"

15 7.3 Skeletal Muscle

Skeletal Muscle[1]

Skeletal muscle is attached to bones, so its contraction makes movement, facial expressions, posture, and other voluntary movements of the body possible. Forty percent of your body mass is made up of skeletal muscle.

Skeletal Muscle Organization

Each skeletal muscle is an organ that consists of various integrated tissues. These tissues include the skeletal muscle fibers (muscle cells or myocytes), blood vessels, nerve fibers, and connective tissue. Every skeletal muscle is richly supplied by blood vessels for nourishment, oxygen delivery, and waste removal. Inside each skeletal muscle, muscle fibers are organized into individual bundles or groups of fibers called fascicles.

Each skeletal muscle has three layers of connective tissue (called “mysia”) that enclose it, provide structure to the muscle as a whole, and also bundle the muscle fibers within the muscle. See Figure 7.2 for an illustration of the structure of skeletal muscle tissue. The three layers of connective tissue are the epimysium, the perimysium and the endomysium:

  • Epimysium. The epimysium is a sheath of dense, irregular connective tissue that wraps around the outside of the entire muscle. It allows the muscle to contract and move powerfully while maintaining its structure. The epimysium separates muscle from other tissues and organs in the area, allowing the muscle to move independently.
  • Perimysium. The perimysium is a layer of connective tissue that surrounds each fascicle (bundle of muscle fibers).
  • Endomysium. The endomysium is a thin connective tissue layer of collagen and reticular fibers covering each individual muscle fiber. The endomysium contains the extracellular fluid and nutrients to support the muscle fiber. These nutrients are supplied via blood to the muscle tissue.

Figure 7.2 Muscle Structure (Source: https://upload.wikimedia.org/wikipedia/commons/8/89/Illu_muscle_structure.jpg)

 

A:

Box

View a supplementary video on muscle structure: https://www.wisc-online.com/learn/natural-science/life-science/ap13904/the-structure-of-the-muscle-organ

To move the skeleton, the tension created by the contraction of the fibers in most skeletal muscles is transferred to tendons. Tendons are strong bands of dense, regular connective tissue that connect muscles to bones. This bone connection is why this muscle tissue is called skeletal muscle.

The collagen of the three mysia layers (epimysium, perimysium and endomysium) intertwine with the collagen of the tendon and the other end of the tendon is connected to the periosteum (outer covering) of the bone. The tension created by contraction of the muscle fibers is then transferred through the mysia, to the tendon, and then to the periosteum to pull on the bone for movement of the skeleton. In a way, your body is like a sophisticated marionette inside. Skeletal muscles contract and pull on tendons which then pull on bones to create movement.

In other places, the mysia may fuse with a broad, flat tendon-like sheet called an aponeurosis, or to fascia, the connective tissue between skin and bones. The broad sheet of connective tissue in the lower back that the latissimus dorsi muscles (the “lats”) fuse into is an example of an aponeurosis.

Skeletal Muscle Fibers

Skeletal muscle cells are long and cylindrical and are commonly referred to as muscle fibers. Skeletal muscle fibers can be quite large for human cells, with diameters up to 100 μm and lengths up to 30 cm (11.8 in) in the sartorius muscle of the upper leg. Muscle fibers have up to 100 nuclei in each fiber. Multiple nuclei mean multiple copies of genes which allows the production of large amounts of proteins and enzymes needed for muscle contraction.

The plasma membrane of a muscle fiber is called the sarcolemma. The cytoplasm is referred to as sarcoplasm, and the specialized smooth endoplasmic reticulum, which stores, releases, and retrieves calcium ions (Ca2+) is called the sarcoplasmic reticulum (SR).

Inside the muscle fiber are myofibrils, long, cylindrical organelles that run parallel within the muscle fiber and contain the sarcomeres, the basic unit of muscle contraction. See Figure 7.3 for an illustration of the organization of a skeletal muscle fiber.

Figure 7.3 Organization of a Skeletal Muscle Fiber (Source: https://openstax.org/books/anatomy-and-physiology-2e/pages/10-2-skeletal-muscle#fig-ch10_02_02)

 

A:”1002_Organization_of_Muscle_Fiber” by OpenStax College is licensed under CC BY 4.0

Sarcomere

The smallest functioning or basic unit of a skeletal muscle fiber is the sarcomere, a highly organized arrangement of the contractile proteins actin (thin filament) and myosin (thick filament), along with other regulatory and support proteins. The arrangement of actin and myosin in the sarcoplasm of individual muscle fibers creates a pattern, or stripes, called striations when viewed under a microscope.

The sarcomere is bundled within the myofibril that runs the entire length of the muscle fiber and attaches to the sarcolemma at its end. As myofibrils contract, the entire muscle cell contracts. Because myofibrils are only approximately 1.2 μm in diameter, hundreds to thousands (each with thousands of sarcomeres) can be found inside one muscle fiber. Each sarcomere is approximately 2 μm in length and is bordered by structures called Z-discs (also called Z-lines), to which the actin myofilaments are anchored. Because the actin forms strands that are thinner than the myosin, they are called the thin filaments of the sarcomere. Likewise, because the myosin strands have more mass and are thicker, they are called the thick filaments of the sarcomere. See Figure 7.4 for an illustration of a sarcomere and Figure 7.5 for a microscopic image of a sarcomere.

Figure 7.4 Sarcomere (Source: https://openstax.org/books/anatomy-and-physiology-2e/pages/10-2-skeletal-muscle)

 

A:”1003_Thick_and_Thin_Filament” by OpenStax College is licensed under CC BY 4.0

Figure 7.5 Microscopic Image of a Sarcomere (https://upload.wikimedia.org/wikipedia/commons/a/a4/Sarcomere.gif)

 

Skeletal Muscle Contraction

Motor Units

Every skeletal muscle fiber must be innervated by a motor neuron in order to contract. One motor neuron and the number of fibers it controls is called a motor unit. The size of a motor unit varies depending on the nature of the muscle.

A small motor unit is an arrangement where a single motor neuron controls a small number of muscle fibers in a muscle. Small motor units allow very fine motor control of the muscle. The best example in humans is the small motor units of the extraocular eye muscles that move the eyeballs. There are thousands of muscle fibers in each muscle, but every six or so fibers are stimulated by a single motor neuron. This allows for precise control of eye movements so that both eyes can quickly focus on the same object. Small motor units are also involved in the many fine motor movements of the fingers and thumb of the hand for grasping, texting, etc.

A large motor unit is an arrangement where a single motor neuron controls a large number of muscle fibers in a muscle. Large motor units are concerned with simple, or “gross,” movements, such as powerfully extending the knee joint. The best example is the large motor units of the thigh muscles or back muscles, where a single motor neuron will supply thousands of muscle fibers in a muscle.

There is a wide range of motor units within many skeletal muscles, which gives the nervous system a wide range of control over the muscle. The small motor units in the muscle will have smaller motor neurons that are more excitable, firing first to their skeletal muscle fibers, which also tend to be the smallest. Activation of these smaller motor units results in a relatively small degree of contractile strength (tension) generated in the muscle. As more strength is needed, larger motor units, with bigger motor neurons are enlisted to activate larger muscle fibers. This increase in the number of active motor units produces an increase in muscle contraction known as recruitment. As more motor units are recruited, the muscle contraction grows progressively stronger. In some muscles, the largest motor units may generate a contractile force of 50 times more than the smallest motor units in the muscle. This allows a feather to be picked up using the biceps brachii arm muscle with minimal force, and a heavy weight to be lifted by the same muscle by recruiting the largest motor units.

