Blast Your Biceps

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The Limitations Of Functional Anatomical Analysis

Emg Turkey Gastrocnemius

Functional anatomy, while not an oxymoron, is certainly a phrase that stretches the truth. Functional anatomy classifies muscles actions based on the mechanical method of muscle action analysis. This method essentially examines one muscle's line of action relative to one joint axis of rotation, and infers a joint action based on orientation and pulls of the muscle in the anatomical position (Figure 3.12). In the sagittal plane, the biceps brachii is classified as an elbow flexor because it is assumed that (1) the origins are at the shoulder joint, (2) the insertion is on the radial tuberosity, and (3) the anterior orientation Figure 3.12. The mechanical method of muscle action analysis applied to biceps and elbow flexion in the sagittal plane. It is assumed that in the anatomical position the biceps pulls upward toward its anatomical origin from its anatomical insertion (radial tuberosity). The motion can be visualized using a bicycle wheel with the axle aligned on the joint axis. If...

Qualitative And Quantitative Analysis Of Vectors

Resolution Vectors Elbow Joint

While the attachments of a muscle do not change, the angle of the muscle's pull on bones changes with changes in joint angle. The angle of pull is critical to the linear and angular effects of that force. Recall that a force can be broken into parts or components. These pulls of a muscle's force in two dimensions are conveniently resolved into longitudinal and rotational components. This local or relative frame of reference helps us study how muscle forces affect the body, but do not tell us about the orientation of the body to the world like absolute frames of reference do. Figure 6.7 illustrates typical angles of pull and these components for the biceps muscle at two points in the range of motion. The linear kinetic effects of the biceps on the forearm can be illustrated with arrows that represent force vectors. Figure 6.7. Typical angles of pull of the biceps brachii muscle in an arm curl. The angular positions of the shoulder and elbow affect the angle of pull of the muscle, which...

Anatomy of the axilla Structure

Pectoralis major, the pectoralis minor and subclavius muscles, and the clavipectoral fascia (lying between the lower border of subclavius and upper border of pectoralis minor). The extension of the clavipectoral fascia, running from the lower border of the pectoralis minor muscle to the floor of the axilla, is termed the suspensory ligament of the axilla. The posterior wall of the axilla comprises the subscapularis, teres major and latissimus dorsi muscles. The medial wall is formed by the first five ribs, the intercostal muscles and the overlying serratus anterior muscle. The lateral wall is the intertubercular sulcus of the humerus, the coracobrachialis and biceps muscles. The structures passing through the axilla are important and include blood vessels, nerves, lymphatic vessels and lymph nodes (see above), areolar tissue and fat.

Assessing Individual Upper Extremity Injuries

A complete neurological examination is necessary on presentation. The presence or absence of sensation of pain and touch must be documented. The geographic margins of any deficit are then demarcated and annotated in the record. The integrity of the motor pathways must be tested for the cranial nerves and paraspinals and from the shoulder distally. Contraction of the deltoid indicates an intact axillary nerve. The musculocutaneous nerve innervates the biceps brachii, brachialis, and coracobrachialis elbow flexion indicates an intact nerve. The triceps is supplied by the radial nerve. More distally, the radial nerve innervates the brachioradialis and wrist extensors. Ability to extend the fingers at the metacarpophalangeal (MP) joint indicates an intact posterior interosseous nerve, which is a branch of the radial nerve in the forearm. On the volar aspect of the forearm flexion at the wrist and finger flexion denote median nerve function. The anterior interosseous branch of the median...

Muscle Afferent Reflexes

Tion primarily from deep receptors in the muscle and cutaneous receptors that appear to respond mainly to painful stimuli rather than force or limb position. Despite this diversity of receptors, the muscle spindles appear to be especially important for sensing muscle length, as demonstrated by the following experiment Imagine a blindfolded person, seated with his or her elbows on a table and his or her forearm held in a vertical posture. If someone else moves one forearm, the blindfolded person can indicate the position of that arm by matching it with the other, free arm. People perform this task very accurately in normal circumstances. However, if vibration is applied to the belly of biceps, people consistently overestimate the angle of extension at the elbow. The explanation for this phenomenon involves muscle spindle afferents. Vibration provides a very powerful stimulus to muscle spindles, and the CNS wrongly interprets their increased discharge as reflecting a longer biceps...

