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Sistema músculo esquelético parte 2 — Transcript

by Doctor E (Medicina del deporte) · 1,204 words · 188 segments · language en · Watch on YouTube

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  1. 0:09Okay, for methodological convenience we
  2. 0:11had to skip that step. We had to skip
  3. 0:17the surgical technique, so let's begin.
  4. 0:23Okay, let's identify the five
  5. 0:24fundamental elements of the
  6. 0:26musculoskeletal system of our chicken
  7. 0:27leg. We start with bone. It has a femur
  8. 0:32, tibia, fibula. The fibula is
  9. 0:35practically vestigial, one tarsal bone,
  10. 0:37and four phalanges. We have five
  11. 0:42phalanges and seven tarsal bones, so
  12. 0:45our lower limb has 30 bones and
  13. 0:47chickens have 18 little bones. This is
  14. 0:54its tibia, a long bone. See how it
  15. 0:57resists the force I apply to it. It's
  16. 1:03rigid and strong. As expected, since
  17. 1:06it's made of calcium and collagen. We
  18. 1:11continue with cartilage. Let's see how
  19. 1:15the cartilage is located at the ends,
  20. 1:17both proximal and distal of the long
  21. 1:19bone. This would be the tibia. Let's
  22. 1:24also see how the cartilage adopts the
  23. 1:27shape of the bone surface, the shape of
  24. 1:30its reciprocal fit with the other bone
  25. 1:33it will articulate with, which also has
  26. 1:36its own cartilage that will allow these
  27. 1:40two surfaces to slide with practically
  28. 1:43zero friction. Ligaments. We already
  29. 1:48know that a joint is formed by the
  30. 1:50union of bone to bone, but what
  31. 1:51stabilizes this union? Ligaments. Here
  32. 1:54we can see the collateral ligament of
  33. 1:56the chick's knee. Let's observe how it
  34. 1:59goes from bone to bone. From bone to
  35. 2:03bone. They are bands of fibrous tissue,
  36. 2:06colorless, practically imperceptible.
  37. 2:09Here we have the anterior and posterior
  38. 2:10cruciate ligaments. Along with the
  39. 2:12collateral ones. They give great
  40. 2:14stability to this joint. Let's move on
  41. 2:18to muscle, which is what we like to eat
  42. 2:20, the tastiest part of the chicken is
  43. 2:22what we eat, pure protein. We see how
  44. 2:25the muscle is also distributed into
  45. 2:28compartments. We can also see the
  46. 2:32distribution of its muscle fibers there
  47. 2:35. We also see the formation of an
  48. 2:39aponeurotic fascia. All the tendons are
  49. 2:42inside, we can't see them, but they
  50. 2:45cross the joint. We can see a few there
  51. 2:48and they go towards the toes. And
  52. 2:52finishing with tendon, once we dry all
  53. 2:55the muscles or muscle groups found in
  54. 2:59the back of the leg, we can observe
  55. 3:05that great biological wonder. We
  56. 3:09observe the muscles and how they end in
  57. 3:14cord-like tissues, better known as
  58. 3:19tendons. Let's see how, without
  59. 3:22exception, all the muscles, absolutely
  60. 3:25all the muscles in this part of the
  61. 3:28chick's body end in a tendon. Okay.
  62. 3:37Let's look at this little muscle that
  63. 3:39comes from a more proximal part of the
  64. 3:41bone. It ends, they all end in tendons.
  65. 3:50Let's see how the muscle thins out
  66. 3:53until it forms a cord, a very resistant
  67. 3:56tendinous cord. See how they all cross
  68. 4:02the joint. And look at this, look at
  69. 4:05this, this wonder of mechanics, of
  70. 4:08biomechanics, uh that muscle would most
  71. 4:12likely be called the common flexor of
  72. 4:15the digits, and this one, the flexor of
  73. 4:17the first phalanx. Interesting. Okay,
  74. 4:25to finish up, let's analyze the basic
  75. 4:27principles of the musculoskeletal
  76. 4:29system in our little chicken. Let's
  77. 4:33start with the first principle, which
  78. 4:37tells us that a joint is the union of
  79. 4:39two or more bones. Here we can see the
  80. 4:41two bones. Each bone is in contact with
  81. 4:44its own hyaline cartilage. These are
  82. 4:49synovial joints because they have their
  83. 4:52synovial membrane within this entire
  84. 4:55ligament complex, and the synovial
  85. 4:58membrane produces synovial fluid. And
  86. 5:02just like this joint, all these
  87. 5:04synovial joints have their ligaments,
  88. 5:07which also stabilize the joints. We
  89. 5:10don't see joint number one, the hip;
  90. 5:12it's not here in this image. Two is the
  91. 5:16knee, three is the ankle, four would be
  92. 5:19the metatarsophalangeal, and five, the
  93. 5:23joints of the phalanges, the