When necessary, the maximal number of motor units in a muscle can be recruited simultaneously, producing the maximum force of contraction for that muscle, but this cannot last for very long because of the energy requirements to sustain the contraction. To prevent complete muscle fatigue, motor units are generally not all simultaneously active. Instead, some motor units rest while others are active, which allows for longer muscle contractions.

See Figure 7.6 for an illustration of motor units.

Figure 7.6 Motor Units (https://commons.wikimedia.org/wiki/File:Motor_unit.png)

 

The Neuromuscular Junction

The neuromuscular junction (NMJ) is the region where a neuron meets and communicates with a skeletal muscle fiber. The two structures are very close together but don’t physically touch. There is a small gap of space between them called a synapse. The neuron will release many molecules of a neurotransmitter or chemical called acetylcholine that will stimulate the skeletal muscle to contract. This is where the muscle fiber first responds to signaling by the motor neuron. Every skeletal muscle fiber in every skeletal muscle is innervated by a motor neuron at the NMJ. Excitation signals from the neuron are the only way to activate the muscle fiber to contract.

Excitation-Contraction Coupling

All living cells have membrane potentials, or electrical gradients across their cell membranes. Additional information about the electrical activity of excitable cells is discussed in the “Nervous System” chapter. The inside of the membrane is usually around -60 to -90 mV compared to the outside of the cell. This is referred to as a cell’s membrane potential. Neurons and muscle cells can use their membrane potentials to generate electrical signals. They do this by controlling the movement of charged particles, called ions, across their membranes to create electrical currents. This is achieved by opening and closing specialized protein channels in the membrane called ion channels.

The term excitation-contraction coupling refers to what must happen for a skeletal muscle fiber to contract. First, the sarcolemma must be “excited”— it must be stimulated to create an action potential. The muscle fiber action potential travels along the sarcolemma and is “coupled” to the actual contraction of the muscle fiber.

The brain initiates skeletal muscle contraction. To do so, it sends a signal down the spinal cord. From there, a motor neuron “tells” the muscle to contract. These neurons have long axons which transmit action potentials (electrical signals) all the way from the spinal cord to the muscle itself (which may be up to three feet away).

Signaling begins when an action potential travels along the axon of a motor neuron to the neuromuscular junction (NMJ). At the NMJ, the motor axon terminal releases a neurotransmitter (a chemical messenger) called acetylcholine (ACh). The ACh molecules diffuse across the space between the motor neuron and the sarcolemma called the synaptic cleft and bind to ACh receptors located on the other side of the synapse. The ACh receptors are found on the motor end plate of the sarcolemma. See Figure 7.7 for an illustration of the neuromuscular junction and Figure 7.8 for a microscopic image of a neuromuscular junction.

Figure 7.7 Neuromuscular Junction (https://commons.wikimedia.org/wiki/File:Neuromuscular_junction.svg)

 

A:

Figure 7.8 Microscopic Image of a Neuromuscular Junction (https://commons.wikimedia.org/wiki/File:%E8%BF%90%E5%8A%A8%E7%BB%88%E6%9D%BF.JPG)

 

Once ACh binds to the ACh receptors on the motor end plate, a channel opens and positively charged sodium ions pass through into the muscle fiber. This causes the muscle fiber to depolarize, meaning that the membrane potential inside the muscle fiber becomes less negative. As the membrane depolarizes, another set of ion channels called voltage-gated sodium channels are triggered to open. Sodium ions enter the muscle fiber, and an action potential rapidly spreads (or “fires”) along the entire membrane to initiate excitation-contraction coupling. See Figure 7.9 for an illustration of the steps in muscle fiber contraction.

Figure 7.9 Contraction of a Muscle Fiber (https://openstax.org/books/anatomy-and-physiology-2e/pages/10-3-muscle-fiber-contraction-and-relaxation)

 

A:”1010a_Contraction_new”  by OpenStax College is licensed under CC BY 4.0

Things happen very quickly in the world of excitable membranes (just think about how quickly you can snap your fingers as soon as you decide to do it). Immediately following depolarization of the membrane, it repolarizes in repolarization, voltage-gated potassium channels open and potassium ions leave the cell, re-establishing the negative membrane potential. Muscle contraction usually stops when signaling from the motor neuron ends. A muscle also will stop contracting when it runs out of ATP and becomes fatigued.

The Sliding Filament Model of Contraction

When signaled by a motor neuron, a skeletal muscle fiber contracts as the thin filaments (actin) are pulled by and then slide past the thick filaments (myosin) inside the sarcomeres. This process is known as the sliding filament model of muscle contraction. See Figure 7.10 for an illustration of the sliding filament of muscle contraction.

Figure 7.10 The Sliding Filament of Muscle Contraction (https://openstax.org/books/anatomy-and-physiology-2e/pages/10-3-muscle-fiber-contraction-and-relaxation#fig-ch10_03_03)

 

A:”1006_Sliding_Filament_Model_of_Muscle_Contraction”  by OpenStax College is licensed under CC BY 4.0

Muscle contraction is regulated by proteins and calcium ions. The actin filaments contain myosin-binding sites. These binding sites are the only places that the myosin heads can attach to the actin to pull them during contraction. When a muscle is relaxed, these binding sites are covered by a ribbon-like protein called tropomyosin which winds around the actin filaments. Another regulatory protein called troponin is attached to tropomyosin. In order for a muscle to contract, these binding sites have to be uncovered.

When a muscle has an action potential, calcium ions are released from the sarcoplasmic reticulum inside the muscle fiber where they are stored. Calcium ions then attach to the troponin molecules and change its shape, much like a key unlocking a lock. This allows the myosin heads to attach to actin. The thin filaments are then pulled by the myosin heads and slide toward the center of the sarcomere.

Box

View a supplementary YouTube video on the following topics:

ATP and Muscle Contraction

A huge amount of ATP is needed to power the muscle contraction cycle and keep skeletal muscles working. In fact, it is the loss of ATP that results in the rigor mortis observed soon after death. With no further ATP production possible, myosin cannot detach from actin causing the rigidity seen in skeletal muscles.

Relaxation of a Skeletal Muscle

Relaxing skeletal muscle fibers, and ultimately, the skeletal muscle, begins with the motor neuron, which stops releasing its chemical signal, ACh, into the synapse at the NMJ. Since the skeletal muscle fiber has now “lost” its signal to contract, it no longer generates an action potential and calcium ions are pumped back into the sarcoplasmic reticulum. When calcium ions are removed from troponin, the troponin-tropomyosin complex recovers the binding sites on actin so that myosin can no longer “grab” and slide it. As a result, the muscle relaxes.

Muscle Strength

The number of skeletal muscle fibers in a given muscle is genetically determined and does not change. Muscle strength is directly related to the number of myofibrils and sarcomeres within each fiber. Factors, such as hormones and stress (and artificial anabolic steroids), acting on the muscle can increase the production of sarcomeres and myofibrils within the muscle fibers, a change called hypertrophy, which results in the increased mass and bulk in a skeletal muscle. Likewise, decreased use of a skeletal muscle results in atrophy, where the number of sarcomeres and myofibrils disappear (but not the number of muscle fibers). It is common for a broken limb in a cast to show atrophied muscles when the cast is removed. This effect is temporary, and the muscle regains strength when the limb is used again. Certain diseases, such as polio, also lead to atrophied muscles.

To move an object, referred to as load, the sarcomeres in the muscle fibers of the skeletal muscle must shorten. The force generated by the contraction of the muscle (or shortening of the sarcomeres) is called muscle tension. Muscle tension is also generated when the muscle is contracting against a load that does not move, resulting in two main types of skeletal muscle contractions: isotonic contractions and isometric contractions. All of these muscle activities are under the control of the nervous system.

