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120

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Ms Me3eHXHMbl BTopoli llCa6epHoli (noA'bll3bl'IHOli) AYrH pa3BHBaIOTCll see MHMH'leCKHe MbllIIUbl, Mb11IIU8 CTpeMeHlf, IIIHJIOil'bll3bl'IHall H IlOAKO:lKHall MbllIIUa meH (HHHepBHPYIOTCll VII napoli). , '

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X I mwaMH 'lepenHbtX HepeoB). . .

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HeAOCTaTO'IHO apryMeHTHpoBaHo H Bbl3b!BaeT cepbe3Hble BOpa:lKeHHll.

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CKe.neTHble MblIIIUbl B aasucHMOCTH OT BhIIlOJIHSieMofl ij)yHKUHH oTJrnqalOTCSI

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, qff H3HOJior qecKoro none eqHHKa. CooT- HOUJeHHe tj:>H3HOJIOrecKoro nonepeqHHKa- c aHaTOMHqecKHM, T. e. c HaH OJib·

  • llleli nJI01uap:hi0 nonepeqHoro ceqeHHSI MblllleqHoro 6pIOlllKa (pHc. 64), ,n:aeT soa­

Mm1mocrb cyJlJiTh 0 creneIJH CWT'flYHOCTH Mb lll11:hl, KOTOpaSI HaXO.D:HTCSI B npSIMOH 3aBHCHMOCTH OT Bblpa:>KeHHOCTH B MbilllUaX BHytpHMbillle'IHblX coe,n:HHHTe.JlbHO·

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3H.D:OMH HeM H ,nJIHHHblMH Mh II!.eqHb!MH , ny.qKaMH, pacnoJiaraIOIUHMHCSI B,ll;OJlb npo,noJibHoli ocH Mblllle'IHoro 6p10IllKa. TaKue MhillIUhl 6bleTpo .YTOMJISIIOTCSI.

;lJ;MijaMOCT8TH' ee1rne Mblll!UDI HMelOT OJ{IIO·, ,11;ayx- lf MHOrooepHCTOe CTpoe- HHe H xapaKTepH3YIOTCSI KOpOTKHMH MblllleqHb MH nyqKaMH, pacnoJiaraIOIUHMHCSI

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B OTJJ.eJihHhlX MQillIUaX o,n:ao H3 cyxo:>KHJIHH Mo:>KeT npoHHKaTb BHYTPI:. Mbl· rneqaoro 6p!Oll1Ka H CJIY:>KHTb MeCTOM npHKpenJieHHSI MblllleqHblX ny'IKOB (,n:sy­

nepHCTble MhlWUhl). B M1>m1nax 6oJiee CJIO)!{Horo crpoemrn aHaJionr!IIIDie npoH»K· HOBeltHSI MOryT 6b1Tb HecKOJlbKHMH .

COe,l{HHHTeJihHOTKaHHblMH npoCJIOH·

JIHBOCTb .•

. MbillIUhl, no,n:seprlllHecSI my o­ KOH nepecTpoiiKe H noqTH noJIHOCThlO YTP aTHBllIHe.Mblllle'IHhle 3JIeMeHThl, a B OT.D:MhHb X CJiyqa x npespaTHB· lllHeCSI B MbllllUbl CBSI3KH ,(Me:>KKOCT­ HaSI ' TpeTbSI MbllIIUa y KOnhlTHbIX),

_ cnoco6Hhl JIHlllh K c a T H q e c­

K 0 H <i>YHKUHH.

PHc. 64. THnhl cTpoeHHll nepHCTblX Mhlmu:

1

  • A : OAHonepHCTaH; E - ABynepHCTall H B -MHoronepHcTall MbllIIUhl; 1 - CYXO:lKH· JIHe MbllIIUhl; 2 - ny'IKH MbllIIe'IHblX BOJIO· KOH; 3 - aHaTOMH'leCKHH nonepe'IHHJC ' MhflII· Uhl; ·4 --;- cjJH3HOJIOrH'leCKHH nonepe'IHHK,

. MbllIIUhl·

121

TaKHM o6pa30M, npH paBHbIX OO'beMaX . MhlllletfHOro opIOIIIKa B ·IlPOCTblX (HenepHCTbIX) MhlllIU.aX nyqKH BOJIOKOH ,n:JIHHHhle H HX KOJIHtfecTBO HeBeJIHKO, TOr.na KaK c yse.J):Hti:eHHeM nepHcTOCTH H yKopoti:eHHeM MhIIIIeti:HhlX nyti:KOB yseJIH­ tfHBaeTcH .ux KOJIHtfecTBo H ycHJIHBaeTcH cTeneHb BhlpIDKeHHOCTH BHYTPHMhIWetf­ HhIX coe.nHHHTeJibHOTKaHHblX o6pa30BaHHH.

