
(Fig. 77, a) and infraspinatus
(Fig. 75, c).
Action.—Rotates the humerus inward and flexes it in opposition
to the infraspinatus, teres minor, and the deltoidei.
Fig. 78.—Medial Surface of the
Scapula with the Areas of
Attachment of Muscles.
a, M. subscapularis; b, M. teres major;
c, M. serratus anterior; d, M. levator
scapulæ; e, M. rhomboideus; f, M. occipitoscapularis;
g, M. biceps; h, M.
coracobrachialis; i, caput longum of M.
triceps.
M. clavobrachialis and the pectoralis group (Fig. 65, page
109) lie partly in this region; they have been described.
M. coracobrachialis (Fig. 77, f; Fig. 79, c).—A very
short muscle covering the inner (medial) surface of the capsule
of the shoulder-joint. It extends from the coracoid process
to the proximal end of the humerus.
Origin (Fig. 78, h).—By a round tendon from the tip of
the coracoid process.
Insertion (Fig. 82, e) usually by fleshy fibres on an area
five to eight millimeters long and about half as wide, which lies
on the medial side of the humerus parallel with the ridge which
runs from the dorsal end of the lesser tuberosity to the shaft
and close to it. The proximal end of the area is about one
centimeter from the proximal end of the head of the humerus.
Relations.—Medial surface with the biceps (Fig. 77, g),
pectoralis minor (Fig. 65, o), and teres major (Fig. 77, c).
Lateral surface with the capsule of the shoulder-joint. Dorsal
border with the subscapularis (Fig. 77, a) and the long portion
of the caput mediale of the triceps (Fig. 77, j).
Action.—Adducts the humerus.
The part of the coracobrachialis just described is known as
the short head. A long head is sometimes found. It is a
conical bundle of fibres of varying size, which arises from the
tendon of origin of the short head. It passes distad into a long
and extremely slender tendon, the insertion of which varies
greatly in different individuals. It is commonly on the humerus
in the region of the supracondyloid foramen.
M. epitrochlearis or extensor antibrachii longus (Fig.
65, r).—A thin, flat muscle on the inner or medial side of the
brachium, from the lateral surface of the latissimus dorsi (Fig.
65, q) to the olecranon process of the ulna.
Origin from the lateral or outer surface of the ventral border
of the latissimus dorsi (Fig. 65, q) near the insertion of the
cutaneus maximus. Fibres are often attached to the teres
major and the pectoralis minor.
Insertion by a flat tendon which is closely connected with
that of the pectoantibrachialis (Fig. 65, m) and is continuous
with the general antibrachial fascia, into the caudal border of
the cutaneous (dorsal) surface of the olecranon process of the
ulna.
Relations.—Outer (medial) surface with the integument, the
latissimus dorsi (Fig. 65, q), and the cutaneus maximus. Inner
(lateral) surface with the biceps (Fig. 65, t), caput longum
(Fig. 65, s), and caput mediale (Fig. 77, j, k) of the triceps.
Action.—Extends the antibrachium and tends to supinate
the hand by rotating the ulna.
M. biceps brachii (Fig. 77, g; Fig. 65, t).—A thick, fusiform
muscle lying on the front (ventral) surface of the humerus.
Origin (Fig. 76, c) by a strong, round tendon from the
bicipital tubercle of the glenoid angle of the scapula, at its
coracoid margin. (In man there is a second head—coracoid
head—from the coracoid process.) The tendon passes through
the capsule of the joint and then along the bicipital groove,
which is converted into a canal by a strong ligament.
Insertion by a rounded tendon (Fig. 87, b) on the bicipital
tuberosity of the radius (Fig. 86, k).
Relations.—The tendon of origin passes through the capsule
of the joint, which is covered by a part of the pectoralis minor.
The muscle is then spanned for the middle part of its course
by the bicipital arch (Fig. 65, t′), a description of which is
given below. Farther distad it is covered by the clavobrachial
(Fig. 65, k) and epitrochlearis (Fig. 65, r). At its distal end
(Fig. 79, l′) the muscle passes between the pronator teres on
the radial side and the conjoined tendon of the brachialis and
clavobrachial (Fig. 79, i′) on the other. The biceps lies
throughout most of its length on the ventral surface of the
humerus, and touches along the medial border of its inner surface
the coracobrachialis (Fig. 77, f), the teres major, (Fig.
77, c), the intermediate portion of the caput mediale of the
triceps (Fig. 77, k), and the short portion (Fig. 77, l) of the
same. Its lateral border touches the pectoralis minor (Fig.
65, o) and the brachialis (Fig. 79, i).
Action.—Flexes the forearm, and tends to supinate the
hand.
The bicipital arch (Fig. 65, t′) is a tendinous arch formed
over the biceps muscle. Its outer or lateral pillar is formed
by the tendon of the pectoralis minor (o), to which may be
added part of the latissimus (q) tendon. Its inner or medial
pillar is formed by the conjoined tendon of the teres major and
latissimus dorsi (Fig. 79, d′), while the xiphihumeralis (Fig.
65, p), cutaneus maximus (Fig. 62, b), and epitrochlearis
(Fig. 65, r) are connected with one or the other pillar or with
the muscles composing them. The caudal portion of the deep
layer of the pectoralis major (Fig. 65, l) may be connected
with the inner pillar.
M. brachialis (Fig. 79, i; Fig. 75, i).—From the lateral
surface of the humerus to the ulna.
Origin (Fig. 83, g, g′) from a long V-shaped line two to
four millimeters wide on the lateral surface of the humerus.
The apex of the V is just distad of the teres minor tubercle (d).
Its dorsal limb (g′) extends along the lateral supracondyloid
ridge to a point opposite the proximal margin of the supracondyloid
foramen; its ventral limb (g) extends in the direction
of the deltoid ridge to the middle of the bone. No
muscle-fibres take origin between the two limbs. The fibres
converge and end in a flat tendon which joins the tendon of
the clavobrachial (Fig. 79, k).
Insertion (Fig. 87, c).—The dorsal portion of the depressed
rough area on the lateral surface of the ulna just distad of the
semilunar notch.
Relations.—Outer surface with the acromiodeltoid (Fig.
75, f), the caput laterale of the triceps (Fig. 75, h), the
brachioradialis (Fig. 75, k), and the proximal end of the extensor
carpi radialis longus (Fig. 75, l). Inner surface with
the humerus. Medial edge with the pectoralis major (Fig.
65, l) and the biceps (Fig. 77, g).
Action.—Flexor of the antibrachium.
M. triceps brachii.—The triceps muscle of the cat, like
that of man, is divisible (as its name indicates) into three main
portions. These are a lateral portion (caput laterale), an
intermediate or long portion (caput longum), and a medial portion
(caput mediale). The first two correspond to the similarly
named heads in man; the medial portion falls into a
number of subdivisions whose homologues are uncertain.
Fig. 79.—Deep
Muscles on the Medial Side of the Humerus.
a, M. supraspinatus; b, M. subscapularis; c, M. coracobrachialis; d, M. teres
major (d′, its tendon); e, part of M. latissimus dorsi joining the teres major; f, cut
end of M. pectoralis minor; g, long part of caput mediale of M. triceps brachii; h, intermediate
part of caput mediale of M. triceps; i, M. brachialis (i′, its tendon); j, short
part of caput mediale of M. triceps; k, cut end of M. clavobrachialis; l, l′, cut ends
of M. biceps; m, M. brachioradialis; n, M. extensor carpi radialis longus; o, M. extensor
carpi radialis brevis; p, fifth head of M. flexor profundus digitorum; q, first
head of M. flexor profundus digitorum. 1, humerus; 2, olecranon; 3, medial epicondyle
of humerus.
Caput laterale (anconeus lateralis) (Fig. 75, h; Fig. 68, l).—The
lateral portion is a flat muscle (most of it subcutaneous)
on the lateral side of the brachium, connecting the proximal
end of the humerus with the olecranon process of the ulna.
Origin (Fig. 81, h′).—By a flat tendon from the proximal
portion of the deltoid ridge and the distal border of the teres
minor tubercle.
Insertion (Fig. 86, c) by a thin, flat tendon into the lateral
border of the dorsal surface of the ulna between a point opposite
the distal margin of the semilunar notch and the proximal
end of the olecranon.
Relations.—Lateral surface with the integument, and at the
proximal end with the spinodeltoid and acromiodeltoid (Fig.
75, e and f). Medial surface with the brachialis (Fig. 75, i),
the caput longum (g), the caput mediale, the brachioradialis (k),
the anconeus (Fig. 80, l), and the origins of the extensor carpi
radialis longus (Fig. 75, l), the extensor communis digitorum
(m), and the extensor digitorum lateralis (n).
Caput longum (anconeus longus) (Fig. 75, g; Fig. 68, k;
Fig. 77, i).—A prismatic, fusiform mass connecting the scapula
with the olecranon.
Origin (Fig. 78, i) by a thick, flat tendon from a triangular
area one or two centimeters long at the glenoid end of the
scapula on the glenoid border. The base of the area is about
one millimeter from the margin of the glenoid fossa.
Insertion (Fig. 86, b).—The muscle ends in a thick tendon
which passes over the bifurcated ventral end of the olecranon
and is inserted upon the rounded tuberosity which forms the
dorsal angle of the olecranon.
Relations.—Lateral surface with the caput laterale (Fig.
75, h), a portion of the caput mediale (Fig. 77, j and k), the
spinodeltoid (Fig. 75, e), the infraspinatus (Fig. 75, c), and
the integument. Medial surface with the epitrochlearis (Fig.
65, r) and the conjoined portions of the latissimus dorsi and
teres major (Fig. 79, d′). Ventral border with the caput
mediale (Fig. 77, j and k).
Caput mediale.—The medial head consists of three portions
(Fig. 79, g, h, j).
(1) The long portion (anconeus posterior) (Fig. 77, j; Fig.
79, g; Fig. 80, f).
Origin (Fig. 83, e) from a triangular area on the dorsal surface
of the humeral shaft. The base of the area is against the
articular head, and its apex about one-sixth the length of the
humerus from the head. It is between the coracobrachialis
and the lateral head of the triceps.
Fig. 80.—Deep
Muscles on the Lateral Surface of the Humerus.
a, part of M. supraspinatus; b, part of M.
infraspinatus; c, M. teres minor; d, M.
teres major; e, part of M. latissimus dorsi joining M. teres major; f, long part of caput
mediale of M. triceps brachii; g, cut insertion of M. acromiodeltoideus; h, M. brachialis;
i, M. brachioradialis; j, intermediate part of caput mediale of M. triceps brachii;
k, M. extensor carpi radialis longus; l, M. anconeus; m, M. extensor communis digitorum.
1, great tuberosity of humerus; 2, 3, superficial radial and dorsal interosseous
branches, respectively, of the radial nerve.
Insertion (Fig. 86, a).—The muscle ends in a long, slender
tendon which passes through the furrow on the ventral
angle of the olecranon and is inserted into an oblique ridge
which forms the dorsal limit of the furrow. The tendon is
separated from the floor of the furrow by a synovial bursa.
(2) The intermediate portion (anconeus internus) (Fig. 77,
k; Fig. 79, h; Fig. 80, j).
Origin (Fig. 82, g) by fleshy fibres from a triangular area
proximad of the middle of the dorsomedial surface of the
humerus. The length of the area equals about one-fourth the
length of the bone. Its apex points proximad and is almost
continuous with the apex of the area of origin of the long portion.
Insertion (Fig. 87, i) by short tendon-fibres into the medial
border of the ventral and proximal surfaces of the olecranon.
It is connected with the tendon of the long portion.
(3) Short portion (Fig. 79, j; Fig. 77, l).
Origin (Fig. 82, h) from the outer surface of the bony bar
which encloses the supracondyloid foramen of the humerus, as
far as the medial epicondyle.
Insertion (Fig. 87, e) by fleshy fibres into the medial border
of the olecranon distad of the tuberosity for the insertion of the
caput longum.
Relations of the caput mediale.—Lateral surface with the
caput laterale (Fig. 75, h), the humerus, and the anconeus (Fig.
80, l). Dorsal surface with the caput longum (Fig. 77, i),
the epitrochlearis (Fig. 65, r), and the teres major (Fig.
79, d). Ventral surface with the biceps (Fig. 77, g).
Action of the Triceps.—The entire triceps group forms a
powerful extensor of the forearm. The short portion of the
medial head tends also to rotate the arm outward, so as to
supinate the hand.
