Abstract
The anatomical complexity of the muscles of the vertebral column is subtended by a concept based on muscle–aponeurosis–tendon synergy. To adapt, each segment presents a curve which provides a state of pretension of defined shape, organized to counterbalance the pre-forecast strain so as to avoid rupture. The chief function in the maintenance of this attitude is evident in the muscle posture, in particular small permanent contractions of the muscles of the vertebral column and the lower limb. Muscles and their aponeurosis ensure the stability according to an automatic control by the action of the extrapyramidal system. Dissections show in all cases the presence of aponeurosis with two types of fascicles which insert in the axis of aponeurosis and laterally according to the principle of unipennate or bipennate muscles. Aponeurosis is a complementary structure for the muscle. The fascicles insert in the axis of the aponeurosis obliquely to distribute the mechanical strain avoiding a break during muscle contraction, on its entire length. For the aponeurosis, it appears that the forces of tension are highest in the two extremities of muscle than in its middle. Its behavior varies between passive motion and active motion. The knowledge about its properties is essential to understand changes to the length of the fascicule or the sarcomere. During the modeling of the muscle-tendon complex, the variations in length were observed in the changes between the fascicules and the muscle length including elastic compliance according to the concept of Hill. This concept is reinforced by the junction between aponeurosis and tendon which has a conical shape in order to spread strains harmoniously. In the standing position, the aponeurosis is considered as a passive rope which maintains articular equilibrium without involving the muscle contraction which would result in a high level of expensive power. The elongation of muscle depends on the properties of aponeurosis which is an important element as a factor of storage of power and its usage during muscle contraction. With a greater angle of pennation, the less (obtuse angle) the strength and, on the contrary, an acute angle pennation increases its power.
The anatomy of the muscle is inseparable from the study of the aponeurosis and of the tendon which constitute the elements of transmission and regulation of power and joint displacement. The new concept involving the contractile components and elasticity of the muscle complex-aponeurosis are at the basis of the programmes of modeling in the understanding of the pathology. Three-dimensional explorations should improve our knowledge on the condition including the spinal column in its functional whole with individual variability. After the progress in its understanding and in its applications in biology, the model of “tenségrité” will represent the most relevant concepts for the understanding of the musculo-skeletal system with two structure-function couples involving “tension-cohesion” and “compression-strength.”
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Bonnel, F., Dimeglio, A. (2020). Vertebral Column: Muscles, Aponeurosis, and Fascia. In: Vital, J., Cawley, D. (eds) Spinal Anatomy . Springer, Cham. https://doi.org/10.1007/978-3-030-20925-4_20
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