· HapH,ny c no,npiis.ueJiemi:eM CKeJieTF blx MhlllIII. Ha JJ.HHaMHti:ecKHe, CTaTHtfec­ KHe H nepexO.UHhie THI!bl OT -.UHHaMHtfeCKHX K CTaTHtfecKHM llX KJiaccmpHIJ.Hpy­ lOT Ha HeCKO llbKO rpynn.

no npOHCXOJKJJ,eHHIO - Ha COMaTHCiecKHe H BHCU.epaJibHble. nepBble pa3- BHBaIOTC51 H3 COMHTOB, a BTOpble 51BJI51IOTC51 npoH3BO.ll:Hb!MH MhllllU. :>1rn6epHoro

. no TOnorpacJ>uu - MblllIUbl fOJIOBbI, TYJIOBHlIJ.a, rpy.IUIOH H opIOlllHOH cre-

_HOK, rpy.UHhIX H Ta30BhIX KOHeciHocTefi. - · ·

·no •opMe sepeTeooo6pa3Hble, · rn. fusiformis, nJiocKHe m. pla-

nus, Kpyroable m. orbicularis, a no KOJIHJiecTBy roJIOBOK MoryT ObITb o.n:Ho-,

.nsyx-, TPex- H cieTb1pexrnaBb!MH.

no BHyTpeuHeMy crpoenHRJ M@IIIeciaoro Op!OUIKa HX no.npa3,neJIHIOT Ha

o.nHonepHcible - m. unipennatus; .usynepf!cTb1e - m. bipennatus H MHoro-

    • nepitCTbre - m. multipenilatus (pHc. 64). ·

Ho OTHOWeHHR> K cycrasaM Ha KOHeCIHOCT51X HX .ll:M51T Ha o,n:Ho-, .usyx- H MHorocycrnBHbie (puc. 65). ·

. no <l>YHKH MbIIIIU.a Mo:>KeT ObITb crnoaJOru.eli- m. flexor, pasrn6a10meH:-

m. extensm, uIBu.l(HIIJ,eii m. abductor, npuso,n:Hru.eli m. adductor, sparu.a-

10ru.eii: - m. rotator, B TOM ciHcJie spa- _

maJOru.eli Hapy:>Ky - m. sti i nator H sparu.a10ru.eH BHY'fpb - m. pronator, pacnrnpH10ru.eii: - m. dilatator, lianpH­

. raroru.eli - m. tensor, o,n:HHMaIO eii: -

m. evator, onycKaroru.eii: - m. depres­ sor, OTTHfHBa10ru.eii: - m. retractor,

a no,n:THrHBaJOru.eli -m. rotractor c Ma10ru.eii: -'m. sphincter.

JlelJbtC zpyt11tb/C

f(Oltel/'-

Hocmu

12 m. glufoeus J1elJ&1e superticinlls ma3odb1e

'I'm. semi

t us

tendinos

13

Pronatio

r

nu/JepxHocmu

P11c. 65. lleiicre11e MhlIIIII Ha cycraehl:

A - pacnoJJolKeHHe O'AHO-, 'AByx- H MHorocycra1rnhlX Mhllllu Ha rpy'AHOH KOHe•rnocrn JJo­ IIIa'AH; E -'AelicTBHe MhlIIIU npH cr116aa1111 JIQKTeeoro cycraea; B -'AeHCTBHe Mhllllll npH pa3rn6aHHH JIOKTeBoro cycTaea; r -'AeHCTBHe Mhllllu IIpH BpaLUeHHH KOHe 11HQCTH BHYTPb (npoaaurn); JJ. -'AeHCTBHe Mhllllll ripH BpaLUeHHH KOHeqHQCTH Hapy>Ky (cyuHHaUHll); 1 -

·o'AHocycTaBHasi; 2 -'ABycycraenall H 3 -MHorocycraeHall Mhllllu&; 4 - cr116aTeJib H 5 ....:. pa3rn6aTeJib n0KTeeoro· cycraea; 6 - 10naTKa; 7 - 11neqo; 8 - 11pe:Anneqbe; 9 - OCb BpameHHll B -JIOKTeBoM cycTaBE'; a-IJ - pb!qar CHJihl; a-c - pblqar COIIpoTliBJieHHll;

, · o-e - pwrnr cu,1bl; o-f - pb11rnr conporn:BJle Ha. .