M. anconeus (Fig. 80, l).—A triangular muscle on the
outside of the elbow-joint from the humerus to the ulna.
Origin (Fig. 83, i).—An irregularly triangular area at the
distal end of the dorsal surface of the humerus. The area of
origin is limited laterally by the sharp lateral supracondyloid
ridge. It sometimes extends onto the lateral epicondyle.
Fig. 81.—Ventral Surface
of Humerus,
with the Areas of
Attachment of Muscles.
Fig. 82.—Medial Side
of Humerus, with
the Areas of Attachment
of Muscles.
Fig. 83.—Dorsal Surface
of the Left Humerus,
with the Areas of
Attachment of Muscles.
Fig. 81.—a, M. subscapularis; b, M. supraspinatus; c, Mm. teres major and latissimus
dorsi; d, M. pectoralis minor; e, deep layer of M. pectoralis major; f, superficial
layer of M. pectoralis major; g, M. acromiodeltoideus; h, M. spinodeltoideus;
h′, caput laterale of M. triceps; i, M. brachialis; j, second portion of M. brachialis;
k, M. extensor carpi radialis longus; l, M. extensor carpi radialis brevis; m. M. extensor
communis digitorum; n, M. extensor lateralis digitorum; o, M. extensor carpi
ulnaris; p, short portion of caput mediale of M. triceps; q, M. pronator teres; r, M.
palmaris longus; s, third and fourth parts of M. flexor profundus digitorum; t, M.
flexor carpi radialis; u, second head of M. flexor profundus digitorum.
Fig. 82.—a, M. supraspinatus; b, M. subscapularis; c, M. pectoralis minor; d,
long portion of caput mediale of M. triceps; e, M. coracobrachialis; f, Mm. teres
major and latissimus dorsi; g, intermediate portion of caput mediale of M. triceps; h,
deep layer of M. pectoralis major; i, superficial layer of M. pectoralis major; j, M.
anconeus; k, short portion of caput mediale of M. triceps; l, M. pronator teres;
m, M. flexor carpi radialis; n, second head of M. flexor profundus digitorum; o,
third and fourth heads of M. flexor profundus digitorum; p, M. palmaris longus; q,
M. flexor carpi ulnaris.
Fig. 83.—a, M. supraspinatus; b, M. subscapularis; c, M. infraspinatus; d, M.
teres minor; e, long portion of caput mediale of M. triceps; f, M. coracobrachialis;
g, g′, M. brachialis; h, intermediate portion of caput mediale of M. triceps; i, M.
anconeus; j, short portion of medial head of M. triceps; k, M. pronator teres; l,
second and third heads of M. flexor profundus digitorum; m, M. palmaris longus;
n, M. extensor carpi ulnaris.
Insertion (Fig. 86, d).—The lateral surface of the ulna from
the distal margin of the semilunar notch to the proximal end
of the olecranon. The muscle covers the capsule of the joint
and is closely adherent to it.
Relations.—Outer (dorsal) surface with the caput laterale
(Fig. 75, h) and the intermediate portion (Fig. 80, j) of the
caput mediale. Inner surface with the bones and the capsule
of the joint.
Action.—Keeps the capsule tense and probably rotates the
ulna slightly so as to pronate the hand.
Fascia of the Forearm.
—The muscles of the forearm are
not in contact with the skin, but are covered by the strong
antibrachial fascia. This consists of two layers. The superficial
one is a continuation of the general subcutaneous fascia
of the arm; it covers the forearm as a continuous sheet which
becomes thinner distad, and is finally lost near the wrist. The
deep layer forms a dense, tendinous sheet which is closely
applied to the muscles. It begins partly as a continuation of
the general fascia of the arm, partly from the tendons of the
triceps and epitrochlearis muscles. The sheet is attached to
the dorsal surface of the ulna, between the extensor carpi
ulnaris and the first head of the flexor profundus digitorum.
It surrounds the forearm as a continuous sheath. On the lateral
surface it dips between the extensor muscles, becoming closely
attached to them and forming a partial sheath for each; it is
attached with special firmness to their tendons. On the medial
side of the arm the fascia passes smoothly over the flexors
without dipping between them; it is continuous, however, with
the border of the pronator teres, and distad of this muscle it is
firmly attached to the radius.
At the wrist the fascia becomes attached to the longitudinal
ridges on the dorsal surface of the head of the radius, bridging
thus the intervening grooves and holding the tendons in
place between the ridges. The fascia then continues to form
the dorsal fascia of the hand. On the ventral side of the wrist
the fascia becomes thickened to form a strong transverse
ligament (Fig. 77, 1), which is attached at its radial and ulnar
ends to the carpus, and which holds in place the tendons of the
flexor muscles. Distad of the transverse ligament the fascia
spreads out in the palm of the hand, and becomes united with
the fibrous pad which is situated here. On the fingers the
fascia becomes attached to the phalanges, forming tendinous
sheaths, the so-called vaginal ligaments, for the flexor
muscles. Near the base and the head of the first phalanx
strong, narrow, ring-like bands, the annular ligaments (Fig.
88, 2), are formed in these sheaths; these surround and bind
down the tendons of the flexor muscles.
A. Muscles on the Ulnar and Dorsal Side of the
Forearm (extensors and supinators)
(Fig. 75, p. 158).
M. brachioradialis or supinator longus (Fig. 75, k; Fig.
77, n).—This is a ribbon-like muscle lying on the lateral side
of the brachium and the ventrolateral border of the antibrachium
just beneath the superficial fascia. It connects the
humerus and the radius.
Origin.—By a thin tendon from about the middle fifth of
the dorsal border of the humerus, or sometimes proximad of
the middle. The muscle curves over the outer surface of the
brachialis (Fig. 75, i), to which it is closely applied, and runs
along the lateral border of the antibrachium to its insertion.
Insertion by a short tendon into the ridge which forms the
ventral limit of the groove on the outer surface of the styloid
process of the radius and upon the adjacent ligaments.
Relations.—Outer surface with the integument, and at the
proximal end with the caput laterale of the triceps (Fig. 75, h).
Inner surface with the brachialis (i), the extensor carpi radialis
longus (l) and brevis, and the extensor communis digitorum (m).
Action.—Supinator of the hand.
M. extensor carpi radialis longus (Fig. 75, l; Fig. 77,
o).—This lies along the radial side of the forearm, and connects
the humerus and the second metacarpal.
Origin (Fig. 81, k) from the middle portion of the lateral
supracondyloid ridge between the origin of the brachialis (j)
and the anconeus. About the middle of the forearm the
muscle ends in a slender tendon (Fig. 84, e) which passes
through the groove on the radial side of the dorsal surface of
the distal end of the radius.
Insertion (Fig. 84, c).—The tendon passes across the carpus
and is inserted onto the dorsal surface of the base of the
second metacarpal on the radial side just distad of the groove
for the radial artery.
Relations.—Outer surface at the proximal end with the
caput laterale of the triceps (Fig. 75, h), farther distad with
the integument and the brachioradialis (k); the distal tendon
with the extensor pollicis brevis (Fig. 84, d). Radial surface
with the brachialis (Fig. 75, i) and the integument. Ulnar
surface with the extensor carpi radialis brevis (Fig. 77, p), and
near the proximal end with the extensor communis digitorum
(Fig. 75, m).
Action.—Extensor of the hand.
M. extensor carpi radialis brevis (Fig. 77, p).—A slender
muscle from the humerus to the third metacarpal.
Origin (Fig. 81, l) from the distal part of the lateral supracondyloid
ridge distad of the extensor longus. Near the
carpus the muscle ends in a slender tendon which passes
through the groove with the extensor longus tendon. The
tendon then diverges from the extensor longus and has its
Insertion (Fig. 84, f) into the radial side of the dorsal surface
of the base of the third metacarpal.
Relations.—Outer surface with the extensor longus (Fig.
77, o), the integument, and distad with the extensor pollicis
brevis (Fig. 84, d). Radial surface with the extensor longus.
Ulnar surface with the extensor communis digitorum (Fig. 75,
m) and the extensor brevis pollicis. Inner surface with the
pronator teres (Fig. 77, q), supinator (Fig. 85, b), and extensor
brevis pollicis (Fig. 85, a).
Action.—Extensor of the hand.
Fig. 84.—Arrangement of
the Tendons on the
Back of the Hand.
a, M. extensor communis
digitorum; b, M. extensor lateralis
digitorum; c, M. extensor
indicis; d, M. extensor
brevis pollicis; e, M. extensor
carpi radialis longus; f, M.
extensor carpi radialis brevis;
g, M. extensor carpi ulnaris;
h, tendons of the interossei.
1, transverse ligament of the
wrist.
M. extensor digitorum communis (Fig. 75, m).—A slender
muscle from the lateral supracondyloid ridge of the humerus
to the phalanges of the second, third, fourth, and fifth digits.
Origin (Fig. 81, m).—The distal surface of the lateral
supracondyloid ridge dorsad of the origin of the extensor carpi
radialis brevis.
At the junction of the middle and distal thirds of the radius the
muscle passes into a large, flat tendon (Fig. 75, m′)
which passes
through the groove on the middle of the dorsal surface of the
distal end of the radius. The groove is converted into a canal
by a strong transverse ligament. The
tendon divides near the groove into four
portions (Fig. 84, a) which diverge and
pass to the four ulnar digits.
Insertions.—Each division of the
tendon as it passes over the dorsal surface
of the first phalanx has its border
connected by strong fascia to the dorsal
surface of the phalanx. It finally passes
through the groove at the distal end of
the first phalanx and is inserted mostly
into the base of the second phalanx; a
portion continues distad to be inserted
into the third phalanx.
Relations.—Outer surface with the
integument and at the origin with the
caput laterale (Fig. 75, h) of the triceps.
Radial surface with the extensor longus
(l) and extensor brevis. Ulnar surface
with the extensor digitorum lateralis (n).
Inner surface with the supinator (Fig.
85, b) and the extensor pollicis brevis
(Fig. 85, a).
Action.—Extensor of the four ulnar
digits.
M. extensor digitorum lateralis (Fig. 75, n). (This corresponds in position
to the extensor digiti quinti proprius
of man.)
Origin (Fig. 81, n) from the lateral
supracondyloid ridge of the humerus
distad of the origin of the extensor
communis.
The muscle passes along the ulnar border and dorsal surface
of the forearm between the extensor communis (Fig. 75, m) and
the extensor carpi ulnaris (o). Near the carpus it ends in a tendon
(n′), which divides immediately into three or four (Fig. 84, b).
These pass through the groove on the ulnar side of the dorsal
surface of the radius and diverge to the digits lying beneath
the extensor communis tendon.
Insertion (Fig. 84, b).—The three tendons on the ulnar
side join the ulnar sides of the tendons of the extensor communis
(a) at their insertions. The radial of the four tendons
(not always present) joins the tendon of the extensor indicis (c)
and may also give a branch to the radial side of the base of the
first phalanx of the third digit.
Relations.—Outer surface with the integument. Radial
border with the extensor communis digitorum (m); ulnar border
with the extensor carpi ulnaris (o). Inner surface with the
supinator (Fig. 85, b) and the extensor brevis pollicis (Fig.
85, a); distad with the extensor indicis (Fig. 85, c).
Action.—Extensor of the four ulnar digits.
M. extensor carpi ulnaris (Fig. 75, o).
Origin.—(1) By a short, broad tendon from the distal portion
of the lateral epicondyle of the humerus (Fig. 81, o) distad
of the origin of the extensor lateralis, and (2) by a smaller
tendon from the ulna at the dorsal tip of the semilunar notch
(Fig. 86, e).
The muscle passes along the ulnar side of the forearm
dorsad of the extensor digitorum lateralis (n). It ends near
the junction of the middle and distal thirds of the forearm in a
large, flat tendon (o′) which is closely adherent to the ligaments
of the wrist and which passes over the distal end of the ulna to
its
Insertion into the tubercle on the ulnar side of the base of
the fifth metacarpal (Fig. 84, g).
Relations.—Outer surface with the integument. Radial
(or ventral) border with the extensor digitorum lateralis (Fig.
75, n); ulnar (or dorsal) border with the flexor profundus digitorum
(q). Inner surface with the radius, the extensor indicis
(Fig. 85, c), and the extensor pollicis brevis (Fig. 85, a).
Action.—Indicated by its name.
M. extensor indicis (proprius) (Fig. 85, c; Fig. 75, p) (includes
extensor pollicis longus also).
Origin (Fig. 86, f) by short, fleshy fibres from the lateral
surface of the ulna between the semilunar notch and the junction
of the third and fourth (distal) fourths.
