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ART
ATOMY
ByE.GXUTZ
^V.^
If
Q-
<^/
'1;''''
-J
a
r--'^*'^^".-^
A/CL
PRACTICAL
ART ANATOMY
BY
E. G.
LUTZ
ETC.
NMAA/NPG LIBRARY
FEB
1
mi
SMITHSONIAN INSTITUTION
NEW YORK
CHARLES SCRIBNER'S SONS
1918
Copyright, 1918, by
May, 1918
CONTENTS
PART ONE
THE SKELETON
PAGE
.
Articulations
10
11
13
The Order
Our Study
n.
of the Skeleton
14
CHAPTER
The
Spinal
Column
16
18
23
of Vertebrae
of the Spinal
The Thorax
25
The
Pelvic Bones
32
CHAPTER
of the
36
42
of the Face
vi
CONTENTS
CHAPTER
The
IV.
46
53
Hand
64
CHAPTER
The
Pelvic Girdle
V.
The Bones
Leg
72
of the Foot
84
PART TWO
General
loi
Body
Body
.
107 114
.
.
to the
Movements
of
of the
The Order
Our Study
121
132
136
145
The
Gluteal Region
150
CONTENTS
CHAPTER
The Head
(i)
vii
154
Cranial Muscle
of Expression
The
154 156
163 165
Side and the Posterior Region
(2) (3)
The Muscles
The Muscles
of Mastication
The Neck
(i)
165
171
(2)
of the Throat
(3)
The
Superficial
of the Face
CHAPTER
The Upper Arm The Forearm and
IX.
the
Hand
X.
CHAPTER
The Thigh
The Leg and
Index
the Foot
233
249
PART ONE
THE SKELETON
The Skeleton
in
THE ganism
tion.
skeleton
Or putting
it
concisely:
the
when
it is
in repose,
protects
and
deli-
and
of the
Again,
it is
move
this
mecha-
human
flat,
4
long, short,
The cranium,
so often referred to
is
as the brain-box,
MALAR 60NES
IfmEGULAR
UPPER JAW-B0NE5,
CRANIAL
LOWER JAW-BONE
BONES
}FLAT
r-LONG
'
CLAVICLE:^
RADIUS
PHALAN(^E5
HUMERUS humerus
FLAT
CARPAL OR WRIST BONES
y/RREGULAR
number of
flat
bones.
the positions
when
taken up.
Long
make up the
and
in
Of
humerus;
The
skeletal
the
first
THE SKELETON
bone, the femur.
leg,
there are
ula.
two long bones, the tibia and the fibThe bones of the palm, or body of the hand,
The collar-bone is a long bone, too. The short bones are exempHfied by the skeletal segments of the wrist and ankle. The knee-pan, or
patella,
which functionally
is
is
moid, or pulley-bone,
Of the
They
most
por-
The combining
tions.
effected
by
joints, or articula-
As
are designated
either
movable or immovable.
the articulations are of
irregular, zigzagging
fis-
The
sures to be seen
immovable
joints.
They
Sutupes
of
Elbow
join-h
the skull
IMMOVABLE
an
These
joints
But of
practical
matter of
This type
knowledge,
is
known
is
as the perfect, or
movable,
joint.
THE SKELETON
The several kinds named according to
function,
7
articulations
of
movable
are
their resemblance, in
form and
to
certain
mechanistic
structures
and
movements.
PIVOTAL
Betweea
atlas
"the
and axis
BALL-AND-SOCKET
HING-E
Elbovs/ -
Shouldep
ROTATINGBALL-AND-SOCKET
Hip
The
hc2>.d of the radius +upRm^ in the lessen sigmoid cavity of the ulna
HING-E-LIKE
Movements the knee
HlNQE
Ankle
ARTICULATIONS OF THE SKELETON ILLUSTRATING VARIOUS KINDS OF MECHANICAL JOINTS AND MOVEMENTS.
Of the
is
the
ball-and-socket joint.
in the shoulder
and
whole skeleton.
The
8
is
bone.
The head
is
bone
is
is
shallow.
When
its
completed with
it
ligaments,
The articulation at the elbow is a hinge-joint. The movement, too, is distinctly hinge-like; that is, the play of movement is in one plane only, forward
and backward.
tion, the
Although
as a
matter of construc-
known
concerned
move mainly
one plane
on
its
This joint
it
may
ting one, as
causes,
when
functioning, a rotatory
movement
to the radius.
is
An
the
interesting articulation
first
THE SKELETON
a notch which
fits
the
and
it is
around
bony tooth, or
pivot, that
side to side
The pecuHarity
of the adjustment of
two bones
IN
PIVOTAL ARTICULATION
TAKES ^LACE
BETWEEN THE ATLAS AND AXIS WITH THE SKULL RESTING- ON THE ATLAS
HERE
/KTLA5
THE ROTATION
AXIS
Posttnion v/cw
Thz head
show
fhz.
DIAGRAM TO SHOW HOW THE HEAD MOVES ON TOP OF THE SPINAL COLUMN.
is,
in general, that
fitting into a
con-
but
slight,
some of the
even rota-
ankle bones.
of the
movement may be
ing ones.
lo
The Ligaments
The
articulated bones of the skeleton are held
liga-
to the
act
as
check ligaments
movement from going too far, the wrong direction. Some articulations,
are put frequently into
ac-
by
additional parts
called capsular
One
such
joint.
is
They
is
to be kept in
body.
To him
in a pose,
rium
soft
THE SKELETON
I.
II
Fulcrum
Resistance
OP v/z\^hf
P Powep
We
that
many
this in evidence
12
or practical things.
exhibited in the
human
osseous structure.
is
The
first
class
in-
arm
And
when
the calf
move
the foot.
ful-
crum.
When we
this
form of
type of
lever.
the
resistance
bearing
of our
body
'the
ankle-joint,
comes between the fulcrum the ground where toes touch and the power the contracting
calf
muscles.
is
applied
This type
illustrated
is
in
The elbow
is
joint
Again when the foot is lifted free from the ground and then flexed we have another example
power.
of the third class of levers.
THE SKELETON
of the ankle-joint
13
the
in
fulcrum.
The
tip
of the
The Helpfulness
Drawing of an Under-
we go on with
will
be
reliable, fixed
And
mark construction lines in the preliminary sketching when establishing the pose, or for work depicting action. For character drawing and portraiture, the skeletal indications of the head that
show outwardly
are important
would help, again, in drawing the trunk, to have a good understanding of the construction of the bony thorax and the shape of the pelvis, as they can be considered as fixed and rigid
portrayed.
It
formations.
They take
it
Then
14
landmarks where parts of the bones become subcutaneous, that is, they have these parts close under
the skin, and so directly influence the form.
The
tibia, or shin-bone, is a
it
again,
is
that
it
is
So
it is
obviously clear,
is
then, that
as
necessary
fundamental
system.
remains
now
we
First
we
we have
given
we
will continue
with the
The
of
the
bones of the
cranium and
Next
we
lower limb.
The
THE SKELETON
IS
two Hmbs
are arranged.
Scapula
Humerus
Femur
Tibia
Fibula
Radius
-Ulna
Carpals
Tarsals
M etatars'als-Metacarpals
Great toe
Thumb
TWO
LIMBS.
4 Toes 4 Fin^zps
SIMILARriY OF THE STRUCTURAL PLAN IN THE
II
THE
It
is
axial skeleton,
a flexible strong
stem to which
the other osseous parts of the body are attached. the bony chain,
it
may
rest of the
frame together.
it
a line to represent
may
first
thing to
mark on the
upon.
its
curve
is,
and
reflect
The trend
of
its
curve influences
bony structure
is
composed of a number of connected segments forming a more or less easily bent stem. Each separate segment of the series is
spinal
The
column
is
called
a vertebra.
An
17
back of which
opening
a ring, or arch,
that
forms
the
spoken
of immediately
Atlas
7 Cer>vical
or>
Axis
Veptebpa^ ppomiueas
acck vcpfebrae
Thd
12 D6p5a1
oir>
pib vcptebpae*
beni
f0Pwapd5
Lumb^t^ vtptchvX'^
Sacpum - considcpcd
as one borie-but a unioa of 3 vcptebral par+s
EU'stfc disks 3^pe placed between the bodies of-the^ diffepeat vcptebpaa
Coccyx*&U
6.f-
pudimeritapy
veptebPal bodies
ITS DIVISIONS.
From
its
arch
The
is
a spinous
spines,
i8
They show
is
in the cer-
column
as a
bent.
It
would be well
ir
CERVICAL
DORSAL
LUMBAR
SACRO-COCCYO^EAt,
IN
process " as
used
The term
designates
man
the
is
Below the lowest of these there are two bony portions formed of modified or
back-bone
twenty-four.
rudimentary vertebrae.
the other
The
first
portion
is
the
19
counted
in,
A pt
cu1ar
supface
ATLA6
Post^nt'or*
H<z,rz,
tnansvcpsc
Odon+oid
pivot of
AXIS
The
Articular
Fi pst
Supface antlculatin.^
with a copp<2Spondiri^ Supface of the atlas
Body
process
Body
Spinal
foramen
Transverse process
Spinous process
Spinous process
Dopsa^l
TYPES OF VERTEBRAE
Uumbap
ments would make the number of the vertebral parts constituting the whole column as thirty-three. But it is enough for the artist to regard as the spinal column proper only that section comprising
the
twenty-four
movable
vertebrae.
It
may
be
20
^P|x
A^
\
In
the mammalian animals, with but a few exceptions, the
all
4
yj^^'^^^
number
vertebrae
of
is
cervical
QIRAFFZ:
.<i..i-t
M1
^Sl
are
usually have
many
more.
vertebrae there
The
this:
first series,
In
all
mammahan
giraflPe,
number
seven.
In the
but
no neck at
all
The
excep-
21
cervical
vertebra, the
atlas,
The
last,
it
might
called
be said.
The
is
forms a con-
To
this
them
For
The
brae,
third group
is
They
The
of the Ameri-
ment of these processes. Here they ment to the ligamentous cords that
Passing
stretch to the
and more
22
are ligamentous
proper de-
gree of curvature.
Some
of the ligaments
those
with the
fibres
Amcpicaa
Bisoa or Buffalo
The
long spines of the dorsal vertebrae of the bison, or American buffalo, give attachments to ligaments and muscles that hold up the head.
its
has
been bent.
Placed
the vertebrae, and to the elastic quality of the substance of which they are composed, that some of
movement
of the back-bone
is
THE AXIAL SKELETON
Movements of the Spinal Column
The
varies.
23
degree of
movement
In some regions
it
very limited,
as,
for
This
is
During lateral
incllnatioR
of-
PG^ioa dupiag
]^i^p^} luclin^tioa
place ia
the
lumbar
pc^ioru
flexion;
sion.
extenlittle
it
leans to the
re-
F//
id
and B.
The
action
is
continued by
movement
in the
25
in
Here
also in
bending forward, as
free.
bowing,
the
too, in a sort of
way, be
ro-
tated.
accompHshed by a twisting between some of the vertebrae. But there is very Httle of this movement between adjoining vertebrae on account of the particular way in which the articular
surfaces
all
fit
of
the
little
When
call it
the column
is
we may
it is
If with this
movement we combine
By
we
are able
The Thorax
bound
and
anteriorly
connected
26
bone.
The
ribs
to the breast-bone;
iS^?
mm
i
)
'If
:..
\\
'IS
<^Ct
The
thoracic skeleton and the pelvis give good leading lines in the preliminaryconstructive work in figure-drawing.
At the back the ribs are fastened to the vertebrae by joints that permit the movement necessary in
the raising and lowering of the ribs in breathing.
Although
in
it
is
usual,
is
27
ARTICULATION
ATLAS
AXIS
THE 7
CERVICAb
INNER END
OF THE
CLAVICLE
CORACOID PROCESS
OF THE SCAPULA
VERTE-
ANGLE OF THE
SPINE OF THE
STERNUM
GLENOID CAVITY-'
SCAPULA
SCAPULA
JOINT
ZfKTRUE RIB
8<h.9th.&
FALSE
Rlb5
10 H.
RIBS
LUMBAR VERTEBR/E
J
FLOAT! N&l
RIBS
CREST OF THE
ILIAC
ILIUM
05 INNOMANTERIOR SUPERIOR
SPINE
INATUM
PELVIC
BONE
LATER.YKL
THE HIP-JOINT
V/EW
well to keep in
in
is
some movement
however,
the
ribs.
The movement
limited,
and the general shape of the cage-Hke thoracic skeleton does not change very much.
As
for the
form of a typical
rib,
without particit
ularizing too
as curved
its
posterior extremity.
28
MASTOID PROCESS
VERTEBRA
PR0MINEN5j)R
CERVICAL
r CERVICAL VERTEBR/t
SCAPULA
'
/
ACROMION
SPINE
AXILLARY
flZ
[
DORSAL
BORDER
INNER BORDER
[NFERIOR ANQLE^
VERTEBR/E
fs LUMBAR [VERTEBR/E
POSTERIOR
SACRUM
COCCYX
POSTERIOR VfEW
THE SKELETON OF THE TRUNK.
SUPERIOR
ILIAC SPINE
It
IS
that
limit of a
the Hne of
is
This
a note-
in the formation
of
In
29
FIRST RIB
MANUBRIUM
THE 7
OF THE
TRUE RIBS
8fK 9tti ? 10 \h
STERNUM
BODY OF THE
STERNUM
XIPHOID
FALSE.
RIBS
PROCESS
]
RI5S
The a
RIBS
FLOATIN(^>
CARTILAQES
JOININQ RIBS
AND STERNUM M
ILIUM
)
ACETABULUM
PUBIS
PELVIC
BONE
ISCHIUM
ANTERIOR VIEW
THE SKELETON OF THE TRUNK.
mon median
tw^elve ribs
side of the
own
These are
The
30
remaining
are
designated
as
false
ribs;
of
as
The
first
ninth,
and tenth
are
the eighth,
rib.
joined
by
cartilaginous ex-
The
line
formed by
this
cartilaginous part
ribs
some lower
shows
that
as a
The
It
mark the
it is
is
and
con-
spicuously in
evidence
when the
chest
raised
The
line of
costal
also
called
the
first
sternum.
It
the
a short bone,
rib.
The
The
third portion
but a small
process.
This
xiphoid
process,
little
also
termed the
on the
ensiform
appendage,
it
is
has
influence
outer form, as
it
Then
marks a depression
is
arch that
pit of the
known
stomach.
xiphoid process a cord of tendinous
From the
31
be noted in
The upper
like
is
called
body
is
the gladiolus.
The
artist,
memory
mind.
anatomiis
The
line of
it
the sternum
forms a very
floor
signifi-
cant landmark
it
marks the
of the furrow*
on the chest that divides the two breast muscles. The particular view that the sternum presents to the eye is an important determining factor in starting and proceeding with a drawing.
Viewed from
is
the front,
it is
vertical
equipoised,
and from the side its direction, coming from below, But this latter goes obHquely toward the throat.
line is
is
a characteristic angle
the bone.