122

·YCJIOBH·SI YJI YllUIAIOll\HE PAl>OTY Mbl WL\

KIDK.n.aH MLn:uua BbIDOJIHSieT onpe.n.eJieHHYIO p a6oTy. 06'beM pa6oTbl H3MepSI­ eTC5t aaTpaqeHHoH: Ha Hee cH:Jioii, yMHo:>KeHHOH Ha npo.n.eJiaHHhIH nyTh. CHJia MbHilUbl npSIMO nponopuHOHaJihHa KOJIHqecTBY Mh llleqHbIX nyqKoB, a nyTh npSIMO nponopuHOHaJieH ,nJIHHe MbillleqHbIX nyqKoB (npH COKparn.eHHH MblllleqHble BO­

JIOKHa cnoco6Hbl yKopaqHsaThcSI 6oJihllle qeM s.n.soe). B aasHCHMOCTH OT CTpoe­

HHSI o.n.Ha H3 MhlllIU npH o,nHHaKOBOM o6'beMe 6y,n:eT BblHfpbIBaTb B paccTOSIHHH H npour hIBaTb B <:;HJie (.n.uHaMHqecKHe Mh IIIUhl), a ,n:pyraSI, Hao6opciT, 6y.n.eT Bhmr-

pbIBaTb B CHJie H npourpbIBaTh B paccTOHHHH CTaTO,Z{HHaMHqecKHe MblillU MO:>KHO su.n.eTb H3 Ta6JIHUbl 10.

  • Do3ToMy pacnpe.n.eJieHHe Mh lllu pa3JI.HqHoro CTpoeHHSI Ha CKeJieTe Heo.n.HHa­

Koao. TaM, rT(e Tpe6yeTcSI 6oJiblllaSI cHJia (HanpHMep, paarn6aHHe JIC>KTesoro eye- Tasa), pa6oTy BhIDOJIHSIIOT MHoronepHcTble MhIIIIUbl, a ,n:JISI Bh1Hoca KoHeqHocTH Bnepe.n: npH 6ere OT MbllllUbl Tpe6yeTCSI He· CTOJlbKO CHJia, CKOJibKO pa3MaX ,Z{BH­

JKeHJUI, 1uo liCIIOJlHSieTCSI UHHaMHqecKHMH Mh IIJUaMH o.n.Ho- H .n.synepHCTOfO CTpO-

eHHSI.

3MnHpHqecKH ycrnHo:a.JieHO, qTO CHJia Mb IIIUhl KOJie6JieTCSI B npe,n:eJiax

5 13,7 KrlcM2 Ha 1 cM2 qm:nronornyecKOrq nonepe11HHKa (<PD), B cpe.n.HeM oHa pasHa 10 Kr. TaKoe OOJihillOe KOJie6aHHe 8 CHJie MhIIIlU 3aBHCHT OT MHornx cpaKTO­

pos H npe:>KJJ,e scero OT BHyTpeHHeli apxHTeKTOHHKH MhlllleqHoro 6pIOrnKa H , C'fpoemrn ee OT}{eJibHbIX BOJIOKOH, KOTOpble OTUHqaJOTCSI apyr OT 11pyra TOJIIUH- HOH, KOJIHqecTBOM capKODJia3Mbl , MHOcpH6pHJIJI H uBeTOM (nocJie.T(HHH 3aBHCHT OT

KOJIHqecTBa B HHX MHoreMaTHHa). Ha CHJIY H BblHOCJIHBOCTb MblillU BJIHSIIOT TaK­

JKe Blf'A mMBOTHoro, ycJIOBllH ero cym.ecTBOBaHMSI, cjlyHKI{Hoiia.rrhHoe cocmHHHe

-HepBHOH H cocy,n:HCTOH CHCTeM, opraHOB .D:B XaHHSI H caMOH Mb IIleqHoii TKam1. HHTeHCHBHOCTb pa60Tbl MblillU OTpam:aeTCSI Ha CTpOeHHH HX CaMHX H .n.pyrHX

CHCieM ) UfBOrtlOro, B peayJibTaTe,•wro MblllIUa MO);KeT r li II e p T p a cp H p o-

B a T b c SI, T. e. yBeJIHqHsaThCSI B o6'beMe H3·3a YTOJIIll..HHSI MbIIIleqHblX BOJIO­