The muscle-fibres pass obliquely distad and toward the
radial side and join the tendon (Fig. 85, c′), which runs nearly
the whole length of the radial surface.
Insertion (Fig. 84, c).—The tendon passes through the
groove on the ulnar side of the dorsal surface of the base of the
radius and divides into two. Both of these usually go to the
base of the second phalanx of the second digit, but one may
pass to the pollex, or there may be three divisions going to the
first three digits.
Fig. 85.—Deep
Muscles on the Extensor Surface of the Radius
and Ulna.
a, M. extensor brevis pollicis (a′, its tendon);
b, M. supinator; c, M. extensor indicis
(c′, its tendon); d, tendon of M. extensor carpi radialis brevis; e, tendon of M.
extensor carpi radialis longus. 1, humerus; 2, olecranon; 3, styloid process of
ulna; 4, distal end of radius; 5, head of radius.
Relations.—Outer surface with the integument, the extensor
carpi ulnaris (Fig. 75, o), and the extensor digitorum lateralis
(Fig. 75, n). Dorsal border with the flexor profundus digitorum
(Fig. 75, q). Inner surface with the extensor brevis
pollicis (Fig. 85, a).
Action as indicated by the name.
M. supinator (Fig. 85, b).—A flat muscle wrapped spirally
about the proximal end of the radius.
Origin by a short, strong tendon from the lateral side of the
annular ligament of the radius and by tendinous fibres from the
radial collateral ligament passing from the humerus to the
radius. From the tendon of origin the fibres diverge, passing
toward the radial side and distad.
Insertion (Fig. 86, g).—The dorsal and part of the ventral
surface of the proximal two-fifths of the radius to within
five millimeters of the articular face of the
head.
Relations.—Outer surface with the extensor
carpi radialis brevis, extensor communis
digitorum (Fig. 75, m), and extensor
lateralis digitorum (Fig. 75, n). Radial
border with the pronator teres (Fig. 77, q).
Inner surface with the radius.
Action.—Supinator of the hand.
Fig. 86.—Lateral
or Extensor Surface
of Radius and
Ulna, with the
Areas of Attachment
of Muscles.
a, long portion of
caput mediale of M.
triceps; b, caput longum
of M. triceps; c,
caput laterale of M. triceps;
d, M. anconeus;
e, M. extensor carpi
ulnaris; f, M. extensor
indicis; g, M. supinator;
h, M. extensor
brevis pollicis; i, M.
pronator teres; j, M.
flexor profundus digitorum;
k, M. biceps.
M. extensor brevis pollicis or extensor
ossis metacarpi pollicis (Fig. 85, a) (includes
M. abductor longus pollicis of man).
Origin (Fig. 86, h) by fleshy fibres from
the ventral half of the lateral surface of the
shaft of the ulna from the semilunar notch to
the styloid process; from the ulnar half of
the dorsal surface of the radius from the
bicipital tubercle to a short distance distad
of the middle of the bone; and from the
interosseous membrane between these two
areas. The fibres converge to form a strong,
flat tendon (Fig. 84, d) which passes obliquely
over the tendons of the extensor carpi radialis
longus (e) and brevis (f) to its
Insertion into the radial side of the base
of the first metacarpal. The radial sesamoid
bone of the wrist is imbedded in the tendon
at its insertion.
Relations.—Outer surface with the extensor
carpi radialis brevis, the extensor
communis digitorum (Fig. 75, m), extensor
lateralis digitorum (Fig. 75, n), and extensor
indicis (Fig. 85, c). Inner surface with the
radius and ulna, and distad with the tendons
of the two extensores carpi radiales (Fig.
84, e and f).
Action.—Extends and abducts the pollex.
B. Muscles on the Radial and Ventral Side of
the Forearm (flexors and pronators).
M. pronator teres (Fig. 77, q).
Origin (Fig. 82, l) by a short strong tendon from the
extremity of the medial epicondyle of the humerus.
Insertion (Fig. 86, i) by fleshy fibres and short tendinous
fibres along the medial border of the radius, at its middle.
The radial edge of the muscle is continuous with the strong
deep layer of the antibrachial fascia.
Relations.—Outer surface with the superficial fascia. Radial
border with the tendon of the biceps (Fig. 79, l′), with the
extensor carpi radialis brevis (Fig. 77, p), and the supinator
(Fig. 85, b). Ulnar border with the flexor carpi radialis (Fig.
77, r) and part of the flexor profundus digitorum (Fig. 77, u).
Action.—Pronates the hand by rotating the radius.
M. flexor carpi radialis (Fig. 77, r).—A slender fusiform
muscle.
Origin (Fig. 82, m) from the tip of the medial epicondyle
of the humerus.
Insertion.—The slender tendon passes through a deep
groove between the os magnum and the first metacarpal. The
groove is converted into a canal by the overlying tendons and
muscles. The tendon is finally inserted into the bases of the
second and third metacarpals.
Relations.—Outer surface with the pronator teres (Fig.
77, q), the superficial fascia, and the third head of the flexor
profundus (u). Radial border with the pronator teres (q).
Ulnar border with the third and fourth heads of the flexor profundus.
Inner surface with the ulna proximad and the fifth
head of the flexor profundus (u′) distad.
Action indicated by the name.
M. palmaris longus (Fig. 77, s).—A flat fusiform muscle
beneath the fascia on the medial border of the forearm.
Origin (Fig. 82, p) by a short flat tendon from the distal part
of the medial surface of the medial epicondyle of the humerus.
About one centimeter from the wrist the muscle ends in a
flat tendon which passes through the transverse ligament and
divides on the hand into four or five (or sometimes only three)
tendons (Fig. 77, s′) which diverge to the insertions. The
ulnar portion of the flexor sublimis digitorum (Fig. 77, x) takes
origin from the common tendon before its division.
Insertion.—Each tendon except the first gives off a branch
which spreads out in the trilobed pad in the palm. The middle
two of these may be traced to the integument covering the pad.
The tendon is then inserted (Fig. 88, a) near the base of the
first phalanx onto the outer surface of the perforated portion of
the flexor sublimis tendon (b, b′) at its side, except that to the
thumb, which divides near its distal end into two which are
inserted into the sesamoid bones at the base of the first phalanx.
The tendons of insertion are closely united to the fibrous pulley-ring
at the base of the first phalanx, and each may send a slip
to the base of the phalanx at either side of the ring.
Relations.—Outer surface with the superficial fascia and
one head of the flexor sublimis (Fig. 77, x). Radial border
with the flexor carpi radialis. Ulnar border with the flexor
carpi ulnaris and a part of the flexor profundus digitorum.
Inner surface with the flexor carpi radialis (r), the flexor carpi
ulnaris (t), the flexor profundus digitorum (u), and the radial
head of the flexor sublimis digitorum.
Action.—Flexor of the first phalanx of each of the digits.
M. flexor carpi ulnaris (Fig. 77, t, t′).
Origin.—There are two heads. The first or humeral head
(t′) takes origin in common with the second part of the flexor
profundus from the median surface of the distal end of the
humerus just distad of the medial epicondyle (Fig. 82, q). The
second or ulnar head (t) takes origin by fleshy fibres from the
lateral surface of the olecranon and from the dorsal border of
the ulna from the olecranon to a point distad of the semilunar
notch (Fig. 87, f). The two heads join proximad of the middle
of the forearm. The muscle passes obliquely across the ventral
surface of the forearm to its
Insertion by fleshy and tendinous fibres into the proximal
surface of the pisiform bone.
Relations.—Outer surface with the integument and the
palmaris longus (Fig. 77, s). Inner surface and ulnar border
with the flexor profundus digitorum.
Action indicated by the name.
M. flexor sublimis digitorum (or perforatus).—This muscle
is in two parts, which are given a common name only because
of the similar structure and insertions of their tendons.
The ulnar part (Fig. 77, x) is a conical muscle taking
origin from the outer surface of the tendon and muscle of the
palmaris longus and from the adjacent ligament. It gives rise
to two or three tendons (Fig. 88, b) which arise from distinct
slips of the muscle; these pass to the ulnar two or three digits.
That passing to the fourth or fifth digit receives an accessory
slip from a small mass of fibres attached to the transverse ligament
on the radial side of the palmaris tendon.
The radial part is a small flat triangular muscle which
takes origin from the outer surface of the tendon formed by the
junction of the tendons of the first and second parts of the flexor
profundus. It divides into two slips, each giving rise to a
tendon. These tendons (Fig. 88, b′) pass to the second and
third digits. That to the third digit may divide into two, one
of which goes to the fourth digit.
Each of the four tendons (Fig. 88, b and b′) is perforated
by a tendon of the flexor profundus (Fig. 88, c) as it passes
through the fibrous pulley-ring at the base of the first phalanx.
It then continues beneath the flexor profundus tendon through
the second pulley-ring (2) and is inserted into the base of the
second phalanx.
Relations.—Outer surface of the ulnar part with the integument;
inner surface with the palmaris longus (Fig. 77, s).
Outer surface of the radial part with the palmaris longus; inner
surface with the flexor profundus.
Action.—Flexor of the second phalanx of digits 2-5.
M. flexor profundus digitorum (or perforans).—This arises
by five heads, the tendons of which join one another at the wrist
to make the strongest and deepest of the flexor tendons.
The first or ulnar head has origin (Fig. 87, g) from the dorsal
half of the medial (radial) surface of the ulna from the proximal
lip of the semilunar notch to within a centimeter of the styloid
process. Its fibres converge to a large flat tendon which forms
the lateral (ulnar) and superficial part of the common tendon.
Fig. 87.—Radius and Ulna,
Medial or Flexor Side, with
M. pronator quadratus and the
Areas of Attachment of Other
Muscles.
a, M. pronator quadratus; b,
tendon of M. biceps; c, conjoined
tendon of M. brachialis and M.
clavobrachialis; d, insertion of
caput longum of M. triceps; e,
insertion of short portion of caput
mediale of M. triceps; f, origin
of M. flexor carpi ulnaris; g,
origin of first head of M. flexor
profundus digitorum; h, origin
of fifth head of M. flexor profundus
digitorum; i, intermediate
portion of caput mediale of M.
triceps.
The second head has origin (Fig.
82, n) from the distal end of the
medial epicondyle of the humerus
between the flexor ulnaris and the
third and fourth heads of the profundus.
It may be very closely attached
to these muscles at their origins. Its
tendon joins the radial border of the
tendon of the first head. From this
junction the radial part of the flexor
sublimis arises.
The third head (Fig. 77, u) has
origin (Fig. 82, o) by a strong tendon
from the medial epicondyle of the
humerus, between the palmaris (p)
and flexor radialis (m). Its tendon
forms the radial part of the common
tendon.
The fourth head has origin by a
strong tendon from the medial epicondyle
of the humerus just ventrad of
the origin of the second head and the
flexor ulnaris, to which many of its
fibres are attached. Its tendon forms
the middle and superficial part of the
common tendon.
The fifth or radial head (Fig. 75,
q; Fig. 77, u′) has origin (Fig. 87, h)
from the middle third of the ventral
surface of the shaft of the radius over
an area limited by two oblique bony
ridges; from the adjacent parts of the
interosseous membrane; and from the
ventral part of the medial surface of the
shaft of the ulna between a point about
two centimeters distad of the semilunar
notch and the junction of the
middle and distal thirds of the shaft.
Its very thick tendon forms the middle and deep part of the
common tendon.
The common tendon (Fig. 88, c′)
covers the carpus and metacarpus ventrally.
It divides into five tendons (c)
which pass to the five digits and are inserted
into the bases of the terminal
phalanges. Those of the first four digits
perforate the tendon of the flexor sublimis
(b) at the base of the first phalanx of each
digit. At the same place each passes
through a fibrous pulley-ring attached to
the base of the phalanx. Each then passes
through a second pulley-ring (2) near the
head of the phalanx and is finally inserted
into the base of the terminal phalanx.
Relations.—Outer surface with the
pronator teres (Fig. 77, q), flexor carpi
radialis (Fig. 77, r), palmaris longus (s),
flexor carpi ulnaris (t), integument, and
extensor carpi ulnaris (Fig. 75, o). Inner
surface with the radius, ulna, interosseous
membrane and pronator quadratus (Fig.
87, a).
Action.—Flexor of all the digits.
Fig. 88.—Arrangement
of the Tendons of
M. palmaris longus, M.
flexor sublimis digitorum,
and M. flexor profundus
digitorum, with
Mm. lumbricales.