The sternum
The
32
^The
skeletal
and
sacrum.
it
is
On
account
of
its
basin-like
formation,
The
two hip-bones
together.
term of
so far used,
{os
is
also
.
known
It
innominate bone
innominatum)
can
It
its
is
a difficult osseous
complexity of curving
The
it
is
composed, the
The
ilium, or iliac
33
is
will
be referred to at times,
It
is
the
irregularly wing-shaped.
hip.
In some cases
its line
OF A PELVIC BONE
.
'
ILIUM
PUBIS
An
ifupoptant
ISCHIUM
Poupart's Ligamcat
outcp landmank
Acetabuluin -the
socket of the hip-joint
strong ba^nd of fs^scia-it Pubic manks the lowep bopden of symphysis +h(2 abdominal apoR(?uPOSis and coppesponds +o the fold of the gpoia
Tubeposiiy of the ischium on which the body pests intbe seated positioa
ITS DIVISIONS.
of muscle.
The
The
as
it
passes
symphysis.
is
called
Pou-
part's ligament.
Marking
anterior iliac
34
other side,
superior
mm
'
/^^ma7e
The
or ischial portion,
is
This latter
portion
is
characterized
It
is
by
on
ischial tuberosity.
The
two
sexes
35
in the shapes
and propor-
tions of the
The
female pelvis
its
in a front view,
Relatively deeper
for a right-
be nearly square.
slants slightly
Viewed
male pelvis
forward.
keystone,
the
is
hip-bones together to
a large
form the
pelvic basin,
The
bone
The
ments,
somewhat vertebral
Ill
is
hinged to the
by movable
The bones
eight
bones.
Of
two temporals, and the frontal. The two other bony sections, the sphenoid and the ethmoid, do not come within the scope of our work
as
It
might be
well,
in
37
bone
is
at the
rests
found the opening, foramen mageach side of this opening are the
On
It
it
is
by
as
were,
forward
and backward,
side.
and
to
slight
degree
from side to
a strongly
On
felt
tum
attached.
some of the
vertebrae.
On
on the
faces.
and sur-
They
are
attached.
The
tra-
lines.
The two
This,
is
somewhat
a matter that
38
will
show
this
clearly.
Each
bone has on
this
its
outer side a
of the
Occipi+al bone
The two
Parietal bones
pap eta
i
Zygomatic ancK
Fpoatal bone
cpanium
Nasal boaes
cranium.
The
The
two
head.
^artist,
frontal
bone
Its
is
parietals.
The bone
its
is
The
frontal
39
the bone;
starts
This
FRONTAL
^-><^ Pant of the SPHENOID^
/
^^^-.
X..--^
xr
"\
PARIETAL
(2)
NASAL
(^)
"V:1A7/ ^^^
/L-- OCCIPITAL
SUPERIOR MAXILLARY
l^^^^WM^"^ ^^ TEMPORAL
INFERIOR..^^ MAXILLARY
ape
^^
MALAR.
(Z)
born,
"iwo
oP fhz pa^nticudan
fhzm so man/^ed
line, as it
On some
heads
marks a decided angularity in the region. Immediately above the eye on the frontal bone is
Often
is
its
varies
These
ridges,
for character.
The
40
Above the
is
When
the superis
On
is
character
is
quite
and strange.
The
forehead
primitively
composed of two
frontal
When
still
bones have
They
and
in
of
a child's
forehead,
way
is
out
The
is
bridge of
an important
41
bony structure of the face the zygomatic arch. In the temporal bone is found, as can be learned on
the examination of a skull, the opening to the internal ear.
Back of
this
large,
cone-shaped
Vertex
protuberance.
top of
the
the
Tempbra^l
line
tKe head,
^pon\3^
eminences
Papietal
Supepcilfa^r^y
pi
d^es
em\n<zncz
Nasal
bones
bone
Zyigom^ OP ^y^omatfc arch Map^in of the lower jaw-bone.
cheek-bones
M entail
emineace
OUTER RELIEF.
the model.
It
the
ward
shell
cord-like
of the external
attachment to
this
On
42
fossa^
^__-^vy Sutures
Openm^
ear>
leading
Opbit
Nasal opeair\g-ia fpont of whicK is placed the cartilagmous framewopk of tKe nose
CoPOTioid process
it receives the lascptioa of the
to the iritenaal
Angle
Temponal muscle
in front of the
opening
our attention.
lower jaw-bone.
They
maxsingle
and the
The
malar, or cheek-bone,
forming the
is
promi-
the
first
bone of
we
is
consider.
arch, to
The zygomatic
tention above,
poral,
as
it
clearly
Especially so in
43
And
The
significance of race
Not
for-
One we have
Another
this
is
third
process
The two
The upper
form so very
make
their
of the
nose.
44
out
by the cartilaginous framework of the nose. Although this structure gives form to the principal portion of the organ, the general mould of the nose is established by the character of the nasal bones. Their size, shape, and angle at which they are set
with respect to the other bones, determine the form
of the cartilaginous part as
we
see
it
in the living
model.
One could
fairly
imagine,
in
viewing
skull, the
nasal bones.
The
rudimentary state
median line of joining is termed the symphysis. Roughly described, the lower jaw is horseshoe
in
that
fit
bones.
skull
is
by a joint permitting a threefold function. The jaw moves (i) from side to side, (2) forward and backward, and (3) the simple hinge movement of up and down, as in opening and closing the mouth. The combined articular action taking place at this
joint
is
grinding of
45
is
unless the
this
in
region
definition
size,
and
its effect in
manner
in
which
it is
set
facial
the degree of
Often
in
no angle at
all,
But there
is,
line, in
is
facial
it is
observa-
its
lower inner
part.
tion.
IV
in
an upper limb.
Now
in the
in
the
first
the
way
which
bony frame-
work.
in the skeleton
divisions,
called the
The
summit of the
shoulder.
It
line.
an elongated S-curve.
46
formation
is
47
in the
under the
skin.
There
is,
between the
two
It
is
well
marked, unless, as
is
SHOULDER
JOINT
Dots show
where
move meat
^-akes place dupja^ this
ac+iofi
of
raisin.^
arTn
the
WHERE ARTICULAR MOVEMENTS TAKE PLACE IN THE SHOULDER GIRDLE WHEN THE ARM IS RAISED.
it
may mask
form of the
chest.
But
in
48
At
its
is
connected to
In the
we
term
of scapula.
The
movement permitted
spect
as in
it
is
a ghding one.
the shoulder
is
The
scapula
is
outline,
with a
or
its
keel;,
running obliquely
posterior surface.
One
armpit
has
the
upper-arm
joint.
This
is
depression
is
called
the
glenoid cavity.
is
all
the de-
scapula.
The
special
names, to
49
Acromion process
Coracoid process
Supface
QlenoJd cavity tKe socket of i*Ke sKouldepjoint-
applied +0 the
+hopax and
sliding
Ovep
it*
Extcpnal op
AxiHapy bopdep^
Innep op Veptebpal
A n ten/ on
v/z
bopden
SpiPC
Suppa-spinous
Acromfon^
process
fossa
Tpiangulap supface at
the. poot" of
Copacoid process
I
+he spine
nf ra-spinous
Irinen op
fossa
Extepaal
or*
Veptebpa\
bopdep
Irifepiop
angle
R^i^kt ScBipulai
THE SCAPULA AND
Poatzpion vizw
ITS PARTS.
The
edge
on the back
close
is
and
its
coming
so
artist.
The muscles joining its borders swell out and mark in most cases a shallow depression along
extent.
its
On
httle
show
as
The
outer end of
on the inner margin of which an answering surface on the clavicle fits to form the articulation which we have mentioned above the acromiofacet
clavicular.
The
shows
as a
moves beneath the integument can be followed by the eye in shoulder and arm actions. The inner, or vertebral,
decided jutting out and which as
border
of the
the
vertebral
51
and Hmb.
scapulae, in
pushing the
far apart.
subcutaneous,
line to
it
good
observe
when drawing,
especially for
marking the slope of the shoulders when quickly laying in the preHminary pose of a figure.
Mention should be made here of a projection of bone on the scapula that extends beyond the rim of the glenoid cavity; named on account of its resemblance to the beak of a crow, the coracoid process.
it is
It is
is
noted here as
muscles
an important anatomical
detail, three
its
surface.
The
is
an arrangement of a
always present,
diflFer-
The
scapula in animals
is
The
collar-bone,
or
clavicle,
in
some
52
creatures
often wanting.
it is
embedded
and
the muscular
fibre.
In these cases
in countless other
main
But
in the
human
skeleton the
to
above,
the
sternoclavicular
articula-
Now
girdle.
make
this
up what
formation
as
it
is
called
The term
(it
is
There
is
is
at
complete,
sternum bridges
mechanically articulated
or classroom, will
its
show the
to the
of this girdle in
relationship
thorax.
By
see
you can
how
53
_JL__
The
2.
l^
resting, in a
way, on
bone, or humerus,
its
is
joined to the
cavity
of the
scapula,
shoulder-joint.
is
movement permitted
tation,
at this articulation.
But
ro-
which
is
54
BICIPITAL
QROOVE -FOR
HUMERUS
INTERNAL CONDYLE OF THE HUMERUS
OF THE ULNA
TENDON
OF INSERTION
ULNA
HEAD
or THE ULNA
RADIUS
M ETACARPALS
THE FING-ERS HAVE EACH THREE PHALANGES
\
LIMB.
LEFT
ARM ANTERIOR
V/E\^
by the arm as a whole turning on its axis, is somewhat Hmited by certain strong Hgaments, bony interferences,
The
that
shaft of the
humerus
lies
enough to the surface to have any great influence outwardly are the two projections
close
come
SS
HUMERUS
EXTERNAL CONDYLE
IT
INTERNAL CONDYLE
OLECRANON OF
THE ULNA -IT
FORMS THE POINT
RADIUS
OF THE EILBOW
ULNA
STYLOID PROCESS
OF THE ULNA
THE RADIUS
ARTICULATES
DIRECTLY WITH
THE WR15T
8 CARPALS 5 METACARPALS
at the lower
end
The
inner one, the internal condyle (or medial epicondyle), can be said always to be in evidence;
but the
S6
The bones
the ulna.
It will
When
tomary
the
arm
is
hanging by the
not the
side, in
the cus-
the other.
Now
this
is
way
In these they
drawn
This can,
item in question
allel
is
named
position of the
two bones
mind.
With the
the the ob-
arm held so, the bones parallel, the one nearest body (inner) is the ulna, and the one away from body (outer) is the radius. It should be next served that the thumb is on the same side as
radius,
the
little
finger
is
on the side of
the ulna.
anatomical facts
thumb
side;
and
little-
The
its
hinge-Hke in that
play
in
one plane
only
57
hinged
elbow-joint
is
quickly
described:
humerus.
ISex
Associa^te
la
youp
Associa^te
ia
ll
Kwk
1 \l
(
.
mind:
\
\y
youp
Outep
Radial, and
naind:
|,\
Thumb
side
Innep,
\\%\ Ulna^p^aad \ Nftg-- RADIUS Little. fin^ep\ side \ \ULrJA lll^^ THUMB
^ *
Y m\
LITTLE FINGEf
^^-W
humerus.
it
You
bony
is
the internal
58
is
the
now from
this
FHqHT
ARM /NNR
HUMERUS
V/W^
ULNA
RADIUS
it
will
when the arm is fully extended the olecranon nearly disappears. The explanation is that the crest of
the semilunar notch of the ulna, forming part of the olecranon, has sunken into a hollow, the olec-
ranon
merus.
fossa,
In flexion, that
59
coronoid
fossa.
As the
parts
here
are
not observable on
we will next
sub-
cutaneous
olecranon
crest.
From
the
move
the
little
of the
fingers
of the
pressed
will
have followed,
if
you have
This
is
gives a division
This
region
ulnar furrow.
all
The ulna is not a straight bone, it resembles very much an attenuated double curve, which fact can
be appreciated by the
little
experiment suggested
above of following the subcutaneous crest of the bone. The ulnar furrow leads to a knob-like eminence at the wrist, a prominence that
in evidence
is
particularly
is
in
pronation, a
6o
we
will
speak presently.
the
round head of the ulna (in this case the lower end of a bone is termed the head). A pointed part of
the lower end of the ulna, the styloid process, also
forms, in the position of supination, a prominence
observable externally.
The ulna
of the wrist.
The
radius
is
The
radius,
is,
external
the forearm,
character.
Its joining to
and the contour of the forearm continues without much of a break to the wrist and hand. In thus
speaking of this continuity of line
its
we have
in
mind
Here the line coming from the forearm and passing to the hand is broken by the prominence of the ulna head and the concavities it causes, together with a slighter eminence of a wrist-bone. All this
in connection with a
very
difficult
matter of drawin
ing in figure
work
the forearm.
any such picturing a clear understanding of the anatomical structure of the region by a proper attention to the bony characteristics that show on the outer form.
There should be manifest
6i
of an
interesting character,
And
in
is
fact wheel-Hke,
of the button
fits
ring of ligament
The
it
pecuHarities
of
movement
the radius,
when
wheel-like head in
ulna, and at the
its
concave top
The
movement.
It
moves
This
is
is
due to the
not straight.
and turns on
arc of a circle.
its
axis,
and
62
movement
just
now
indicated
make
possible supination
and pronation.
anatomi-
Now
cal
position,
JOINT
TURNS ON
ITS
AXIS
THE
HINGt-LiKE
EL50W
JOINT
Palm
of the
ULNA
hand
Back of
tha
i
hand
Supi na^tion.
Pponaf on
MECHANISM.
is
supine; that
in
is,
ward; while
is,
prone; that
or
made
to face
downward
backward.
These two opposing movements of the forearm and hand are like this: starting with the radius and the ulna parallel, we move the thumb forward,
63
turn
it
it
rying with
at last directed to
the back.
In this act
we have caused
the radius
Humerus
Radius
Thumb
Back
alta
ofilie.
Kand
SUPINATION
SEW-PRONATION
PRONATION
the forearm.
position,
we have
supi-
arm
is
this
when
the
arm
is
in
two
is
sections of the
arm
make, viewed
elbow;
anteriorly,
64
the
arm has
by diagrams, but it would be best to observe it in your own arm. If you have tried this pronation and supination in your own arm you, no doubt, have noticed how the radius seemed to be the bone that carried the hand with it during these actions. This, in point
of fact,
is
it is
the wrist does not enter in any true articular connection with the wrist-bones.
tilage interposes
between
it
Two
and semilunar.
thumb
is
side, is
magnum,
The scaphoid
is
also
termed the
The unciform is also designated as the hooked bone. The pisiform bone (Latin, pisum^ pea), is but a
globular osicle that
is
considered generally
as
6S
by a small
the cuneiform.
To
THt2nd. 5ra'
4.m<and ^-fh. DIBITS HAVE
^^ Q
^
/A
\
r^
DORSAL surface: OR
the:
i^
EACH 3 PHALANQE5
i^^i
vk \k
\
5 METACARPAL
05
MAGNUM^^"t^ ..\vl^^
\ill
ill
'\
1
'
">
1""'
UNCIFORM--.
