Soleus muscle

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Soleus muscle
Illu lower extremity muscles.jpg
Muscles of lower extremity
Gray438.png
The soleus muscle and surrounding structures, from Gray's Anatomy . This is a view of the back of the right leg; most of the gastrocnemius muscle has been removed.
Details
Origin fibula, medial border of tibia (soleal line)
Insertion tendo calcaneus
Artery popliteal artery, posterior tibial artery, peroneal artery
Nerve tibial nerve, specifically, nerve roots L5–S2
Actions plantarflexion
Antagonist tibialis anterior
Identifiers
Latin musculus soleus
TA98 A04.7.02.047
TA2 2660
FMA 22542
Anatomical terms of 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 muscle, and some anatomists consider this combination to be a single muscle, the triceps surae. Its name is derived from the Latin word "solea", meaning "sandal".

Contents

Structure

The soleus is located in the superficial posterior compartment of the leg.

The soleus exhibits significant morphological differences across species. It is unipennate in many species. In some animals, such as the rabbit, it is fused for much of its length with the gastrocnemius muscle.

The soleus is a complex, multi-pennate muscle in humans, usually having a separate (posterior) aponeurosis from the gastrocnemius muscle. Most soleus muscle fibers originate from each side of the anterior aponeurosis, attached to the tibia and fibula. [1] [2] Other fibers originate from the posterior (back) surfaces of the head of the fibula and its upper quarter, as well as the middle third of the medial border of the tibia.

The fibers originating from the anterior surface of the anterior aponeurosis insert onto the median septum, and the fibers originating from the posterior surface of the anterior aponeurosis insert onto the posterior aponeurosis. [1] [2] The posterior aponeurosis and median septum join in the lower quarter of the muscle and then join with the anterior aponeuroses of the gastrocnemius muscles to form the calcaneal tendon or Achilles tendon and inserts onto the posterior surface of the calcaneus, or heel bone.

In contrast to some animals, the human soleus and gastrocnemius muscles are relatively separate, so shear can be detected between the soleus and gastrocnemius aponeuroses. [3]

The soleus is vestigial in the horse. [4]

Relations

The gastrocnemius muscle is superficial to (closer to the skin than) the soleus, which lies below the gastrocnemius.

The plantaris muscle and a portion of its tendon run between the two muscles. Deep to it (farther from the skin) is the transverse intermuscular septum, which separates the superficial posterior compartment of the leg from the deep posterior compartment.

On the other side of the fascia are the tibialis posterior muscle, the flexor digitorum longus muscle, and the flexor hallucis longus muscle, along with the posterior tibial artery and posterior tibial vein and the tibial nerve.

Since the anterior compartment of the leg is lateral to the tibia, the bulge of muscle medial to the tibia on the anterior side is the posterior compartment. The soleus is superficial middle of the tibia.

Function

The action of the calf muscles, including the soleus, is plantarflexion of the foot (that is, they increase the angle between the foot and the leg). They are powerful muscles vital in walking, running, and keeping balance. The soleus plays an important role in maintaining standing posture; if not for its constant pull, the body would fall forward.

Also, in upright posture, the soleus is responsible for pumping venous blood back into the heart from the periphery, and is often called the skeletal muscle pump, peripheral heart or the sural (tricipital) pump. [5]

Soleus muscles have more slow muscle fibers than many other muscles. In some animals, such as the guinea pig and cat, soleus consists of 100% slow muscle fibers. [6] [7] Human soleus fiber composition is variable, containing between 60% and 100% slow fibers. [8]

The soleus is the most effective muscle for plantarflexion in a bent knee position. The gastrocnemius originates on the femur, so bending the leg limits its effective tension. During regular movement (i.e., walking) the soleus is the primary muscle utilized for plantarflexion due to the slow-twitch fibers resisting fatigue. [9]

Innervation

The soleus is innervated by the tibial nerve (L4, L5, S1, S2)

Clinical significance

Disease

Due to the thick fascia covering the leg muscles, they are prone to compartment syndrome. This pathology relates to tissue inflammation affecting blood flow and compressing nerves. If left untreated compartment syndrome can lead to atrophy of muscles, blood clots, and neuropathy. [10]

Additional images

Related Research Articles

<span class="mw-page-title-main">Foot</span> Anatomical structure found in vertebrates

The foot is an anatomical structure found in many vertebrates. It is the terminal portion of a limb which bears weight and allows locomotion. In many animals with feet, the foot is a separate organ at the terminal part of the leg made up of one or more segments or bones, generally including claws and/or nails.

