Musculoskeletal embryology 2
Dermomyotome
- Dorsolateral wall of somite
- Myotome region - muscles
- Dermotome region - dermis of skin
Muscle development
- Myotomes cell masses
- Cell of myotome leave myotome to become elongated and spindle shaped - myoblasts
- Myoblasts differentiate and fuse with other myoblast - myotubes
- Fusion of myotubes form muscle fibres
Muscles and innervation
- Myotomes develop from one of the two areas of the somite
- Small dorsal division - epaxial
- Large ventral division - hypaxial
- Each division of a myotome forms a specific group of muscles with elongation - groups split into flexor and extensor components
- Further splitting - forms individual muscles that may have originated in more than one somite segment
- Epimeres (epaxial division) form the extensors of the back and vertebral column and extensors of the lumbar
- Hypomeres (hypaxial division) form the lateral and ventral flexor musculature of the trunk
- Branchiomeres - myoblasts from the branchial arches, which develop into the face
Limb and facial bone
- Lateral plate mesoderm forms bones of the shoulder, pelvic girdle, limbs and sternum
- Neural crest cells in the head form the craniofacial bones of the skull
- Most of limb musculature develops in-situ from the mesenchyme surrounding the developing bones
| Lateral plate mesoderm | Paraxial mesoderm |
|---|---|
| Bones/cartilage/connective tissue | Muscles |
- Muscle masses separate into dorsal (extensor) and ventral (flexor)
Innervation of skeletal muscles
- Each myotome receives its innervation from spinal nerves from the same somite segment as the muscle cell
- Each spinal nerve divides and sends a branch to each division at its somite root level
- Dorsal primary ramus - to the epaxial
- Ventral primary ramus - to the hypaxial
Limb development
- Limb bud begin development begins in fourth week of gestation
- Initially consists of mesenchymal core from the parietal (somatic) layer of the lateral plate mesoderm covered by an outer layer of ectoderm
- Upper limb develops 1-2 days before lower limb
Apical ectodermal ridge
- Ectoderm at the distal border of the limb thickens to form apical ectodermal ridge (AER)
- Exerts an inductive influence of the adjacent mesenchyme causing it to remain undifferentiated, rapidly proliferating cells - progression zone
- Cells further from AER differentiate into cartilage and muscles
Digit formation
- Distal end on the limb bud a flatten hand or foot plate forms
- Cell death in the AER creates 5 separate AER regions for finger growth
- Cell death in the interdigital spaces separates the fingers
Innervation of limbs
- Ventral primary rami of these spinal nerve root levels penetrate the mesochyme with dorsal and ventral branches
- These ramus branches of the respective divisions unite to form large ventral and dorsal nerves - development of the plexus
- Radial nerve is formed by a combination of dorsal segment branches (posterior cord)
- Ulnar and median nerves are formed by a combination of ventral branches (medial and lateral cords)
Dermotome development
- As limb bud grows the dermatome is dragged with it
- Limb grows from the centre so the dermatome pattern