CUNEJPORM
^^^^^^^^'^Y^
'w^y
6 BONES
PISIFORM--"
7^^^^^^-^^TRAPEZIUM
f^^^l^^^^--.^^^TRAPEZOID
^^ /W T^
^^-^..^^^^
ULNA
RADIUS
^^"^SCAPHOID
LEFT HANO
THE BONES OF THE WRIST AND HAND.
(Compare with the diagram
of the bones of the foot
f |ff
^SEMI-LUNAR
on page
85.)
But
in the
when devoid
This
is
66
hooked process of the unciform; and on the other side by a projecting ridge of the trapezium. This
OS MAGNUM
TRAPEZOID
Os -Boae
A7aj/2w^-Gpea+
UNCIFORM
Hook-liKe Uncus -hook
TRAPEZIUM
PISIFORM
Pea -shaped
6
I
No two
CUNEIFORM
Wedge-shaped Cuneus -Wed^e
SCAPHOID
Boat-sKaped -Th,is bone
the NAVICULAR ' Na<vis -A sfiip LEFT HAND - ANTEIFLIOR. or
is also
SEMI -LUNAR
Sem\ "Half Luna "Moon,
caviled
PALM SUR.FACE
hollow
is
filled
up
by tendons
ments to the
At the
pal bones
line of
is
67
liga-
considerable
movement.
Although numerous
ments bind the carpal bones together, they move on each other the whole character of which movement can be summarized as of a gliding nature.
Next
in order
come the
five
metacarpal bones,
body
of the hand.
to the
is
that belonging
thumb.
The
articulais
by which
this particular
metacarpal
joined
is
to
its
the
trapezium,
one
that permits
tion.
movement
is
in all directions
but rota-
The
joint
fitting into
articular surfaces.
The
in
movement.
Muscular
in these matters.
The
firmly
tute,
ture of the
by strong ligamentous
They
consti-
the palm.
The
first
row of knuckles
68
by
fist
clenched
are
row of
The iwo
of
Sesa^moid
boaes
Mctacappal
of the
thumb
The
sa^ddle-h'kc
apticulatioa of thetpa^peziura
Trapezium
TO EXPLAIN THE MOVEMENT IN THE SKELETAL PART OF THE THUMB.
finger phalanges.
The
The bony segments of the fingers and part of the thumb are the phalanges. Each
bone of
this skeletal division
is
the free
separate
called a phalanx.
as
you can
see
own
and the
thumb but
two.
that
row of prominent
69
row of
finger phalanges to
is
An
articulation here
of
movement
is
possible
somewhat
The corresponding
joint in the
by the grasping of the fingers, and exExtension is, tension in straightening them out. in a degree, checked by ligaments that prevent the
fingers
far.
As
it is
know where the bony anatomy aff^ects the outer form, we will go over in review the various regions
of the shoulder and upper
parts
Hmb
in
come
close
Its
its
spine, verte-
bral border,
and the
inferior angle.
Humerus.
pecially.
The
condyles;
Ulna.
70
Its
(The wheel-Hke head of the radius can be felt in rotation if a finger is placed immediately in front
of the external condyle of the humerus.)
Carpus.
In
few wrist-bones
little finger,
Hand.
On
The
row of
finger
phalanges.
is
The joint belonging to the middle finger the largest. The interphalangeal joints. The slightly enlarged ends of the thumb bones at
the articulations.
Note the character of the nailphalanx of the thumb, how it has an outward-
turning direction.
EFORE we
we
will give a
few
moments' thought again to the pelvic bones and their structural design and relationship to the lower limbs. The two bones of the pelvis with their binding keystone at the back the sacrum constitute the lower bony encircling formation of the
The
is
to be thought of
tion, as its
by the
for
artist as
one
rigid construc-
in es-
tabHshing
drawing
in
the
preHminary
The
is
The
place where
it
joint.
71
72
bones in
make-up.
Of
these
we
will
study
leg,
first
of the
and
The
limb
is
limb.
This
two limbs should be particularly noticed, because, if we have learned the characteristics of the bony framework of one limb, such knowledge by analogy will help
in the structural design of the
homology
But
we
find
an extra
is
This
con-
it
is
placed so that
it
greater power to a muscle, the tendon of which passes over the articulation of the knee.
The
thigh-bone, or femur,
is
the body.
is
it
joint
The
fitting of
is
a de-
73
HEAD OF THE
FEMUR -
IT FITS
CtREAT
INTO THE
TROCHANTER
FEMUR
PATELLA
TUBERCLE OF THE TIBIA- HERE THE LIQAMENT OF THE PATELLA
IS
HEAD
OF THE FIBULA
ATTACHED
FIBULA
TIBIA
TARSAL BONES
THE SMALLER OF THE TWO LEQ BONES
ASTRAGALUS - U PPER SURFACE ARTICULATES WITH THE TIBIA
IN
NUMBER
METATARSAL BONES
CALCANEUM
OR
HEEL-BONE
LEFT
UMB
it
ball-and-socket joint.
given to the
74
^REAT TROCHANTCR
LESSER TROCHANTER
FEMUR
PATELLA
OR
KNEEPAN
tubercle: of THE
TIBIA
CREST OF THE
TIBIA
INTERNAL MALLEOLUS
THE Q-REAT TOE
FIBULA
EXTERNAL MALLEOLUS
TARSAL BONES
MEITATARSALS
PHALANCxES
HAS ONLY
TWO PHALANOES
THE BONES OF THE LOWER
is
the shaft,
this
known
is
as the neck,
neck
bone.
The
75
LESSER TROCHANTER
LINEA ASPERA
A ROUq-H RIDQE
TO WHICH CERTAIN
FEMUR
EXTERNAL
TUBEROSITY
INTERNAL TUBEROSITY
NTERNAL AND
HEAD
or THt
FIBULA
FIBULA
ON THE OUTER SIDE OF THE
LECt
TIBIA
ON THE INNER
SIDE OF THE LEQ-
EXTERNAL MALLEOLUS
NTERNAL MALLEOLUS
oft
LEFT
UMB
POSTERIOR. VtEW
LIMB.
IS
lar
has
marked
influence on the
The
is
an important
is
take note
of.
It
a promi-
76
a point
of attachment for some of the large muscular parts of the region, and an outer landmark of great assis-
When
the great
mark the
is
When
the model
leg
nence.
felt directly
On
Hmb
is
is
not
protuberance
lost in
good
line to
draw
for
that through
of the one
The prominence
is
easily indicated;
but the
must be deThis
would be a companion Hne to the one suggested for showing the slope of the hips, and that was to be drawn between two points on the pelvic bones, that is, the two anterior superior iliac spines. On the posterior border of the femur, below the
77
Although
not sub-
cutaneous,
it is
of interest to us as
an important
It is
of the femur
at the
knee
widens
They
condyle.
by
its
bone of
The
tibia
is
enlarged
at
the
knee
and
its
forming two
prominences
osities.
its
internal
and
is
external tuber-
also enlarged,
but
relatively not so
form the
78
tion of the
The corresponding
is
bony-
the ex-
but
it is
formed by the
leg,
the fibula.
as
it is
sometimes
an im-
portant bone,
of the body.
It
is
and
it is
weight to
that
it is
embedded for about three-fourths of its length within the muscular mass of the region. Only its lower extremity,
and again, that
the lateral malleolus and adjacent part of the shaft,
Now
for
our
to think of
its
function as a sort
how
its
the pa-
To
describe
articular
will suffice to
79
between them)
roll,
or rock, on each
and
in their
wrong way by check ligaments, and various ways held by other membranes, includof an artificially joined skeleton
are not very closely
this joint that
The examination
will
mech-
elbow.
The
is
The
patella, kneecap, or
is
kneepan, as
it
is
vari-
ously called,
lower
is
its
apex,
lowermost point,
at
The
pa-
more or
less
fibres of
which tendon
bone in
tella,
its
is itself
place.
name
and
it
is
The
inserted
is
approximately
movements of the
knee-joint.
This
8o
is
due to the particular quality of the ligament, which is of a springy nature, yet does not stretch
nor lengthen
its fibres.
On
is
when
the
Hmb
Part of
thfc
FEMUR
PATELLA
:
is
moved from
NoW;
if
limb are put into tension, either by flexion or simply straining the fibres, the patella immediately
is
diflPerent positions
move-
ment
8i
or represent
is
somewhat
knowl-
of the region.
Among
the
reliefs at this
region are
Even the trochlear or articular surface of the femur in some positions has an influence on the outer form. This is when the knee is bent, and the ligament of the patella holds the patella in the same
relative position
whether the
with
it
tibia or the
femur
top
is
is
contact
the
articular
of
the
tibia,
becomes, as
patella,
knee.
is,
in the kneeling
of the body.
related to pathology,
is
It
this:
becomes
in-
flamed in those
who
are compelled,
by
their occu-
82
pation, to be
malady
filling
is
this
of fat
it
on
will
each
side,
sHght
reliefs
of these pellets.
They
is
another
landmark which we must not neglect to mention; namely, the tubercle of the tibia, where the ligament
of the patella
is
inserted.
It
is
an unmistakable
when
the leg
is
viewed
in profile.
This
this
is
We
have
in the
subcutaneous
drawing.
Its
curvature
is
clearly
perceived from
it
downward
In the matter
name
malleolus
is
malleus y a
hammer
mind
83
Now,
the corre-
Tibia
ntcrnal
Fibula
malleolus-'"
L(zft foot aLTifc-riop view
Extcraal
-malleolus
iaternal
*^.,
malleofus''^*^
.-External
(tibia)
malleolus
(fibulaj)
B.
^^^f^
f^^f
cxfcpnaJ weiv
B The internal malhigher than the external one farther forward than the external one.
is
ankle
is
is
formed by
marks
be a great
84
help for
idea
of the
relative
and the
set.
different
levels, at
First,
tibia;
sharply defined external, or lateral, malleolus repthe end of the smaller fibula.
Now, the
is
remember
this:
is
To make
the matter
clearer,
always keep
mind that
a line
drawn
as
joint,
outward
is
and
downward.
is
that the
placed forward,
bend of the ankle, while the prominence of the external one is placed farther back, about half-way between the bend of the ankle and
the heel.
is,
in gen-
founded on
bony framework.
We
have
foot,
with the
<
85
and some
established
by the
The
and the
THE
q-R.EAT
TOE HAS a
PHALANCJES
5 METATARSALS
PROJECTING- BASE
OR.
METATAR$AL
SCAPHOID
THE TARSUS
CONSISTS
CUBOID
CALCANEUM
OP.
ASTRA (^ALUS
OF
rSURFACE OF THE
7 BONES
HEEL-BONE
FOOT.
and hand on page
65.)
of the wrist
by the seven
tarsal
bones, which
upper limb.
(As
we remember, however,
there are
86
The calcaneum,
os
calcis,
or heel-bone,
is
the
Tibia^
Astra <$,ai! us
Fibula^
FLEXION
ANKLE-JOINT.
EXTENSION
On
its for-
ward part
it is
it
The movement
in the ankle-joint
is
like
that of a
else.
The
tibia
and
fibula
87
resemble a clutch-like device grasping rather firmly the body of the astragalus.
The
toe side;
The completion
of this structure
five
is
continued
by the succeeding
metatarsal bones.
The phalanges which come next are the same in number and are arranged somewhat as the phalanges in the hand. The great toe, answering to the
thumb,
has, like
of the toes,
phalanges.
two phalanges; while the rest Hke the four fingers, have each three
it,
And
likewise,
as in the hand,
flexion
But the resemblance in the skeletal plan of the hand and the foot is disturbed by the way the great-toe metatarsal is set and joins its tarsal bone. Instead of a saddle-joint, as in the thumb, it is by a simple articulation, permitting a form of flexion and extension only. Then it is not placed on the foot at that characteristic diverging angle exemplified in the position of the thumb on the
hand.
of the foot
is
one that
es-
man.
88
The
points of
one
The
t^.O.W
fi/0
V/W
is
clearly apparent.
As alluded
to above, the
But
fat,
we
find the
form
filled
thick layers
89
It
their
combined mass
laid
FIBULA
EXTERNAL MALLEOLUS
CUE>OIO
HAS a PHALAK^ES
EXTERNAL
MALLEOLUS
2nd.5rd.4iK and
5^ METATARSALS
CALCANEUM
^MIDDLE CUNEIFORM
'THIRD CUNEIFORM
THE
End. 5rd.4fli
ana. 5th.
TOES
HAVE EACH 3
OR
HEEL- BONE
PHALANQE5
^CUBOID
sole
foot.
we
will
mention
in
90
we took up
in
outer configuration.
FEMUR
PATELLA
TIBIA
CALCANEUMoR HEEL-BONE
LEFT LIM5
INNER
TARSALS
METATARSALS
VIEW
The nopmaV
position of the
PHALANGES
Toedancen's
foot
THE POINTS IN COMMON IN THE SKELETAL STRUCTURE OF THE LEG AND FOOT OF A BALLET-DANCER, AND IN THAT OF THE HIND LIMB OF AN ANIMAL THAT PROGRESSES ON THE TIPS OF THE TOES.
First;,
there
is
back of
it
membrane
91
we
will
now
further note:
In
The
The patella. The external and internal tuberosities of the tibia. The tubercle of the tibia. The head of the fibula. The leg : The subcutaneous surface of the tibia. The ankle : The external malleolus and the internal malleolus.
The foot
The prominence
arch of the foot.
of the heel.
The bony
FRONTAL 50NE
SKULL
OR
CRANIUM
CLAVICLE OR
COLLAR-BONE
ACROMION PROCESS
OF
the:
SCAPULA
SCAPULA
HUMERUS
THORAX
RADIUS
7 TRUE RIBS 5 FALSE RIBS
ULNA
5
METACARPAL
CARPUS WRIST
OF
OR
BONES
6 BONES
14 PHALANGES
OF
THE.
BONES
OF THE
HIPS
OR
THUMB
OR
AND FING-ER.5
HAUNCH BONES
TlBlA
LEG
-
FEMUR
PATELLA
THIGH BONE
OR
THE LARGER
OF THE TWO
BONES
KNEEPAN
FIBULA
7 TARSAL BONES
5 METATARSAL B0NE5 14 PHALANGES OF THE TOES
THE SKELETON.
ANTEmOR VIEW
CLAVICLE
COSTAL ARCH
THE MARGIN
OF CARTILAGES. JOINING RIB5 IN THI5 PART
OF TME THORAX'
STERNUM
XIPHOID
PROCESS
THE
PIT or THE STOMACH
NTERNAL
CONDYLE OF
THt
HUMERUS
ANTERIOR
SUPERIOR SPINE OF the: ilium
INTERNAL AND
EXTERNAL
TUBEROSITIES
OF THE FEMUR PATELLA
EXTERNAL
AND INTERNAL TUBEROSITIES OF the: TIBIA
TUBERCLE
.OF THE.