Isotonic and Isometric Contractions

In isotonic contractions, the tension in the muscle stays constant and movement occurs as the length of the muscle changes (shortens). There are two types of isotonic contractions: concentric and eccentric. A concentric contraction involves the muscle shortening to move a load. An example of this is the biceps brachii muscle contracting to bend the elbow when a hand weight is brought upward with increasing muscle tension. As biceps brachii contracts, the angle of the elbow joint decreases as the forearm is brought toward the body. An eccentric contraction occurs as the muscle tension diminishes and the muscle lengthens. In this case, the hand weight is lowered in a slow and controlled manner. The tension is released from the biceps brachii and the angle of the elbow joint increases.

An isometric contraction occurs as the muscle produces tension without producing movement. For example, if one attempts to lift a hand weight that is too heavy, there will be sarcomere activation and shortening to a point, and ever-increasing muscle tension, but no change in the angle of the elbow joint. In everyday living, isometric contractions are active in maintaining posture and bone and joint stability. However, holding your head in an upright position occurs not because the muscles cannot move the head, but because the goal is to remain stationary and not produce movement. Most actions of the body are the result of a combination of isotonic and isometric contractions working together. See Figure 7.11 for an illustration of the isometric and isotonic contractions.

Figure 7.11 Types of Muscle Contractions (https://openstax.org/books/anatomy-and-physiology-2e/pages/10-4-nervous-system-control-of-muscle-tension#fig-ch10_04_01)

 

A:”1015_Types_of_Contraction_new” by OpenStax is licensed under CC BY 4.0

Muscle Tone

Skeletal muscles are rarely completely relaxed (flaccid). Even if a muscle is not producing movement, it contracts a small amount to produce muscle tone. The tension produced by muscle tone allows muscles to stabilize joints and maintain posture. Muscle tone is accomplished by a complex interaction between the nervous system and skeletal muscles that results in the activation of a few motor units at a time. In this manner, muscles never fatigue completely, as some motor units can recover while others are active.

Hypotonia

The absence of the low-level contractions that lead to muscle tone is referred to as hypotonia, and can result from damage to parts of the brain, such as the cerebellum, and the spinal cord, or from loss of innervation to a skeletal muscle, as in poliomyelitis. Hypotonic muscles have a flaccid (limp) appearance and display functional impairments, such as weak reflexes.

Hypertonia

Excessive muscle tone is referred to as hypertonia, accompanied by hyperreflexia (excessive reflex responses),and it is often the result of damage to upper motor neurons in the brain or spinal cord. Hypertonia can present with muscle rigidity (as seen in Parkinson’s disease) or spasticity, an increase in muscle tone and stiffness.

Box

Performance-Enhancing Substances

Some athletes attempt to boost their performance by using various agents that may enhance muscle performance. Anabolic steroids are a well known method to boost muscle mass and increase power output. Anabolic steroids are a form of testosterone, a male sex hormone that stimulates muscle formation, leading to increased muscle mass.

Endurance athletes may also try to boost the availability of oxygen to muscles by using substances such as erythropoietin (EPO), a hormone normally produced by the kidneys, which triggers the production of red blood cells. The extra oxygen carried by these blood cells can then be used by muscles. Human growth hormone (hGH) is another supplement, and although it can facilitate building muscle mass, its main role is to promote the healing of muscle and other tissues after strenuous exercise. Increased hGH may allow for faster recovery after muscle damage, reducing the rest required after exercise, and allowing for more sustained high-level performance.

Although performance-enhancing substances often do improve performance, most are banned by governing bodies in sports and are illegal for nonmedical purposes. Their use to enhance performance raises ethical issues of cheating because they give users an unfair advantage over nonusers. A greater concern, however, is that their use carries serious health risks. The side effects of these substances are often significant, irreversible, and in some cases fatal. The physiological strain caused by these substances is often greater than what the body can handle, leading to effects that are unpredictable and dangerous. Anabolic steroid use has been linked to infertility, aggressive behavior, cardiovascular disease, and brain cancer.

Similarly, some athletes have used creatine to increase power output. Creatine phosphate provides quick bursts of ATP to muscles in the initial stages of contraction. Increasing the amount of creatine available to cells is thought to produce more ATP and therefore increase explosive power output, although its effectiveness as a supplement has been questioned.

——

Interactions of Skeletal Muscles in the Body

Muscles are usually connected to bones by tendons. Some muscles are connected by an aponeurosis instead. Muscles have at least two attachment points. To pull on a bone and move the skeleton, a skeletal muscle must also be attached to a fixed part of the skeleton. The moveable end of a muscle that attaches to the bone being pulled is called the muscle’s insertion, and the end of the muscle attached to a fixed (stabilized) bone is called the origin.

Although a number of muscles may be involved in an action, the primary muscle involved is called the prime mover, or agonist. To lift a cup, a muscle called the biceps brachii is the prime mover; however, because it is assisted by the brachialis, the brachialis is called a synergist. A synergist can also be a fixator that stabilizes the bone attached to the prime mover’s origin. See Figure 7.12 for an illustration of prime movers and synergists.

Figure 7.12 Prime Movers and Synergists (Source: https://openstax.org/books/anatomy-and-physiology-2e/pages/11-1-interactions-of-skeletal-muscles-their-fascicle-arrangement-and-their-lever-systems)

A:”Biceps_Muscle_CNX”  by OpenStax College CC BY-SA 3.0

A muscle with the opposite action of the prime mover is called an antagonist. Antagonists play two important roles in muscle function: (1) they maintain body or limb position, such as holding the arm out or standing erect; and (2) they control rapid movement, as in shadow boxing without landing a punch or the ability to check the motion of a limb.

For example, to extend the knee, a group of four muscles called the quadriceps femoris in the anterior compartment of the thigh are activated (and would be called the agonists of knee extension). However, to flex the knee joint, an opposite or antagonistic set of muscles called the hamstrings is activated.

As you can see, these terms would also be reversed for the opposing action. If you consider the first action as the knee bending, the hamstrings would be called the agonists and the quadriceps femoris would then be called the antagonists. See Table 7.2 for an example of some agonists and antagonists.

Table 7.2 Examples of Agonist and Antagonist Skeletal Muscle Pairs[2]

Agonist Antagonist Action(s)
Biceps brachii: anterior upper arm Triceps brachii: posterior upper arm The biceps brachii flexes the forearm, whereas the triceps brachii extends it.
Hamstrings: group of three muscles in the posterior thigh Quadriceps femoris: group of four muscles in the anterior thigh The hamstrings flex the lower leg, whereas the quadriceps femoris extend it.

There are also skeletal muscles that do not pull against the skeleton for movements. For example, there are the muscles that produce facial expressions. The insertions and origins of facial muscles are in the skin allowing muscles to contract to form a smile or frown, form sounds or words, and raise the eyebrows. There also are skeletal muscles in the tongue, and the external urinary and anal sphincters that allow for voluntary control of urination and defecation. In addition, the diaphragm contracts and relaxes to change the volume of the thoracic cavity during breathing but it does not move the skeleton to do this.

Exercise and Stretching

When exercising, it is important to first warm up the muscles. Stretching pulls on the muscle fibers and results in an increased blood flow to the muscles being worked. Without a proper warm-up, it is possible to damage some of the muscle fibers or pull a tendon. A pulled tendon, regardless of location, results in pain, swelling, and diminished function.

Most of the joints used during exercise are synovial joints, which have synovial fluid in the joint space between two bones. Exercise and stretching may have a beneficial effect on synovial joints. Synovial fluid is a thin, but viscous film with the consistency of egg whites. After proper stretching and warm-up, the synovial fluid may become less viscous, allowing for better joint function.