KOH. DpH He.n.ocrnroqHoH pa6oTe, Hao6opoT, MblillUa MO:>KeT a T p 0 cp H p O­ B a T h c st, T. e. yMeHsrilarbcst s o6neMe, ·a eeJin 3TOT npouecc si1J 1:u1eTcsi pesy [u.- TaTOM oco6eHHOCTeH HCTOpuqeckoro pa3BHTHSI, TO rosopSIT 0 ee p e .n. y K u H H,

qTo conpoBO:>K,naeTCSI He TOJlbKO yMeHhllleHHeM MaCCbl, HO H .n.IDKe DOJIHh M Hc;qea- HOBeHHeM KaK opraRa sMecre c cocy.n.aM.11 M ttepsaMH, KOl'Ophle }{JIH Hee npeHaa­ HaqaJIHcb.

PHc. 66. neii:.CTBHe CHJJ Ha phl'lar: . HanpaaJJeHHlI )l.eiicTBYIOinHX CHJJ: oe -no)!. nplIMblM yrJJoM;

ae -no)!. TYnhlM yrJJoM; a6 - pb1'!ar nepaoro poAa; oa -

. nJJe'IO )l.eiiCTBYIOineii CHJJbl; 06 - nJJeqo conpOTHBJJeHHlI; o - TO'IKa onophl; a-e' - npoeKUHlI; n-o - nepneH)l.H­ KYJJlip K npoeKUHH; e-n' - nepneH)l.HKYJJlip K HanpaB­ JJeHHIO a-e.

\

. 123

7

PHc. 67. BcnoMoraTeJibHhle . opraHbl

Mb!WU:

A -cxet.ta

I I I

napHeTaJfbHoro B BHCUepaJJbHb!H . JIHC­ TOK CHHOBHaJibHOro BJiaraJJHW:a cyxo- '

B JKHJJH.11 MbllllUbl; /4 - CHHOBHaJibHa.11

HMOCi b, ,'5 - 6pbl:lKeitKa C.YXO:lKHJib-

. HSI onTHMa.JihHbIX ycJloBHH B pa6oTe MbIIII U He06xo,n:HMo, 'I T06bl OHH npHKpenJISIJIHC·b K KOCTSIM IlO.ll. npSIMb M yrJIOM. EcJIH npHKpenJieHHe MbtIIJUbI

  • OTKJIOHSieTCSI B CTOpoHy OCTporo HJIH. Tynoro yrna, TO OHO npHIO.ll.HT K Hep;;iuuo­ HaJibHOH 3aTpaTe CH.Jlbl Ha C:>KaTHe KOC.TH HJIH, HanpOTHB, Ha ee paCTSILKeHHe

(pHC. 66). nocJie,l{Hee ocooeHHO xapaKTepHO .ll.JlSI Ml:JIIllU KOHe11HOCTeH, r,n:e OOJih­

lllHHCTBO MblIIIU pacnoJiaraeTcSI napan:JieJihHO KOCTSIM. YcTpaffeHHe 3TOro He6Jia­ ronpHHTHoro MOMeHTa .ll.OCTHraeTCSI yToJimeHHeM 3nH¢Haos KOCTeH, yrJIOBbIMH, C011eTaHHSIMH 3BefiheB KOHetIHOCTH, HX ,l{JIHHOH, HaJIH'IHeM MbIIIJU-CHUeprHCTOB,

HX TOHycoM, CTeneHhlO BblpIDKeHHOCTH KOCTHbIX BbICTYIIOB, wep9xoBaTOCTeH H .

124

yrny6JJeHHH, yMeHhUia!OW.HX yroJJ npHKpenJieHHH Mb IIIU K KOCTHM, a TaK:>Ke pa3- BHTHeM BCllOMOraTeJJbHbIX opraHOB MbIIlIU. .

8 C fr 0 M 0 r a T e JI b H bl e 0 p r a H bl M bl W U - 3TO cpaCUHH, CBSI3-

KH, 6ypcbl, CHHOBHaJibHble BJJaraJrnma, I 6JIOKH H cecaMOBH,l(Hbie KOCTB (pHC. 67). . . I . ' \

<l>acu.uu - fascia - 3TO. TOHKHe coe,l(HHHTeJlbHOTKall:Hble paCTfDKeHHH,

KOTbpbie rtoCTpOeHhl H3 ny'IKOB KOJIJiareHOBbIX BOJIOKOH, HMelOUJ.HX pa3mi'IHble HanpaBJieHHSI. <t>acuHaJihHble cpyTJISipbI BOKpyr Mb!IlIU: H MbIIIIe'IHb!X rpynrr , IIpH- .