INNER FACE
of
THE.TlblAANTERIOR,
INTERNAL MALLEOLUS
EXTERNAL MALLeOLOS
CLAVICLE
SCAPULA. BLADE-BONE OR OMOPLATE
On
ACH sioe
rib3
7 True
VERTEBRAL
COLUMN
OF
V.
24 VERTEBR/E
PELVIC
BONES
SACRUM COCCYX
THUMB
SIDE
THE ULNA
GREAT TROCHANTER o(^ THE FEMUR
IS
ON
THE LITTLE
FINGER SIDE
FEMUR
TIBIA
FIBULA
ASTRAGALUS
POSTR/OR.
\]iJ
U OF THE TARSAL
r
V/W
THE SKELETON.
CALCANEUMJ
bones
SCAPULA
SCAPULA- A
Depression
EXTERNAL CONDYLE OF
THE
HUMERUS
OLECRANON
THE TIP OF THE ELBOW
ULNA
LOWER
END
OF THE
ALON&
THE ULNAl^
RADIUS
rURROW
LOWER
END
THE
OF
ULNA
GREAT TROCHANTER OF THE. FEMUR
HEAD
INTERNAL MALLEOLUS
OF THE FIBULA
CALCANEUM
EXTERNAL MALLEOLUS
POSTERfOR
VIEW
WHERE THE BONES INFLUENCE THE OUTER FORM.
SKULL OR CRANIUM
THE BRAIN -CASE
7 cervical
ve:rtebfl/e
ALONE
\Z
DORSAL
ULNA
vertebr/e:
5 LUMBAR VERTEBR/E
OLECRANON PROCESS
OF
The
THE
ULNA
SACRUM
a FLOATING RIBS
COCCYX
N NOMINATE. PELVIC. 6^ HIP BONE
HAUNCH
GrREAT TROCHANTER."
FIBULA
CALCANEUM
OS CALCIS
OR
HEEL BONE
LATERAL OR. ^/P: VIEW
TOES
THE SKELETON.
ACROMION
PROCESS
OF
clavicle:
THE SCAPUl^A
angle
of the
sternum
SPINE
OF THE SCAPULA
INFERIOR ANG-LE
OF THE SCAPULA
OLECRANON PROCESS
The TIP OFTHEELBOVy
CREST
OF THE ILIUM
PATELLA
TUBERCLE or the TIBIA TO WHICH THE PATELLA
LIGAMENT
is
attached
EXTERNAL MALLEOLUS
the
INSTEP -Tarsal
AND
metatarsal
LATERAL
side:
bONES
oA
calcaneum
view
PART TWO
THE GENERAL FORM OF THE BODY
VI
General
WE
ment of
and
that
to say an under-
standing of the character, positions, and arrangeseparate parts, and an idea of the joints
their
will
movements.
We
now
this
move
framework.
Both matters
that
relating to relief
and
line
is
with which
we
shall
This also
in,
in-
or give
to,
the expressions.
These muscles
lOI
in
them-
I02
human
countenance.
The
sion
SCAPULA
SCAPULA
CORACOID PROCESS
BICEPS MUSCLE
ULNA
RIGHT AflM iNNR V/EW
A MUSCLE IN ACTION.
tractile
For us
it
is
not
how
the impulse to
move
living structure
say, a limb
passes
As
we
various activities.
move
103
MUSCLES
OF TM
NECK
THROAT MUSCLES
MUSCLES OF THE
COLUMN
ABDOMINAL
MUSCLES
QLUTEAL
MUSCLES
ANTERIOR
HAMSTR.INq-
MUSCLES
THiGH
MUSCLES
CALF MUSCLES
ANTERIOR.
LECx
MUSCLES
EQUILIBRIUM IN STANDING IS MAINTAINED BY THE OPPOSING ACTIVITY OF THE MUSCLES OF THE ANTERIOR AND THE POSTERIOR REGIONS OF THE BODY.
Principal muscles concerned in this.
The arrows
exerted.
ends tendinous.
A typical
it
is
not possible
104
at
all
make an
exact distinction.
is
The
less
is
origin
more or
is
in
on a part that
it is
moved
by the
active muscle.
Generally,
by a tendon
Ori^irx
Apticulaiioa
Belly
OP
ppiacipal
fleshy
portion
Tendoa
principa^l
Insertion
^unctioa
Exemplified by the Left Longf Supinator
A TYPICAL STRUCTURAL MUSCLE.
succeeding bone;
they skip one bone and pass over two articare the cords or bands of dense tissue
ulations.
Tendons
105
When
show
they are
as
and
sinewy
prominences.
This
is
The tendon
of the heel,
is
the
in the
human
organism.
Sometimes a tendon spreads out into a An aponeusheet of fibre called an aponeurosis. rotic layer gives to the region where it occurs a
area.
is
somewhat broad
Now,
ness
is
a muscle in itself
its
a bulging mass;
it
round-
characteristic.
And
is
should always be
life.
typical of
Con-
human
more or
region.
less in
The muscles
example.
flank, for
The
trated
is
well illusre-
the biceps.
known to every one, Its fleshy fibres, when they contract, forearm toward the shoulder. The
origins
io6
and another one expands into an aponeurosis that is merged with other membranes on the forearm.
Muscles are nearly
antagonists.
all
Or
Sfpai^hteniag
the
apm
the
Elxteasioa
Bending arm-
Flexion.
The Triceps
lauscle ia a^ctioa
muscles.
Now
when
its
move
the forearm, a
triceps,
in straightening
must
relax.
Of
one of the
less
complex and a
example to
onistic muscles.
THE MUSCULAR SYSTEM
107
this:
to have
we
of the
human
figure,
and when
cer-
named
in treating of a muscle, to
know
refers.
exactly to
particular
name
cupy.
we remember
them,
any muscle in question. Muscles are spoken of as belonging to a particular surface anterior, posterior, lateral or external, and medial or internal. By internal, or medial, is meant that region or surface close to, or toward the median line that imaginary line dividing the whole figure into two symmetrical halves.
The ordinary
understood
hand, when
divisions of the
human
on
figure into
and
intelligible.
But,
the
other
we come
,/
Front or
anterior.
View or
surface.
Back or posterior
external or lateral.
surface.
sri,!Si:
109
all
we
are not at
A
is
little
summary on
this
subject would
Torso
human
trunk, gen-
erally
ing.
had best in our study adhere to the simple term trunk, and leave the word torso to its use as applied in the plastic art. Thorax includes in its
descriptive signification the whole upper part of the
We
trunk.
To
be precise, though,
it
should be re-
bony cage composed of the twelve pairs of ribs, the sternum, and the dorsal region of the back-bone.
The term
The
breast
is
easy to define,
it is
muscles;
subjects
its
lower limit
relief of
is
well
marked
in
muscular
level of
by the
or sixth
muscles.
the
fifth
The
ture
it
form.
We
pic-
no
SHOULDER
MEDIAN FURROW
OF
THE.
NAPE
5ACK
SCAPULAR REGION
UPPER ARM
L01N5
3MALL
OR THE.
OF THE
BACK
POINT OF
THt
ELBOW
FOREARM
GLUTEAL REGION
HAM
CALF
OR
POPLITEAL SPACE
OF THE
LEG
The
HEEL
\
REGIONS AND PARTS OF THE
HUMAN
BODY.
arm
is
raised,
in front
and back.
upper limb, or superior ex-
The
hand.
divisions of the
The sharp
front at the
In
a depression
which
may
pears
elbow.
come
together.
iii
is
per-
fectly clear, to
can
The more
the
The The
the neck, the breast, the scapular region, and on the arm.
But
it
the
deltoid.
is
On
a trough-like forma-
downward
lumbar
region.
median
lines or char-
This area
can be considered as the side of the trunk immediately above the iliac crest of the hip-bone.
The
much
its
112
The abdominal
costal
cartilages
limited above
by the
line of the
Often in
human
are
figure.
The lower
borders of the
abdomen
marked by the
middle of the
called
figure.
The
an anatomical feature
in
that
we have
commented upon
is
our study
of the pelvis.
The
trunk.
gluteal region
mass of muscle
back of the
At
it
its
lower border
is
separates
Laterally
it
The
very plainly marked off from the trunk on the anterior region
by the
groin,
is
The
tion.
of the knee
It
is
is
also
113
the
NECK
THORAX
OR.
CHEST
CARPUS
ABDOMEN
FLANK
G-ROIN
Ma^pks ihz position of Poupai^5 li^ameni"
THE
PALM OF HAND
AXILLA
Oft
ARMPIT
TH
(tH
KNEE
SHIN
ANKLE
INSTEP
LEG
DORSUM
THE
OF
FOOT
Ham
The
Hmb between
its
the knee
according to
strict
anatomical
(Commonly, and in every-day speech, we use this term to mean the whole Hmb.) The calf is the muscular prominence on the back It is occasioned by the two muscles of of the leg.
definition, the leg.
down
that
114
We
malleoli,
It
should
bones are
below
we
usually think of
as the ankle.
The
its
on the
human
subject walks.
Hence
it
that he
is
among the
move
movements
is
of the
body and
its
mem-
When
a muscle
movsome
of
form of progression.
called the
we must we
attend to
its peculiarities,
will
devote
THE MUSCULAR SYSTEM
It
IS
115
clear, to
is
the
elbow
flexion,
it
to
straighten
it
out
is
is
extension.
When
the straightit
it
ened-out arm
is
called adduction,
this position
EXTENSION
CIRCUMDUCTION
FLEXION
LATERAL
ELEVATION OF THE ARM ABDUCTION
ADDUCTION
it
is
ab-
duction.
The
pre-
The
root of the
word is of Latin origin ducere^ to lead. In these movements of adduction and abduction the arm is moved toward or away from the median
Ii6
line of the
These movements
arm
is
moved
so that
air,
circumduction.
in this ac-
air.
The lower
the hip answering to the apex, while the toes describe the imaginary base of the cone.
The
its
action
when the
leg
is
foot
is
is
raised
from the
straight
and turned on
is
own
axis
called rotation.
as the
This, however,
not as free a
movement
The turning
rests
it
atlas verte-
process of the
tion.
When
trunk
in the
the thigh
flexion;
is
it is
moved toward the front of the and when the whole limb is moved
same direction it is also flexion. Bending the knee and moving the leg toward the
is
flexion; while,
is
moved backward
trying
EXTENSION OF
THE LOWER
LIMB
ma^inapy cone
THE
TRUNK
ROTATION Tupiriag
oa
ABDUCTrONADDUCTION
Towards
the
Away from
tl-ie
median ^
median
line itic
of body
LIMB.
ii8
extension.
is
Straighten-
extension.
When
we bend
the body
we have
If the
EXTENSION
FLEXION
bending
thorax
is
at the waist
it
is
Any movement
in
both cases
is,
When we
we
can, as
if
stretching ourselves,
extension.
it
in
flexion.
In going back
sion.
it is
exten-
Now
^
'
119
CIRCUMDUCTION
OF THE THUMB
^HZ OPPOSABLE
THUMB
OF THE THUMB
ABDUCTION
BENDING THE
^*
FINGERS- FLEXION
^,-
ABDUCTION
'
/"
-EXTENSION
MOVEMENTS OF THE
it
is
ad-
Seemingly inconsistent
in describing the
foot.
is
movements of the
is
and the
When
the foot
I20
yj/
EXTENSION
FLEXION
'-.>
TOWARD
SIDE
-ABDUCTION
-ADDUCTION
THE ULNAR
leg
is
widened,
we have
same
extension.
Now
is,
if
the toes
if
direction, that
as
trying
called
in
it is
movement
121
CONCURRENT MOVEMENT IN THE SAME DIRECTION IN THE FOOT AND TOES HAS TWO DESCRIPTIVE TERMS.
which the angle at the ankle is decreased, it is flexion of the foot, and when the toes follow in the same
direction
upward
toward
the
leg
they
are
in
extension.
we
will
proceed in a
in
way, generally,
as
that
followed
the
We
in
column
and at
its
122
Then when
the
of the trunk
up,
thorax
and pelvis
have
and
been taken
neck,
we
will
proceed to the
head
the
skeletal foundation of
which regions,
as
we know,
Then we
will consider, to
VII
WE
(Sacrospinalis) f
have learned
in
bony thorax separated from each other by the middle line of the back, which line follows the row of vertebral spines. The outer limits of
region of the
These grooves are filled up in the living by bundles of muscular and tendinous fibres that constitute the superior portions of large fleshy masses and aponeuWhenever it seemed that the anatomical text-book name of a muscle was one readily comprehended it is used in this work. In other instances more easily grasped terms are employed. In these latter cases the anatomical names are given in parentheses at the heads of their proper paragraphs. In certain cases when a muscular t Scientific terminology varies. form has still another name, it is put in a second parenthesis. Anatomical terms are noted, as a means of identification, in case any one wishes to go into the subject more thoroughly than it is presented in this book. The word "musculus" is presupposed to go before each scientific name
of a muscle.
123
124
rotic
called
three
main
DoRSi portion,
close to the
row of vertebral
names of the
lumnar mass of deep muscles of the spine, and that they cause, with the mass of the other side, those bulgings out to form between them the median furrow of the back. These muscles arise from the
125
which region they form one common tendinous part which extends to the Hmit of the loins, where
in
divide
slips
attachment to the
ribs also.
back to
its
proper position
They
ments
in retaining the
back-bone
normal deits
gree of curvature.
is
covered in
upper
by other muscles, and below by the aponeuportions of the two latissimus dorsi muscles.
is
But before we
{serratus
proceed with
muscle, the
posticus
study
we
will
inferior).
it is
region
of
the
thorax, where
finds
attachment to some
lumbar
vertebrae.
required
we mention
it.
Sometimes
its relief is
it
observa-
can be perceived,
126
when
dorsi.
groove
from 3
lowep pibs
OP
down-wards
Aponeurctic portion.
(Lumbar
aponeurosis)
LATISSIMUS DORSI
LATISSIMUS DORSI
This, the broad muscle covering the lower part
of the back, reaches from the sacrum to the middle of the trunk, and laterally to the armpit.
superficial layer of fibre.
It
is
The lower
portion in the
sacral region
is
the lumbar
The
finds
The muscle
127
Where the
arise
is,
where they
there
relief.
a bulging line or
upward and inward, toward the dorsal vertebrae. Toward the lateral side where the muscle approaches
the place of
its
it
nar-
upon themselves. The lateral border as it runs upward obHquely across the flank forms a marked feature on the outer surface, especially so when the arm is raised, or the model
rows and
its
twist
is
The
superior border
Thus the
the thorax.
themselves to the
Other
slips
down.
It
of the body.
is
brought
128
cov-
ered by the downward-pointing tip of the large muscle of the superior region
comes next
in the order of
our study.