Skeletal Muscle Actions

There are many types of actions that are caused by the contraction of muscles, such as flexion, extension, abduction, adduction, rotation, dorsiflexion, plantar flexion, supination, and pronation. These muscle actions are summarized in Table 7.3.

Table 7.3 Muscle Actions

Action Description
Flexion Movement that decreases the angle between two bones, such as bending the arm at the elbow.
Extension Movement that increases the angle between two bones, such as straightening the arm at the elbow.
Abduction Movement of a limb away from the midline of the body.
Adduction Movement of a limb toward the midline of the body.
Rotation Circular movement around a central point. Internal rotation is toward the center of the body, and external rotation is away from the center of the body.
Dorsiflexion Decreasing the angle between the foot and the lower leg at the ankle (i.e., the foot moves upward towards the shin).
Plantar Flexion Increasing the angle between the foot and the lower leg at the ankle (i.e., the foot moves downward toward the ground, such as when pressing down on a gas pedal in a car).
Supination Movement of the hand or foot turning upward. When applied to the hand, it is the act of turning the palm upwards. When applied to the foot, it is the outward roll of the foot/ankle during normal movement.
Pronation Movement of the hand or foot turning downward. When applied to the hand, it is the act of turning the palm downward. When applied to the foot, it is the inward roll of the foot/ankle during normal movement.
Eversion Excessive movement turning the sole of the foot away from the midline of the body, a common cause of an ankle sprain.
Inversion Excessive movement turning the sole of the foot towards the midline, a common cause of an ankle sprain.

See Figures 7.13 and 7.14 for illustrations of muscle actions.

 

Figure 7.13  Flexion, Extension, Adduction, Abduction, Circumduction, and Rotation[3]

 

 

Figure 7.14 Pronation, Supination, Dorsiflexion, Plantar Flexion, Inversion, Eversion, Protraction, Retraction, Elevation, Depression, and Opposition[4]

 

Patterns of Fascicle Organization

As previously discussed in this chapter, skeletal muscle is surrounded by connective tissue at three levels. Each muscle fiber (cell) is covered by endomysium and the entire muscle is covered by epimysium. Groups of muscle fibers are “bundled” into fascicles and covered by connective tissue called perimysium. Fascicle arrangement by perimysium is correlated to the force generated by a muscle; it also affects the range of motion of the muscle. Based on the patterns of fascicle arrangement, skeletal muscles can be classified in several ways. The following are the most common fascicle arrangements.

Parallel muscles have fascicles that are arranged in the same direction as the long axis of the muscle.The majority of skeletal muscles in the body have this type of organization. Some parallel muscles are flat sheets that expand at the ends to make broad attachments. Other parallel muscles are rounder with tendons at one or both ends. Muscles that seem to be plump have a large mass of tissue located in the middle of the muscle, between the insertion and the origin, which is known as the central body. A more common name for this is belly. When a muscle contracts, the contractile fibers shorten it to an even larger bulge. For example, extend and then flex your biceps brachii muscle; the large, middle section is the belly. See Figure 7.15 for an image of the biceps brachii muscle. When a parallel muscle has a central, large belly that is spindle-shaped, meaning it tapers as it extends to its origin and insertion, it sometimes is called fusiform.

Figure 7.15 Biceps Brachii Muscle Contraction (Source: https://openstax.org/books/anatomy-and-physiology-2e/pages/11-1-interactions-of-skeletal-muscles-their-fascicle-arrangement-and-their-lever-systems#fig-ch11_01_03)

 

[5]

Circular muscles are also called sphincters. When they relax, the sphincters’ circularly arranged bundles of muscle fibers increase the size of the opening, and when they contract, the size of the opening shrinks to close. The orbicularis oris muscle is a circular muscle that goes around the mouth. When it contracts, the oral opening becomes smaller, as when puckering the lips for whistling. Another example is the orbicularis oculi, muscles which surround each eye. Notice the names of the two orbicularis muscles (orbicularis oris and orbicularis oculi), where part of the first name of both muscles is the same. The first part of orbicularis, orb (orb = “circular”), is a reference to a round or circular structure; it may also make one think of orbit, such as the moon’s path around the earth. The word oris (oris = “oral”) refers to the oral cavity, or the mouth. The word oculi (ocular = “eye”) refers to the eye.

There are other muscles throughout the body named by their shape or location. The deltoid is a large, triangular-shaped muscle that covers the shoulder. It is so-named because the Greek letter delta looks like a triangle. The rectus abdominis (rector = “straight”) is the straight muscle in the anterior wall of the abdomen, while the rectus femoris is the straight muscle in the anterior compartment of the thigh.

When a muscle has a widespread expansion over a sizable area, but then the fascicles come to a single, common attachment point, the muscle is called convergent. The attachment point for a convergent muscle could be a tendon, an aponeurosis (a flat, broad tendon), or a raphe (a very slender tendon). The large muscle on the chest, the pectoralis major, is an example of a convergent muscle because it converges on the greater tubercle of the humerus via a tendon. The temporalis muscle of the cranium is another. Pennate muscles (penna = “feathers”) blend into a tendon that runs through the central region of the muscle for its whole length, somewhat like the quill of a feather with the muscle arranged similar to the feathers. Due to this design, the muscle fibers in a pennate muscle can only pull at an angle, and as a result, contracting pennate muscles do not move their tendons very far. However, because a pennate muscle generally can hold more muscle fibers within it, it can produce relatively more tension for its size. In a unipennate muscle, the fascicles are located on one side of the tendon. The extensor digitorum of the forearm is an example of a unipennate muscle. A bipennate muscle has fascicles on both sides of the tendon. In some pennate muscles, the muscle fibers wrap around the tendon, sometimes forming individual fascicles in the process. This arrangement is referred to as multipennate. A common example is the deltoid muscle of the shoulder, which covers the shoulder but has a single tendon that inserts on the deltoid tuberosity of the humerus.

See Figure 7.16  for an illustration of the seven different muscle shapes.

Figure 7.16 Muscle Shapes and Fiber Alignment (https://openstax.org/books/anatomy-and-physiology-2e/pages/11-1-interactions-of-skeletal-muscles-their-fascicle-arrangement-and-their-lever-systems#fig-ch11_01_03)

 

[6]

Naming Skeletal Muscles

The Greeks and Romans conducted the first studies done on the human body in Western culture. Subsequent societies studied Latin and Greek, and therefore the early pioneers of anatomy continued to apply Latin and Greek terminology or roots when they named the skeletal muscles.

The large number of muscles in the body and unfamiliar words can make learning the names of the muscles in the body seem daunting, but understanding the etymology can help. Etymology is the study of how the root of a particular word entered a language and how the use of the word evolved over time. Taking the time to learn the roots of the words is crucial to understanding the vocabulary of anatomy and physiology. When you understand the names of muscles it will help you remember where the muscles are located and what they do. See Table 7.4 for some examples of Latin root words and their meanings related to muscles. Table 7.5 provides some mnemonic devices for common Latin roots found in muscle names. Pronunciation of words and terms will take a bit of time to master, but after some basic information, the correct names and pronunciations will become easier.