<span class="mw-page-title-main">Human leg</span> Lower extremity or limb of the human body (foot, lower leg, thigh and hip)

The leg is the entire lower limb of the human body, including the foot, thigh or sometimes even the hip or buttock region. The major bones of the leg are the femur, tibia, and adjacent fibula. The thigh is between the hip and knee, while the calf (rear) and shin (front) are between the knee and foot.

<span class="mw-page-title-main">Knee</span> Leg joint in primates

In humans and other primates, the knee joins the thigh with the leg and consists of two joints: one between the femur and tibia, and one between the femur and patella. It is the largest joint in the human body. The knee is a modified hinge joint, which permits flexion and extension as well as slight internal and external rotation. The knee is vulnerable to injury and to the development of osteoarthritis.

<span class="mw-page-title-main">Tibia</span> Leg bone in vertebrates

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 ; it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute tibia. It is the second largest bone in the human body, after the femur. The leg bones are the strongest long bones as they support the rest of the body.

<span class="mw-page-title-main">Fibula</span> Leg bone in vertebrates

The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the most slender of all the long bones. Its upper extremity is small, placed toward the back of the head of the tibia, below the knee joint and excluded from the formation of this joint. Its lower extremity inclines a little forward, so as to be on a plane anterior to that of the upper end; it projects below the tibia and forms the lateral part of the ankle joint.

<span class="mw-page-title-main">Calcaneus</span> Bone of the tarsus of the foot

In humans and many other primates, the calcaneus 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.

<span class="mw-page-title-main">Popliteal artery</span> Continuation of the femoral artery that supplies the lower leg

The popliteal artery is a deeply placed continuation of the femoral artery opening in the distal portion of the adductor magnus muscle. It courses through the popliteal fossa and ends at the lower border of the popliteus muscle, where it branches into the anterior and posterior tibial arteries.

<span class="mw-page-title-main">Aponeurosis</span> Tissue which connects muscles to other organs

An aponeurosis is a flattened tendon by which muscle attaches to bone or fascia. Aponeuroses exhibit an ordered arrangement of collagen fibres, thus attaining high tensile strength in a particular direction while being vulnerable to tensional or shear forces in other directions. 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.

<span class="mw-page-title-main">Gastrocnemius muscle</span> Calf muscle

The gastrocnemius muscle is a superficial two-headed muscle that is in the back part of the lower leg of humans. It is located superficial to the soleus in the posterior (back) compartment of the leg. It runs from its two heads just above the knee to the heel, extending across a total of three joints.

<span class="mw-page-title-main">Tibial nerve</span> Branch of the sciatic nerve

The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus.

The biceps femoris is a muscle of the thigh located to the posterior, or back. As its name implies, it consists of two heads; the long head is considered part of the hamstring muscle group, while the short head is sometimes excluded from this characterization, as it only causes knee flexion and is activated by a separate nerve.

The semimembranosus muscle is the most medial of the three hamstring muscles in the thigh. It is so named because it has a flat tendon of origin. It lies posteromedially in the thigh, deep to the semitendinosus muscle. It extends the hip joint and flexes the knee joint.

<span class="mw-page-title-main">Semitendinosus muscle</span> One of the hamstring muscles; posterior part of the thigh

The semitendinosus is a long superficial muscle in the back of the thigh. It is so named because it has a very long tendon of insertion. It lies posteromedially in the thigh, superficial to the semimembranosus.

<span class="mw-page-title-main">Flexor digitorum longus muscle</span> Muscle located on the tibial side of the leg

The flexor digitorum longus muscle is situated on the tibial side of the leg. At its origin it is thin and pointed, but it gradually increases in size as it descends. It serves to flex the second, third, fourth, and fifth toes.

<span class="mw-page-title-main">Popliteus muscle</span> Muscle responsible for unlocking the knees during walking

The popliteus muscle in the leg is used for unlocking the knees when walking, by laterally rotating the femur on the tibia during the closed chain portion of the gait cycle. In open chain movements, the popliteus muscle medially rotates the tibia on the femur. It is also used when sitting down and standing up. It is the only muscle in the posterior (back) compartment of the lower leg that acts just on the knee and not on the ankle. The gastrocnemius muscle acts on both joints.