TRAPEZIUS
back
is
composed
now
This, the trapezius, is comes under our notice. found on the back of the neck, shoulder, and part
Its inner
border
Outwardly it extends to the summit of the shoulder, where it passes around anteriorly to the clavicle. Its insertion into
last,
the clavicle
is
along
its
thrown back over the shoulders. Hence a name by which this muscle is sometimes distinguished: CucuLLARis (Latin, cucullusy a hood). The trapezius shows on the outer aspect several
depressions that are caused
by
certain aponeurotic
by the
129
monk's cowl, or that lower point which covers the upper part of the latissimus dorsi. Another is found at the base of the spine of the scapula, which aponeuone tiny area at the very
tip of the
bone
of
Ligamentuni niichae
Outep thipd
the clavicle
Aponeupotic poptioa
Seventh cervica^l
Innep margin
of the acpo-
vcpfebra
scapula
Small apoaeiipotic part that glides over the
Spiaes
of
the dopsal
bone at the
root of the spine'
of
vcptebpae
the scapula
TRAPEZIUS
important area
is
is
in action.
An
that surrounding
it
elliptical in
shape, and
is
The
liga-
mentum
The ligament
also affords
attachment to
In some cases
I30
there
on the middle
line directly
over the
liga-
mentum
can
by the
fingers.
The upper
There
are,
way
in
which
On
tions
fibres
depends
in
action.
The
is
in
The
its
free por-
moved shoulder
girdle
scapulae
and
clavicles
acts
shoulders.
ders
will
The upper portions will pull the shoulshrugging them while the lower portions
fibres, acting
each other.
latissimus
131
Sternocleido
Aponeuroti'c port OR of the
I*
raastoid
Tpapez.ius
lafra-
Trapezius
Deltoid
spinatus
INNER
Teres
BORDER OF THE SCAPULA
miuop
Teres majo'p
Pant
of the
Latissimus dopsi
Part of the
Extcprial
Rhomboid
oblicjue
CREST OP
THE ILIUM
Lumbosacral
aponeurosis
Glureus medius
Gluteus maxim us
in
Now
the skin.
in
these
triangular
four
scapular
Their distinguishing
artists, will
traits, as far as
they
concern
paragraphs.
132
Rhomhoideus major)
When
the
arm
is
hanging by the
is
side,
one of the
latissimus
areas alluded to
above
outlined
below by the
Apises on the median Vme -from the lower part of the ligamentum nuchae - the
RHOMBOID
Comp pis ing
and
R,,
fh
Rhomboideus minon
majon
7tK cenvtcal
and +he
4- OP
f Inst doP5al
ventebnae
dorsi;
Now
of
its
Those that do appear are found at its lower inner angle. The rhomboid arises from the back-bone, from the last neck to the fourth or the fifth dorsal vertebra, and passes
fibres
obliquely
downward
In action
it
pulls this
bone up-
line.
Although nearly
Inf. sp.
Infp2<spina+as
T.
T.
Teres major
Rh. RKoinboid
POSTERIOR VIEW RIGHT SHOULDER
TKe
sca^pula
with pefereace
to the
overlying muscles
DIAGRAM TO SHOW THE POSITION OF THE SCAPULA AND THE RELATION OF THE MUSCULATURE THAT COVERS IT.
134
bulging
its
and helps by
The
scapula
named
is
its
lower fossa.
The
greater part
of this fossa
This
muscle,
from
its
function
is
to rotate the
TERES MINOR
This
IS
is
humerus.
The two
TERES MAJOR
This
is
scapular fossa.
minor muscle,
its fibres
than
I3S
its
origin
on the
This
is
in direct contrast
as
we have
INFRASPINATUS
Insented ia+o the grea^t tubepo^ity of the
humenus
TERES MINOR
laserted info tke ^reat tuberosrhy of the humcpus
TERES fMAJOR
The lon^ head
erf
Gos to the Pont" of the humerus and insepted into the inrien lip of the bicipital groove
of the TpicepS comin.^ f rom its opi^ia on the scapula passes between the Teres Minop and Teres Major>
thcApm
surface.
As we can
it
see
its in-
as well as pulling
and lengthened when the arm is thrust forward or upward. And, when the arm is forced backward and rotated, their contracting fibres make reliefs
in this region.
The
136
arm
in
which the
of
i
axilla
shows
Part
Trapezius
Clavicular por
Stcpaocleidomas+oid
cleidomastoid
lriner> crid of the clavicle
Deltoid
^'\
Bleeps
6rachiali$ djxi
"Sternum Greater
pectora^l
External
obli'que
Paftofthe
Lai'isslmus'dopsl
dorsi.
The
insertions of these
two muscles
are in
The
is
formed by the
the
delta-
deltoid.
as
its
name
implies,
137
tri-
It
On
this latter
bone
lower
it
comes from
of
its
its
lip
spine.
The
coarse fibres,
more or
Outer
of
ihipd
the clavicle
humepus-A
of the
Acpomioa
process and spine of the sca^pula
bone
DELTOID
less in
The
the
The
istic
deltoid tuberosity
is
marked character-
is
integument.
The
lines
and out-
from
many
points of view.
The
peculiarities
is
such that
138
is
in this
almost
of the
a sagging
at
the
lower
limit
shoulder.
in the
The
zius
deltoid
is
by the
of the
greater
deltoid
to raise
principal
function
which we study
in pulling the
arm forward.
GREATER PECTORAL
{Pectoralis major)
rib.
from the
in-
and by a fleshy
slip
of an abdominal muscle.
into the
Its free
inserted
humerus on
The
greater pectoral
fibres,
139
border arising
in-
upper
fibres
go to a lower point
inferior fibres
go to a
From
"the
irinep half
TKe musculap
as tfiey apppoach the poiat of
twist
of the clavicle
fibres
and some
rib
cai^tila^es
lasentioTx
Poptioa
To
the
humerus
coming
mB<r> the
bicipital gjroove
from the
aponeurosis of the abdomen
g-re:ate:r.
pectoral
The
central fibres find
point.
midway
(As
we rememit
nears
its
insertion
is
its
bor-
and
characteristics in
repose and
attention
is
movement
The
marks an interval between the clavicular this muscle and that of the deltoid.
origin of
I40
line,
a de-
The
lie
over
ribs.
their position
on the thorax;
very centres of
in the
The
arm
across the
and
it
it
also, as
an antagonist to
down when
When
the
arm
The
position
changes
its
position
when
the raised
arm
it
pulls
on
When
the
arm
is
raised as high as
can be held,
movement
requiring such
Sternocleido
mastoid
Greatep
Deltoid
Pectoral
Lowermost
fibres of the Greater*
^
dorsi
Pectoral
Scrratus
Tnansy/erse
Lines
Linca alba
Extepnal
oblique
Apoaear>osis of f Ke External oblique ufiden
ANTERIOR
SUPERIOR. ILIAC SPINE Poupapf^ Ligamenf-flic -fold of the gnoia
142
This muscle
fifth
arises
from the
third,
fourth,
and
ribs
to be inserted into
that
it is
beak-Hke formation of
covered by the greater
Although
Its attachments.
2. The greater pectoral which covers it. 3. How a small portion becomes subcutaneous in the raising of the arm.
outer
relief,
arm very
it is
high,
activity.
For instance,
it
down
by
its
pulls this
bone around to
various
movements of the
shoulder.
143
two reasons:
firstly,
slips,
or digitations,
fleshy
as a
row
SERRATUS
The bundles of
musculap fibres pass undcp the
sca^pula^
MAGNUS
Arises by fleshy
slips
and
^r^z
The lower
Three on
-four*
lace
with
of
reliefs
function in helping
moving
or
The
serratus
magnus
arises
by
fleshy
slips,
digitations,
eight,
or
nine,
ribs.
as
they pass
around
of the
144
of the scapula.
The
two muscles
fibres,
L/jatni^niutfi
RHOMBOID
tts
fibres
iancr> of the,
a^ne inseptcd
SERRATUS
alon^ +Ke
MAGNUS
bopden scapula
POSTERIOR VIEW
SLIGHTLY FROM THt SIDE
bony transverse
interval.
But
in
antagonistic:
influence
of the
thorax.
This muscle
dorsi
is
and the greater pectoral, its subcutaneous portion is that row of very perceptible reliefs below
145
answer to four or
in with, as
lower digitations
they dovetail
you
They
we
study.
external
obliciue:
Arises by fleshy slips OP digitatioRS -fporri the ei^Kt- last- ribs
The
Seppatus magnus
a^nd
LatissimuS dopsi
muscle
Poupapfs Ligameai
stretches -from the
iliuni to
it
the pubis
domen, extends from the lower margin of the thorax to the lower part of the trunk, where it is separated
146
from the thigh, at the groin, by the Hgament of Poupart. Laterally its width is limited by the
places of
its
insertion
on the
iliac crest
is
lower
ribs.
The
fleshy portion
is
found only
flank, the
abdominal part
entirely aponeurotic.
parts of the
two muscles
on the middle line, the contiguous fibres interlace to form the linea alba, a dense white tissue stretching from the xiphoid process to the pubis at
The
linea alba
is
crossed
by
irregular, or
some-
what zigzagging, markings, called transverse lines. They correspond to certain tendinous intervals in
the fibres of a muscle underlying the aponeurosis.
The upper
transverse line
is
slightly
a second
fixed at,
is
Occasionally a
These
than as they
model.
obhque from the lower ribs, besides interdigitating with some of the lower slips of the serratus magnus inas noted above terlock on the flank, with three or four similar
origins of the external
The
147
dominal walls.
The
from the
RECTUS ABDOMINIS
I
Pit of the
stomach
Extends from "tKc xiphoid appendage-cartilages of the 5 th 6 th. and 7th pjbs
Transverse
lines
or ten-
To the
Pubic bone
This musclz lies undenneafh ihz aponeurosis of fhc Ex.fenn5il oblique
separates
the
pubic
bone.
two
recti muscles.
the
su-
perimposed
aponeurosis
oblique
fibres
The
rectus abdominis
is
148
a very
The two
by
their
recti
muscles
acting
in
concord are
Linear alba^
Transverse lines
Tendinous
iniensQcHon.^
The
Ex-iepRal
oblique,
inihzmusck
pegioa
vcpse
lines
E><^ternal
oblique
a^poaeuposis
TO SHOW THE LINEA ALBA AND THE TRANSVERSE LINES_0F THE ABDOMINAL REGION,
The bony
protection
and
will
lateral
be worth
while
giving
few
moments' attention to the anatomical peculiarities of these structures. There are two more of these
149
ribs,
EXTERNAL OBLIQUE
INTERNAL OBLIQUE
TRANSVERSALIS
DIAGRAM TO ILLUSTRATE THE ANTAGONISTIC CHARACTER OF THE FIBRES OF THREE MUSCLES OF THE ABDOMINAL WALLS.
external obhque.
the
fibres
abdominis) ,
the
an ar-
rangement that gives strength to the lateral and anterior abdominal walls. The opposing fibres
maintain the structure of the abdomen, but yield
is
flexed.
ISO
Fnom
Fponi
fhe,
SacpurR
the
coccyx
The
this muscle
the back
femun be^ow
GLUTEUS
MAXIM US
we
in-
The
gluteus
maximus
arises
One tendon
of insertion
is
femur immediately
another
trochanter, and
by
151
is
large
It
in formation.
is
present to a great
determining the
the
characteristic
form,
however.
It
then
masks
They take
of
their
depression
This
marks
tendinous
expansion
The
it
gluteus
pulls
it is
back when
In addition,
when
trunk in place.
The
from the
called
It
is
the
flexion
the
that
its
disappears.
is
In
the
relaxed
its
152
Anises from the oatcp surface of +Ke ilium aad the mangiri of +he cpcsI*
QLUTEUS NEDIU6
GLUTEUS MEDIUS
The
the
gluteus medius,
is
much
just described,
region.
is
stated,
the femur.
we can
see
by
this
arrangement of
fibres, is to
is
abduct the
thigh.
supplementary function
that of a slight
153
the trunk in
its
The
part
gluteus medius
a strong
is
its
anterior
by
membranous
This
form
is
There
VIII
WHEN we come
large
we
is
a dis-
structural
muscles.
various
Now, with
the exception of
its
origin
on bone and
its
insertion
This method:
a fixed point
is
the charac-
To
be sure, in some cases muscular margins and extremities blend with adjoining muscular parts.
(i)
This
is
back and
155
Its
fixed
at the occiput,
where
for a short
Fron+al poptioa
Occipital poptioa
y"
j^
^"
/
Mobile
poiri+'
cf
attachmen+
-^
\q
fh.(2:
^
Skia
OCCIPITO-FRONTALIS MUSCLE.
is
the free
end
that
this
muscle are
dis-
156
the
occipital
muscle.
In
this
case
they are
(2)
The forms
This consists of a
rings
series
of concentric
fibrous
It
is
attached by a small
Fibres of
boring
muscles.
The
is
inner
rings, It
the
is
palpebral
this portion
In such
movement
as the
sudden and
for
instance,
glare of a
bHnding
light,
in
function.
lid
of the upper
effected
by
of the upper
it is
It does
157
Another muscle of a circular form, but surroundIts function is, primarily, to close ing the mouth.
the
mouth.
The
inner
or
lips,
labial
fibres
operate
In this capacity
it
The muscle
is
by
slips
bony
surfaces.
under the
is
frontalis muscle.
Its
attachment to bone
superciHary ridge,
tissues.
and
its free
The
right
and
and downward, occasion the vertical furrows between the eyebrows, giving
pulling obliquely inward
158
A
may
slip
COMPRESSOR NARIS
{Nasalis)
This
is
extending from
fixation
Here
its
free
fibres
This muscle
This muscle
arises
and passes downward to be inserted into the outer At rings of the orbicular muscle of the mouth.
the wing of the nose a fibrous
slip joins a cartilage
of
159
Pypamidalis nasi*
Lessen
zygoma^ticus
zy^omaiicus
RisopiuS Buccin^top
Opbiculap of +Ke eye. Comppessop nanis El evatop of ihc uppcp lip aadtKc wing^ of fhe aose ETcvatop of the uppep lip Elevaiop of the angle of fhe mouth (Caainus) Opbiculap of the mouth
Deppessop
of ihe a^ngle
of tKe mouf K (Tpiang,ulapi5)
Elevafop off he
chin.
the region.
The
is
made
sufficiently clear
its
by
long name.
When
lip.
in action
upper
LIP
lip,
by the one
joined to the
bony surface
i6o
Its free
around
the mouth.
LESSER ZYGOMATICUS
{Zygomaticus minor)
mouth (noted
next).
It
is
in-
(Caninus)
The
of the upper
arising
When
it
in ac-
the
angle
of the
mouth
is
drawn upward.
opens
the
When
mouth
functionating
slightly
very
strongly
GREATER ZYGOMATICUS
{Zygomaticus major)
This
is
generally
considered
as
the muscle of
laughter.
It takes origin
its
i6i
fibres
obHquely to
muscle.
from
run
Here they
zygomaticus
When
up the cheeks, and with the other conformable changes in the features, gives an expression of mirthpuffs
fulness.
