The gastrocnemius muscle (plural ''gastrocnemii'') is a superficial two-headed muscle that is in the back part of the lower leg of

human Humans (''Homo sapiens'') are the most abundant and widespread species of primate, characterized by bipedalism and exceptional cognitive skills due to a large and complex brain. This has enabled the development of advanced tools, culture, ...

s. It runs from its two heads just above the

knee In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia (tibiofemoral joint), and one between the femur and patella (patellofemoral joint). It is the largest joint in the hu ...

to the heel, a three joint muscle (knee, ankle and subtalar joints). The muscle is named via

Latin Latin (, or , ) is a classical language belonging to the Italic branch of the Indo-European languages. Latin was originally a dialect spoken in the lower Tiber area (then known as Latium) around present-day Rome, but through the power of the ...

, from

Greek Greek may refer to: Greece Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group. *Greek language, a branch of the Indo-European language family. **Proto-Greek language, the assumed last common ancestor ...

γαστήρ (''gaster'') 'belly' or 'stomach' and κνήμη (''knḗmē'') 'leg', meaning 'stomach of the leg' (referring to the bulging shape of the

calf Calf most often refers to: * Calf (animal), the young of domestic cattle. * Calf (leg), in humans (and other primates), the back portion of the lower leg Calf or calves may also refer to: Biology and animal byproducts * Veal, meat from calves * ...

Structure

The gastrocnemius is located with the

soleus In humans and some other mammals, the soleus is a powerful muscle in the back part of the lower leg (the calf). It runs from just below the knee to the heel, and is involved in standing and walking. It is closely connected to the gastrocnemius mu ...

in the posterior (back) compartment of the leg. The lateral head originates from the lateral condyle of the femur, while the medial head originates from the medial condyle of the

femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates with ...

. Its other end forms a common tendon with the

soleus muscle In humans and some other mammals, the soleus is a powerful muscle in the back part of the lower leg (the calf). It runs from just below the knee to the heel, and is involved in standing and walking. It is closely connected to the gastrocnemius mu ...

; this tendon is known as the calcaneal tendon or

Achilles tendon The Achilles tendon or heel cord, also known as the calcaneal tendon, is a tendon at the back of the lower leg, and is the thickest in the human body. It serves to attach the plantaris, gastrocnemius (calf) and soleus muscles to the calcaneus ( ...

and inserts onto the posterior surface of the

calcaneus In humans and many other primates, the calcaneus (; from the Latin ''calcaneus'' or ''calcaneum'', meaning heel) or heel bone is a bone of the tarsus of the foot which constitutes the heel. In some other animals, it is the point of the hock. S ...

, or heel bone. It is considered a superficial muscle as it is located directly under skin, and its shape may often be visualized through the skin. Deep to the gastrocnemius (farther from the skin) is the soleus muscle. Some anatomists consider both to be a single muscle—the

triceps surae The triceps surae consists of two muscles located at the calf – the two-headed gastrocnemius and the soleus. These muscles both insert into the calcaneus, the bone of the heel of the human foot, and form the major part of the muscle of the p ...

or "three-headed uscleof the calf"—since they share a common insertion via the Achilles tendon. The

plantaris muscle The plantaris is one of the superficial muscles of the superficial posterior compartment of the leg, one of the fascial compartments of the leg. It is composed of a thin muscle belly and a long thin tendon. While not as thick as the achilles te ...

and a portion of its tendon run between the two muscles, which is involved in "locking" the knee from the standing position. Since the anterior compartment of the leg is lateral to the tibia, the bulge of muscle medial to the

tibia The tibia (; ), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia); it connects ...

on the anterior side is actually the posterior compartment. The soleus is superficial to the mid-shaft of the tibia.

Variation

39% of individuals have a

sesamoid bone In anatomy, a sesamoid bone () is a bone embedded within a tendon or a muscle. Its name is derived from the Arabic word for ' sesame seed', indicating the small size of most sesamoids. Often, these bones form in response to strain, or can be pres ...

called the

fabella The fabella is a small sesamoid bone found in some mammals embedded in the tendon of the lateral head of the gastrocnemius muscle behind the lateral condyle of the femur. It is an accessory bone, an anatomical variation present in 39% of h ...

in the lateral (outer) head of the gastrocnemius muscle.