The integument, fibrous
pads, and the palmaris
longus (except the ends of
its tendons) have been removed;
the flexor sublimis
has been cut. a, cut ends
of tendons of M. palmaris
longus; b, tendons of M.
flexor sublimis digitorum,
ulnar division; b′, radial
part of M. flexor sublimis
digitorum; c, tendons of
M. flexor profundus digitorum
(c′, the common tendon);
d, M. abductor digiti
quinti; e, M. flexor brevis
digiti quinti; f, Mm. lumbricales
(f′, their tendons).
1, transverse ligament of
wrist; 2, annular ligaments.
M. pronator quadratus (Fig. 87, a).—A
thick quadrangular muscle whose
fibres run obliquely between the distal
ends of the ulna and radius.
Origin by fleshy fibres from about the
distal half of the ventral (flexor) surface
or border of the ulna and from the interosseous
membrane adjacent to the area.
The fibres pass obliquely distad toward
the radial side to their
Insertion by fleshy fibres into the ventral
(flexor) surface of the radius distad of
the area of origin of the fifth head of the profundus.
Relations.—Outer surface with the flexor profundus. Inner
surface with the radius, ulna, and interosseous membrane.
Action as indicated by the name.
A. Between the Tendons.
—Mm. lumbricales (Fig.
88, f, f′).—Four small muscles in the palm of the hand.
Origin by fleshy fibres from the outer (palmar) surface of
the tendon common to the ulnar four parts of the profundus (c′).
Insertion (f′).—The four slips are flat at their origin.
Each becomes cylindrical and curves
about the base of one of the four ulnar
digits and is inserted into the radial side of
the base of the first phalanx close to its
ventral border.
Fig. 89.—Deep Muscles
of the Palm of the
Hand.
a, M. flexor brevis pollicis;
b, M. adductor pollicis;
c, M. interosseus of second
digit (M. flexor brevis digiti
secundi); d, M. adductor
digiti secundi; e, M. interosseus
of third digit; f,
M. interosseus of fourth
digit; g, M. opponens digiti
quinti; h, M. interosseus of
fifth digit (M. flexor brevis
digiti quinti); i, M. abductor
digiti quinti. 1-5,
the digits in order.
Action.—Bend the digits toward the
radial side.
B. Muscles of the Thumb.
—M.
abductor brevis pollicis (Fig. 77, w) (includes
also the opponens pollicis of man).—A
very minute, probably rudimentary
muscle.
Origin from the transverse ligament
(1) which connects the prominent fibrous,
hairless projection that lies over the pisiform
bone with the radial border of the
head of the radius. The muscle passes
radiodistad and ends in a very slender
tendon, the insertion of which is into the
base of the first phalanx of the thumb.
M. flexor brevis pollicis (Fig. 89, a).
Origin by fleshy fibres from the adjacent
borders of the os magnum and scapholunar
bones and from the fascia which
bridges the intervening groove for the flexor carpi radialis.
Insertion by a short tendon into the base of the first
phalanx of the pollex.
Action.—Flexor of the thumb.
M. adductor pollicis (Fig. 89, b).
Origin by fleshy fibres from the ventral border of the os
magnum. It curves about the base of the first metacarpal on
its ulnar side to its insertion.
Insertion by fleshy fibres into the base of the first phalanx
of the pollex on its ulnar side.
C. Muscles Lying between the Metacarpals.
—Mm.
interossei (Fig. 89).—Small stout muscles lying on the
palmar surfaces of the metacarpals of the second, third, fourth,
and fifth digits.
Origin by fleshy fibres from the ventral or lateral surfaces
of the bases of the metacarpals. Near the distal end of the
metacarpal each divides into two masses which pass onto the
lateral surfaces of the metacarpal, so as to leave the ventral
surface of the distal end exposed.
Insertion partly onto the lateral surfaces of the base of the
first phalanx and its sesamoids, and partly by a slender tendon
(Fig. 84, h) which is continued dorsad to join the extensor
tendon of the digit.
D. Special Muscles of the Second Digit (the
Index).
—M. flexor brevis digiti secundi (or indicis).—This
name may be applied to M. interosseus of the second digit
(Fig. 89, c).
M. abductor digiti secundi.—This name might be applied
to a portion of the interosseus of the second digit which is
sometimes differentiated from the remainder.
Origin from the radial and ventral surfaces of the base of
the second metacarpal, and from the ventral surface of the
trapezium.
Insertion into the radial side of the base of the first phalanx
of the second digit and into its sesamoid.
M. adductor digiti secundi (Fig. 89, d).
Origin from the ventral surface of the os magnum.
Insertion into the ulnar side of the base of the first phalanx
of the second digit.
E. Special Muscles of the Fifth Digit.
—M. abductor
digiti quinti (Fig. 89, i).—A thick, small, conical
bundle.
Origin from the distal surface of the pisiform bone and from
the transverse ligament on the ulnar side of the pisiform. It
ends in a slender tendon which runs along the ulnar side of the
fifth metacarpal to its
Insertion into the ulnar side of the base of the first phalanx
of the fifth digit.
M. flexor brevis digiti quinti (Fig. 89, h; Fig. 88, e).—This
covers the ventral surface of the fifth metacarpal, and is
really the interosseus of this digit.
Origin by fleshy fibres from the ventral surface of the base
of the fifth metacarpal; from the ventral process of the unciform
bone, and from the transverse ligament proximad of the
fifth metacarpal.
Insertion by fleshy fibres into the ventral border of the
proximal end of the first phalanx of the fifth digit.
M. opponens (adductor) digiti quinti (Fig. 89, g).
Origin by a flat tendon from the ventral surface of the os
magnum on the ulnar side of the adductor pollicis (b). It
passes toward the ulnar side and distad, the fibres diverging to
their
Insertion (1) into nearly the whole of the radial surface of
the fifth metacarpal, (2) into the base of its first phalanx.
A. On the Lateral Surface of the Hip.
Fascia of the Thigh.
—After the removal of the superficial
fascia with its fat and blood-vessels, there is seen a strong
glistening fascia, the fascia lata (Fig. 68, z, page 117), covering
the vastus lateralis muscle over the dorsal half of the thigh.
Ventrally it dips between the vastus lateralis and the biceps
femoris and, becoming gradually thinner, is lost on the surface
of the former muscle. Passing over the dorsal border of the
thigh, it extends beneath the sartorius and is attached to the
dorsal border of the vastus medialis. Toward its distal end
the fascia is continuous with the tendon of the biceps femoris
and dorsad with the border of the sartorius muscle, while
between these points it is united with the tendon of the vastus
lateralis; it thus gains insertion into the patella. At its proximal
end the fascia receives the insertion of the tensor fasciæ
latæ (Fig. 68, r).
M. tensor fasciæ latæ (Fig. 68, r, page 117;
Fig. 92, a).—The
tensor fasciæ latæ is a thick triangular muscle which
may be recognized by its insertion into the proximal end of the
fascia lata (Fig. 68, z; Fig. 92, a′).
Origin by fleshy fibres as a thick triangular prism from the
outer margin of the ventral border of the ilium craniad of the
auricular impression and from the fascia covering the ventral
border of the gluteus medius (Fig. 90, b) over its cranial half.
The caudal border of the muscle may be continuous with the
cranial border of the gluteus maximus. The muscle spreads
out in a fan-like manner, covering the proximal third of the
dorsal surface of the thigh. The cranial fibres pass farther
distad than the others.
Insertion into the fascia lata (Fig. 68, z) along an irregular
line which begins caudad at the base of the great trochanter
and ends on the cranial side of the thigh at the junction of the
first and second thirds.
Relations.—Outer surface with the cutaneus maximus
(Fig. 62, b, page 94) and craniad with the sartorius (Fig.
68, q). Cranial border with the sartorius (q); caudodorsal
border with the gluteus medius (Fig. 90, b). Inner surface
with the gluteus medius, the rectus femoris (Fig. 92, b), and
the vastus lateralis (Fig. 90, d).
Action indicated by the name. It also assists the quadriceps
femoris in extending the leg.
M. gluteus maximus.—The gluteus maximus is a rather
small quadrangular muscle in the angle between the gluteus
medius (Fig. 90, b) and the caudal vertebræ.
Origin (Fig. 163, 3,
page 401) by fleshy fibres from the tips
of the transverse processes of the last sacral and the first caudal
vertebræ, from the fascia covering the spinous muscles dorsad
of the transverse processes of these vertebræ, and from the
fascia covering the gluteus medius. The muscle passes laterad
and slightly caudad to its
Insertion by tendon and muscle-fibres into a tubercle on the
caudal side of the great trochanter at the middle of its distal
end, and for a few millimeters into the ridge which continues
distad from this tubercle.
Relations.—Outer surface with the caudofemoralis (Fig.
68, s, page 117), the superficial fascia, and a few fibres of the
cutaneus maximus. Inner surface with the abductor caudæ
internus, the tenuissimus (Fig. 90, g), the great sciatic nerve
(Fig. 163, a), the obturator internus (Fig. 90, e), the gluteus
medius (Fig. 90, b), the gemellus superior, and the pyriformis
(Fig. 163, 7). Cranial border with the gluteus medius and
the tensor fasciæ latæ. Caudal border with the caudofemoralis
(Fig. 68, s).
Action.—Abducts the thigh.
M. gluteus medius (Fig. 90, b).—The gluteus medius is a
very large triangular muscle which connects the ilium and the
sacrum with the great trochanter (1).
Origin by fleshy fibres (1) from the superficial sacral fascia;
(2) from the lateral surface of the fascia which covers the surface
of the supraspinous extensor muscles of the tail; (3) from
the fascia intervening between it and the tensor fasciæ latæ;
(4) by tendon fibres from the dorsal half of the crest of the ilium
and its dorsal border, and the dorsal half of the lateral surface
craniad of the auricular impression; and (5) from the tips of the
transverse processes of the last sacral and the first caudal
vertebræ. The fibres converge to a strong internal tendon.
Insertion into the proximal end of the great trochanter.
Relations.—Outer surface with the gluteus maximus and
tensor fasciæ latæ, and between these with the strong fascia
lying beneath the cutaneus maximus muscle. Inner surface
with the gluteus minimus, the pyriformis, and the gemellus
superior. Cranial border with the tensor fasciæ latæ. Caudal
border with the gluteus maximus.
Action.—Abducts the thigh.
M. pyriformis (Fig. 163, 7).—The pyriformis is a triangular
muscle covered by the gluteus maximus and the gluteus
medius (Fig. 90, b) and overlying the gemellus superior (Fig.
163, 6).
Origin by fleshy fibres from the tips of the transverse
processes of the last two sacral and the first caudal vertebræ.
The muscle passes laterad through the great sciatic notch to its
Insertion by a flat tendon into an elongated area on the
proximal border of the great trochanter just outside (caudad)
of the insertion of the gemellus superior.
Relations.—Outer surface with the gluteus medius (Fig.
90, b) and the gluteus maximus. Inner surface with the
gemellus superior (Fig. 163, 6), the great sciatic nerve (Fig.
163, a), and the flexor caudæ longus (Fig. 68, x).
Action.—Abductor of the thigh.
M. gemellus superior (Fig. 163, 6).—The gemellus superior
is a triangular muscle lying beneath the pyriformis (Fig.
163, 7). It is broader than the pyriformis, so that it projects
beyond its borders both caudad and craniad. It is closely
united craniad with the gluteus minimus, so that the limits of
the two are definable only with difficulty. Its caudal border
is closely united to the gemellus inferior.
Origin by fleshy fibres from an elongated area on the dorsal
border of the ilium and ischium. The area is narrowed craniad.
It does not quite reach the posterior inferior iliac spine in the
one direction nor the spine of the ischium in the other direction.
The fibres converge to a strong tendon the
Insertion of which is into a triangular area dorsad of the tip
of the great trochanter.
Relations.—Outer surface with the gluteus medius (Fig.
90, b), the pyriformis (Fig. 163, 7), the great sciatic nerve
(Fig. 163, a), and the gluteus maximus. Inner surface with
the ilium, ischium, the capsularis, the caudal edge of the
gluteus minimus (Fig. 163, 5), and the cranial edge of the
obturator internus (Fig. 90, e).
Action.—Rotates the femur and abducts it so as to carry
the foot outward.
M. gluteus minimus (Fig. 163, 5).—The gluteus minimus
is a long triangular muscle beneath the middle of the gluteus
medius (Fig. 90, b) and with its caudal border against or
covering the cranial border of the gemellus superior (Fig.
