The arrangement of fascicles in whole muscle

An in-depth look at zone III and IV anatomy of the finger extensor mechanism and some clinical implications for use of the relative motion flexion orthosis

BACKGROUND

For hand therapists and hand surgeons acute and chronic injuries of the extensor mechanism (EM) in zones III-IV are challenging to treat with satisfying results.

INTRODUCTION

Early active motion combined with relative motion flexion (RMF) orthoses to manage EM zone III injuries and boutonnière deformity has renewed interest in the complex anatomy and biomechanics of the EM.

PURPOSE

To provide an in-depth discussion of EM zones III-IV anatomy with emphasis on inter-tendinous structures, often omitted in simplified, model-wise illustrations which focus mostly on the tendinous structures.

METHOD

In collaboration the authors combined on the one hand extensive clinical experience and knowledge of the EM literature and on the other hand decades of anatomical, biomechanical and kinesiology research of the EM with special interest for the spiral fibers, through gross anatomy and microdissection anatomy laboratory work, MRI and ultrasonography studies.

RESULTS

The inter-tendinous tissues (i.e., spiral fibers) in zone III are of imminent importance for proper functioning of the EM and to prevent boutonnière deformity to develop after EM surgery or injury.

DISCUSSION

Inter-tendinous links between the tendinous structures of the EM are necessary for balanced finger motion. The spiral fibers are described in more detail because of their role in controlling volar migration of the conjoined lateral bands and because their disruption makes development of boutonnière deformity more likely. Understanding the anatomy and biomechanics of the EM may assist in progress toward 'proof of concept' for use of RMF orthoses and controlled early active motion after EM injury or surgery.

CONCLUSION

Hand surgery and hand therapy practice interventions, including use of RMF orthoses for management of non-surgical and surgical EM injuries may benefit from an in-depth look at the EM zone III and IV anatomy and biomechanics.

Whole-limb scaling of muscle mass and force-generating capacity in amniotes

Skeletal muscle mass, architecture and force-generating capacity are well known to scale with body size in animals, both throughout ontogeny and across species. Investigations of limb muscle scaling in terrestrial amniotes typically focus on individual muscles within select clades, but here this question was examined at the level of the whole limb across amniotes generally. In particular, the present study explored how muscle mass, force-generating capacity (measured by physiological cross-sectional area) and internal architecture (fascicle length) scales in the fore- and hindlimbs of extant mammals, non-avian saurians (‘reptiles’) and bipeds (birds and humans). Sixty species spanning almost five orders of magnitude in body mass were investigated, comprising previously published architectural data and new data obtained via dissections of the opossum Didelphis virginiana and the tegu lizard Salvator merianae. Phylogenetic generalized least squares was used to determine allometric scaling slopes (exponents) and intercepts, to assess whether patterns previously reported for individual muscles or functional groups were retained at the level of the whole limb, and to test whether mammals, reptiles and bipeds followed different allometric trajectories. In general, patterns of scaling observed in individual muscles were also observed in the whole limb. Reptiles generally have proportionately lower muscle mass and force-generating capacity compared to mammals, especially at larger body size, and bipeds exhibit strong to extreme positive allometry in the distal hindlimb. Remarkably, when muscle mass was accounted for in analyses of muscle force-generating capacity, reptiles, mammals and bipeds almost ubiquitously followed a single common scaling pattern, implying that differences in whole-limb force-generating capacity are principally driven by differences in muscle mass, not internal architecture. In addition to providing a novel perspective on skeletal muscle allometry in animals, the new dataset assembled was used to generate pan-amniote statistical relationships that can be used to predict muscle mass or force-generating capacity in extinct amniotes, helping to inform future reconstructions of musculoskeletal function in the fossil record.