Table 7.4 Understanding a Muscle Name from the Latin[7]

 

Table 7.5 Memory Tips for Latin Roots[8]

Example Latin or Greek Translation Memory
ad to; toward ADvance toward your goal
ab away from To be ABSent from class means being away
sub under SUBmarines move underwater.
ductor something that moves A conDUCTOR makes a train move.
anti against If you are ANTIsocial, you are against engaging in social activities.
epi on top of The EPIdermis is the top layer of skin
apo to the side of The APOstrophe sits next to the side of a word
longissimus longest “Longissimus” is longer than the word “long.”
longus long A longus muscle is relatively LONG
brevis short A brevis muscles is relatively short, like a BRIEF meeting.
maximus large “I MAX out” can be used to remember that the gluteus maximus is a large muscle responsible for the extension of the thigh.
medius medium “Medius” and “medium” both begin with “med.”
minimus tiny; little “Mini mouse” can be used to remember that a minimus muscle is tiny or little.
rectus straight To RECTify a situation is to straighten it out.
multi many If something is MULTIcolored, it has many colors.
uni one A UNIcorn has one horn.
bi/di two If a ring is DIcast, it is made of two metals.
tri three TRIple the amount of money is three times as much.
quad four QUADruplets are four children born at one birth.
externus outside An EXTERNal temperature is taken outside of the body.
internus inside An INTERNal temperature is taken inside the body.

Anatomists name the skeletal muscles according to a number of criteria, each describing the muscle in some way. These include naming the muscle after its shape, its size compared to other muscles in the area, its location in the body or the location of its attachments to the skeleton, how many origins it has, or its action.

The skeletal muscle’s anatomical location or its relationship to a particular bone often determines its name. For example, the frontalis muscle is located anterior to the frontal bone of the skull. Similarly, the shapes of some muscles are very distinctive and the names, such as orbicularis, reflect the shape. For the buttocks, the size of the muscles influences the names: gluteus maximus (largest), gluteus medius (medium), and the gluteus minimus (smallest). Gluteus means buttocks. Names  can indicate length—brevis (short), longus (long)—and identify position relative to the midline: lateralis (away from the midline), and medialis (toward the midline). The direction of the muscle fibers and fascicles are used to describe muscles relative to the midline, such as the rectus (straight) abdominis, or the oblique (at an angle) muscles of the abdomen.

Some muscle names indicate the number of muscles in a group. One example of this is the quadriceps femoris, a group of four muscles located on the anterior thigh. Other muscle names can provide information as to how many origins a particular muscle has, such as the biceps brachii. The prefix bi indicates that the muscle has two origins and tri, in triceps brachii, indicates three origins.

The location of a muscle’s attachment can also appear in its name. When the name of a muscle is based on the attachments, the origin is always named first. For instance, the sternocleidomastoid muscle of the neck has a dual origin on the sternum (sterno) and clavicle (cleido), and it inserts on the mastoid process of the temporal bone.

The last feature by which a muscle is named is its action. When muscles are named for the movement they produce, one can find action words in their name. Some examples are flexor (decreases the angle at the joint), extensor (increases the angle at the joint), abductor (moves the bone away from the midline), or adductor (moves the bone toward the midline).

The skeletal muscles are divided into axial (muscles of the trunk and head) and appendicular (muscles of the arms and legs) categories. This system reflects the bones of the skeletal system, which are also arranged in this manner. The axial muscles are grouped based on location, function, or both.

Major Skeletal Muscles

See Figure 7.17 for an illustration of the major skeletal muscles of the human body. Functions of muscles are further described in the following subsections.

Figure 7.17 Major Skeletal Muscles (https://openstax.org/books/anatomy-and-physiology-2e/pages/11-2-naming-skeletal-muscles

Muscles That Create Facial Expression

The origins of the muscles of facial expression are on the surface of the skull (remember, the origin of a muscle does not move). The insertions of these muscles have fibers intertwined with connective tissue and the dermis of the skin. Because the muscles insert in the skin rather than on bone, when they contract, the skin moves to create facial expression. See Figure 7.18 for an illustration of the muscles that create facial expressions.

Figure 7.18 Muscles of Facial Expressions (https://openstax.org/books/anatomy-and-physiology-2e/pages/11-3-axial-muscles-of-the-head-neck-and-back#fig-ch11_03_01 )

 

[9]

Muscles that create facial expressions include the following:

  • Occipitofrontalis: Muscle that raises the eyebrows and wrinkles the forehead. The muscle has a frontal belly and an occipital belly (near the occipital bone on the posterior part of the skull). The muscle on the forehead is the frontalis and the one on the back of the head is the occipitalis, but there is no muscle across the top of the head. Instead, the two bellies are connected by a broad tendon called the epicranial aponeurosis, or galea aponeurosis (galea = “helmet”).
  • Orbicularis oris: The circular muscle around the mouth that compresses and puckers the lips.
  • Orbicularis oculi: The circular muscle around each eye that closes the eye(s).
  • Buccinator: Muscle found in the cheeks that allows you to whistle, blow, and suck. It also contributes to the action of chewing.
  • Zygomaticus: Muscle from the zygomatic bone to the mouth. The “smiling’ muscle.

Muscles That Move the Eyes

  • Extrinsic Eye Muscles: The movement of the eyeball is under the control of the extrinsic eye muscles, which originate outside the eye and insert onto the outer surface of the white of the eye. These muscles are located inside the eye socket and cannot be seen on any part of the visible eyeball. See Figure 7.19 for an illustration of the extrinsic eye muscles.

Figure 7.19 Muscles of the Eyes (a) The extrinsic eye muscles originate outside of the eye on the skull. (b) Each muscle inserts onto the eyeball (https://openstax.org/books/anatomy-and-physiology-2e/pages/11-3-axial-muscles-of-the-head-neck-and-back#fig-ch11_03_03)

 

[10]

Muscles That Move the Lower Jaw

In anatomical terminology, chewing is called mastication. Muscles involved in chewing must be able to exert enough pressure to bite through and then chew food before it is swallowed. The muscles of mastication include the masseter and the temporalis.

  • Masseter: The main muscle used for chewing because it lifts the mandible (lower jaw) to close the mouth.
  • Temporalis: The muscle that lifts and pulls back the mandible. You can feel the temporalis move by putting your fingers to your temple as you chew.

See Figure 7.20 for an illustration of the masseter and temporalis muscles.

Figure 7.20 Masseter and Temporalis Muscles That Move the Lower Jaw (https://openstax.org/books/anatomy-and-physiology-2e/pages/11-3-axial-muscles-of-the-head-neck-and-back)

[11]

Muscles That Move the Head

The head, attached to the top of the vertebral column, is balanced, moved, and rotated by the neck muscles. When these muscles contract, they can rotate, flex or extend. The major muscle that moves the head is the sternocleidomastoid.

  • Sternocleidomastoid: Major muscle that laterally flexes and rotates the head. When both of them contract, the head flexes at the neck. It has a dual origin on the sternum (stern/o) and clavicle (cleid/o) and inserts on the mastoid process of the temporal bone. Place your fingers on both sides of the neck and turn your head to the left and to the right to feel the movement of this muscle. See Figure 7.21 for an illustration of the sternocleidomastoid.

Figure 7.21 Posterior and Lateral Views of the Neck Showing the Sternocleidomastoid Muscle (https://openstax.org/books/anatomy-and-physiology-2e/pages/11-3-axial-muscles-of-the-head-neck-and-back#fig-ch11_03_07)

 

[12]

See Table 7.A in the “Chapter Resources” section for a description of the movements by the muscles that move the head.