163, 6), to which it is frequently closely united.
Origin from the ventral half of the ilium, from near its
cranial end to a point midway between the posterior iliac spine
and the spine of the ischium. The muscle ends in a strong
flat tendon.
Insertion into an oval facet at the base of the dorsal surface
of the great trochanter on its lateral side.
Relations.—Outer surface with the gluteus medius (Fig.
90, b) and at the caudal border with the gemellus superior
(Fig. 163, 6). Inner surface with the capsularis and rectus
femoris (Fig. 92, b).
Action.—Rotates the femur so as to carry the foot out.
M. capsularis (gluteus quartus, or epimeralis).—The capsularis
is a small flat bundle of muscle-fibres which lies obliquely
beneath the gluteus minimus (Fig. 163, 5) and gemellus superior
(6) on the lateral or outer surface of the ilium.
Origin by fleshy fibres from the surface of the ilium over a
triangular area between the origin of the rectus femoris (Fig.
92, b) ventrad, the gemellus superior (Fig. 163, 6) dorsad, and
of the gluteus minimus (Fig. 163, 5) craniad and the acetabulum
caudad. The muscle passes over the smooth surface of
the ilium and the pubis ventrad of the acetabulum and then
over the capsule of the joint.
Insertion by fleshy fibres for about one centimeter in the
middle line on the dorsal surface of the femur distad of the
great trochanter.
Relations.—Outer surface with the gluteus minimus (Fig.
163, 5), the gemellus superior (6),
and the vastus lateralis (Fig.
90, d). Inner surface with the ilium, the rectus femoris (Fig.
92, b), the capsule of the joint, and the vastus medialis (Fig.
92, c).
Action.—Rotates the thigh so as to carry the foot inward,
hence antagonizes the iliopsoas.
M. gemellus inferior.—The gemellus inferior is a flat triangular
muscle situated just caudad of the gemellus superior
and beneath the obturator internus (Fig. 90, e), so that it is
seen on reflecting the latter
Origin from the dorsal one-half of the whole lateral surface
of the ischium between the ischial spine and the ischial tuberosity.
The fibres converge toward its insertion. The inner
surface of the muscle is covered by a strong tendon.
Insertion into the inner surface of the tendon of the
obturator internus (Fig. 90, e) by tendon- and muscle-fibres.
Some of the muscle-fibres are inserted into the capsule of the
joint.
Relations.—Outer surface with the obturator internus (Fig.
90, e). Medial surface with the ischium. Caudal border with
the quadratus femoris (Fig. 90, f). Cranial border with the
gemellus superior.
Action.—Abductor of the thigh. The muscle may be considered
as a separate head of the obturator internus (Fig.
90, e).
M. quadratus femoris (Fig. 90, f).—The quadratus femoris
is a short thick muscle connecting the ischial tuberosity (2)
and the proximal end of the femur. It lies just caudad of the
obturator internus (e) beneath the proximal end of the biceps
femoris (Fig. 68, t).
The origin is by fleshy fibres from a considerable triangular
area on the lateral surface of the ischium near the tuberosity.
The area lies between the origin areas of the gemellus inferior,
biceps, semimembranosus, and the obturator externus.
Insertion into the distal two-thirds of the ventral border of
the great trochanter and about half the adjacent surface of the
lesser trochanter.
Relations.—Outer surface with the tenuissimus (Fig. 90, g),
the biceps (Fig. 68, t), the semitendinosus (Fig. 90, j), and
the great sciatic nerve (Fig. 163, a). Caudal border with the
semimembranosus (Fig. 90, i). Ventral border with the
adductor femoris (Fig. 90, h); dorsal border with the obturator
internus (Fig. 90, e) and gemellus inferior.
Action.—Extensor of the thigh and rotator of the femur so
as to carry the foot inward.
M. obturator externus.—The obturator externus is a flat
triangular muscle beneath the adductor femoris (Fig. 92, g).
Origin by fleshy fibres from the median lip of the obturator
foramen and from both dorsal and ventral surfaces of the rami
of the pubis and ischium adjacent to the lip. Also from the
outer surface of the ramus of the ischium as far as the area for
the quadratus femoris (Fig. 90, f).
The fibres converge to a strong flat
tendon.
Fig. 90.—Muscles on the Lateral Side of the
Leg, after Removal of the Muscles shown in
Fig. 68 (Biceps, Tensor fasciæ latæ, Caudofemoralis,
and Gluteus maximus).
a, M. sartorius; b, M. gluteus medius; c, M. rectus
femoris; d, M. vastus lateralis; e, M. obturator internus;
f, M. quadratus femoris; g, M. tenuissimus; h, M. adductor
femoris; i, M. semimembranosus; j, M. semitendinosus;
k, M. vastus intermedius; l, M. plantaris;
m, m′, m″, M. gastrocnemius, outer head (m, part from
the external sesamoid bone; m′, from the plantaris; m″,
from the superficial fascia); n, M. tibialis anterior; o, M.
soleus; p, M. extensor longus digitorum; q, M. peroneus
longus; r, M. peroneus tertius (r′, its tendon); s, M.
peroneus brevis; t, tendon of Achilles; u, M. extensor
brevis digitorum. 1, great trochanter of femur; 2,
tuberosity of ischium, with cut origin of M. biceps
femoris; 3, patella; 4, calcaneus; 5, transverse ligaments;
6, lateral malleolus.
Insertion into the proximal portion
of the bottom of the trochanteric
fossa.
Relations.—Ventral surface
with the adductor femoris
(Fig. 92, g). Dorsal
surface with the pubis
and ischium. Caudal
border with the quadratus
femoris (Fig.
90, f).
Action.—Assists
the iliopsoas.
B. Muscles on
the Medial Surface
of the Hip.
—M.
obturator internus
(Fig. 90, e).—The obturator
internus appears as a triangular
muscle caudad of the gemellus
superior.
Origin by numerous small separate heads from the dorsal
surface of the ramus of the ischium along its symphysis and
following its medial border from the symphysis nearly to the
tuberosity. The fibres form a flat muscle which narrows and
passes through the lesser sciatic notch, turns ventrad and ends
in a strong flat tendon whose
Insertion is into the bottom of the trochanteric fossa of the
femur. The tendon is continued proximad on the inner surface
of the muscle and forms a smooth firm surface by which the
muscle glides over the dorsal border of the ischium. Into the
inner surface of this tendon near its insertion the tendon of the
gemellus inferior is inserted.
Relations.—Medial surface within the pelvis with a mass of
fat separating it from the pelvic organs. Dorsal or outer surface
with the biceps femoris, the tenuissimus, the caudofemoralis,
and the great sciatic nerve. Inner surface with the ischium
and the great sciatic nerve. Caudal (or ventral) border with
the quadratus femoris.
Action.—Abductor of the thigh.
M. iliopsoas (Fig. 162, 8;
Fig. 91, c).—The iliopsoas
(equivalent to the human psoas and iliacus) is a conical muscle
emerging from the abdominal cavity onto the medial surface of
the femur.
Origin.—(a) The portion corresponding to the human psoas
(Fig. 162, 8) arises by ten vertebral heads. The first five of
these come from the five cranial tendons of origin of the psoas
minor (Fig. 162, 9); the sixth from a tendinous expansion
which passes from the tendon of the first head over the ventral
longitudinal muscles to the transverse process of the fifth
lumbar vertebra. The seventh, eighth, ninth, and tenth heads
arise by fleshy fibres from the ventral surfaces of the centra of
the last four lumbar vertebræ.
(b) The portion corresponding to the human iliacus arises
by fleshy fibres from the ventral border of the ilium, from
opposite the auricular impression to the iliopectineal eminence.
The portions of the muscle all converge to form a conical
mass which ends in a strong tendon lying on its outer surface.
Insertion by tendon and fleshy fibres into the apex of the
lesser trochanter of the femur.
Relations.—Dorsal surface with the quadratus lumborum
(with which this muscle is partly united), the rectus femoris
(Fig. 91, d), and, by the iliac head, with the gluteus minimus.
Ventral and medial surface with the psoas minor (Fig. 162, 9)
and the peritoneum. Lateral edge with the transversus
abdominis (Fig. 162, 4).
Action.—Rotates the thigh so as to carry the foot out; also
flexes the thigh.
M. biceps femoris (Fig. 68, t, page 117).—A very large
flat muscle covering about two-thirds of the lateral side of the
thigh.
Origin (Fig. 90, 2).—From the ventral surface of the
tuberosity of the ischium by tendon- and muscle-fibres. The
fibres diverge, and near the knee the mass has spread out, ending
in a fascia. The dorsal border of the muscle and the
common fascia are continuous dorsad with the superficial fascia
of the thigh and with the tendon of the caudofemoralis (Fig.
68, s). Ventrad it is continuous with the superficial fascia of
the shank.
Insertion into rather more than the proximal one-third of
the dorsal border of the tibia along its lateral margin and into
the lateral margin of the patella. In passing over the knee-joint
it is closely united to the underlying ligaments and
tendons.
Relations.—Outer surface with the superficial fascia and
with a few of the most caudal fibres of the cutaneus maximus
(Fig. 62, b, page 94). Cranial (or dorsal) edge with the
caudofemoralis (Fig. 68, s) and the vastus lateralis (Fig. 90, d).
Caudal border with the semitendinosus (Fig. 68, u) and a mass
of fat. Inner surface with the caudofemoralis (Fig. 68, s), the
tenuissimus (Fig. 90, g), the obturator internus (Fig. 90, e),
the quadratus femoris (Fig. 90, f), the semitendinosus (Fig.
68, u), the semimembranosus (Fig. 90, i), the adductor femoris
(Fig. 90, h), the great sciatic nerve
(Fig. 163, a), and distad
with the following muscles of the lower leg: the tibialis anterior
(Fig. 90, n), the extensor longus digitorum (Fig. 90, p), the
peroneus longus (Fig. 90, q), and the lateral head of the
gastrocnemius (Fig. 90, m).
Action.—Abductor of the thigh, and flexor of the shank.
M. tenuissimus or M. abductor cruris (Fig. 90, g).—A
very slender muscle, only three or four millimeters wide.
Origin from the tip of the transverse process of the second
caudal vertebra, in common with the caudofemoralis (Fig.
68, s) or gluteus maximus. It passes obliquely beneath the
biceps femoris (Fig. 68, t) distad and ventrad, to the distal end
of the ventral border of that muscle. Here it becomes continuous
with the ventral border of the biceps, ending in a continuation
of the same fascia into which the biceps is inserted.
Relations.—Outer surface with the caudofemoralis (Fig.
68, s) and the biceps femoris (Fig. 68, t); distad with the
integument. Inner surface with the obturator internus (Fig.
90, e), quadratus femoris (f), semitendinosus (j), adductor
femoris (h), semimembranosus (i), and distad with the muscles
of the lower leg.
M. caudofemoralis (parameralis, Strauss-Durckheim) (Fig.
68, s, page 117).
Origin by a flat tendon from the transverse processes of the
second and third caudal vertebræ. The muscle forms a flat
band which passes distad along the middle of the lateral side
of the thigh over the pelvis and caudad of the great trochanter.
At the middle of the thigh it ends in a very thin tendon. The
tendon passes distad along the medial surface of the biceps
femoris (Fig. 68, t), pierces the fascia lata near the knee, and
passes to its
Insertion into the middle of the lateral border of the patella.
Relations.—Outer surface with the superficial fascia and a
few fibres of the cutaneus maximus; distad with the biceps
femoris (Fig. 68, t). Cranial border with the gluteus maximus;
caudal border with the biceps femoris. Inner surface
with the tenuissimus (Fig. 90, g), the gluteus maximus, the
abductor caudæ internus, and with the obturator internus (Fig.
90, e); distad with the vastus lateralis.
Action.—Abducts the thigh and helps to extend the shank.
M. semitendinosus (Fig. 90, j).—A long slender muscle
on the ventral (caudal) border of the thigh, between the semimembranosus
(i) and the biceps femoris (Fig. 68, t).
Origin from the apex of the tuberosity of the ischium
beneath the origin of the biceps femoris. The muscle passes
to the medial side of the shank and ends in a thin but strong
tendon (Fig. 92, i′) about five millimeters broad. The tendon
curves proximad and passes beneath the gracilis tendon (Fig.
91, b) to its
Insertion into the crest (dorsal border) of the tibia one or
two centimeters from its proximal end.
Relations.—Lateral surface with the biceps femoris (Fig.