KpemISH Cb Ha KOCT!JX, COCT8B.llSIIOT lIJISI m x CBoeo6pa3HblH qm6po3HbIH CKeJieT. OrropHoe 3Ha'IeHHe'cpacueii e HX npou3BOJJ.HhIX CBOJJ.HTCSI K ToMy, 'ITO, npeKpen­

  1. ISISich Ha KOCTSIX, OH CIIOCOOCTBYIOT TSire MbIIIIUhl, a OTJJ.eJI.Srn OJJ.HH MblilIUbl OT

;:i:pyrnx c0,11;eil:cTBY10T ux uaonHpoBaHHOMy coKpameHHIO. KpoMe Toro. cpac- UHH 06J1erqa10T KpOBO- H JIHMcpoo6pameHHe, a aa: C'le'r 3H8'IHTeJJHoro KOJIH'IeCT­

Ba B HHX HepBHbIX peuenropo,B o6ecne'IHBalOT IlOJIHOTY BOCIIpHSITHSI MbIUieqHo­ eyeTaBHOFO 'IYBCTBa. Y11e1rn:e H 11 riuporOBa o q>y;r nSJpHDM. crpoe1rnH cj;>acuHli 06J1erqaeT IIOHHMaHHe nyTeH pacnpocTpaHeHHSI rHOHHbIX 38TOKOB, CKOIIJieHHSI

KpOBH npe Kp0BOH3JIHSIHHSIX, 'ITO II03BOJISieT Bblpa6oTaTb xepypreqecKylO TaKTH­

KY npH ·onepaTHBHLIX BMeIIJaTeJibcTBax (nyiIKU:HH, paapesbl, aHecwauif) ·

<t>acu1rn ObIBalOT nosepXHOCTHble, r.1Iy6oKHe H co6cTBel:IHhie.

floeepxnocrn,nbie, HJIH nooKOJ/Cftbf,e, <jJacquu - fascia superficialis, s. subcu- tanea COe;ll:MHHTeJlbHO'fK81Hi ble OOpaaoBaHHSI, OT,ll;eJUllOllJ.He KO)l{Y OT llO,ll;Jie-

:>Kaw.ex MbIIIIU:. Ha KOHe'IHocrnx no,n:Ko:>KHaH cpacu'RSI MO:>KeT HMeTh npHKpeIIJ1e­ HHe Ha KO:>Ke H Ha KOCTHbIX Bb CTynax, 'ITO CIIOCOOcTByeT ocyw.ecTBJieHHIO COTpSI­ ce1rnii KOJKHuro IIOKpOB8 C HOMOmhto HO)J;ICOJ!{IlblX MblllIU HpH CTpHXHBamlH Hace- '

. KOMbIX, npHcTaBIIIero Mycopa H T. II. . . .

I'.1ty60Kue </JOCl.fUU - fascia ptofunda - IIOKpbIBaIOT rpyIIIIbl MblIIIU-CHHep­ rHCTOB HJIH OT,l(eJlbHble MbIIDUbl M npMKpeHJH!IOT HX K KOC'fHOfl OCllOBe, npemn CTBYSI TeM CaMbIM HX CMemeHHIO BO BpeMSI COKpaw.eHHH. B OTJJ.eJibHbIX

yqacTKaX TeJia, r,l(e 'ipe6yIOTCSI 60J1ee :neqxpepeHuHpOBaHHhJe JJ.BH:>KeHHSI, OT rny­ OOKOH cpacuHH oTXOJlHT Mt:R<Mhlllle4Hble neperopo;zi:KM, 06pa3y10mHe 06oeo6JieHnhIC cpyTJ15ipb1 ,n:JJSI 6T,neJihHhIX MhJUIIJ.. TaM, r,.n:e Tpe6yeTCSI ycHJJeHHe rpynnoBoro

soa,n:eiicTBHSI MhIUIU,. neperopoJJ.KH oTcyTcTBYIOT :a rJJy6oKaSI cpacum1 npHoopeTa­

eT oco6eHHO MOUIHOe CTpoemie H HMeeT 'IeTKO BblpaJKeHHbie. ISiiKM, K8K, HanpM· Mep, Ha Kay.11.aJJhHoli rroBepxHOCTH npe,nrrJJe'IhSI y KOiihITHhIX (A. B. Mapb1Uies). 3a cqeT MecTHoro yToJJmeHHSI rnyooKoii ¢acu:1rn B 06J1acTH cycTasos 06paay10TcH nonepe'IHble HJIH KOJihUeBHJJ.Hhle cBSI3KH (cyxo?JICUJlbRUJl iJyza at cus tendineus). Komphle MoryT npHoopernTh YJJ.JIHHeHHYIO cpopMy (cpH6po3Hble BJJaraJIHW.a cyxo-.