Generating Torques on Articulated Limb Segments

A limb consists of a chain of articulated segments, with the muscles acting as the motors (technically, actuators) that control torques around those segments. Each segment of a limb can rotate with respect to the more proximal segment. The axis of rotation centers on the joint that connects the two segments, and muscles provide torques on that joint. For example, a person usually has to flex his or her elbow to lift a coffee cup and sip from it. Commands from the motor system reach the biceps muscle, activating it and producing force, which results in flexion torques on the elbow joint. As the elbow flexes, the resulting movement stretches the triceps, which in other circumstances would result in increased force output from the triceps because of the length-tension relation. This increased force would cause an extension torque on the elbow joint. For the hand to reach the mouth, flexion torques need to exceed extension torques. Thus, while sending the activating commands to the biceps...

Surgical Dissection

The proximal approach is the same as the deltopectoral or anterior approach to the shoulder. Distally, identify the interval between the biceps brachii and the brachialis and retract the biceps laterally to expose the brachialis (Figs. 2 and 3). Figure 1 Anterior approach to the humerus starts from the coracoid process to the deltopectoral groove and follows the lateral border of the biceps ending 5 cm proximal to the flexion crease of the elbow. Figure 1 Anterior approach to the humerus starts from the coracoid process to the deltopectoral groove and follows the lateral border of the biceps ending 5 cm proximal to the flexion crease of the elbow. Figure 2 Anterior approach to the humerus interval between the deltoid and biceps brachii muscles in the proximal humerus. Figure 2 Anterior approach to the humerus interval between the deltoid and biceps brachii muscles in the proximal humerus. Figure 3 Anterior approach to the humerus deep surgical dissection between the deltoid and biceps...

Free Fasciocutaneous Flap Esophageal Replacement

Using skin flaps for pharyngeal reconstruction has many advantages. Skin is the most donatable and easily accessible organ in the body it is relatively ischemia-tolerant providing it is sufficiently pliable and thin, it can be formed into a tube easily morbidity associated with harvest can be insignificant and tracheo-neoesophageal speech is better than that achieved with visceral flaps. The fact that skin flaps do not provide a moist or secreting surface and that they are adynamic appears to make no difference with respect to a functional swallow compared to visceral flaps. The most common microvascular skin flaps used are the radial forearm and lateral thigh. The radial forearm flap is easily tubed and readily available in most patients (Fig. 24). It is rapidly harvested with large donor vessels. The ease, reliability, and functionality of this flap for pharyngeal reconstruction are unsurpassed. A useful alternative is the lateral thigh flap, although its harvest is more difficult...

Illusive Body Perceptions

External vibration of a muscle stimulates deep receptors in much the same way as extension of that muscle does. It therefore gives rise to an illusive feeling oflimb movement stretching that muscle. This feeling is strong enough to create a strange sensation of impossible body configurations. For example, vibration of the biceps brachii while the fingers are holding the nose leads to a Pinocchio effect'' of apparent lengthening of one's nose. Conversely, vibrating the triceps brachii creates a sensation of the head being pushed backwards and downwards into the body beyond all limits of anatomical possiblity. Ramachandran and Hirstein produced a Pinnochio effect by seating blindfolded subjects behind another person facing the same direction. The experimenter stood behind the blindfolded subject. With his left hand, he took the blindfolded subject's left index finger and used it to repeatedly tap and stroke the other person's nose while his right hand tapped and stroked the subject's...

Testing for Muscle Strength

An inability to walk on either the heels or the toes because of weakness in the foot dorsiflexors or plantar flexors, respectively, suggests an L5 radiculopathy in the former case and S1 root involvement in the latter instance. Similarly, difficulty in assuming or arising from a squatting position may indicate quadriceps weakness associated with L4 root compromise. Muscle atrophy can be detected by circumferential measurements of the calf and thigh bilaterally. Differences of less than 2 cm in measurements of the two limbs at the same level may be a normal variation.15 Weakness of the hip flexors suggests L3 compromise, of the quadriceps L4, the foot dorsiflexors and great toe extensors L5, and the calf S1 radiculopathy. Deep tendon reflexes are tested and compared one side with the other. An absent or reduced knee jerk suggests an L4 radiculopathy, biceps femoris jerk L5, and an asymmetric Achilles reflex an S1 root compression syndrome.19 Up-going toes in response to stroking the...