68, t), the integument, a mass of fat, and distad with the gastrocnemius
(Fig. 92, j) and popliteus (Fig. 92, k). Caudal
surface with the integument. Medial surface with the semimembranosus
(Fig. 90, i) and distad with the integument of
the lower leg.
Action.—Flexor of the shank.
M. semimembranosus (Figs. 90 and 91,
i; Fig. 92, h).—A
thick prismatic muscle lying along the ventral (or caudal)
side of the thigh between the semitendinosus (j) and the gracilis
(Fig. 91, b).
Origin by short tendon-fibres from the caudal border of the
tuberosity and the ramus of the ischium. The muscle mass is
divided throughout most of its length into two portions (Fig.
92, h and h′), one of which (h′) lies laterad and caudad of the
other. The two portions pass to the medial side of the knee.
The caudal portion (h′) ends in a strong flat tendon five millimeters
broad, the
Insertion of which is into the medial surface of the femur
on the medial epicondyle, at the middle of its distal border and
into the adjacent medial surface of the tibia behind the lateral
ligament.
The dorsal part has its insertion into the distal one and
one-half to two centimeters of the ridge which is continued
from the medial epicondyle of the femur onto the shaft; and
into the sesamoid bone of the medial epicondyle.
Relations.—Lateral surface with the semitendinosus (Fig.
90, j), the biceps femoris (Fig. 68, t), and distad with a small
part of the adductor femoris (Fig. 92, g), and with the gastrocnemius
(Fig. 92, j). Medial
surface with the gracilis (Fig.
91, b) and distad with the
sartorius (Fig. 91, a). Cranial
(or dorsal) border at
the origin with the quadratus
femoris (Fig. 90,
f); for the remainder
of its length with the
adductor femoris (Fig.
90, h). Caudal border
with the integument
proximad.
Action.—Extensor
of the thigh.
Fig. 91.—Muscles on the Medial Side of
the Leg.
a, M. sartorius; b, M. gracilis; c, M. iliopsoas; d, M.
rectus femoris; e, M. vastus medialis; f, M. pectineus;
g, M. adductor longus; h, M. adductor femoris; i, M.
semimembranosus; j, M. semitendinosus; k, medial
head of M. gastrocnemius; l, M. plantaris; m, M. flexor
longus hallucis (m′, its tendon); n, M. flexor longus
digitorum; (n′, its tendon); o, M. tibialis posterior; p,
M. tibialis anterior; q, M. interosseus of second digit.
1, patella; 2, calcaneus; 3, medial malleolus; 4, second
metatarsal; 5, transverse ligament of the lower leg.
M. sartorius (Fig. 91,
a; Fig. 68, q).—A large flat
muscle along the medial side
of the thigh near its cranial
(dorsal) border.
Origin from the ventral half of
the crest of the ilium and from the
medial half of its ventral border craniad
of the auricular impression. The caudal
third of the origin is by a thin tendon,
the rest by fleshy fibres.
Insertion on a long S-shaped line which begins on the
dorsal border of the tibial shaft about two centimeters from its
proximal end, passes thence to the middle of the proximal end
of the medial surface of the tibia, thence across the ligaments
of the knee-joint and the medial surface of the medial epicondyle
to the patella, crosses the patella obliquely to the middle of its
proximal end, and may be continued for some distance proximad
along the middle line on the fascia.
Relations.—Medial surface with the integument and proximad
with the internal oblique muscle (Fig. 68, p). Lateral
(inner) surface with the tensor fasciæ latæ (Fig. 68, r), the
vastus lateralis (Fig. 90, d), the superficial fascia, the vastus
medialis (Fig. 92, c), the rectus femoris (Fig. 92, b), and the
distal end of the semimembranosus (Fig. 92, h′).
Action.—Adducts and rotates the femur and extends the
tibia.
M. gracilis (Fig. 91, b).—The gracilis is a flat, thin, subcutaneous
muscle occupying the ventral half of the medial surface
of the thigh.
Origin by a strong tendon from the caudal three-fourths of
the symphysis of the ischium and pubis. The tendon may
extend caudad of the symphysis in the middle line to the level
of the tuberosity of the ischium. For about its first centimeter
the tendon is common to the two muscles of opposite sides and
gives origin on two sides to the fibres of the adductor femoris.
The common tendon divides into two which pass laterad, each
ending in a convex border from which the muscle-fibres
spring.
Insertion.—It ends in a thin aponeurosis, part of which is
continuous with that of the sartorius. The aponeurosis is finally
inserted into the medial surface of the tibia near its proximal
end, while distally it is continuous with the fascia.
Relations.—Outer (medial) surface with the integument.
Inner (lateral) surface with the semimembranosus (Fig. 91, i)
and the adductor femoris (Fig. 91, h).
Action.—Adducts the leg and draws it caudad.
M. adductor femoris (magnus et brevis) (Fig. 92, g; Fig.
90, h).—The adductor femoris lies between the semimembranosus
(Fig. 92, h) and the femur. Its proximal part is covered
by the semimembranosus, while its distal part lies outside of it.
Origin by muscle-fibres from the rami of the pubis and the
ischium along the whole of the length of the symphysis; from
the ramus of the ischium between the symphysis and the
tuberosity, and from the tendon of origin common to the two
gracilis muscles.
Insertion into nearly the whole of the ventral surface of the
shaft of the femur. The area begins at the base of the great
trochanter opposite the proximal end and the insertion area of
the gluteus maximus. It extends thence distad along the
caudal border of the surface as an area about one millimeter
wide. At the junction of the first and second thirds of the
shaft the area expands and occupies the whole of the ventral
surface of the bone, ending at the intercondyloid fossa.
Relations.—Lateral surface with the biceps (Fig. 68, t), the
great sciatic nerve (Fig. 163, a), the tenuissimus (Fig. 90, g),
and the semimembranosus (Fig. 92, h); dorsolateral border in
contact with the vastus lateralis (Fig. 92, c). Dorsal surface
with the quadratus femoris (Fig. 90, f) and obturator externus
(Fig. 90, e). Caudal surface with the semimembranosus (Fig.
92, h). Medial surface with the gracilis (Fig. 91, b), adductor
longus (Fig. 92, f), pectineus (Fig. 92, e), vastus medialis
(Fig. 92, c), and distad with the medial head of the gastrocnemius
(Fig. 92, j).
Action.—An extensor of the thigh.
M. adductor longus (Fig. 91, g; Fig. 92, f).—A thin
muscle which covers the dorsal half of the medial surface of the
adductor femoris (Fig. 92, g).
Origin by muscle-fibres from the median three-fourths of
the cranial border of the pubis, the line of origin forming a
medial continuation of that of the pectineus (Fig. 92, e).
Insertion by a thin aponeurosis into the external linea
aspera of the femur along the second and third fifths of the
bone.
Relations.—With its medial or cranial surface the adductor
longus forms part of the boundary of a depression among the
muscles at the proximal end of the medial side of the leg.
This depression is called the iliopectineal fossa; it contains the
femoral vein and artery and saphenous nerve imbedded in fat
(Fig. 127). The medial edge of the adductor longus is in
relation with the integument; the lateral edge with the pectineus
(Fig. 92, e). Inner or caudal surface with the adductor
femoris (Fig. 92, g).
Action.—Adductor of the thigh.
Fig. 92.—Second
Layer of Muscles on the Medial Side of the Thigh.
a, M. tensor fasciæ latæ; a′,
fascia lata; b, M. rectus femoris; c, M. vastus medialis;
d, M. iliopsoas (cut); e, M. pectineus; f, M. adductor longus; g, M. adductor
femoris; h, h′, M. semimembranosus; i, M. semitendinosus (i′, its tendon); j, medial
head of M. gastrocnemius; k, M. popliteus; l, M. flexor longus digitorum. 1, patellar
ligament; 2, ligamentum collaterale tibiale.
M. pectineus (Fig. 92, e).—A flat band of fibres closely
united with the adductor longus (f), of which it appears to be
a lateral continuation.
Origin by fleshy fibres from the lateral one-fourth of the
cranial border of the pubis. The muscle passes over the
smooth outer surface of the pubis between its origin area and
the acetabulum, crosses the iliopsoas (d) obliquely and has its
Insertion by muscle-fibres into an elongated area (five millimeters
in length) on the shaft of the femur just distad of the
lesser trochanter and between the insertion of the adductor
femoris (g) and that of the vastus medialis (c).
Relations.—The cranial edge forms part of the floor of the
iliopectineal fossa. Lateral surface in relation with the iliopsoas
(d) and vastus medialis (c); medial surface with the adductor
longus (f) and adductor femoris (g).
Action.—Adductor of the thigh.
M. quadriceps femoris.—The quadriceps femoris is a very
powerful extensor muscle on the front of the thigh. It consists
of four muscles which unite to form the great extensor of the
shank. It is inserted into the patella and through it, by the
ligamentum patellæ, into the tibia. It may be compared to the
triceps brachii. The parts are:
(1) M. rectus femoris (Fig. 92, b; Fig. 90, c).
Origin by strong tendon from an elongated triangular area
which has its base at the acetabulum and its apex about five
to seven millimeters craniad of the acetabulum, along the ventral
border of the ilium. The area is between that for the
capsularis and that for the iliopsoas. The muscle is flat near its
origin, but soon becomes a triangular prismatic mass which is
united to the dorsal border of the vastus lateralis (Fig. 90, d)
at the junction of the middle and last thirds of the thigh.
Insertion into the oblique area on the outer surface of the
patella near its proximal border in connection with the vastus
lateralis.
Relations.—Outer or lateral surface at the origin with the
gluteus minimus, the edge of the capsularis, the gluteus medius
(Fig. 90, b), and farther distad with the vastus lateralis (Fig.
90, d). Medial surface with the tensor fasciæ latæ (Fig. 92, a),
sartorius (Fig. 90, a), and vastus medialis (Fig. 92, c). Inner
(caudal) surface with the vastus intermedius.
(2) M. vastus lateralis (Fig. 90, d).—A flat triangular
prismatic mass joined distally to the preceding. It covers the
dorsal part of the lateral surface of the thigh.
Origin from a triangular area on the dorsal and lateral surfaces
of the shaft and the great trochanter of the femur. The
base of the area is at the great trochanter, and its apex is at the
junction of the second and third fifths of the shaft on the linea
aspera. The linea aspera forms the ventral boundary of the
triangle, while its dorsal boundary is formed by a line drawn
from its apex to the dorsomedial angle of the great trochanter.
The mass unites with the rectus femoris (c) by its dorsal border
at the junction of the middle and distal thirds of the thigh.
Insertion into the oblique area on the outer surface of the
patella near its lateral border in connection with the rectus
femoris.
(3) M. vastus medialis (Fig. 92, c) lies on the medial side
of the thigh.
Origin by fleshy fibres over a diamond-shaped area on the
shaft of the femur lying between the medial branch of the linea
aspera and the area for the vastus lateralis. Proximad the
area is bounded by the spiral line, and distad it is bounded by
a line parallel to the spiral line and having its proximal end at
about the junction of the first and second thirds of the bone.
The muscle forms a triangular, prismatic mass. It ends in a
thin aponeurosis which is continuous dorsad with the border of
the rectus femoris (Fig. 92, b), and ventrad sometimes with the
tendon of the gracilis (Fig. 91, b).
Insertion into the medial border of the patella and the ligamentum
patellæ. The insertion may extend onto the head of
the tibia.
The adjacent surfaces of the vastus lateralis and the vastus
medialis are connected over their distal thirds by an aponeurosis
which passes transversely beneath the rectus femoris. The
distal end of the aponeurosis is inserted into the proximal
border of the patella. Its proximal end receives the insertion
of some muscle-fibres which form a part of the vastus medialis
as here described. This mass of fibres is described by Strauss-Durckheim
as the crural muscle. Sometimes the transverse
aponeurosis is continuous with only one of the two vasti and
sometimes with neither, so that the insertion of the crural of
Strauss-Durckheim becomes more or less independent.
Relations of the vastus medialis.—Outer (medial) surface
with the sartorius (Fig. 91, a) and the structures in the iliopectineal
fossa. Cranial (or dorsal) surface with the rectus
femoris (Fig. 92, b) and vastus intermedius. Caudal (ventral)
surface with the pectineus (Fig. 92, e), adductor longus (Fig.
92, f), adductor femoris (Fig. 92, g), and semimembranosus
(Fig. 92, h).
(4) M. vastus intermedius.—A flat mass of muscle which
lies beneath the rectus femoris.