Table 7.A Movements of the Muscles That Move the Head

Movement Target Target motion direction Prime mover Origin Insertion
Rotates and tilts head to the side; tilts head forward Skull; vertebrae Individually: rotates head to opposite side, lateral flexion; bilaterally: flexion Sternocleidomastoid Sternum; clavicle Temporal bone (mastoid process)
Rotates and tilts head backward Skull; vertebrae Individually: laterally flexes and rotates head to same side; bilaterally: extension Semispinalis capitis Transverse and articular processes of cervical and thoracic vertebra Occipital bone
Rotates and tilts head to the side; tilts head backward Skull; vertebrae Individually: laterally flexes and rotates head to same side; bilaterally: extension Splenius capitis Spinous processes of cervical and thoracic vertebra Temporal bone (mastoid process); occipital bone
Rotates and tilts head to the side; tilts head backward Skull; vertebrae Individually: laterally flexes and rotates head to same side; bilaterally: extension Longissimus capitis Transverse and articular processes of cervical and thoracic vertebra Temporal bone (mastoid process)

Major Muscles of the Abdomen

There are four pairs of abdominal muscles that cover the anterior and lateral abdominal region and meet at the anterior midline. These paired muscles of the anterolateral abdominal wall can be divided into four groups: the external obliques, the internal obliques, the transversus abdominis, and the rectus abdominis. The different orientations of these muscles allows various movements and rotations of the trunk. The three layers of muscle also help to protect the internal abdominal organs in an area where there is no bone.

  • External oblique(s): Flat superficial skeletal muscle in the antero-lateral wall of the abdomen. The external oblique is closest to the surface and extends inferiorly and medially, in the direction of sliding one’s four fingers into pants pockets.
  • Internal oblique(s): Perpendicular to the external oblique is the intermediate internal oblique, extending superiorly and medially, the direction the thumbs usually go when the other fingers are in the pants pocket.
  • Transverse abdominis: The deep muscle is the transversus abdominis. It is arranged transversely around the abdomen, similar to the front of a belt on a pair of pants.
  • Rectus abdominis: The straight muscle in the anterior wall of the abdomen, commonly called the “sit-up” muscle. It originates at the pubic crest and symphysis, and extends the length of the body’s trunk.The linea alba is a white, fibrous band that is made of the bilateral rectus sheaths that join at the anterior midline of the body. These enclose the rectus abdominis muscles. Each muscle is segmented by three transverse bands of collagen fibers called the tendinous intersections. This results in the look of “six-pack abs,” as each segment hypertrophies on individuals at the gym who do many sit-ups.
  • See Figure 7.22 for an illustration of the major abdominal muscles.

Figure 7.22 Abdominal Muscles (a) anterior b) posterior (Source:https://openstax.org/books/anatomy-and-physiology-2e/pages/11-4-axial-muscles-of-the-abdominal-wall-and-thorax#fig-ch11_04_01)[13]

See Table 7.B in the “Chapter Resources” section for a description of the movements by the abdominal muscles.

Table 7.B Movements of the Abdominal Muscles[14]

Movement Target Target Motion Direction Prime Mover Origin Insertion
Twisting at waist and bending to the side, bending forward at the waist Vertebral column Flexion, lateral flexion, and rotation of vertebral column External obliques; internal obliques Ribs 5–12; ilium Ribs 7–10; linea alba; ilium
Squeezing abdomen during forceful exhalations, defecation, urination, and childbirth Abdominal cavity Compression Transversus abdominis Ilium; ribs 5–10 Sternum; linea alba; pubis
bending forward at the waist Vertebral column Flexion Rectus abdominis Pubis Sternum; ribs 5 and 7
Bending to the side Vertebral column Lateral flexion Quadratus lumborum Ilium; ribs 5–10 Rib 12; vertebrae L1–L4

Major Muscles of the Chest (Thorax)

The muscles of the chest serve to facilitate breathing by changing the size of the thoracic cavity. When you inhale, your chest rises because the cavity expands. Alternately, when you exhale, your chest falls because the thoracic cavity decreases in size.

Diaphragm

The change in volume of the thoracic cavity during breathing is due to the contraction and relaxation of the diaphragm. See Figure 7.23 for an illustration of the diaphragm muscle. The diaphragm separates the thoracic and abdominal cavities, and is dome-shaped at rest. The diaphragm also has three openings for structures between the chest cavity and the abdomen. The inferior vena cava passes through the caval opening, and the esophagus and attached nerves pass through the esophageal hiatus. The aorta passes through the aortic hiatus of the posterior diaphragm. See Figure 7.24 for an illustration of these openings in the diaphragm.

Figure 7.23 Diaphragm (https://commons.wikimedia.org/wiki/File:Human_diaphragm.png)

 

Figure 7.24 Openings in the Diaphragm (Source: https://openstax.org/books/anatomy-and-physiology-2e/pages/11-4-axial-muscles-of-the-abdominal-wall-and-thorax#fig-ch11_04_02)

 

[15]

 

Intercostal Muscles

There are two primary sets of muscles called intercostal muscles, which are found in the intercostal spaces or spaces between the ribs (cost/o=rib). The main role of the intercostal muscles is to assist breathing by changing the dimensions of the rib cage. See Figure 7.25 for an illustration of the intercostal muscles.

Figure 7.25 Intercostal Muscles (Source: https://openstax.org/books/anatomy-and-physiology-2e/pages/11-4-axial-muscles-of-the-abdominal-wall-and-thorax#fig-ch11_04_03)

[16]

See Table 7.C in the “Chapter Resources” section for a description of the movements by the thoracic muscles.

Table 7.C Movements of the Thoracic Muscles

Movement Target Target Motion Direction Prime Mover Origin Insertion
Inhalation; exhalation Thoracic cavity Compression; expansion Diaphragm Sternum; ribs 6–12; lumbar vertebrae Central tendon
Inhalation; exhalation Ribs Elevation of rib cage (expands thoracic cavity) External intercostals Rib superior to each intercostal muscle Rib inferior to each intercostal muscle
Forced exhalation Ribs Depression of rib cage Internal intercostals Rib inferior to each intercostal muscle Rib superior to each intercostal muscle

Major Muscles of the Shoulder and Upper Limbs

Muscles of the shoulder and upper limb can be divided into four groups: muscles that stabilize and position the pectoral girdle, muscles that move the arm, muscles that move the forearm, and muscles that move the wrists, hands, and fingers.

The pectoral girdle, or shoulder girdle, consists of the lateral ends of the clavicle and scapula, along with the proximal end of the humerus, and the muscles covering these three bones to stabilize the shoulder joint. The girdle creates a base from which the head of the humerus, in its ball-and-socket joint, can move the arm in multiple directions.

Major Muscles of the Pectoral (Shoulder) Girdle

  • Pectoralis minor: Rotates shoulder anteriorly (throwing motion)
  • Serratus anterior: Moves arm from side of body to front of body
  • Trapezius: Elevates shoulders (shrugging); pulls shoulder blades together; tilts head backwards. The trapezius stabilizes the upper part of the back.
  • Rhomboid major: Attaches the vertebral border of the scapula to the spinous process of the thoracic vertebrae. It stabilizes the scapula during pectoral girdle movement.
  • Rhomboid minor: Attaches the vertebral border of the scapula to the spinous process of the thoracic vertebrae. It stabilizes the scapula during pectoral girdle movement

See Figure 7.26 for an illustration of the pectoral girdle muscles.

Figure 7.26 Pectoral Girdle Muscles (https://openstax.org/books/anatomy-and-physiology-2e/pages/11-5-muscles-of-the-pectoral-girdle-and-upper-limbs)

 

[17]

See Table 7.D in the “Chapter Resources” section for a description of the movements by the muscles that position the pectoral girdle.

