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Aponeurosis
An aponeurosis (; plural: ''aponeuroses'') is a type or a variant of the deep fascia, in the form of a sheet of pearly-white fibrous tissue that attaches sheet-like muscles needing a wide area of attachment. Their primary function is to join muscles and the body parts they act upon, whether bone or other muscles. They have a shiny, whitish-silvery color, are histologically similar to tendons, and are very sparingly supplied with blood vessels and nerves. When dissected, aponeuroses are papery and peel off by sections. The primary regions with thick aponeuroses are in the ventral abdominal region, the dorsal lumbar region, the ventriculus in birds, and the palmar (palms) and plantar (soles) regions. Anatomy Anterior abdominal aponeuroses The anterior abdominal aponeuroses are located just superficial to the rectus abdominis muscle. It has for its borders the external oblique, pectoralis muscles, and the latissimus dorsi. Posterior lumbar aponeuroses The posterior lumbar apo ...
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Plantar Fascia
The plantar fascia is the thick connective tissue (aponeurosis) which supports the arch on the bottom (plantar side) of the foot. It runs from the tuberosity of the calcaneus (heel bone) forward to the heads of the metatarsal bones (the bone between each toe and the bones of the mid-foot). Structure The plantar fascia is a broad structure that spans between the medial calcaneal tubercle and the proximal phalanges of the toes. Recent studies suggest that the plantar fascia is actually an aponeurosis rather than true fascia. The Dorland’s Medical Dictionary defines an aponeurosis as: (i) a white, flattened or ribbon-like tendinous expansion, serving mainly to connect a muscle with the parts that it moves, (ii) a term formerly applied to certain fasciae. Further, it defines the plantar aponeurosis as bands of fibrous connective tissue radiating toward the bases of the toes from the medial process of the tuber calcanei (posterior half of the calcaneus). The plantar fascia is m ...
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Plantar Aponeurosis
The plantar fascia is the thick connective tissue (aponeurosis) which supports the arch on the bottom (plantar side) of the foot. It runs from the tuberosity of the calcaneus (heel bone) forward to the heads of the metatarsal bones (the bone between each toe and the bones of the mid-foot). Structure The plantar fascia is a broad structure that spans between the medial calcaneal tubercle and the proximal phalanges of the toes. Recent studies suggest that the plantar fascia is actually an aponeurosis rather than true fascia. The Dorland’s Medical Dictionary defines an aponeurosis as: (i) a white, flattened or ribbon-like tendinous expansion, serving mainly to connect a muscle with the parts that it moves, (ii) a term formerly applied to certain fasciae. Further, it defines the plantar aponeurosis as bands of fibrous connective tissue radiating toward the bases of the toes from the medial process of the tuber calcanei (posterior half of the calcaneus). The plantar fascia is ma ...
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Epicranial Aponeurosis
The epicranial aponeurosis (aponeurosis epicranialis, galea aponeurotica) is an aponeurosis (a tough layer of dense fibrous tissue). It covers the upper part of the skull in humans and many other animals. Structure In humans, the epicranial aponeurosis originates from the external occipital protuberance and highest nuchal lines of the occipital bone. It merges with the occipitofrontalis muscle. In front, it forms a short and narrow prolongation between its union with the frontalis muscle (the frontal part of the occipitofrontalis muscle). On either side, the epicranial aponeurosis attaches to the anterior auricular muscles and the superior auricular muscles. Here it is less aponeurotic, and is continued over the temporal fascia to the zygomatic arch as a layer of laminated areolar tissue. It is closely connected to the integument by the firm, dense, fibro-fatty layer which forms the superficial fascia of the scalp. It is attached to the pericranium by loose cellular tiss ...
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Palmar Aponeurosis
The palmar aponeurosis (palmar fascia) invests the muscles of the palm, and consists of central, lateral, and medial portions. Structure The central portion occupies the middle of the palm, is triangular in shape, and of great strength Its apex is continuous with the lower margin of the transverse carpal ligament, and receives the expanded tendon of the palmaris longus. Its base divides below into four slips, one for each finger. Each slip gives off superficial fibers to the skin of the palm and finger, those to the palm joining the skin at the furrow corresponding to the metacarpophalangeal articulations, and those to the fingers passing into the skin at the transverse fold at the bases of the fingers. The deeper part of each slip subdivides into two processes, which are inserted into the fibrous sheaths of the flexor tendons. From the sides of these processes offsets are attached to the transverse metacarpal ligament. By this arrangement short channels are formed on the front ...
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Bicipital Aponeurosis
The bicipital aponeurosis (also known as lacertus fibrosus) is a broad aponeurosis of the biceps brachii, which is located in the cubital fossa of the elbow. It separates superficial from deep structures in much of the fossa. Structure The bicipital aponeurosis originates from the distal insertion of the biceps brachii, and inserts into the deep fascia of the forearm. The biceps tendon inserts on the radial tuberosity, and the bicipital aponeurosis lies medially to it. It reinforces the cubital fossa, helping to protect the brachial artery and the ulnar nerve running underneath. Variations Some individuals (about 3% of the population) have a ''superficial ulnar artery'' that runs superficially to the bicipital aponeurosis instead of underneath it. These individuals are at risk for accidental injury to the ulnar artery during venipuncture. Clinical significance The bicipital aponeurosis is superficial to the brachial artery and the median nerve, but deep to the median cubital ...