Origin from nearly the whole of the dorsal surface of the
shaft of the femur between the areas for the vastus medialis and
vastus lateralis. The area of origin extends distad to an
oblique line the middle of which is about one and one-half
centimeters from the patellar surface, the lateral border of the
area being longer than the medial border.
Insertion by muscle-fibres into the capsule of the joint.
The central fibres are inserted about one centimeter proximad
of the patella, while the lateral mass passes to the level of the
proximal end.
Relations.—Outer surface with the rectus femoris (Fig.
92, b); borders with the vastus medialis (Fig. 92, c) and vastus
lateralis (Fig. 90, d); inner surface with the femur.
Action.—The quadriceps extensor is an extensor of the
shank. The vastus intermedius acting separately is a tensor
of the capsule of the knee-joint.
A. On the Ventral Side.
—M. gastrocnemius.—This
is the great muscular mass of the calf. It arises by two heads,
the caput laterale or lateral head (Fig. 90, m), and the caput
mediale or medial head (Fig. 91, k), of the gastrocnemius.
Caput laterale (Fig. 90, m, m′, m″).—The origin of the
lateral head is in four portions:
(1) From the tendon of origin of the plantaris which comes
from the middle of the lateral border of the patella. The tendon
ends in a small conical mass of fibres (m′) which joins the
ventral part of the common head.
(2) By a slender flat tendon, distad of the first, from the
superficial fascia of the shank (m″). The tendon ends in a
conical mass which joins the dorsal border of the common head.
(3) By a strong tendon and by muscle-fibres from the distal
border of the lateral sesamoid bone (Fig. 61, 3) of the femur.
These fibres (m) form the middle and outer part of the common
head.
(4) By muscle-fibres from the middle of the outer surface
of the aponeurosis covering the plantaris (Fig. 90, l) along
rather more than the proximal half of the tibia. The lateral
head thus formed is flat and fusiform in section.
Caput mediale (Fig. 91, k; Fig. 92, j).—The medial head
resembles the lateral head closely.
Origin by a strong tendon from the medial sesamoid bone
of the femur (Fig. 61, 4) and by muscle-fibres from the surface
of the shaft for a short distance proximad of this.
The two heads unite by their contiguous borders at the
junction of the first and second thirds of the tibia. The
common muscle narrows rapidly and ends in a flat tendon
which joins the tendon of the soleus to form the so-called tendon
of Achilles (tendo calcaneus) (Fig. 90, t). This has its
Insertion into the proximal end of the calcaneus (Fig.
90, 4) near its ventral border. This tendon together with that
of the soleus (Fig. 90, o) and the fascia of the shank forms a
tubular sheath for the tendon of the plantaris.
Relations.—(1) Of the lateral head. Lateral (outer) surface
with the biceps femoris (Fig. 68, t) and the superficial fascia.
Medial (inner) surface with the popliteus (Fig. 92, k), the
plantaris (Fig. 90, l) (to which it is closely united), the medial
head of the gastrocnemius (Fig. 91, k), the soleus (Fig. 90, o),
and the peroneus longus (Fig. 90, q). (2) Of the medial head.
Medial (outer) surface with the superficial fascia and the tendons
of the gracilis (Fig. 91, b), semimembranosus (Fig. 92, h′),
and semitendinosus (Fig. 92, i). Lateral (inner) surface at
the origin with the adductor femoris (Fig. 92, g), then with the
plantaris (Fig. 91, l), the popliteus (Fig. 92, k), flexor longus
digitorum (Fig. 91, n), and the lateral head of the gastrocnemius
(Fig. 90, m).
Action.—Extensor of the foot. (It is to be noted that what
is called extension in the foot is analogous to what is called
flexion in the hand, so that the extensors of the foot are most
readily to be compared with the flexors of the hand.)
M. plantaris (Fig. 90, l; Fig. 91, l).—A fusiform muscle
covered distally by the gastrocnemius, but appearing between
the two heads of the gastrocnemius at their proximal ends
(Fig. 90, l).
Origin by a strong tendon from the middle of the lateral
border of the patella and by fleshy fibres from the ventral
border of the lateral sesamoid.
The patellar tendon ends in a flattened head which passes
ventrad over the lateral epicondyle of the femur and then
curves distad; it is closely united with the lateral head of the
gastrocnemius. The muscle ends in a thick tendon which
passes through a sheath formed by the tendons of the gastrocnemius
and soleus, and the fascia of the shank. The tendon
passes over the grooved proximal end of the calcaneus onto its
ventral surface. It is held in place against the groove by two
sheets of aponeurosis, which leave the tendon on either side for
a distance of more than a centimeter and are attached to the
lateral surfaces of the calcaneus at its proximal end. Lateral
motion is thus hindered, while longitudinal motion is permitted.
Between this tendon and the tendon of Achilles is a synovial
bursa which aids the gliding movement of the tendon. In the
sole of the foot opposite the distal end of the calcaneus the
tendon broadens and ends in the flexor brevis digitorum (pedis
perforatus) muscle, which might also be considered as a second
part of the plantaris. In man the plantaris is inserted into the
calcaneus along with the gastrocnemius.
Relations.—The muscle is covered throughout by the two
heads of the gastrocnemius (Fig. 90, m; Fig. 91, k), except
at the proximal end (Fig. 90, l), where it is in contact with the
integument. Inner surface in relation with the popliteus (Fig.
92, k), the soleus (Fig. 90, o), the flexor longus digitorum
(Fig. 91, n), and flexor longus hallucis (Fig. 91, m).
M. soleus (Fig. 90, o).—A flat fusiform muscle lying
beneath the plantaris.
Origin by muscle-fibres from the lateral surface of the head
of the fibula, and by tendon-fibres from the proximal two-fifths
of its ventral border.
Insertion.—The muscle ends in a slender tendon which
joins the lateral border of the gastrocnemius tendon to form the
tendon of Achilles (Fig. 90, t), which forms the sheath of the
plantaris tendon.
Relations.—Outer surface with the gastrocnemius (Fig. 90,
m) and plantaris (Fig. 90, l). Inner surface with the peroneus
longus (Fig. 90, q), peroneus tertius (Fig. 90, r), and flexor
hallucis (Fig. 91, m).
Action.—Assists the gastrocnemius to extend the foot.
M. triceps suræ.—The gastrocnemius and the soleus are
sometimes considered as forming a single muscle, with three
heads, under the name triceps suræ.
M. popliteus (Fig. 92, k).—A triangular muscle passing
from the femur obliquely toward the medial side over the ventral
surface of the proximal end of the tibia.
Origin by a strong tendon from the popliteal groove on the
surface of the lateral epicondyle of the femur. In the tendon
is a sesamoid bone, the popliteal bone (Fig. 61, 5, page 89),
which glides over the ventral part of the lateral articular facet
on the proximal end of the tibia. As the muscle passes over
the joint it is closely attached to the joint capsule. From the
popliteal bone, which with the tendon lies within the capsule
of the knee-joint, the muscle-fibres diverge to their
Insertion into the proximal end of the ventral surface of the
tibial shaft on the medial side of the medial oblique ridge.
The area of insertion extends slightly onto the medial surface
of the bone.
Relations.—Outer surface with the gastrocnemius (Fig.
92, j) and plantaris (Fig. 91, l), and with the tendon of the
semitendinosus (Fig. 92, i). Distal border with the origins
of the soleus and flexor longus digitorum. Inner surface with
the capsule of the knee-joint and the tibia.
Action.—Rotates the thigh so as to turn the toes inward.
The three following deep muscles on the ventral surface of
the shank are covered by a deep fascia (the deep crural fascia)
which separates them from the overlying muscles. This fascia
stretches from the dorsal border of the tibia about the ventral
side of the shank to the medial border of the tibia. It sends
a slip beneath the border of the fibula.
M. flexor longus digitorum (Fig. 91, m and n).—Owing
to the reduction of the first digit in the cat the tendon of the
flexor longus hallucis (m) has become united to that of the
flexor longus digitorum (n), so that the two might be considered
separate heads of a single muscle. The head corresponding
to the flexor longus hallucis (m) is much larger than that corresponding
to the flexor longus digitorum (n). The two heads
will be described separately.
(1) M. flexor longus hallucis (Fig. 91, m).—This lies
against the ventral surface of the tibia and fibula beneath the
popliteus (Fig. 92, k) and soleus (Fig. 90, o).
Origin by fleshy fibres, (1) from the sheet of deep crural
fascia which dips between it and the tibialis posterior (Fig.
91, o) and the flexor longus digitorum (n). (2) From the ventral
surface of the tibia distad of the lateral oblique line to within
one to three centimeters of the distal end of the shaft. (3) From
the medial surface of the shaft and head of the fibula and from
the whole interosseous ligament. On the fibular side the origin
may extend onto the tendon of the popliteus and the fascia of
the peroneus longus. The fibres form a flat fusiform mass
ending one centimeter from the heel in a strong flat tendon
(m′) which passes over the groove on the distal surface of the
astragalus and over the groove on the sustentaculum tali. The
two grooves are converted into a continuous canal by strong
transverse ligaments, and the canal is lined by an extension of
the synovial bursa of the ankle-joint. Emerging from the
canal the tendon broadens and receives on its medial side the
insertion of the tendon of the flexor longus digitorum (n). The
tendon gives origin on its outer surface to the lumbricales and
to the common plantar ligament. The tendon continues to
broaden until it reaches the middle of the length of the metacarpals;
here it divides into four tendons which pass to the
terminal phalanges of the digits.
Insertion.—The relations of the four tendons and their
insertions are identical with those of the flexor profundus digitorum
of the hand.
Relations.—Outer surface with the soleus (Fig. 90, o) and
plantaris (Fig. 91, l). Lateral border with the soleus, the
peroneus tertius (Fig. 90, r), and peroneus brevis (Fig. 90, s).
Medial border with the tibialis posterior (Fig. 91, o) and flexor
longus digitorum (Fig. 91, n).
Action.—Flexor of the phalanges.
(2) M. flexor longus digitorum (Fig. 91, n).
Origin by muscle- and tendon-fibres from the ventral surface
of the tibia over its proximal half between the oblique
ridges; by fleshy fibres from an aponeurosis between it and the
tibialis posterior (Fig. 91, o), and by tendon from the medial
surface of the head of the fibula. At the junction of the middle
and distal thirds of the bone the muscle ends in a slender tendon
which passes through the ventral groove on the medial
surface of the tibia and, curving onto the sole of the foot,
becomes attached to the medial border of the common tendon
described under the last.
Relations.—Outer surface with the medial head of the gastrocnemius
(Fig. 91, k) and with the superficial fascia. Inner
surface with the tibialis posterior (Fig. 91, o). Medial border
at the proximal end with the popliteus (Fig. 92, k), lateral
border with the tibialis posterior (Fig. 91, o), and flexor longus
hallucis (Fig. 91, m).
Action.—Flexor of the phalanges.
M. tibialis posterior (Fig. 91, o).—A slender flat fusiform
muscle beneath the flexor longus digitorum and between it and
the flexor longus hallucis.
Origin by fleshy fibres from nearly the whole medial surface
of the head of the fibula, from the inner surface of the aponeurosis
between it and the flexor longus digitorum (n), and by
a few fleshy fibres from the ventral surface of the tibia between
the oblique ridges. Some fibres may also arise from the outer
surface of the aponeurosis covering the flexor longus hallucis
(m). The muscle ends at about the middle of the tibia in a
slender flat tendon which passes parallel to the tendon of the
flexor longus digitorum (n) through the dorsal groove on the
medial surface of the distal end of the tibia. This groove is
converted into a canal by a transverse ligament. Beyond the
canal the tendon turns onto the plantar surface of the foot and
passes through a groove on the ventral surface of the scaphoid
bone. It then divides.
Insertion into the outer tuberosity on the surface of the
scaphoid, and onto the proximal end of the ventral surface of
the medial cuneiform.
Relations.—Outer and medial surface with the flexor longus
digitorum (n). Lateral surface with the flexor longus hallucis (m).
Action.—Extensor of the foot.
B. Muscles on the Dorsal and Lateral Surfaces
of the Lower Leg.
—M. peroneus longus (Fig. 90, q).—A
slender, fusiform muscle lying superficially on the lateral side
of the leg, dorsad of the soleus.
Origin by tendon-fibres from the lateral surface of the head
of the fibula and from the proximal half of the lateral surface
of its shaft.
At the junction of the middle and distal thirds of the lower
leg the muscle ends in a slender tendon which passes through
the groove on the lateral surface of the lateral malleolus. This
groove is converted into a canal by a transverse ligament.