Function

Along with the

, the gastrocnemius forms half of the

calf muscle The triceps surae consists of two muscles located at the calf – the two-headed gastrocnemius and the soleus. These muscles both insert into the calcaneus, the bone of the heel of the human foot, and form the major part of the muscle of the ...

. Its function is plantar flexing the foot at the ankle joint and flexing the leg at the knee joint. The gastrocnemius is primarily involved in running, jumping and other "fast" movements of leg, and to a lesser degree in walking and standing. This specialization is connected to the predominance of white muscle fibers (type II fast twitch) present in the gastrocnemius, as opposed to the soleus, which has more red muscle fibers (type I slow twitch) and is the primary active muscle when standing still.

Motor pathway

The plan to use the gastrocnemius in running, jumping, knee and plantar flexing is created in the

precentral gyrus The precentral gyrus is a prominent gyrus on the surface of the posterior frontal lobe of the brain. It is the site of the primary motor cortex that in humans is cytoarchitecturally defined as Brodmann area 4. Structure The precentral gyrus l ...

in the cerebrum of the brain. Once a plan is produced, the signal is sent to and down an upper motor neuron. The signal is passed through the internal capsule and decussates, or crosses, in the medulla oblongata, specifically in the lateral corticospinal tract. The signal continues down through the anterior horn of the spinal cord where the upper motor neuron synapses with the lower motor neuron. Signal propagation continues down the anterior rami (Lumbar 4-5 and Sacral 1-5) of the sacral plexus. The sciatic nerve branches off of the sacral plexus in which the tibial and common fibular nerves are wrapped in one sheath. The tibial nerve eventually separates from the sciatic nerve and innervates the gastrocnemius muscle. Thus, completing the plan the brain had originally started with, so that the actions of running, standing, and jumping could be executed.

Clinical significance

The gastrocnemius muscle is prone to

spasm A spasm is a sudden involuntary contraction of a muscle, a group of muscles, or a hollow organ such as the bladder. A spasmodic muscle contraction may be caused by many medical conditions, including dystonia. Most commonly, it is a muscle c ...

s, which are painful, involuntary contractions of the muscle that may last several minutes. A severe ankle dorsiflexion force may result in an Medial Gastrocnemius Strain (MGS) injury of the muscle, commonly referred to as a "torn" or "strained" calf muscle, which is acutely painful and disabling. The gastrocnemius muscle may also become

inflamed Inflammation (from la, inflammatio) is part of the complex biological response of body tissues to harmful stimuli, such as pathogens, damaged cells, or irritants, and is a protective response involving immune cells, blood vessels, and molecu ...

due to overuse.

Anti-inflammatory Anti-inflammatory is the property of a substance or treatment that reduces inflammation or swelling. Anti-inflammatory drugs, also called anti-inflammatories, make up about half of analgesics. These drugs remedy pain by reducing inflammation as o ...

medications and physical therapy (heat, massage, and stretching) may be useful. Anatomical abnormalities involving the medial head of gastrocnemius muscle result in

popliteal artery entrapment syndrome The popliteal artery entrapment syndrome (PAES) is an uncommon pathology that occurs when the popliteal artery is compressed by the surrounding popliteal fossa myofascial structures. This results in claudication and chronic leg ischemia. This co ...

History

In a 1967 EMG study, Herman and Bragin concluded that its most important role was

plantar Standard anatomical terms of location are used to unambiguously describe the anatomy of animals, including humans. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...

flexing in large contractions and in rapid development of tension.

Additional images

File:Gastrocnemius muscle - animation.gif, Animation File:Sobo 1909 579-580.png, Nerves, arteries and veins surrounding the gastrocnemius and soleus. File:Sobo 1909 304.png, Muscle layer under the gastrocnemius File:Braus 1921 293.png, Cross section of the lower leg, showing the gastrocnemius at the back. File:Slide6i.JPG, Gastrocnemius muscle (dissection) File:Gastrocnemius.png, Location of muscle

References

External links

* {{Authority control Calf muscles Knee flexors Plantar flexors Muscles of the lower limb