:lKHJIHSI .

<l>u poaHoe BJ1arannme cyxmKHJIHB -, vagina 1 rosa n 1

ayeTCSI aa c'IeT yToJJmeHHSI r.iiy6oKoii cpacuHH B ooJJaCTH cycrnsos, r.ne OHH npeJJ.­

OTBpamaIOT cMemeHHe cyxo:>KHJIHSI npH coKpameHH5!X MhIUIUhI. Me:>K.ny cpH6poa-

. Hb!M BJiaraJJHmeM H cyXOJKHJIHeM pacnoJJaraeTCSI CUHOBUaAbHOe 8.ilazll:llUU{e

vagina synovialis tendinis, KOTopoe, o.nesaSI cyxo:>KHJIHe B BH,ne cpyrnSipa, cno­

co6cTsyeT ycTpaHeHHIO TpeHHSI cyxo:>KHJIHSI o KOCTHYIO ocHosy (B). qacTh,CHHO" sHaJJhHoH: 060J1o'IKH, npHJ1era1QmaSI -Henocpe.ncTBemo K cyxo:lKliJIHJO, cpacTa­ Sich c HHM, o6paayeT BHcuepaJ1bltb1H:, a sropaSI qacTh, cpacTaIOmaSicSI c cpH6p.o3- HhIM BJJaraJJHllleM. - napHeTaJibHhIH JIHCTOK. MecTo nepexo,n:a BHcuepaJJhHoi'o JIHCTKa B rr apHeTaJihHbl H HOCHT' Ha3BaHHe 6pbteii.Ku cyxoJICUllUR., H.'!H M.esomen­ OUHUR. -mesotendineum, no KoTopoMy K cyxo:lKHJIHJ(}II poxo.ZJ..HT cocy,nhIH HepBb!.

. CHHOBHaJlhHaH CyMKa - bursa synovi alis - IIOCTpOeH KaK H CHHOBH- aJJhHoe BJiaramime, Ho MeHhUiero pasMepa H J>acnoJJaraeTcSI H,enocpe.ncTBeHHO IIO)l. KO:>KeH, cpacuHeH:, MbiUIUeH, cyxo:>KHJIHeM HJIH' no.n CBSI3KOH. 0TcIO,na H HX

Haasamrn: bursae synoviales .subcutanea, submuscularis, subf ascialis, sub- tendinea et subligamentosa. '

l\'lblUJe'IHblH 6JIOK trochlea muscularis · opaayeTcSI TaM, r.ne T_pe6yeT­

cSI H3MeHHTh HanpasJJeHHe MhIUI.e'IHoro ycHJJHSI. )lJISI ycTpaHeHHSI peHHSI OJIO­ KH IIOKpbITbl rnaJIHHOBblM XpSIUJ.OM H HMeIOT 3.D.ecb CHHOBliaJibHble cyMKH HJIH CH­ HOBHaJibHbie BJiaraJJHUJ.a.

125

CecaMOBH.l{Hble KOCTH - ossa sesamoidea - MoryT 6b1Tb KaK BHYTJ>H cyxmKHJIHH, TaK H BHyTpH creHKH · KancyJihl cycrnsa. OHH scer.na pacnoJiara­ IOTCH HJIH Ha Bepnnrne cycrasa, HJIH Ha. BblCTynaIOW.HX KpaHX CO'IJieHHIOW.HXCH KOcTeH:, HJIH TaM, r.ne Tpe6yercS1 co3,naTh .nonoJIHHTeJihHhlH pb1IIar onophl. Ca­ MblMH KpynHhIMH cecaMOBH,nHhlMH KOCTHMH B opraHH3Me MJieKOnHTaIOW.HX CJlymaT KOJieHHaH qalllKa, .no6aBO'IHaH KOCTb 3anSICTbH H cecaMOBH.nHbie KOCTH IlSICTHO- H IlJIIOCHonyTOBhlX cy!lTaBOB.