The tendon passes through the groove on the peroneal tubercle
of the calcaneus, then turns onto the sole of the foot and passes
through the peroneal groove on the cuboid bone. It then turns
mediad and passes through the groove between the ventral
processes of the lateral cuneiform and the metatarsal until it
reaches the first metatarsal. The entire groove is converted
into a canal by the overlying ligaments.
Insertion into (1) the base of the fifth metatarsal, and (2)
the outer side of the base of the first metatarsal, and (3) by
slender branches into the bases of the other metatarsals.
Relations.—Outer (lateral) surface with the superficial fascia
and the tendon of the biceps femoris. Inner surface with the
peroneus tertius (r) and peroneus brevis (s), and with the
extensor longus digitorum (p). At the proximal end the
dorsal border touches the tibialis anterior (n).
Action.—Flexor of the foot.
M. peroneus tertius (Fig. 90, r).—A slender fusiform
muscle beneath the peroneus longus (q).
Origin by fleshy fibres from about the second quarter of the
lateral surface of the fibula. The muscle ends in a slender
tendon (r′), which passes with that of the peroneus brevis (s)
through the groove on the ventral border of the lateral malleolus.
The groove is converted into a canal by a transverse
ligament. Emerging from it, the tendon turns and passes along
the outer margin of the foot. In passing the sesamoid at the
base of the first phalanx of the fifth digit it is united to it by a
band which passes from the sesamoid to the tendon.
The insertion is finally into the lateral border of the extensor
tendon of the fifth digit as it passes from the first to the second
phalanx.
Relations.—Outer surface with the peroneus longus (q), the
soleus (o), and the superficial fascia. Ventral border with the
soleus (o) and flexor longus hallucis (Fig. 91, m). Inner surface
with the peroneus brevis (Fig. 90, s).
Action.—Extensor and abductor of the fifth digit and flexor
of the foot.
M. peroneus brevis (Fig. 90, s) lies beneath the other
peronei.
Origin by fleshy fibres from the distal half of the surface of
the fibula, which it embraces. At the lateral malleolus the
muscle ends in a thick tendon which passes through the canal
on the ventral surface of the malleolus. In the canal it is
enlarged and surrounded by a synovial bursa. It then turns
onto the foot and passes over the dorsal surface of the calcaneus
on its lateral side and has its
Insertion into the tubercle on the lateral side of the base of
the fifth metatarsal.
Relations.—Outer surface with the peronei longus (q) and
tertius (r). Inner surface with the bone.
Action.—Extensor of the foot.
M. extensor digitorum longus (Fig. 90, p).—A fusiform
muscle which lies beneath the tibialis anterior (n), against the
interosseous membrane, and between the tibialis anterior and
the peronei.
Origin by a thin flat tendon from the lateral surface of the
lateral epicondyle of the femur just dorsad of the origin of the
popliteus. The tendon becomes narrower and thicker and
passes through the capsule of the knee-joint and over a slight
groove on the tibia just dorsad of the head of the fibula. The
belly of the muscle extends the entire length of the tibia, passing
beneath the transverse ligament (5) along with the tendon
of the tibialis anterior (n). At the ankle it runs through a
fibrous loop which is attached to the dorsal surface of the
calcaneus (the annular ligament of the calcaneus); it then turns
and passes onto the dorsum of the foot. The muscle ends in
four slender tendons, the two middle of which begin at the
transverse ligament, while the others begin at the fibrous loop.
The tendons diverge to the four digits. Each tendon is connected
with the fibrous sheath surrounding the base of the first
phalanx, and each has a synovial bursa beneath it at this point.
Near the distal end of the first phalanx the tendon is united on
the lateral side to the conjoined tendon of the extensor brevis
digitorum and an interosseus muscle, and on the medial side
to the tendon of the interosseus. The lateral side of the most
lateral tendon is not thus united, but is joined on the outer side
by the tendon of the peroneus tertius.
Insertion.—The tendon thus formed on the dorsum of each
phalanx by the junction of the two or three tendons above
mentioned is firmly attached to the base of the second phalanx
at its proximal end in the middle of its dorsal surface. In
crossing the joint between the first and second phalanges the
tendon forms a fibrous pad which protects the dorsum of the
joint and glides over it. It then continues to be inserted into
the base of the terminal phalanx.
Relations.—Outer surface with the tibialis anterior (n) and
the superficial fascia. Inner surface with a part of the tibialis
anterior, with the bones, the interosseous membrane, and the
peroneus brevis (s).
Action.—Extensor of the phalanges.
M. tibialis anterior (Fig. 90, n).—This is the superficial
muscle covering the lateral side of the tibia.
Origin by fleshy fibres from the proximal one-sixth of the
lateral surface of the shaft of the tibia, from the proximal third
of the medial border of the shaft and head of the fibula, and
from the intervening interosseous ligament. The triangular
body of the muscle covers the lateral surface of the tibia and
the outer surface of the extensor longus digitorum (p). Near
the malleolus it ends in a strong tendon which passes beneath
the transverse ligament along with the tendon of the extensor
longus (p). The tendon crosses the dorsal surface of the foot
obliquely toward its medial side.
Insertion into the outer surface of the first metatarsal.
Relations.—Outer surface with the superficial fascia and the
tendon of the biceps femoris. Inner surface with the extensor
longus (p), the tibia, and the interosseous membrane.
Action.—Flexor of the foot.
A. Muscles on the Dorsum of the Foot.
—M. extensor
brevis digitorum (Fig. 90, u).—A broad thin muscle
covering the tarsus and part of the metatarsus on the lateral
side of the dorsum of the foot. It may be divided into three
slips.
Origin from the distal border of nearly the whole calcaneal
annular ligament (5), and from the proximal end of the dorsal
surface of the three lateral metatarsals. At the middle of the
metatarsals the muscle ends in three flat tendons which pass
into the three interspaces between the four tendons of the extensor
longus. Each tendon is divided into two branches.
Insertion.—The lateral branch of each tendon is inserted
into the cartilaginous plate which lies in the metatarsophalangeal
articulation of the digit on the outer side. The medial
branch joins the lateral side of the extensor longus tendon on
the dorsum of the first phalanx.
Action.—Extensor of the digits.
B. Muscles of the Sole of the Foot.
—M. flexor
brevis digitorum (pedis perforatus).—This is the direct continuation
of the tendon of the plantaris. It lies immediately
beneath the superficial plantar fascia. The flat belly of the
muscle has its medial border attached by an oblique tendinous
band to the medial surface of the scaphoid and the medial
cuneiform. It divides into four slips which diverge to the four
toes, each ending in a flat tendon. The slips decrease in size
from the lateral to the medial side. The three lateral ones
overlap one another proximally.
Insertion.—Each tendon expands at the distal end of the
metatarsal and is wrapped about the tendon of the deep flexor
which perforates it. The two halves unite beneath the perforating
tendon and pass together with the perforating tendon
through fibrous rings, the annular ligaments. One of these is
attached to the sesamoids at the base of the phalanx. The
other is attached to the head of the first phalanx. The tendons
are finally inserted into the bases of the second phalanges.
The two annular ligaments are connected by fascia so as
to form a continuous canal for the tendons. This canal is lined
by a synovial membrane. Covering this canal is a more superficial
layer of fascia. Before passing into the proximal annular
ligament the two middle tendons unite each with the tendon
of the corresponding lumbrical muscle. Each also gives off
a branch, the lateral one on its lateral side and the medial one
on its medial side. These branches, like those of the two
middle ones, are inserted into the common phalangeal fascia.
Action.—Flexor of the second phalanges of the digits.
M. quadratus plantæ (called also the plantar head of the
flexor longus digitorum) is a thin flat muscle which takes
origin from the dorsal part of the lateral surface of the calcaneus
and the cuboid. Its fibres converge to a flat tendon
which passes transversely across the flexor longus digitorum
and beneath the flexor brevis digitorum and calcaneometatarsal.
Insertion.—Into the medial part of the outer surface of the
tendon of the flexor longus digitorum.
Action.—It holds the flexor longus tendon in place.
Mm. lumbricales.—These are six.
Origin.—The three larger ones have origin from the outer
surface of the expanded portion of the flexor longus digitorum
on its distal half. Each ends in a slender tendon.
Insertions.—The tendons unite with the divisions of the
tendon of the flexor brevis which pass to the three lateral
digits, at their entrance to the first annular ligament. The
one to the fifth digit is sometimes absent.
The other three have origin from the tendon of the flexor
longus digitorum at the point where it divides. Each occupies
one of the three intervals between the four divisions, and its
fibres originate from the proximal ends of the two tendons
which bound its interval.
Insertion by a very slender tendon into the medial side of
the first phalanges of the third, fourth, and fifth digits near
their bases.
Action.—Move the third, fourth, and fifth digits toward the
medial side.
Mm. interossei.—The interosseus of the second digit forms
five portions, which cover the ventral surface of the digit.
Origin.—(1) By two tendons from the ventral process of
the lateral cuneiform. The muscle divides into four parts, three
of which pass to the medial side of the digit and act as
abductors. They are called the long, short, and middle
abductors (abductor longus, brevis, and intermedius digiti
secundi).
Insertions.—The short head into the medial sesamoid of
the metatarsophalangeal joint, the middle into the medial side
of the base of the first phalanx, and the long into the extensor
communis tendon near the distal end of the first phalanx.
The names long, short, and middle refer to the lengths of the
tendons as determined by their points of insertion.
The fourth portion which comes from the lateral cuneiform
has its insertion into the lateral side of the extensor tendon
near the distal end of the first phalanx. It is therefore an
adductor longus digiti secundi. In some cases there is an
adductor brevis from this same head.
(2) The fifth part of the interosseus of the second digit has
origin from the middle of the ligament covering the peroneal
canal, along with the middle adductor of the fifth digit. The
two muscles diverge. Insertion into the outer side of the base
of the first phalanx of the second digit. It is an adductor
medius digiti secundi.
The interossei of the third and fourth digits are alike.
Origin from the ventral surface of the base of the metatarsal.
The muscles cover the ventral surface of the shaft. At
the head each divides and passes onto the sides of the
metatarsal.
Insertion.—Each half of the muscle shows a tendency to
divide into two parts. One of these, the more superficial and
ventral, ends in a tendon which joins the extensor tendon near
the distal end of the first phalanx. The other part is inserted
by short tendon- and muscle-fibres into the side of the base of
the first phalanx; one of the parts is therefore a middle, and the
other a long, adductor or abductor, the adductores and abductores
digiti tertii and quarti.
The fifth digit has five short muscles.
M. abductor medius digiti quinti.
Origin from the ventral surface of the calcaneus and from
the fifth metatarsal.
Insertion by a slender tendon into the lateral side of the
base of the first phalanx of the fifth digit.
M. adductor medius digiti quinti.
Origin with the adductor medius digiti secundi.
Insertion on the inner side of the base of the phalanx of the
fifth digit.
M. opponens digiti quinti.
Origin by a flat tendon from the middle of the ligament
which covers the peroneal canal. It passes obliquely outward
parallel to the last.
Insertion on the inner side of the shaft of the fifth metatarsal.
The two remaining muscles of the fifth digit take origin
from the outer part of the ligament covering the peroneal canal.
They cover the ventral surface of the shaft.
Insertion.—The lateral one is inserted into the lateral sesamoid
and is therefore an abductor brevis. The medial one is
inserted into the extensor tendon and is therefore an adductor
longus.
C. Muscles of the Tarsus.
—M. calcaneometatarsalis
(part of M. adductor minimi digiti?).—A weak muscle made up
largely of tendon-fibres, some of which pass directly from origin
to insertion. It may be regarded as a ligament.
Origin, the lateral and ventral surface of the calcaneus near
the proximal end. It passes distad and slightly laterad outside
of the quadratus plantæ.
Insertion, the lateral side of the base of the fifth metatarsal,
and the adjacent surfaces of the cuboid and calcaneus.
Action.—Probably causes slight motion of the cuboid on
the head of the calcaneus.
M. scaphocuneiformis.—A small muscle lying on the sole
of the foot in the depression between the lateral cuneiform,
medial cuneiform, and the lateral tubercle of the scaphoid. It
is hidden by the overlying ligaments.
Origin, the lateral tubercle of the scaphoid bone. It passes
distad and laterad.
Insertion, the lateral surface of the medial cuneiform.
Action.—Rotates the medial cuneiform on the scaphoid and
would thus act as an opponens of the great toe if the great toe
were present.