<span class="mw-page-title-main">Plantaris muscle</span> One of the superficial muscles of the superficial posterior compartment of the leg

The plantaris is one of the superficial muscles of the superficial posterior compartment of the leg, one of the fascial compartments of the leg.

<span class="mw-page-title-main">Patellar tendon</span> Tendon in the human knee

The patellar tendon is the distal portion of the common tendon of the quadriceps femoris, which is continued from the patella to the tibial tuberosity. It is also sometimes called the patellar ligament as it forms a bone to bone connection when the patella is fully ossified.

<span class="mw-page-title-main">Posterior compartment of thigh</span> One of the fascial compartments that contains the knee flexors and hip extensors

The posterior compartment of the thigh is one of the fascial compartments that contains the knee flexors and hip extensors known as the hamstring muscles, as well as vascular and nervous elements, particularly the sciatic nerve.

A neurovascular bundle is a structure that binds nerves and veins with connective tissue so that they travel in tandem through the body.

<span class="mw-page-title-main">Deep fascia of leg</span> Forms a complete investment to the muscles

The deep fascia of leg or crural fascia forms a complete investment to the muscles, and is fused with the periosteum over the subcutaneous surfaces of the bones.

References

  1. 1 2 Agur, Anne M.; Ng-Thow-Hing, Victor; Ball, Kevin A.; Fiume, Eugene; McKee, Nanacy Hunt (2003). "Documentation and Three-Dimensional Modelling of Human Soleus Muscle Architecture". Clinical Anatomy. 16 (4): 285–293. doi:10.1002/ca.10112. PMID   12794910. S2CID   31122290.
  2. 1 2 Hodgson, JA; Finni, T; Lai, AM; Edgerton, VR; Sinha, S (May 2006). "Influence of structure on the tissue dynamics of the human soleus muscle observed in MRI studies during isometric contractions". J Morphol. 267 (5): 584–601. doi:10.1002/jmor.10421. PMID   16453292. S2CID   25645433.
  3. Bojsen-Møller, Jens; Hansen, Philip; Aagaard, Per; Svantesson, Ulla; Kjaer, Michael; Magnusson, S. Peter (2004). "Differential displacement of the human soleus and medial gastrocnemius aponeuroses during isometric plantar flexor contractions in vivo". J Appl Physiol. 97 (5): 1908–1914. doi:10.1152/japplphysiol.00084.2004. PMID   15220297.
  4. Meyers, Ron A.; Hermanson, John W. (2006). "Horse Soleus Muscle: Postural Sensor or Vestigial Structure?" (PDF). The Anatomical Record Part A: Discoveries in Molecular, Cellular, and Evolutionary Biology. 288 (10): 1068–1076. doi:10.1002/ar.a.20377. PMID   16952170. S2CID   13867533.
  5. Botta G, Piccinetti A, Giontella M, Mancini S (2001). "Il potenziamento dell'attività di pompa venosa del tricipite surale in ortopedia e traumatologia mediante l'utilizzo di una nuova apparecchiatura di ginnastica vascolare" [Strengthening of venous pump activity of the sural tricipital in orthopaedics and traumatology by means of a new equipment for vascular exercise](PDF). Giornale Italiano di Ortopedia e Traumatologia (in Italian). 27: 84–8.
  6. Ariano, M. A.; Armstrong, R. B.; Edgerton, V. R. (7 August 1972). "Hindlimb Muscle Fiber Populations Of Five Mammals". Journal of Histochemistry & Cytochemistry. 21 (1): 51–55. doi: 10.1177/21.1.51 . PMID   4348494.
  7. Burke RE, Levine DN, Salcman M, Tsairis P (May 1974). "Motor units in cat soleus muscle: physiological, histochemical and morphological characteristics". The Journal of Physiology. 238 (3): 503–14. doi:10.1113/jphysiol.1974.sp010540. PMC   1330899 . PMID   4277582.
  8. Gollnick PD, Sjödin B, Karlsson J, Jansson E, Saltin B (April 1974). "Human soleus muscle: a comparison of fiber composition and enzyme activities with other leg muscles". Pflügers Archiv. 348 (3): 247–55. doi:10.1007/BF00587415. PMID   4275915. S2CID   29365931.
  9. Saladin, Kenneth S. Anatomy & Physiology: The Unity of Form and Function. 6th ed. New York, NY: McGraw-Hill, 2007. Print.
  10. MedlinePlus Encyclopedia : Compartment syndrome