Table 7.D Muscles that Position the Pectoral Girdle

Position in the thorax Movement Target Target motion direction Prime mover Origin Insertion
Anterior thorax Stabilizes clavicle during movement by depressing it Clavicle Depression Subclavius First rib Inferior surface of clavicle
Anterior thorax Rotates shoulder anteriorly (throwing motion); assists with inhalation Scapula; ribs Scapula: depresses; ribs: elevates Pectoralis minor Anterior surfaces of certain ribs (2–4 or 3–5) Coracoid process of scapula
Anterior thorax Moves arm from side of body to front of body; assists with inhalation Scapula; ribs Scapula: protracts; ribs: elevates Serratus anterior ribs (1–8 or 1–9) Anterior surface of vertebral border of scapula
Posterior thorax Elevates shoulders (shrugging); pulls shoulder blades together; tilts head backwards Scapula; cervical spine Scapula: rotates superiorly, retracts, elevates, and depresses; spine: extends Trapezius Skull; vertebral column Acromion and spine of scapula; clavicle
Posterior thorax Stabilizes scapula during pectoral girdle movement Scapula Retracts; rotates inferiorly Rhomboid major Thoracic vertebrae (T2–T5) Medial border of scapula
Posterior thorax Stabilizes scapula during pectoral girdle movement Scapula Retracts; rotates inferiorly Rhomboid minor Cervical and thoracic vertebrae (C7 and T1) Medial border of scapula

Muscles That Move the Humerus

Similar to the muscles that position the pectoral girdle, muscles that cross the shoulder joint and move the humerus bone of the arm include both axial and scapular muscles The two axial muscles are the pectoralis major and the latissimus dorsi. The rest of the shoulder muscles originate on the scapula.

  • Pectoralis major: The pectoralis major is thick and fan-shaped, covering much of the superior portion of the anterior thorax. It flexes the arm at the shoulder, adducts and medially rotates the arm.
  • Latissimus dorsi: The broad, triangular latissimus dorsi is located on the inferior part of the back, where it inserts into a thick connective tissue sheath called an aponeurosis. It extends arm at the shoulder, adducts and medially rotates the arm.
  • Deltoid: The deltoid is the thick muscle that creates the rounded lines of the shoulder and is the major abductor of the arm, but it also facilitates flexing and medial rotation, as well as extension and lateral rotation.
  • Subscapularis: The subscapularis originates on the anterior scapula and medially rotates the arm.
  • Supraspinatus: The supraspinatus is superior to the spine of the scapula and abducts the arm.
  • Infraspinatus: The infraspinatus is inferior to the spine of the scapula and laterally rotates the arm.
  • Teres major: The thick and flat teres major is inferior to the teres minor and extends the arm and assists in adduction and medial rotation of it.
  • Teres minor: The teres minor laterally rotates, adducts, and extends the arm.

See Figure 7.27 for an illustration of muscles that move the humerus.

Figure 7.27 Muscles That Move the Humerus (Source: https://openstax.org/books/anatomy-and-physiology-2e/pages/11-5-muscles-of-the-pectoral-girdle-and-upper-limbs)

 

[18]

Rotator Cuff

The tendons of the deep subscapularis, supraspinatus, infraspinatus, and teres minor connect the scapula to the humerus, forming the rotator cuff (musculotendinous cuff), the circle of tendons around the shoulder joint. When baseball pitchers undergo shoulder surgery, it is usually on the rotator cuff, which becomes pinched and inflamed and may tear away from the bone due to the repetitive motion of bringing the arm overhead to throw a fast pitch.

See Table 7.E in the “Chapter Resources” section for a description of the movements by the axial and scapular muscles.

Table 7.E Movements of the Axial and Scapular Muscles

 

Major Muscles That Move the Forearm

The forearm, made of the radius and ulna bones, has four main types of action at the elbow joint: flexion, extension, pronation, and supination. The major muscles here include:

  • Biceps brachii: The two-headed biceps brachii crosses the shoulder and elbow joints to flex the forearm, also taking part in supinating the forearm at the radioulnar joints and flexing the arm at the elbow joint. It performs a biceps curl and also allows the palm of the hand to point toward the body while flexing.
  • Brachialis: Deep to the biceps brachii, the brachialis provides additional power in flexing the forearm at the elbow.
  • Brachioradialis: The brachioradialis can flex the forearm quickly or help lift a load slowly. When bending the elbow (flexing)—the brachioradialis assists the brachialis. Brachioradialis also supinates and pronates the forearm.
  • Triceps brachii: The three-headed triceps brachii muscle extends the arm at both the elbow and shoulder joints. Part of it also helps adduct the arm.

See Figure 7.28 for an illustration of muscles that move the forearm.

Figure 7.28 Muscles That Move the Forearm (Source: https://openstax.org/books/anatomy-and-physiology-2e/pages/11-5-muscles-of-the-pectoral-girdle-and-upper-limbs)

 

See Table 7.F in the “Chapter Resources” section for a description of the movements of the muscles that move the forearm.

Table 7.F Movements of the Forearm Muscles

 

See Table 7.G in the “Chapter Resources” section for a description of the movements by the muscles that move the wrist, hands, and forearm.

Table 7.G  Movements of the Muscles that Move the Wrist, Hands, and Forearm

 

See Table 7.H in the “Chapter Resources” section for a description of the movements by the hand muscles.

Table 7.H Movements of the Muscles of the Hand

Muscle Movement Target Target motion direction Prime mover Origin Insertion
Thenar muscles Moves thumb toward body Thumb Abduction Abductor pollicis brevis Flexor retinaculum; and nearby carpals Lateral base of proximal phalanx of thumb
Thenar muscles Moves thumb across palm to touch other fingers Thumb Opposition Opponens pollicis Flexor retinaculum; trapezium Anterior of first metacarpal
Thenar muscles Flexes thumb Thumb Flexion Flexor pollicis brevis Flexor retinaculum; trapezium Lateral base of proximal phalanx of thumb
Thenar muscles Moves thumb away from body Thumb Adduction Adductor pollicis Capitate bone; bases of metacarpals 2–4; front of metacarpal 3 Medial base of proximal phalanx of thumb
Hypothenar muscles Moves little finger toward body Little finger Abduction Abductor digiti minimi Pisiform bone Medial side of proximal phalanx of little finger
Hypothenar muscles Flexes little finger Little finger Flexion Flexor digiti minimi brevis Hamate bone; flexor retinaculum Medial side of proximal phalanx of little finger
Hypothenar muscles Moves little finger across palm to touch thumb Little finger Opposition Opponens digiti minimi Hamate bone; flexor retinaculum Medial side of fifth metacarpal
Intermediate muscles Flexes each finger at metacarpo-phalangeal joints; extends each finger at interphalangeal joints Fingers Flexion Lumbricals Palm (lateral sides of tendons in flexor digitorum profundus) Fingers 2–5 (lateral edges of extensional expansions on first phalanges)
Intermediate muscles Adducts and flexes each finger at metacarpo-phalangeal joints; extends each finger at interphalangeal joints Fingers Adduction; flexion; extension Palmar interossei Side of each metacarpal that faces metacarpal 3 (absent from metacarpal 3) Extensor expansion on first phalanx of each finger (except finger 3) on side facing finger 3
Intermediate muscles Abducts and flexes the three middle fingers at metacarpo-phalangeal joints; extends the three middle fingers at interphalangeal joints Fingers Abduction; flexion; extension Dorsal interossei Sides of metacarpals Both sides of finger 3; for each other finger, extensor expansion over first phalanx on side opposite finger 3

Muscles of the Pelvis and Lower Limbs

The appendicular muscles of the lower body position and stabilize the pelvic or hip girdle, which serves as a foundation for the lower limbs. The pelvic girdle has less range of motion because it stabilizes and supports the body. The body’s center of gravity is in the area of the pelvis. If the center of gravity were not to remain fixed, standing up would be difficult. Therefore, what the leg muscles lack in range of motion and versatility, they make up for in size and power, facilitating the body’s stabilization, posture, and movement.