There
is
mus-
mouth.
and
is
muscular
jaw and
ex-
tends
downward only
a short distance to
It
its inser-
pulls
i62
{Quadratus menti)
A small
mouth.
its
origin
surrounding the
it
The
goes up-
ward tends toward the middle line of the chin, directly below the lips, where it meets the corresponding muscle of the opposite side.
its
Its
function, as
lip.
name
indicates,
is
to pull
down
the lower
Triangularis)
This
is
from a
its in-
ferior border.
From
muscle narrows
and converges to be inserted into the angle of the mouth. This muscle, as can be seen by its posi-
mouth and lengthens the nasolabial furrow, that marked lineament starting at the wing of the nose and passing downward
tion, depresses the angle of the
This fur-
row and the fold of flesh that borders it on the cheek vary much in character, according to the in-
163
double-curving
is
effect.
When
by
mouth
strongly depressed
se-
furrow becomes
BUCCINATOR
This
fibres
termed the cheek muscle, as its layer of forms the wall of the mouth and constitutes
is
The
bucci-
nator stretches between the two jaw-bones, the fibres being attached to their surfaces near the sockets of
the back teeth.
The
As
it
is
the
It
also aids in
(3)
Of
above
take any
named
the head.
In nearly
of the facial
164
that
by the other to some soft and easily moved tissue, Hke the skin, or some other muscle. Now the two
muscles of the head which
we
Temporal
Massetep
or, particularizing
The masseter
cheek, where
it
is
arises
branch, or ramus.
principal function,
clearly
indicate,
as the
is
arrangement of the
raise the lower jaw.
fibres
to
165
side of the
cranium
temporal
bone.
The
alternate in
side
of the temple
when
the muscle
is
THE NECK
The whole
muscle.
learned,
region
is
This
form
also
extends,
as
we have
As
anterior region.
we go on now
of the
neck.
(i)
We
name.
take note,
It It
is is
first,
region.
i66
TKe7
Cervical
-
ATLAS AXI5
STYLOID PROCESS
LOWER JAW
H VOID
or*
TONGUE BONE
,
Vertebrae,
VERTEBRA PR0MINEN5
..HYROID cartilage!
SCAPULA
HUMERUS
THE BONES OF THE NECK, INCLUDING THE TONGUE-BONE AND THE LARYNX.
called
precedently mentioned
This muscle
COM PLEXUS
DIGASTRIC
SPLENIUS
Has two
por+iorVS
LEVATOR
SCAPULA
Scalene J J.'^^f;'^'^ S Middle Muscles Poiteri
MUSCLE or THE
TKyfoid Cartilage
Scapula
Onooplate,
STERNOTHYROID STERNOHYOID
OMOHYOID
DEEP MUSCLES OF THE POSTERIOR REGION OF THE NECK AND THE THROAT MUSCLES. NOTE ESPECIALLY THE DIRECTION OF THE OMOHYOID.
167
_JL_
MUSCLE
CLAVICULAR
TRAPEZIUS
STERNO-
CLE/DOMASTO/0
MUSCLE
ATTACHMENT TO THE CLAVICLE ATTACHMENT TO THE
ATTACHMENT
AND THAT TO THE 5PINE OF
THE
6CAPULA
STERNUM
DIAGRAM TO SHOW THE SUBCUTANEOUS PARTS OF THE DEEP NECK MUSCLES AND HOW THEY ARE COVERED BY THE UPPER PORTION OF THE TRAPEZIUS AND THE STERNOCLEIDOMASTOID.
By
it is
it
we
no
fix
and
it is
in
less
There
STERNOCLEIOO-
\\\|
^\\^
MASTOID
PLATYSMA
MYOIDES
THE TINT
TRAPEZIUS
DELTOID
^.g:
DIAGRAM TO SHOW THE POSITION OF THE THIN SHEET OF MUSCULAR FIBRES CALLED THE PLATYSMA MYOIDES.
68
is
rarely
its
form, more
or
less, clearly.
Although
name
is
it
is
etymological
sternoy
cleido,
having to do with
(cleidoy
its
It
should
be re-
marked
in addition that a
few
fibres at
the insertion
origins
The sternocleidomastoid muscle turns the head away from the side of the particular muscle in action. It also inclines the head; when doing so,
moves
it
muscle which
functionating.
The two
when they
There
ficial
is
the super-
When
it
the
dips
vein
169
usually
much
dilated,
and very
Between the long line of the sternocleidomastoid and the anterior margin of the superior part of the
trapezius
is
a triangular area.
sides,
The
edges of the
The
There
up, a
may
a mass of fat to
fill
it
depression
above the
clavicle.
an unrelief
An
observation should
usual attachment
is
only
between
it
cleidomastoid.
But sometimes
this
trapezius
in-
muscular part.
we have spoken
I70
SPLENIUS
{Splenius capitus)
Within the triangular area defined above, five muscles of the neck sometimes disclose portions of
their fibres subcutaneously.
The two
balanced as
that
it is
we now
on the
consider, act
on the
skull,
They
also co-ordinate
it
back.
The complexus
vical
The com-
plexus
skull.
There
it
is
skull,
From
The
levator
171
already
noted
that
scapula;
magnus.
posterior)
(second to seventh)
Here they
two
ribs.
Their subcutaneous
the clavicle.
The
scalene muscles,
when
fixed points,
lift
make
a special
to
The
described immediately
superficial
trapezius
muscles.
(2)
The
is
is
fifth
length
This
has
and tendinous
fibres that
172
two attachments
arises
where
course
it
upward
to the
tongue-bone.
it is
At the angle where it changes its held in place by a loop of fascial tissue.
covered by
flesh.
is
When
the throat
is
inverted triangle.
The apex
Within
this
the hyoid, or
tongue-bone;
larynx.
By
is
an important
The
The
matter of making
on the form
is
173
apple.
This
but
in the male,
much
Briefly, the
The Sternohyoid, going from the sternum to tongue-bone. The Sternothyroid, also from
sternum, but going to the thyroid cartilage.
prolongation of this latter muscle
is
the
the
The
These
the Thyrohyoid,
The
draw
it
up, or hold
in place:
a pointed pro-
by
a fibrous band.
by
fleshy
The Mylohyoid,
the principal
Some
of the
down
It
the
lower jaw-bone in
opening the
mouth.
should
be
remembered,
174
(3)
this
anatomical item
we
con-
been devoted.
The platysma
is
a very thin
Beginning below in
it
spreads
front of the
chin.
facial
In this region
it
with some
muscles
tissues.
The
risorius
(precedently noted)
practically a small
In
its
essential
it
is
skin
muscle, as
In
crosses, as
it is
of thick
enough texture to influence the general form. The platysma draws down as a co-ordinating
the
angle
of the
mouth
go
in expressions of terror.
It causes, in
side of the
in
extreme
terror,
175
the shoulder, transverse wrinkles appear in the contracted integument of the region.
the
transverse wrinkles
effect
is
IX
BEFORE
attention to
we
general form.
First of
be
drawn from
As we know,
front.
this
position
is
Now, with
the
there
is
a pe-
Both the
show that
elliptical.
what
two
way:
in the
limb
when
177
and
is
in the
view
it
is
is
the upper
arm that
widest,
the narrowest.
LATERAL
ANTERIOR.
Ex.cmph'fiad
the
by
Ar^TTL
VJEW
VIEW
\
Ri^kt
With the arm supinated, the relative shapes of the muscles of the forearm are, in studying them from a
on the musculature was not touched upon.
diagram, readily perceptible and understood, but as soon as
begins.
we By
how
the
178
PALM SIDE
RADIUS
SemiSupm^+ioTx
ppori3<tion
C^izmpfificd by the
.. n P^^onatiOR
Lefi
Anm
EXTENT TO WHICH THE HAND CAN BE TURNED AND THE THUMB MADE TO DESCRIBE NEARLY A COMPLETE CIRCLE.
it
forearm in
its
pronation.
see, too,
By
arm
The thumb,
circle.
for ex-
BICEPS OF THE
ARM
The most
characteristic
and
easiest
recognized
its
What
becomes
179
The
\s
iaferfor
i
bicipital
the radius
BICEPS or
THE
more or
ARM
The One
less
in relaxing.
the scapula.
mass of the muscle that we see on the front of the upper arm. The insertions are two: one to the radius by a tendon, and the other an aponeurotic
expansion that blends with the fascia that covers
the forearm.
The
By
the peculiarity
its
on the radius,
Deltoid
>i
Tpiceps
poptioR
of the
l-R-tenrial
pontloa
Aaconeus
Loag nadial ex+eason of the wnisi and hand SKopt padial cxtensop
of Ihe wpist and
Ulnap f lexop of
CommoR
exterisop
of tKe f iRgep5 LoRg abductop of the thumb SKopt exieRSOP of fhe thumb
Lijamzni
of the
wpisi
Tendons of the
Commoa
fingers
of 1he
exteasop
of the
thumb
Delioid
Gpea^tep pcctopal
Tpiceps
of the
apm
Biceps
Bpachiavlis aniicus
Round pponatop
Aponeupotic expausioa of
"I'h.e
Biceps
Long Sapinatop
Radial flexop of the wpist
Palmapis loagus
Ulnap f Icxop
of the wpist
Supepficial f lexop
of the fi ngeps
Ligament
ofthz'wpist
PALMAR FASCIA
Teadoas of
muscles
tlie
of f-he fi
flexop n^eps
82
angle,
and out.
Then
by
turns.
mass of the biceps, so definite in shape, gives unmistakable forms and contours. At the front of the elbow the aponeurotic expansion should
large
The
be observed as
it
binds
down and
it
creates a shallow
A
One
It arises
The
other
the great tuberosity and an internal portion from the back and inner border of the bone.
portions join a
All three
fixed to the
common tendon
that
is
that
is
to the olec-
ranon process.
The
inner
183
An
This
the olecranon.
common
tendon.
Such tendons, when large or exLong pop+ioa arises fronx ihe border of +he 5ca(t>ula below
the glenoid C2\vi+y
Ex+eraal
tkc' ba^ck
iRtennal portion
from
TRICEPS OF
THE
ARM
Olecranon process of the ulna receiving the insertion of the commoa tendon that unites the three portloas
Then where
when
fleshy
there
is
is
well developed.
The
is,
and
as
we have remarked
the biceps.
i84
This
is
band across the anterior region of the elbow, from the humerus to the ulna. Its humeral origin is from the front of the bone and its adjacent inner
BRACHIALIS ANTICUS
ApIsz5 from, the front and sides of the lowen half
of fhe humerus
WilK ihe exception of +he sides -ihis muscle is cover-
ed
by
the Bice);>s
process
of the
ulaa
The
insertion
is
on the ulna
The
brachi-
anticus
is
upper arm.
As
it
of the biceps,
only presents
lateral
borders
and
triceps,
but
little
185
the last
CORACO 'BRACHIALIS
Apises -from the copacold process of the scavpulav
Inserted into the inaen aide of the Kumerus at the middle of the shaft of the bbae
lesser pectoral,
and the
by
its
short tendon.)
The
is
Part
arm
is
coming out of the depth of the axilla and passing into the bulk of the arm between the adjoining borders of the biceps and the triceps. This muscle
that
is,
draws
it
toward the
i86
With
arm.
we complete
The anatomy
is
hand,
not so simple;
a very
much
divided
INTETRNAL
LONG-
PORTION
HEAD
Copaco-bpachial is
Tzpcs majon
LatissimuS
THE MUSCLES
IN
Grr>z^i'zr
pectopal
djopsi
^
'Nearly
all
some parts of
bone.
their origins,
One
humerus
we
study.
187
LONCr
SUPINATOR
Fpom
the
Pnorri the
Kumepus
humepus
Has a point of
attachment to the ulna
Dips andep the
coadyle
Long
Supinatop and is \nszp\zd neap the middle of the outep bopdep of the pad us
i
ROUND
PRONATOR
arise
its
external condyle, or
When we
have deliber-
we
will turn
of another group that arise from the other condyle of the humerus, the inner, or medial, one.
It
is
a great help in
forms, their
88
And
it
is
to
observe
holding
own arm by
with
lies
and trying to
tion.
find
The
long supinator
on the external, or
its
lateral,
extending from
origin
on the
There
It
it
is
is
lower third, or
so, a
The
band of fibres. The outer wall of the depression at the bend of the elbow pit of the elbow is formed by the body of the long
origin
is
a flat
supinator.
To
arm
to
heavy weight
still
in the
hand,
then the muscle will stand out clearly from the adjacent forms.
It
can be
by depending the weight from a cord held in the hand, or by placing the hand under the edge of some heavy piece of furniture, like a library-table, and trying to lift it. In the matter
into prominence
supinator
is
as
much
of a
arm
as
it is
a supinator.
Palma^p fascia
SUPINATION
Palmapis loa^us
Radial flexop of
the wpist
Supmavtop
Rouad ppoaatop
Aporxeupotic
zy^p^rx-
Biceps
TKumb
muscles
A^
jj
exterxson
Shoph
Lon^
abductor*
i'm^en
Commoa
Aacoaeus
CONDYLAR, DEPRESS/ON
Here the movemea+ of
the pad as hea^d caa be
i
LoRg
padial
felt
whea
it
tunns
LorO supinator
OLECRANON
With
this
diagram before you the muscles in your own forearm can be and studied.
identified
go
HUMERUS
Round ppona+op
Radial -flexop of the wpist
Palmaris longus
RADIU5
ANTERIOR. VIEW
RieHT
ARM
W.G,
FOUR FOREARM MUSCLES THAT ARISE FROM THE INTERNAL CONDYLE OF THE HUMERUS.
Now,
arising
of the forearm
we come
They
are
the fingers,
simple
way
of remembering from
arise is
then
we
will
not
forget
side.
that
the ^;v^^nsors
arise
191
HUMERUS
Long supinatop Long padial cxtensor> of the wpist and hand
Short padial extensop of the wpist and hand
Common extensop
of the fingeps
RADIUS
C-Cr-.U
POSTERIOR VIEW
RKtHT
ARM
FIVE
FOREARM MUSCLES THAT ARISE FROM THE EXTERNAL CONDYLE AND ADJACENT RIDGE OF THE HUMERUS.
This muscle
arises
its
ex-
which muscle
forearm.
it
borders as
it
down
the fore-
The
continue to the insertion into the second metacarpal bone, or that of the index-finger.
192
We
how
formed
the
Now
the long
it
SHORT
RADIAL
LOMCt EXTENSOR OF
the:
wrist
/KND
Fponri
NAND
of the
humerus
the humerus
To the base To
the base of the thi Pd
nid-aca<pp3^1 -that
of the middle
flagep
This mass
to
is
consider in drawing;
softens
the
In extreme
to approach
made
forced outwardly
a crease.
'
193
^V
Deltoid
Gp<^^:\:<zp
>
pectopal *""^^^!^\
Biceps
OLECRANON PROCE55
oftheULNA
Anconeus
Lon^ supinator
Long padial extensop
of the wpist and hand Short padial extensop of the wpisf and hand
of
thefingeps
wpist
of the
of the thum^b
Tendon
of the
Long
<2.y.i<iKS0P of the
thumb
LIMB.