Passive and dynamic muscle architecture during transverse loading for gastrocnemius medialis in man

External forces from our environment impose transverse loads on our muscles. Studies in rats have shown that transverse loads result in a decrease in the longitudinal muscle force. Changes in muscle architecture during contraction may contribute to the observed force decrease. The aim of this study was to quantify changes in pennation angle, fascicle dimensions, and muscle thickness during contraction under external transverse load. Electrical stimuli were elicited to evoke maximal force twitches in the right calf muscles of humans. Trials were conducted with transverse loads of 2, 4.5, and 10 kg. An ultrasound probe was placed on the medial gastrocnemius in line with the transverse load to quantify muscle characteristics during muscle twitches. Maximum twitch force decreased with increased transverse muscle loading. The 2, 4.5, and 10 kg of transverse load showed a 9, 13, and 16% decrease in longitudinal force, respectively. Within the field of view of the ultrasound images, and thus directly beneath the external load, loading of the muscle resulted in a decrease in the muscle thickness and pennation angle, with higher loads causing greater decreases. During twitches the muscle transiently increased in thickness and pennation angle, as did fascicle thickness. Higher transverse loads showed a reduced increase in muscle thickness. Smaller increases in pennation angle and fascicle thickness strain also occurred with higher transverse loads. This study shows that increased transverse loading caused a decrease in ankle moment, muscle thickness, and pennation angle, as well as transverse deformation of the fascicles.

3D Muscle Architecture of the Pectoral Muscles of European Starling (Sturnus vulgaris)

Avian flight is achieved through a number of modifications to the body, including the pectoral girdle, yet little is known about the architecture of the pectoral musculature. Muscle architecture is a critical variable in determining the biomechanical function of the vertebrate musculoskeletal system; however, accurate three-dimensional (3D) understanding of muscle architecture has been historically difficult to acquire. Here, we present a musculoskeletal model of a European starling (Sturnus vulgaris) pectoral girdle generated from iodine contrast-enhanced micro-computed-tomography (CT) data and 3D fiber tracking analysis. We used a template-based fiber-tracking algorithm to reconstruct muscle fibers in 3D based on grayscale differences in CT images, which allowed us to estimate fascicle lengths, pennation angles, muscle volumes, and physiological cross-sectional area. Our modeled muscles were qualitatively accurate; however, quantitative muscle architecture data differed between digital and traditional gross-dissection methods reflecting the complex organization of the tissue and differing natures of data collection. We found that model quality is affected by the resolution of CT image data and the fiber-tracking program’s input parameters. Nonetheless, digital fiber tracking offers numerous advantages over gross-dissection methods, most importantly, the ability to visualize and quantify entire muscles in three-dimensions, yielding a much more accurate estimation of whole muscle architecture.

Reconstruction of muscle fascicle architecture from iodine-enhanced microCT images: A combined texture mapping and streamline approach

Skeletal muscle models are used to investigate motion and force generation in both biological and bioengineering research. Yet, they often lack a realistic representation of the muscle's internal architecture which is primarily composed of muscle fibre bundles, known as fascicles. Recently, it has been shown that fascicles can be resolved with micro-computed tomography (µCT) following staining of the muscle tissue with iodine potassium iodide (I2KI). Here, we present the reconstruction of the fascicular spatial arrangement and geometry of the superficial masseter muscle of a dog based on a combination of pattern recognition and streamline computation. A cadaveric head of a dog was incubated in I2KI and µCT-scanned. Following segmentation of the masseter muscle a statistical pattern recognition algorithm was applied to create a vector field of fascicle directions. Streamlines were then used to transform the vector field into a realistic muscle fascicle representation. The lengths of the reconstructed fascicles and the pennation angles in two planes (frontal and sagittal) were extracted and compared against a tracked fascicle field obtained through cadaver dissection. Both fascicle lengths and angles were found to vary substantially within the muscle confirming the complex and heterogeneous nature of skeletal muscle described by previous studies. While there were significant differences in the pennation angle between the experimentally derived and µCT-reconstructed data, there was congruence in the fascicle lengths. We conclude that the presented approach allows for embedding realistic fascicle information into finite element models of skeletal muscles to better understand the functioning of the musculoskeletal system.