  94. 5:26interphalangeal joints. Wow. Okay,
  95. 5:30let's go with the second principle.
  96. 5:32Muscles always originate in one bone
  97. 5:34and insert into another bone, either
  98. 5:36adjacent or far from the origin. In
  99. 5:38this case, we can see a muscle that is
  100. 5:41attached to or originates from the bone
  101. 5:44. We see it; it is strongly attached
  102. 5:48and runs underneath the ankle joint.
  103. 5:53And let's observe, here is the origin.
  104. 5:56The tendon follows, crossing under the
  105. 5:59joint, it trifurcates, giving off three
  106. 6:01tendinous bundles, and those tendinous
  107. 6:04bundles cross the interphalangeal
  108. 6:06joints and end almost at the claws. And
  109. 6:11see what the contraction causes. Well,
  110. 6:15in this case, I am pulling it, but it
  111. 6:17mimics the contraction of that muscle.
  112. 6:21Perfect. Let's go with the third
  113. 6:23principle. Ligaments always originate
  114. 6:26from one bone and insert into another
  115. 6:28adjacent bone. Obviously, since
  116. 6:32ligaments are so short, they must go
  117. 6:34from bone to bone. We see it again, and
  118. 6:38we are back at the knee. These are the
  119. 6:41collaterals. Let's observe. What
  120. 6:46happens if the ligaments are cut, if
  121. 6:48the collaterals that give us lateral
  122. 6:51stability are cut? See what happens to
  123. 6:55the movement of that joint. A little
  124. 6:59stiff. Let's observe what happens. The
  125. 7:05movement increases, lateral stability
  126. 7:10decreases, as does the anteroposterior
  127. 7:13stability provided by the cruciate
  128. 7:15ligaments. See what happens when we
  129. 7:19section it. What would happen in an
  130. 7:23anterior cruciate injury in athletes?
  131. 7:27And the posterior ones too. Do you see
  132. 7:30what happens if they are intentionally
  133. 7:33severed? Look at what happens to the
  134. 7:36anterior and posterior stability; they
  135. 7:38practically get damaged, and that is
  136. 7:41what ligaments are for. Their absence
  137. 7:44allows for pathological movement that
  138. 7:46can injure the cartilage, which is why
  139. 7:48they only allow natural movements.
  140. 7:51Fourth principle: tendons originate
  141. 7:53from muscles and insert into bone.
  142. 7:56Tendons always cross joints,
  143. 7:58influencing their movement, as we can
  144. 8:01appreciate in this shot. Or, as we see
  145. 8:05in this shot, we can appreciate the
  146. 8:08origin of the muscle, how the muscle
  147. 8:11turns into a tendon, passes through the
  148. 8:15ankle joint, runs distally until it
  149. 8:18ends at the tips of the last phalanges,
  150. 8:21and passes through one, two, three,
  151. 8:24four, five joints. It is evident that
  152. 8:27this tendon influences the movement of
  153. 8:29these five joints. And look at what
  154. 8:30happens. There is ankle flexion and
  155. 8:32phalangeal extension. Observe it. This
  156. 8:36is what this principle refers to. If a
  157. 8:38muscle's tendon crosses several joints,
  158. 8:40the contraction of that muscle will
  159. 8:42influence the movement of the joints
  160. 8:44its tendon crossed. And lastly, the
  161. 8:52fifth basic principle. The proper
  162. 8:56function of a synovial joint can never
  163. 8:57dispense with any of the five
  164. 8:59fundamental elements of the
  165. 9:00musculoskeletal system. In this case,
  166. 9:04we can observe that there are missing
  167. 9:06muscles and missing tendons. If we stop
  168. 9:10applying force with our little hands,
  169. 9:12this is what happens. Just like in this
  170. 9:17example, we cannot forget any of the
  171. 9:19five fundamental elements of this
  172. 9:21system. We must understand it as a
  173. 9:23whole. Student YouTubers, I hope this
  174. 9:29video was to your liking, uh, that it
  175. 9:31was useful to you. If so, please, don't
  176. 9:33forget to give it a like. If you have
  177. 9:37any questions, complaints, suggestions,
  178. 9:39whatever, if you want me to address
  179. 9:41topics, topics about sports medicine,
  180. 9:42please write to me here. Sports
  181. 9:46medicine is a vast world. Uh, we can
  182. 9:49talk about nutrition, uh, kinesiology,
  183. 9:51sports injuries, doping, prohibited
  184. 9:54substances, whatever. Please, write to
  185. 9:58me, subscribe to my channel, and
  186. 10:00remember, knowledge is only for doing
  187. 10:03good and for growing as a species and
  188. 10:06as Mexicans.

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