The
fleshy portion
sue-
194
COMMON
EXTENSOR OF
THE riN(TER3
From
i+ie external coad^^Ie of the K a men us
EXTENSOR
MINIMI
DKilTl
^t
,
Muscle divides
into
teadoRS
Tendons cross
of the
"ttie
back
hand
the
Commoa
phalaages
of
the fiRgens
blends
its
out the
though,
If
developed,
it
may show
as a relief limited
by the
sur-
rounding forms.
The tendons
insertions
Both
specified
by
hand
in
draw-
ing
it
over as
trying to
make
the
thumb touch
195
passes
down
becoming a
finger.
phalanx of a
issues
The
relief of this
muscle as
from a hollow
over the exter-
may
At the
wrist,
where
the
passes
over and
This strong
ligament holds
down
Commonly
little
finger.
its relief
Some
of the tendons
small webs or
it
slips,
which
little
in a sort of
way makes
impossible to
move
The
index-finger has a
ment, as
196
its
Both of these
digits
have small
special,
That
is
of the
digitiy
common
extensor;
and the
Kumepus
process
To the base
that
and deep-seated form, has its tendon in close contact with the tendon for the index-finger coming from the common extensor.
rate
The
last
from the external region of the humerus. It passes on the back of the forearm, from its origin on the
condyle, to be inserted into the fifth metacarpal
197
when
it
the hand
is
made
to bear
over toward
The
ANCONEUS
From
the extcpnal condyle of the Humerus
occupy
in the
con-
sideration,
we note
placed at
ANCONEUS
This
little
triangular in
w
igS
outline.
humerus and
from the external condyle of the inserted into the ulna on the outer
The
fibres
continue
a short distance
Its
down
unmistakable
relief
JThz common,
mass
of
deep
Antepiop
ot>
;;,.^,.-j
Palm
V e
i
The. f le^xops
digita>
in
which
it
covers.
It
is
may
be considered,
an auxihary of
forearm.
The
199
The
extensors on
less
separated, even
Tke
Extenson> Muscles
arnd the
Lone^ 5upiaator>
TKe
FIcxop Muscles aad the
^\ Round Pronatop
^.G
One way by which we can grasp, sense of the word grasp, the manner
in
a double
in
which the
200
to
edge of the ulna, and the thumb sinks into the hollow
of the elbow.
circle
Now
all
thumb
will en-
the flexor muscles, including the round prooutside the grasp of the hand are
nator, while
This muscle
ulnar furrow.
lies
From
it
merus, where
arises, it
where
its its
tendon
upper
At
aponeurotic
the ulna.
slips
This muscle
at the wrist,
The
we
moment
of
use to us in draw-
ing
on
forearm
when
201
Among
will
come out
PALMARIS VV0NGU3
Arises from the
iaternal condyle of the humerus
the tips /I
miiscle
shows
[^ \m
the fibrous
lower forearm.
It
be,
in
all
HkeHhood, the
It
is
possible,
sometimes absent.
longus
is
The palmaris
down
202
This
a strong
them
in their places
longus
thumb and
fingers
same time, bend the wrist the tendon then will come out into strong
is
The
hand
is
to tighten this
on the palm.
origin
there
it
The
fleshy
flexor
combine to
ulnar
form
203
RADIAL
FLEXOR,
m>
or THE WRIST
rom
the
tK<2
ULNAR.
internal
h Fnom
condyle of
condyle of
the humerus
From, the inner side
humerus
To the base of
the second mctacappakl Hia.t of the
To the
pisiform,
the^
index flagcp
bone - one of
wrist"
bones
The tendon
of the thumb.
of the
radial
flexor
of the
wrist
ball
ROUND PRONATOR
(Pronator radii
teres)
The surface muscle that first claimed our attention when we began the examination of the anatomy of the forearm was the long supinator. From it we encircled the general roundness of the forearm until we arrived at this form the round pronator,
So
we
will
this
pronator
204
arises
On
On
it
the outer
it
is
visible as
crosses
passes under
insertion
on the radius.
of the long
The round pronator is the antagonist supinator, when this particular muscle the manner that its name signifies.
operates in
perforatus)
fill
One
of
is
lowermost
fibre
called
superficial in contra-
which
is
a deep-
seated one.
205
origin,
has
an extensive
coming from the inner condyle of the humerus, the ulna, and from the radius. At the lower third of the forearm the muscle divides into four tendons, one
From
humerus
of the ul na
line of the
pad us
i
Elach teudon
the wrist Hgament, and then diverge to their insertions into the second phalanges of the four fingers.
perforans)
is
membranes.
It
is
No
part of
its
form
subcutaneous.
flexor,
in function
and
2o6
The
singularly
com-
way
in
The tendon
the
superficial
flexor
is
{perforatus)y
pierced
flexor
by the un{perforans),
tendon
of the
deep
which tendon
perficial
last
phalanx.
and hand, now come under our notice. On the back of the forearm, near the wrist, is a noticeable reHef, set somewhat obHquely and tending toward the thumb. It is formed by the fleshy It bodies and tendons of three thumb muscles. must be first understood, however, in regard to
them, that the greater part of their forms are covered by superficial muscles.
The
207
and adjacent ligaments. It is inserted by its long tendon into the base of the first metacarpal. In
action
it
pulls the
it,
the entire
OLECRANON PROCESS
ULNA RADIUS
of
SHORT EXTENSOR
OF
the:
the radius
thumb
and interosseous
membrane
VIEW
^x,.t^
RIGHT ARM
on
first
phalanx.
It
pulls the
thumb back
extension.
thumb
muscle, and the
as
The lower
first
parts of this
enumerated,
become subcutaneous
they
2o8
issue
from the depth of the forearm, between the diverging margins of the short radial extensor of
common
extensor of
is
clearly perceptible
lief
on the form.
to observe in draw-
ing
merely a simple
This
is
two, and
by
un-
superficial muscles.
is
visible
phalanx.
as a
shows
thumb. In extending the thumb, or thrusting it away from the main bulk of the hand, note the peculiar out-turning curve of the digit, and how the curving is continued by the extra little bend of
the last phalanx.
One can
outer posterior margin of the wrist, a small depression between the line of the long extensor tendon
209
two other thumb-musThis depression, made deeper by putcle tendons. ting the muscles on a stretch, is called by the French
Fia^zr
It Is in
Cxfensor* indicis)
Tzndon of the
Spcciakl
of
,
Cxtenson
di^ifi)
Long Extensop
Short E xf enson
Long Abductor*
Lt^aimnt of
f/ie
wrist
DIAGRAM TO SHOW THE GENERAL CHARACTER OF THE TENDONS ON THE BACK OF THE HAND,
is
THE HAND
hand is so easily perceived, the general idea of a hand is readily comprehended; but its complexity of joints and moveskeletal plan of the
As the
it
a hard
member
2IO
to draw.
small muscles
and tendinous
slips,
detail
by the
artist;
how
the
skeleton
is
filled
by the
soft
tis-
loagus muscle
The thenan
The hypothenap
eminence is composed of abductop f lexop, and opponens muscles of 1he little fia^ep
,
muscles of
the
thumb
ANTE/^Ofi VlW
RKrHT MANO
THE MUSCLES OF THE BALL OF THE THUMB AND OF THE EMINENCE ON THE LITTLE-FINGER SIDE OF THE PALM.
sues,
and to note closely the character of such outer markings as cutaneous tendons, wrinkles, furrows, veins, and the web-like folds of skin in certain places.
On
eral
mass of muscles that pertains to the thumb, consists of a flexor and muscles that abduct, adduct, and pull the thumb over to He across the palm and place it in an opposaThe fleshy prominence ble position to the fingers.
form.
larger group,
a
The
211
On
thumb
little
finger,
or the
hypothenar eminence.
belonging to the
This
is
formed of muscles
little finger.
Medius
Ifxdex
or
or*
middle finger*
fonefin^zp-
The 2nd
di^it*
Tfiumb OP
fuppow
Oblique f uppow
Fold of the
thumb
NAMES OF DIGITS AND OF FOLDS AND FURROWS IN THE SKIN OF THE PALM AND WRIST.
The artist should note, at the root of the hand, when drawing this member in any flexing position,
the wrinkles that form across the front of the wrist.
rasceta, or bracelets.
interdigital clefts
skin.
between the
fingers
differ-
by webs of
The apparent
On
the
back the
clefts
212
down
toward the
finger-tips.
X
THE MUSCLES OF THE LOWER LIMB
The Thigh
triceps femoralis
(or quadriceps)
ON
cles:
region,
made up
this
of three mus-
Sometimes
formation
is
In this case,
a deep-seated form
that
is
closely
is
In the
femoralis there
is
some
little
resemblance
found on the
limbs.
first
There is also a certain repetition in the way that the muscular divisions are arranged.
213
214
First
we
the
rectus femoris.
The
carried
VASTUS EXTERNUS
Fpom ihe femup Outep side below
"the
inferior iliac
grea^t +rochan-
RECTUS
FEMORIS
izr>
Common tendon
-of
VASTUS
INTERNUS
From thefemupInnen side and
the
posteniop
PATELLA
Ligament of the patella which continues the muscular>
its
supfacc
form proper
to
TRICEPS rEMORAUS
ALSO CALLED THE QUADRICEPS.
the
arm
ilium.
The
springs
from, as
we have
the
scapula.
Occupying the
215
is
very close to
The
is
fleshy
portion
large
and
Teasop of
F<^5ciak
the
lata
Sartopias
fusiform, the
musIli'o-tlbial
band
short
above
Rectus femons
Vastus externus
Patella
common tendon
all
Vastus internus
Li^amznf of
the patella
three divisions.
RIGHT LIMB ANTERlOfi VJEW
enits
EN
the patella,
from
which
bone
is
continued to the
This prois
more
named
is
The
and
its
general
2i6
The two
the
femur, a
manner of
origin of the
two
arm, which
also arise
from a limb-bone
the humerus.
VASTUS EXTERNUS
{Vastus
lateralis)
posterior muscle.
It
arises
from the
Its fibres as
common tendon
VASTUS INTERNUS
{Vastus medialis)
This, the third division of the triceps femoralis,
is
placed farther
down on
divisions.
It arises
common
tendon.
matter
ANTERIOR SUPERIOR
ILIAC SPINE
Teasop
Adduciops
Gnacilis
SaptoniuS
llio-tibial band
Rectus femopis
Vastus extepnus
PATELLA
laiepoakl
Vastus luiepaus
Long extcRSOP
the toes
Soleus
Tcndoas
Lp.
of tKe
Ga^stpocnemius
Long
Short peponeal
Long
peroReal
S.p.
2i8
that should be especially noticed with respect to the vastus internus, on account of
its
being placed
thigh,
is
of
it
a gradual one.
The
rectus
femoris division,
it
bone.
When
the knee
is
prominences of
Tensor jascicB
latce)
This muscle
is
downward
to a point
Here
it is
Graci
is
PATELLA
P<2S anszninus
jntennal (subcu+aneous) surface of +h<z tibia
toes
220
The
region
there.
membrane that invests the of the thigh and binds down the muscles The proper tendon of the muscle which we
fascia lata
is
are considering
is
Arise**
from the
ani-epfop
GREAT
TROCHANTER
OF
the:
FEMUR
UO --TIBIAL BAND- A
An
insep-
+ioa of the
Qluteus
maximuS
muscle
thickened poption of fhe fascia la+a Ppac+ically a tendinous contfn.uatioa of tKls muscle
inscpffoR of the
11 1'o
-tibial
band
into
osity of
the tibia
TENSOR
This
fas-
band
is
The lower
part of the
tension,
shows
Sa^niopius
Teasop
of tlie
io -tibial
band
Biceps femopis
PATELLA
HEAD
OF THE
FIBULA
Anteniop tibial
GastpocRemius
Soleus
Long exteasop
of Ihetoes
Long pepoRcal
Shopt peponeal
Lf^ameni of
the ankle
LIMB.
222
down
the
When
a
made
taut,
it
causes
depression, very
Fpom +Ke
an.'teplon
iRSCPted by a flat tendoR into tKe inaep sunface of the tibia below +Ke tubenosity Its tendon,
forms pant
SARTOR/ US
pes aaseriaus
SARTORIUS
This
is
The
other form,
ward and downward, but the sartorius goes inward and downward. It is from within the angle made by these two muscles as they diverge from their
223
Gluteus medius
Gluteus maximus
,^N^^
GREAT TROCHANTER
Gracilis
Biceps femopis
nio-tibial
'
Lowcp papt
POPLITEAL SPACE
PI
antapis
Gastpocnemius
Soleus
Long f lexop
of
m
LIMB.
the toes
Achilhs
tendon
its
origins
on the hip-bone.
The
goes
obliquely
224
knee, where
of the articulation.
of the bone.
An-kriop 5upepiop spiae of
the ilium.
This
body, follows
of shallow trough.
SartoriuS
Gracilis
If
while
stand-
Semi teadinosus
Patella
non-supporting leg
is
Pes aaserinus
Irxrvep
face
INNES.
the tibia
VIEW
THE THREE THIGH MUSCLES THAT BLEND THEIR TENDONS TO FORM THE EXPANSION CALLED THE PES
ANSERINUS.
that
its
turned in
deep,
It
then
will
be firm
and
will
The name
as
leg
was given
it
to this muscle
appeared to
the
is
by them
the
principal
factor
in
putting
in
tailor's
into that
odd position
which he
sarcire^
seated
atop
the
work-table
(Latin,
to
mend,
patch).
225
sHm, slender).
two pubic
q-RACILIS
From ihe
p
lasertcd
ihe.
iato
inaen
f-ibia
surface of
the
^.G-.
portions.
From
its
here
it
the inner contour of the thigh, to the insertion into the tibia on
inner surface below the knee.
is
The
out
is
gracilis
Draw-
226
Viewed
anteriorly,
we
bounded by the
A n tenion
ILIUM
Riciht
vie.
w
QROIN
Limb
of
Tensop
Pectineus
Adductor
bncvis
SartopiuS
RectaS
femopis
Adductop
longus
Vastus
extepRuS
QpaciliS
Adductop
ma^aus FEMUR
PATELLA
FIBULA
Vastus
intepnus
TIBIA
A, The pectineus and the adductor muscles of the thigh. B. Their subcutaneous portions shown within the triangular area bounded by the gracilis and sartorius muscles and the groin.
sartorius, gracilis,
and the
lie
The
is
adductor muscles
There
no
aggregate mass
out the
form
in
the region.
227
These muscles pass from origins on parts of the The pelvic bone to various parts of the femur. general direction of the muscles and their fibres is
a radiating one from the pelvic bone to insertions
With
of the
three
forms
coming under
specification
origins
vis
this
Ilium
have
Tuberosity of
on the
pel-
the
IscKium.
from
wKIcK
ta^kc
Great fpochaater
Gluteal
fold
They
have
Semi tendinosus
Biceps femopis
Semimembranosus
Tibia
POSTERIOR VIEW
the leg on
the
Back of knee
Head of
the f I'bula
RIQ-HT
LIMB
limb back.
by the gluteus maximus; and where they become visible in passing beyond the
tremities are covered
without
division.