3D curvature of muscle fascicles in triceps surae

Muscle fascicles curve along their length, with the curvatures occurring around regions of high intramuscular pressure, and are necessary for mechanical stability. Fascicles are typically considered to lie in fascicle planes that are the planes visualized during dissection or two-dimensional (2D) ultrasound scans. However, it has previously been predicted that fascicles must curve in three-dimensional (3D) and thus the fascicle planes may actually exist as 3D sheets. 3D fascicle curvatures have not been explored in human musculature. Furthermore, if the fascicles do not lie in 2D planes, then this has implications for architectural measures that are derived from 2D ultrasound scans. The purpose of this study was to quantify the 3D curvatures of the muscle fascicles and fascicle sheets within the triceps surae muscles and to test whether these curvatures varied among different contraction levels, muscle length, and regions within the muscle. Six male subjects were tested for three torque levels (0, 30, and 60% maximal voluntary contraction) and four ankle angles (-15, 0, 15, and 30° plantar flexion), and fascicles were imaged using 3D ultrasound techniques. The fascicle curvatures significantly increased at higher ankle torques and shorter muscle lengths. The fascicle sheet curvatures were of similar magnitude to the fascicle curvatures but did not vary between contractions. Fascicle curvatures were regionalized within each muscle with the curvature facing the deeper aponeuroses, and this indicates a greater intramuscular pressure in the deeper layers of muscles. Muscle architectural measures may be in error when using 2D images for complex geometries such as the soleus.

Short communication: pennation angle variability in human muscle

The pennated arrangement of muscle fibers has important implications for muscle function in vivo, but complex arrangement of muscle fascicles in whole muscle raises the question whether the arrangement of fascicles produce variations in pennation angle throughout muscle. The purpose of this study was to describe the variability in pennation angle observed throughout the first dorsal interosseous (FDI) muscle using magnetic resonance imaging (MRI). Two cadaveric muscles were scanned in a 14.1 tesla MRI unit. Muscles were divided into slices and pennation angle was measured in the same representative location throughout the muscle in each slice for the medial-lateral and anterior posterior-image planes. Data showed large nonuniform variation in pennation angles throughout the muscles. For example, for cadaver 2, pennation angle in 287 planes along the medial-lateral axis ranged from 3.2° to 22.6°, while for the anterior-posterior axis, in 237 planes it ranged from 3.1° to 24.5°. The nonnormal distribution of pennation angles along each axis suggests a more complex distribution of fascicles than is assumed when a single pennation angle is used to represent an entire muscle. This distribution indicates that a single pennation angle may not accurately describe the arrangement of muscle fascicles in whole muscle.

Measuring subject specific muscle model parameters of the first dorsal interosseous in vivo

Subject specific musculoskeletal models typically base some or all of their parameters on a source other than the subject being modeled. Evidence demonstrates that cadaveric measurements do not always scale appropriately to every subject, yet many musculoskeletal models still rely heavily on cadaveric based data. This study focused on the First Dorsal interosseous (FDI) given its unique function as the sole abductor of the second metacarpophalangeal joint. There were two purposes to this study: (1) to describe the procedures that can be used in vivo to determine the properties of a model of the FDI. (2). To determine the model parameters required to characterize the FDI for a group of four subjects. Parameters were determined using ultrasound imaging and a custom-built finger dynamometer. Some parameters were measured directly while other parameters had to be estimated using a least-squares criterion. For example, the parameters for the force-length properties were determined by fitting a model to experimentally determined data, with maximum isometric force values ranging from 86 to 102 N, and optimum lengths from 41 to 53 mm. It was shown that full characterization is possible for the FDI with parameters that are physiologically reasonable, but which showed variability between subjects. This model and approach for parameter identification will allow for more detailed analysis of the function of the FDI.

The importance of accurate muscle modelling for biomechanical analyses: a case study with a lizard skull

Computer-based simulation techniques such as multi-body dynamics analysis are becoming increasingly popular in the field of skull mechanics. Multi-body models can be used for studying the relationships between skull architecture, muscle morphology and feeding performance. However, to be confident in the modelling results, models need to be validated against experimental data, and the effects of uncertainties or inaccuracies in the chosen model attributes need to be assessed with sensitivity analyses. Here, we compare the bite forces predicted by a multi-body model of a lizard (Tupinambis merianae) with in vivo measurements, using anatomical data collected from the same specimen. This subject-specific model predicts bite forces that are very close to the in vivo measurements and also shows a consistent increase in bite force as the bite position is moved posteriorly on the jaw. However, the model is very sensitive to changes in muscle attributes such as fibre length, intrinsic muscle strength and force orientation, with bite force predictions varying considerably when these three variables are altered. We conclude that accurate muscle measurements are crucial to building realistic multi-body models and that subject-specific data should be used whenever possible.