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Pathology for Physical Therapists 2008
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A. General Features
- Called Somatic (body) Musculature
- Rapid Contractions
- Voluntary Innervation
- Striations Visible with light microscope
B. Skeletal Muscle Cell Morphology (see diagram)
- Fibers = Cell
- Cylindrical with tapered ends
- Relatively long, typically at least 20mm (i.e. 2cm), but often many centimeters
- Relatively thick, about 10-100 microns in diameter
- Multinucleated - nuclei located along cell edge
- Striations - alternating light and dark bands - visible with light microscope
C. Skeletal Muscle Ultrastructural Features
- Myofibrils - tubular arrangement within cells
- Thick myofilaments = Myosin - contractile protein
- Thin myofilaments = Actin - contractile protein
- Intermediate filaments = Z line - structural proteins
- Myofilaments align in overlapping arrangement
- Cytoplasm = Sarcoplasm
D. Skeletal Muscle Striation Ultrastructure
- Dark = A band, area with of overlap myosin and actin
- H zone = in the middle of A band with no actin overlap
- Light = I band, primarily actin
- Sarcomere = area between two Z lines, forms the contractile unit
- Z line = structural protein holding actin at I band
E. Skeletal Muscle and Connective Tissue
Three basic layers (muscle cover diagram)
- endomysium - surrounds each cell(fiber)
- perimysium - surrounds a group of cells forms a fascicle
- epimysium - surrounds entire gross muscle
Endomysium
- thin delicate connective tissue
- blends with muscle cell membrane
Perimysium
- ordinary loose connective tissue
- divides groups of muscle cells into bundles within the gross muscle
Epimysium
- capsule = dense irregular connective tissue
All three layers merge together at end of a gross muscle to form a tendon.
A. General Features
- Wall of heart
- Contracts rapidly
- Autonomic (involuntary) innervation
B. Cardiac Muscle Morphology (see diagram)
- Cells = Fibers
- Fibers branch and anastomose
- Moderate length, about 100 microns
- Moderate diameter, 10-50 microns
- Striations present and visible with light microscope but not distinct
- Single nucleus - centrally placed
- Intercalated disks join ends of cells together
- desmosomes
- gap junctions
A. General Features
- Walls of hollow viscera
- Contracts slowly
- often prolonged sustained contractions
- Autonomic (involuntary) innervation
B. Smooth Muscle Morphology (see diagram)
- Fibers = Cell
- Spindle shape cells - elongated and tapered
- Moderate length - about 100-200 microns
- Thin diameter - about 5-10 microns
- Single nucleus - centrally placed
- NO Striations
- Typically arranged in bundles or sheets (may look like dense regular CT)
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© 2003, Stephen P. Lahr PT Dept | School of HSHP | IC Home Page |