At
228
occurs
one
side,
coterminous relationship, go
From the
ischial
tuberosity in
of-
of
the innen
of
the knee
Then fonward
to be insepted
into the tibia below the innep tuberosity Its tendon fopms part of the aponeurosis called the pes anscpinus
se:mi TENDiNoe us
SEMITENDINOSUS
This muscle and the next one to be described,
the semimembranosus, are the two hamstring muscles that
thigh.
The semitendinosus
from the
is
ischial
inserted into
At the
place of insertion
its
expanded ten-
229
The semitendinosus
at its
closely
associated
string muscles.
With the
it
of this group,
arises
bone by a
common
tendon.
so,
The upper
portion,
is
about two-thirds or
of the
semitendinosus
composed of fleshy fibres, while below it is represented by a cord-like tendon that in certain actions of the knee can be perceived as a sharp ridge on the
inner side of the lower thigh.
This muscle
'
lies
SEMIMEMBRANOSUS
This muscle
arises
from the
ischial tuberosity of
common
origin of the
Its inser-
bone
is
The tendon
is
tendinous at
composed
some-
of fleshy fibres.
But the
level
to the region.
The tendons
of the
semitendinosus
and semi-
230
An expansioR of +he tendon formiri^ pant of "3 li'^ament of the. aptlculation of the kaec
ndon iaserted into the
posterior
supfa^ce of fhe
SEMI MEMBRAN05US
membranosus (and
torius
to
sar-
on the inner side the space on the back of the knee called the ham, or popliteal
and
gracilis) limit
space.
Outwardly
this
space
is
limited
by the
BICEPS FEMORIS
{Biceps flexor cruris)
This muscle in certain respects has some resemblance to the biceps of the arm.
Both
arise
by two
231
with the
Senrti+endinosuS
Short head From +Ke back of the femup anisiRgfrom the linea aspena
BICEPS
FEMORfS
ascrted
fibula
into th<2
head of the
they belong.
The
from the
The
fibula.
insertion
is
we
prominent
region.
is
The
biceps femoris
232
A
is
is
unbent; that
if
Hmb
is
kept straight.
This
yourself.
where you can rest one hand for support. Now lift one leg from the floor and move it forward, keeping it stiff" and without the least
table, or shelf, or
See
how
far
it
you cannot bring it even horizontally before you. After you have tried as hard as you can, suddenly bend the knee, and at
now.
will find that
You
The whole matter in this little experiment is that the much too short tendons were attached to the leg-bones in such a way that they prevented the limb from moving any farther. It was only when
the knee was bent, so as to bring the points of at-
tachment
closer,
233
The
masses of the
by two
portions,
QASTRO CNEMIUS
Arises by two heads from the
bs^ck of
SOLEUS
Anises from the head aad uppen pant of the fibula - Also from the back of the tibia
ihe femup
tendoa which
ca^lca^neurri
\s
^kttached to fhe
ACHILLES TENDON
OP heel -bone
outer,
The
leg
insertion
the
tendon of Achilles.
of
234
tiguous.
joins the
tendon of Achilles,
in profile,
In the
no percepfibres
are succeeded
by the tendon.
The
level at
which
The gastrocnemius
of the
leg.
gives
many
defining outlines
its
viewed
defines
posteriorly.
And from
the
its
direct
front
it
convexity as
calf.
the
inner
It
trocnemius
is
larger
and
set
on a lower
level
than
The
soleus, a flat
tibia.
Its
is
apo-
Only the
235
immediately beyond
When
the musreliefs.
The tendon
it
broad where
tapers as
be noted that
of the
farther
much
down than the lowest margins of the gastrocnemius. The calf muscles extend the foot by pulling on the
heel-bone and bringing the foot in a straight line
with the
leg.
When
acting
alone,
the
gastroc-
nemius
is,
modes of progression
and
in
The Plantaris
bone.
slender tendon, going from the femur to the heelIts fleshy part joins
and
is
somewhat comthrough
the
The tendon
passes
mass of the leg, and then runs close to the inner edge of the tendon of Achilles. It is a small formation and is to be considered as part of the general mass of the calf muscles.
236
As
on the skeleton of
the tibia
is
\\k
li
y
ANTERIOR TIBIAL
^Fpom
ihe
From the outep face of the upper {..^^ two-thjpds of the tibia
J
^^
^
l/iftj
^the ankle
Ivffitt
mmm
in drawing.
Insepfed la+o the -fipst cuneffopiu and gpeat +oe mctatapsal ^^^ ^^^^ ^^
^^
And
it is
of no less significance as an
the
Its fleshy
when
the foot
is
moved up
(flexion)
and down
(extension).
The
237
and adjoin-
ing membranes.
It
is
form
tarsal bone,
and
The
course of the
is
leg.
The
where the tendon crosses the tibia to pass down on the inner border of the ankle and then under the arch of the foot to The fleshy belly of the muscle, which its insertions.
extends from above to about the lower third of the
leg,
tibia.
where
In
and ankle.
dorsum toward the front of the leg, this tendon comes out conspicuously. If with this flexion there is combined a lateral inward turning of the foot, the tendon can be further observed in movement. At the bend of the ankle, a strong band, the anflexing
the foot
moving
its
down
the tendon
Other
238
While putting the foot into action so as to bring into prominence the tendon of the anterior tibial,
e:xten3or of
the:
qreat toe
From the fibula and tKc iatcposseous The f lesKy part of the membpakRC
muscle
be+ween and is nearly completely covepcd by the Anterior Tibial and the Long Extensor
lies
Here
the tendon as
shows
Insepted
into
phalanx
of the foot going directly to the middle line of the great toe.
This
is
can be brought
is
relief if
is
the toe
extended;
if
the effort
made
dorsum of the
The
arises
from the
membrane.
Its
fleshy portion
is
covered by the
239
as
last
at
Then
it
after passing
ankle,
Where
this
in
marks the highest elevation of the instep and is, this way, an important detail to heed in drawing.
the outer side of the line of this tendon, the surlittle
On
it
pitches abruptly
this
is,
muscle
as
its
should be noted:
function
name
same
pull
on the
This muscle
lies
leg bor-
The
less
The
240
adjacent membranes.
It
is
inserted
by four
tenis,
that
last.
The tendons
diverge
leg near
cjfa^.'w
LONGFrom
PERONEUS TERTIUS
Qoes
+0 the base ofihe little toe
Ppom the upper part of the fibula and membparie between the two bones
Into
4 slips
They are
inserted
into the
of these
2nd
toes
extensop
^rA 3 rd phalanges
toes.
Where
when
its
the muscle
extension of the
toes.
The Hne
side of the
241
direction
is
in contact
is
A
is
the
Peroneus Tertius.
At
first its
tendon passes
by the
tensor,
ligament,
fifth
is
metaclosely
tarsal bone.
The
LONG peroneal
{Peroneus longus)
we have completed
is
the
list
of the
leg.
important
The
long peroneal
the
fibula
and
leg,
membranes.
The
the
elongated
fleshy
middle of the
where
it is
succeeded by a long
around
it
its
242
The
long peroneal
muscle
and tendon should be well understood originating from the outer side and ending on the inner side.
The
is
to
LONCt
PERONEAL
From
the lowcp part of the fibula
SHORT
PERONEAL
of both
From
Tendons
muscles
Tendoa
the projecting
b^sz of the
the
metata^rsal of little toe
its
action
As
the
reliefs
and continues on the outer side to of the soleus and the gastrocnemius.
is
is
observable
243
and which
in the
model shows
less, in
as
an eminence
another that
is,
more or
shadow.
SHORT PERONEAL
(Peroneus brevis)
The tendon
formation
ankle,
of the
ridge
above the
of that side.
so,
of the fibula.
The
passing
direction of the
metacarpal, where
inserted into
its
The
POSTERIOR TIBIAL
{Tibialis posticus)
The
nence.
promi-
of the leg
244
The anatomical plan of the inner region of the leg, thinking of it now as a mere diagram, is very simple;
there
is
first
heel.
Now,
in the
remain-
RIG^r
LEG-
INNER S/DE
Qas+pocneraias
Soleas
Tendort
of*
+he
AcKilles tcndoa
Pos+epiop +ibial
INTERNAL MALLEOLUS
toes
THE TENDONS OF TWO DEEP LEG MUSCLES THAT SHOW ON THE INNER REGION OF THE ANKLE.
some of
at the
the
Two
named
head of
tibial,
One
has
where
branes.
it
arises
mem-
The tendon
under the
foot, certain
245
to
the
tarsal
bones.
This
it
muscle
helps
ex-
so that the
sole
faces
The
fleshy part
under the
side
The
us, as
plainly perceived
immedi-
On
of any muscular form are those of the short extensor of the toes.
It arises
The
slips,
The muscle
to
the
246
SHORT EXTENSOR
of the
TOES
Apises from
the heel- bone
Divides into
Whepc
Relief of this muscle OR the o^ternal fopra
^^^W
tendons
divisions
^o
to the
teadoaS
below,
and
immediately
before,
the
ankle-joint.
The
fibrous slips
and tendons of
THE SOLE
On
are
number of shorter forms that move (in the natural These foot, uncramped by foot-gear) the toes.
have
in their
like quali-
ties to
But
as
they
have no influence on the surface contours, there is no need here for any detailed study of their peculi-
With the cushions of fatty tissue and the dense membranes of the sole, their fleshy parts and
arities.
247
And
this
form
is
ment that
INDEX
INDEX
Abdomen, muscles
Abduction, 115 Acetabulum, 32 Achilles, tendon
of the, 149
Coccyx, 35
Collar-bone, 46 Common extensor of the fingers,
of, 105,
235
19s
Coracoid process, 51 Corru gator of the eyebrow, 157 Costal arch, 30 Costal cartilages, 26 Cranium, 36
Cuboid bone, 87
Cucullaris muscle, 128
Axis vertebra,
9,
19
Back, muscles of the, 123 Biceps femoris muscle, 230 Biceps muscle of the arm, 178 Bones, classes of, 4 Brachialis anticus muscle, 184
Brachio-radialis muscle, 187 Breast-bone, 30 Buccinator muscle, 163
Deep flexor of the fingers, 205 Deltoid muscle, 136 Depressor of the angle of the mouth, 162 Depressor of the lower lip, 162 Digastric muscle, 173
Dorsum
Elbow, hollow of
10
of
angle
the
mouth, 160
Calcaneum, 86
Calf, muscles of the, 233
Elevator of the chin, 161 Elevator of the upper lip, 159 Elevator of the upper lip and the wing of the nose, 158 Ensiform appendage, 30
Epigastric fossa, 30
46
251
252
INDEX
Humerus, 53 Hyoid bone, 172 Hypothenar eminence, 211
Iliac crest, 33 Iliac spine, anterior superior, 33 Iliocostal muscle, 124
Ilio-tibial
Equilibrium in standing, 103 Erector spinse muscle, 123 Expression, muscles of, 156, 159 Extension, 118 Extensor carpi radialis brevior, 193 Extensor carpi radialis longior, 191 Extensor carpi ulnaris, 196 Extensor communis digitorum, 195 Extensor indicis, 196 Extensor minimi digiti, 196 Extensor of the great toe, 238 External oblique muscle, 145
Facial bones, 42 Facial muscles, 156, 159
band, 220
Knee-joint, 78
Femur, 72
Fibula, 78 Flexion, 116
Knee-pan, 79 Knuckles, 68
Larynx, 172 Latissimus dorsi muscle, 126 Levator muscle of the scapula, 170 Levers, the bony, 11
Flexor carpi radialis, 202 Flexor carpi ulnaris, 200 Flexor digitorum profundus, 205 Flexor digitorum sublimis, 204 Fonticulus, 47, 166
Foot, bones of the, 84 Frontal bone, 38
Ligament of the
Ligaments, 10
patella, 215
Ligamentum
124
Long extensor of the toes, 239 Long flexor of the toes, 243 Long peroneal muscle, 241 Long radial extensor of the wrist
and hand, 191
supinator, 187 Longissimus dorsi muscle, 124 Lower limb, bones of the, 71 Lower limb, muscles of the, 213
Long
Lower
125
Hamstring muscles, 227 Hand, bones of the, 64 Haunch-bone, 32 Head, bones of the, 36
Hip-joint, 73
Malar bone, 42
Malleoli, 83
Manubrium, 31
Masseter muscle, 163
INDEX
Mastoid process, 41
Maxillary bone, inferior, 44 Maxillary bones, superior, 43
253
Pes anserinus, 224, 229 Phalanges of the foot, 87 Phalanges of the hand, 68
Pisiform bone, 64 Pit of the neck, 47, 166
Pit of the stomach, 30 Plantaris muscle, 235
Metacarpal bones, 6^ Metatarsal bones, 87 Movements of the body, 114 Muscle, a typical structural, 104 Muscles in general, loi
Platysma, 174
Popliteal space, 113, 230 Posterior tibial muscle, 243
Poupart's ligament, 33, 112 Procerus muscle, 158 Process of bone, 18 Pronation, 63 Pubis, 34 Pyramidalis nasi muscle, 158
Omohyoid muscle,
171
Omoplate, 48 Orbicular muscle of the eye, 156 Orbicular muscle of the mouth, 157
Orbit, 42
Rhomboid
muscle, 132
Round
pronator, 203
Semilunar bone, 64
254
Semispinalis capitus, 170 Semitendinosus muscle, 228
INDEX
Thumb
muscles, 207
Serratus
Shin, 82
magnus muscle,
143
Short extensor of the toes, 245 Short peroneal muscle, 243 Short radial extensor of the wrist and hand, 193 Shoulder-blade, 48 Shoulder girdle, 52
Shoulder-joint, 53
Sole,
Torso, 109 Transversalis muscle, 149 Transverse lines, 146, 148 Trapezium bone, 64 Trapezius muscle, 128 Trapezoid bone, 64 Triangularis muscle, 162
246
Triceps femoralis muscle, 213 Triceps muscle of the arm, 182 Trochanter, great, 75 Trochanter, lesser, 77 Trumpeter^s muscle, 163 Tubercle of the tibia, 82
Splenius muscle, 170 Sternocleidomastoid muscle, 165 Sternohyoid muscle, 173 Sternothyroid muscle, 173
Ulna, 59 Ulnar extensor of the wrist, 196 Ulnar flexor of the wrist, 200
Sternum, 30
Superciliary ridges, 39 Superficial flexor of the fingers, 204 Supination, 63
the,
46
Upper
Sutures, 6
Tendon
Vertebral column, 16
Tendons, 104
Wrist-bones, 64
Wrist-joint,
movements
taking
Tensor of the fascia lata, 218 Teres major muscle, 134 Teres minor muscle, 134
Xiphoid process, 30
Zygomatic arch, 41, 42 Zygomaticus muscle, greater, 160 Zygomaticus muscle, lesser, 160
rLt^
"K