Turrina Andrea, Martínez-González Miguel Antonio, Stecco Carla
Escuela de Osteopatia de Madrid, Italian Section, Verona, Italy.
J Bodyw Mov Ther. 2013 Jan;17(1):95-102. doi: 10.1016/j.jbmt.2012.06.001. Epub 2012 Jul 4.
The objective of this review is to analyze in detail the microscopic structure and relations among muscular fibers, endomysium, perimysium, epimysium and deep fasciae. In particular, the multilayer organization and the collagen fiber orientation of these elements are reported. The endomysium, perimysium, epimysium and deep fasciae have not just a role of containment, limiting the expansion of the muscle with the disposition in concentric layers of the collagen tissue, but are fundamental elements for the transmission of muscular force, each one with a specific role. From this review it appears that the muscular fibers should not be studied as isolated elements, but as a complex inseparable from their fibrous components. The force expressed by a muscle depends not only on its anatomical structure, but also the angle at which its fibers are attached to the intramuscular connective tissue and the relation with the epimysium and deep fasciae.
本综述的目的是详细分析肌纤维、肌内膜、肌束膜、肌外膜和深筋膜的微观结构及其相互关系。特别报道了这些结构的多层组织和胶原纤维的取向。肌内膜、肌束膜、肌外膜和深筋膜不仅具有容纳作用，通过胶原组织同心层状排列限制肌肉的扩张，而且是肌肉力量传递的基本要素，各自发挥特定作用。从本综述可知，肌纤维不应被视为孤立的元素，而应作为与其纤维成分不可分割的复合体来研究。肌肉所产生的力量不仅取决于其解剖结构，还取决于其纤维附着于肌内结缔组织的角度以及与肌外膜和深筋膜的关系。