Major Muscles of the Upper Leg (Thigh)

Most muscles that insert on and move the femur originate on the pelvic girdle. The muscles found in the hip and thigh include the following:

  • Iliopsoas: Muscle group consisting of the iliacus and psoas major muscles, flexes the thigh at the hip, rotates it laterally, and flexes the trunk of the body onto the hip when sitting up from a supine position.
  • Gluteus maximus: The largest of the gluteus muscles that extends the femur and laterally rotates the thigh.
  • Gluteus medius: The muscle deep to the gluteus maximus that abducts the femur at the hip and medially rotates the thigh.
  • Gluteus minimus: Smallest of the gluteal muscles and deep to the gluteus medius. It abducts the hip and medially rotates the thigh.
  • Gracilis: The gracilis muscle adducts the thigh in addition to flexing the leg at the knee.
  • Quadriceps femoris group: A group of muscles often referred to as the “quads,” it consists of four muscles that extend and stabilize the knee. They move the lower leg out in front of the body, as when kicking. The tendon common to all four is the quadriceps tendon (patellar tendon), which inserts into the proximal part of the patella and continues at the distal area as the patellar ligament. The patellar ligament attaches to the tibial tuberosity.
    • Rectus femoris: The rectus femoris is on the anterior aspect of the thigh.
    • Vastus lateralis: Found on the lateral aspect of the thigh.
    • Vastus medialis: Located on the medial aspect of the thigh.
    • Vastus intermedius: Found between vastus lateralis and vastus medialis and deep to the rectus femoris.
  • Sartorius: A band-like muscle that extends from the anterior superior iliac spine of the pelvis to the medial side of the proximal tibia. This versatile muscle flexes the leg at the knee and flexes, abducts, and laterally rotates the leg at the hip. This muscle allows us to sit cross-legged.
  • Hamstring group: Group of three muscles that flex the knee, extend the hip and rotate the thigh. The tendons of these muscles form the popliteal fossa, the diamond-shaped space at the back of the knee. You can feel the hamstring tendons behind your knee. The three hamstring muscles include:
    • Biceps femoris: Muscle located on the lateral side of the posterior thigh.
    • Semitendinosus: Muscle located medially next to the biceps femoris.
    • Semimembranosus: Most medial muscle of the three from mid thigh to medial knee. Part of it is deep to semitendinosus.

See Figure 7.29 for an illustration of the hip and thigh muscles.

Figure 7.29 Hip and Thigh Muscles

 

A:”1122_Gluteal_Muscles_that_Move_the_Femur” by OpenStax is licensed under CC BY 4.0

See Table 7.I in the “Chapter Resources” section for a description of the movements by the gluteal muscles that move the femur.

Table I. Movements of the Gluteal Muscles That Move the Femur

See Table 7.J in the “Chapter Resources” section for a description of the movements by the thigh muscles that move the femur, tibia, and fibula.

Table 7.J Movements of the Thigh Muscles That Move the Femur, Tibia, and Fibula

 

Major Muscles of the Lower Leg

The lateral and medial muscles of the lower leg invert, evert, and rotate the foot and include:

  • Tibialis anterior: A long and thick muscle on the anterolateral surface of the tibia. It dorsiflexes and inverts the foot.
  • Calcaneal tendon: The calcaneal tendon, also referred to as the Achilles tendon, is a strong tendon that inserts on the calcaneal bone.
  • Gastrocnemius: The most superficial and visible muscle of the calf is the gastrocnemius. It plantar flexes the foot and assists in flexing the knee.
  • Soleus: Deep to the gastrocnemius is the wide, flat soleus. This muscle also plantar flexes the foot

See Figure 7.30 for an illustration of muscles of the lower leg.

Figure 7.30 Muscles of the Lower Leg (Source: https://openstax.org/books/anatomy-and-physiology-2e/pages/11-6-appendicular-muscles-of-the-pelvic-girdle-and-lower-limbs)

 

A:”1123_Muscles_of_the_Leg_that_Move_the_Foot_and_Toes” by OpenStax is licensed under CC BY 4.0

See Figure 7.31 for an illustration of the gastrocnemius and soleus.

Figure 7.31 Gastrocnemius and Soleus (https://commons.wikimedia.org/wiki/File:Lower_leg_muscles.svg)

 

 

See Table 7.K in the “Chapter Resources” section for a description of the movements by the muscles that move the feet and toes.

Table 7.K Movement of the Muscles That Move the Feet and Toes

 


  1. Betts, J. G., Young, K. A., Wise, J. A., Johnson, E., Poe, B., Kruse, D. H., Korol, O., Johnson, J. E., Womble, M., & DeSaix, P. (2022). Anatomy and Physiology 2e. OpenStax. https://openstax.org/books/anatomy-and-physiology-2e/pages/1-introduction
  2. Betts, J. G., Young, K. A., Wise, J. A., Johnson, E., Poe, B., Kruse, D. H., Korol, O., Johnson, J. E., Womble, M., & DeSaix, P. (2022). Anatomy and Physiology 2e. OpenStax. https://openstax.org/books/anatomy-and-physiology-2e/pages/1-introduction
  3. Body_Movements_I.jpg” by Tonye Ogele CNX is licensed under CC BY-SA 3.0
  4. Body_Movements_II.jpg” by Tonye Ogele CNX is licensed under CC BY-SA 3.0
  5. ”Biceps_Brachii_Muscle_Contraction” by OpenStax College is licensed under CC BY-SA 3.0
  6. Fascicle_Muscle_Shapes” by OpenStax College is licensed under CC BY-SA 3.0
  7. Betts, J. G., Young, K. A., Wise, J. A., Johnson, E., Poe, B., Kruse, D. H., Korol, O., Johnson, J. E., Womble, M., & DeSaix, P. (2022). Anatomy and Physiology 2e. OpenStax. https://openstax.org/books/anatomy-and-physiology-2e/pages/1-introduction
  8. Betts, J. G., Young, K. A., Wise, J. A., Johnson, E., Poe, B., Kruse, D. H., Korol, O., Johnson, J. E., Womble, M., & DeSaix, P. (2022). Anatomy and Physiology 2e. OpenStax. https://openstax.org/books/anatomy-and-physiology-2e/pages/1-introduction
  9. 1106_Front_and_Side_Views_of_the_Muscles_of_Facial_Expressions” by OpenStax is licensed under CC BY 4.0
  10. 1107_The_Extrinsic_Eye_Muscles” by OpenStax is licensed under CC BY 4.0
  11. 1108_Muscle_that_Move_the_Lower_Jaw” by OpenStax is licensed under CC BY 4.0
  12. 1111_Posterior_and_Side_Views_of_the_Neck” by OpenStax is licensed under CC BY 4.0
  13. 1112_Muscles_of_the_Abdomen” by OpenStax is licensed under CC BY 4.0
  14. Betts, J. G., Young, K. A., Wise, J. A., Johnson, E., Poe, B., Kruse, D. H., Korol, O., Johnson, J. E., Womble, M., & DeSaix, P. (2022). Anatomy and Physiology 2e. OpenStax. https://openstax.org/books/anatomy-and-physiology-2e/pages/1-introduction
  15. 1113_The_Diaphragm” by OpenStax is licensed under CC BY 4.0
  16. 1114_Thorax” by OpenStax is licensed under CC BY 4.0
  17. 1118_Muscles_that_Position_the_Pectoral_Girdle” by OpenStax is licensed under CC BY 4.0
  18. 1119_Muscles_that_Move_the_Humerus” by OpenStax is licensed under CC BY 4.0

License

Icon for the Creative Commons Attribution 4.0 International License

Anatomy and Physiology Copyright © 2025 by WisTech Open is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.