
A myotome is the group of
muscle
Muscle is a soft tissue, one of the four basic types of animal tissue. There are three types of muscle tissue in vertebrates: skeletal muscle, cardiac muscle, and smooth muscle. Muscle tissue gives skeletal muscles the ability to muscle contra ...
s that a single
spinal nerve
A spinal nerve is a mixed nerve, which carries Motor neuron, motor, Sensory neuron, sensory, and Autonomic nervous system, autonomic signals between the spinal cord and the body. In the human body there are 31 pairs of spinal nerves, one on each s ...
innervates. Similarly a
dermatome Dermatome may refer to:
* Dermatome (anatomy), an area of skin that is supplied by a single pair of dorsal roots
* Dermatome (embryology), the portion of the embryonic paraxial mesoderm, the somite, which gives rise to dermis
* Dermatome (instrument ...
is an area of
skin
Skin is the layer of usually soft, flexible outer tissue covering the body of a vertebrate animal, with three main functions: protection, regulation, and sensation.
Other animal coverings, such as the arthropod exoskeleton, have different ...
that a single nerve innervates with sensory fibers. Myotomes are separated by myosepta (singular: myoseptum). In
vertebrate
Vertebrates () are animals with a vertebral column (backbone or spine), and a cranium, or skull. The vertebral column surrounds and protects the spinal cord, while the cranium protects the brain.
The vertebrates make up the subphylum Vertebra ...
embryonic development
In developmental biology, animal embryonic development, also known as animal embryogenesis, is the developmental stage of an animal embryo. Embryonic development starts with the fertilization of an egg cell (ovum) by a sperm, sperm cell (spermat ...
, a myotome is the part of a
somite
The somites (outdated term: primitive segments) are a set of bilaterally paired blocks of paraxial mesoderm that form in the embryogenesis, embryonic stage of somitogenesis, along the head-to-tail axis in segmentation (biology), segmented animals. ...
that develops into muscle.
Structure
The anatomical term myotome which describes the muscles served by a spinal nerve root, is also used in embryology to describe that part of the
somite
The somites (outdated term: primitive segments) are a set of bilaterally paired blocks of paraxial mesoderm that form in the embryogenesis, embryonic stage of somitogenesis, along the head-to-tail axis in segmentation (biology), segmented animals. ...
which develops into the muscles. In anatomy the myotome is the motor equivalent of a
dermatome Dermatome may refer to:
* Dermatome (anatomy), an area of skin that is supplied by a single pair of dorsal roots
* Dermatome (embryology), the portion of the embryonic paraxial mesoderm, the somite, which gives rise to dermis
* Dermatome (instrument ...
.
Function
Each muscle in the body is supplied by one or more levels or segments of the spinal cord and by their corresponding spinal nerves. A group of muscles innervated by the motor fibres of a single nerve root is known as a myotome.
List of myotomes
Myotome distributions of the upper and lower extremity are as follows;
*
C1/
C2: neck flexion/extension
*
C3: Lateral Neck Flexion
*
C4: shoulder elevation
*
C5: Shoulder abduction
*
C6: Elbow flexion/Wrist Extension
*
C7: Elbow extension/Wrist flexion
*
C8: Thumb extension
*
T1: Finger Abduction & Adduction
*
L1/
L2: Hip Flexion
*
L3: Knee extension
*
L4: Ankle dorsi-flexion
*
L5: Great toe extension
*
S1: Hip extension/Ankle plantar-flexion/ankle eversion
*
S2: Knee flexion
*
S3–
S4:
anal wink
The anal wink, anal reflex, perineal reflex, or anocutaneous reflex is the reflexive contraction of the external anal sphincter upon stroking of the skin around the anus.
A noxious or tactile stimulus will cause a wink contraction of the anal ...
Clinical significance
In humans myotome testing can be an integral part of neurological examination as each nerve root coming from the spinal cord supplies a specific group of muscles. Testing of myotomes, in the form of
isometric resisted muscle testing, provides the clinician with information about the level in the spine where a lesion may be present.
During myotome testing, the clinician is looking for muscle weakness of a particular group of muscles. Results may indicate lesion to the spinal cord nerve root, or
intervertebral disc
An intervertebral disc (British English), also spelled intervertebral disk (American English), lies between adjacent vertebrae in the vertebral column. Each disc forms a fibrocartilaginous joint (a symphysis), to allow slight movement of the ver ...
herniation pressing on the
spinal nerve roots.
References
Further reading
*''Neurology Textbook'', edited by Professor L. Sokolva, M.D., D.Sc. 2012,
External links
*
*
* {{EmbryologyUNC, mslimb, 009
Neurology