Supination NeutralPronation

Pinnate Muscle

Anatomically, this fiber arrangement has been classified as either parallel or pennate. A parallel arrangement means that the muscle fascicles are aligned parallel to the long axis or line of pull of the muscle. Muscles like the rectus abdominis, sartorius, and biceps brachii have predominantly a parallel architecture (Figure 3.7a). Pennate muscles have fibers aligned at a small angle (usually less than 15 ) to a tendon or aponeurosis running along the long axis of the muscle. An aponeurosis is a distinct connective tissue band within a muscle. This arrangement is called pennate because of the feathered appearance. The tibialis posterior and semimembranosus are primarily unipennate, while rectus femoris and gastrocnemius are bipennate (Figure 3.7b). An example of a multipennate muscle is the deltoid. ries. The rectus abdominis can shorten from 1 3 to 1 2 of its length because of the parallel arrangement of fibers and fascicles. Small muscles may have a...

Surgical Highlights

Between the vastus lateralis muscle and biceps femoris muscle. The width of the flap through, or posterior to the short head of the biceps and there is a wide variation of the biceps must be sharply incised to follow the profunda femoris vessels superiorly. The profunda femoris artery and its accompanying venae comitantes are trans- o ected just distal to the second perforator. Dividing the profunda femoris artery proximal to the second perforator (usually the largest of the perforators) may cause

Postnatal Growth

Associated with the force that is demanded of a muscle. Muscles used for locomotion, such as the hindlimb biceps femoris, have larger-diameter muscle fibers and more connective tissue than postural muscles, e.g., the psoas major. The following discussion will highlight the cellular aspects of postnatal bone, skeletal muscle, and adipose tissue accretion. These tissues compose the majority of body mass in all domestic animal species.

Collagen Solubility

For sheep tn. semimembranosus, collagen concentration is highest in newborn animals, but decreases and becomes constant from 40 to 365 days. Collagen solubility was shown to be greatest in newborns, and as a consequence the meat is more tender (64). While the collagen solubility decreases with age, from approximately 50 in newborns to 31 at 42 days, down to 12 at one year (64), the decreases from then on clearly are not important in terms of tenderness. So although it is true that very young animals are tender from this component, it is not relevant in terms of the age at which animals are normally slaughtered. The studies also showed that high or low values for collagen levels and solubility in the m. semimembranosus were also true for the m. biceps femoris (64).

Functional Anatomy

The biceps muscle originates on the coracoid process (short head) and the superior glenoid labrum (long head) and inserts on the bicipital tuberosity of the radius. The long tendon runs over the head of the humerus in the bicipital groove and courses to its insertion inside the shoulder joint. This makes it susceptible to repetitive microtrauma and degenerative changes from repetitive overuse. The biceps functions to flex the elbow and supinate the forearm. Ninety-seven percent of ruptures are proximal, occurring in the long head of the biceps. Distal rupture is rare, with fewer than 200 cases reported in the literature. Tendon rupture is usually the end result of repetitive microtrauma with degenerative changes and so is seen most frequently in patients between the fourth and sixth decades of life. Chronic glucocorticoid use and or injection are also etiologic. The injury is unusual in young athletes. Rupture is precipitated by sudden or prolonged muscle contracture against...

Lower Extremity

The thigh has three compartments the anterior, medial, and posterior. The anterior compartment contains the vastus lateralis, the vastus intermedius, and the vastus medialis muscles, as well as the sartorius and rectus femoris muscles. The femoral artery and nerve also traverse the anterior thigh compartment. The medial compartment contains the adductor longus, the adductor brevis, and the adductor magnus muscles, plus the gracilis muscle. The posterior compartment contains the semimembranosus, the semitendinosus, and the biceps femoris muscles. The sciatic nerve also traverses the posterior compartment.

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