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Aponeurosis Of The Obliquus Externus Abdominis
The aponeurosis of the abdominal external oblique muscle is a thin but strong membranous structure, the fibers of which are directed downward and medially. It is joined with that of the opposite muscle along the middle line, and covers the whole of the front of the abdomen; above, it is covered by and gives origin to the lower fibers of the pectoralis major; below, its fibers are closely aggregated together, and extend obliquely across from the anterior superior iliac spine to the pubic tubercle and the pectineal line to form the inguinal ligament. In the middle line, it interlaces with the aponeurosis of the opposite muscle, forming the linea alba, which extends from the xiphoid process to the pubic symphysis. That portion of the aponeurosis which extends between the anterior superior iliac spine and the pubic tubercle is a thick band, folded inward, and continuous below with the fascia lata; it is called the inguinal ligament. The portion which is reflected from the inguinal ...
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Palatine Aponeurosis
Attached to the posterior border of the hard palate is a thin, firm, fibrous lamella called the palatine aponeurosis, which supports the muscles and gives strength to the soft palate. It is thicker above and narrows on the way down where it becomes very thin and difficult to define. Laterally, it is continuous with the pharyngeal aponeurosis. It serves as the insertion for the tensor veli palatini and levator veli palatini, and the origin for the musculus uvulae, palatopharyngeus, and palatoglossus. It provides support for the soft palate. See also * Aponeurosis An aponeurosis (; plural: ''aponeuroses'') is a type or a variant of the deep fascia, in the form of a sheet of pearly-white fibrous tissue that attaches sheet-like muscles needing a wide area of attachment. Their primary function is to join musc ... References Human head and neck {{musculoskeletal-stub ...
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External Oblique
The abdominal external oblique muscle (also external oblique muscle, or exterior oblique) is the largest and outermost of the three flat abdominal muscles of the lateral anterior abdomen. Structure The external oblique is situated on the lateral and anterior parts of the abdomen. It is broad, thin, and irregularly quadrilateral, its muscular portion occupying the side, its aponeurosis the anterior wall of the abdomen. In most humans (especially females), the oblique is not visible, due to subcutaneous fat deposits and the small size of the muscle. It arises from eight fleshy digitations, each from the external surfaces and inferior borders of the fifth to twelfth ribs (lower eight ribs). These digitations are arranged in an oblique line which runs inferiorly and anteriorly, with the upper digitations being attached close to the cartilages of the corresponding ribs, the lowest to the apex of the cartilage of the last rib, the intermediate ones to the ribs at some distance from th ...
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Sacrospinalis
The erector spinae ( ) or spinal erectors is a set of muscles that straighten and rotate the back. The spinal erectors work together with the glutes (gluteus maximus, gluteus medius and gluteus minimus) to maintain stable posture standing or sitting. Structure The erector spinae is not just one muscle, but a group of muscles and tendons which run more or less the length of the spine on the left and the right, from the sacrum, or sacral region, and hips to the base of the skull. They are also known as the sacrospinalis group of muscles. These muscles lie on either side of the spinous processes of the vertebrae and extend throughout the lumbar, thoracic, and cervical regions. The erector spinae is covered in the lumbar and thoracic regions by the thoracolumbar fascia, and in the cervical region by the nuchal ligament. This large muscular and tendinous mass varies in size and structure at different parts of the vertebral column. In the sacral region, it is narrow and pointed, and at ...
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Inguinal Aponeurotic Falx
The conjoint tendon (previously known as the inguinal aponeurotic falx) is a sheath of connective tissue formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle, joining the muscle to the pelvis. It forms the medial part of the posterior wall of the inguinal canal. Structure The conjoint tendon is formed from the lower part of the common aponeurosis of the abdominal internal oblique muscle and the transversus abdominis muscle. It inserts into the pubic crest and the pectineal line immediately behind the superficial inguinal ring. It is usually conjoint with the tendon of the internal oblique muscle, but they may be separate as well. It forms the medial part of the posterior wall of the inguinal canal. Clinical significance The conjoint tendon serves to protect what would otherwise be a weak point in the abdominal wall. A weakening of the conjoint tendon can precipitate a direct inguinal hernia. A direct ...
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Occipitalis
The occipitalis muscle (occipital belly) is a muscle which covers parts of the skull. Some sources consider the occipital muscle to be a distinct muscle. However, Terminologia Anatomica currently classifies it as part of the occipitofrontalis muscle along with the frontalis muscle. The occipitalis muscle is thin and quadrilateral in form. It arises from tendinous fibers from the lateral two-thirds of the superior nuchal line of the occipital bone and from the mastoid process of the temporal and ends in the epicranial aponeurosis. The occipitalis muscle is innervated by the facial nerve and its function is to move the scalp back. The muscles receives blood from the occipital artery. Additional image File:Occipitalis muscle animation small.gif, Position of occipitalis muscle (shown in red). See also * Occipitofrontalis muscle The occipitofrontalis muscle (epicranius muscle) is a muscle which covers parts of the skull. It consists of two parts or bellies: the occipital belly, ...
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Extensor Hood
An extensor expansion (extensor hood, dorsal expansion, dorsal hood, dorsal aponeurosis) is the special connective attachments by which the extensor tendons insert into the phalanges. These flattened tendons (aponeurosis) of extensor muscles span the proximal and middle phalanges. At the distal end of the metacarpal, the extensor tendon will expand to form a hood, which covers the back and sides of the head of the metacarpal and the proximal phalanx. Bands The expansion soon divides into three bands: * lateral bands pass on either side of the proximal phalanx and stretch all the way to the distal phalanx. The lumbricals of the hand, extensor indicis muscle, dorsal interossei of the hand, and palmar interossei In human anatomy, the palmar or volar interossei (interossei volares in older literature) are three small, unipennate muscles in the hand that lie between the metacarpal bones and are attached to the index, ring, and little fingers. They are small ... insert on these ba ...
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