The sarcolemma is the cell membrane of a muscle cell (skeletal, cardiac, and smooth muscle). It consists of a true cell membrane, called the plasma membrane, and an outer coat made up of a thin layer of polysaccharide material that contains numerous thin collagen fibrils. At each end of the muscle fiber, this surface layer of the sarcolemma fuses with a tendon fiber, and the tendon fibers in turn collect into bundles to form the muscle tendons that then insert into bones. The membrane is configured to receive and conduct stimuli.

Alterations in the sarcolemma membrane stability and repair system can lead to muscular dystrophy. The mechanism of one type of muscular dystrophy, for example, is lack of functional dystrophin. This means that the sarcolemma is not attached to the cytoskeleton. Therefore during muscle contraction, the sarcolemma is not synchronized with the interior of the cell. The looseness of the sarcolemma permits membrane calcium channels to open. The rise in internal calcium ions causes activation of the proteolytic enzyme calpain, which digests proteins including contractile proteins, rendering the muscle much weaker.