The gastrocnemius muscle (plural gastrocnemii) 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 (knee, ankle and subtalar joints).
|Pronunciation||// or //|
|Origin||proximal to articular surfaces of lateral condyle of femur and medial condyle of femur|
|Insertion||tendo calcaneus (Achilles tendon) into mid-posterior calcaneus|
|Nerve||tibial nerve from the sciatic, specifically, nerve roots S1–S2|
|Actions||plantar flexes foot, flexes knee|
|Antagonist||Tibialis anterior muscle|
|Anatomical terms of muscle|
Origin/proximal attachment edit
The lateral head originates from the lateral condyle of the femur, while the medial head originates from the medial condyle of the femur.
Insertion/distal attachment edit
The gastrocnemius is located with the soleus in the posterior compartment of leg. 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 or "three-headed [muscle] of the calf"—since they share a common insertion via the Achilles tendon. The plantaris muscle 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 on the anterior side is actually the posterior compartment. The soleus is superficial to the mid-shaft of the tibia.
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 edit
The plan to use the gastrocnemius in running, jumping, knee and plantar flexing is created in the precentral gyrus 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.
Clinical significance edit
A severe ankle dorsiflexion force may result in a Medial Gastrocnemius Strain (MGS) injury of the muscle, commonly referred to as a "torn" or "strained" calf muscle, which is acutely painful and disabling.
Anatomical abnormalities involving the medial head of gastrocnemius muscle result in popliteal artery entrapment syndrome.
Additional images edit
Nerves, arteries and veins surrounding the gastrocnemius and soleus.
Muscle layer under the gastrocnemius
Cross section of the lower leg, showing the gastrocnemius at the back.
Gastrocnemius muscle (dissection)
Location of muscle
See also edit
- Moore, Keith L.; Dalley, Arthur F.; Agur, Anne M. R. (2009). Clinically Oriented Anatomy. pp. 598–600. ISBN 978-1-60547-652-0.
- Hamilton, Nancy; Luttgens, Kathryn (2001). Kinesiology: Scientific Basis of Human Motion (10th ed.). McGraw-Hill. ISBN 978-0-07-248910-1.
- Freberg, Laura (2015-01-01). Discovering Behavioral Neuroscience: An Introduction to Biological Psychology. Cengage Learning. ISBN 9781305687738.
- Saladin, Kenneth (2015). Anatomy & Physiology: The Unity of Form and Function. McGraw-Hill Education.
- "Nighttime Leg Cramps". WebMD. August 19, 2010. Retrieved March 7, 2012.
- "Calf Muscle Tear". physioworks.com.au. Retrieved 2020-02-09.
- Anatomy photo:14:st-0405 at the SUNY Downstate Medical Center