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Shoulder Muscles Chapter 5
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Determination of Muscle Action
Muscle location? Origin and insertion What joint(s) it crosses or act on? Where does the muscle cross the joint? (e.g. anterior, lateral, etc.) What are the possible planes of movement and actions at that joint? (also see pages 23, 24) What is the line of pull? Muscles only pull on bones, they do not push bones. Insertion is usually pulled towards the origin. Remember, most muscle can not perform opposite actions (e.g. flexion AND extension).
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Anterior Muscles Coracobrachialis Pectoralis major Subscapularis
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Coracobrachialis Origin: coracoid process Insertion: medial humerus
Actions: Horizontal Adduction of the shoulder flexion of the shoulder adduction of the shoulder
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Pectoralis Major Origin: Proximal clavical (clavicular head)
Sternum (sternal head) Insertion: Intertubercular groove Actions: Clavicular (upper) Internal rotation Horizontal adduction Flexion up to 60º Adduction beyond 90º Abduction below 90º Sternal (lower) Extension to a neutral position Adduction
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Pectoralis Major
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Subscapularis Origin: subscapular fossa Insertion: lesser tubercle
Actions: Internal rotation Adduction Extension Other: anterior rotator cuff muscle Note: Anterior view. The ribs are removed from this image
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Superior Muscles Deltoid Supraspinatus
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Deltoid Origin: Anterior: distal clavicle Middle: acromion process
Posterior: spine of scapula Insertion: Actions Anterior: abduction, flexion, internal rotation, horizontal adduction Middle: abduction Posterior: abduction, extension, external rotation, horizontal abduction
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Deltoid Lateral view
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Supraspinatus Origin: supraspinatus fossa Insertion: greater tubercle
Action: abduction Other: rotator cuff muscle
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Inferior Muscles Latissimus dorsi Teres major
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Latissimus Dorsi Origin: Insertion: intertubercular groove Actions:
adduction internal rotation extension horizontal abduction “swimmer’s muscle”
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Teres Major Origin: inferior angle Insertion: intertubercular groove
Actions: adduction internal rotation extension “lats little helper”
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Posterior Muscles Infraspinatus Teres minor
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Infraspinatus Origin: infraspinus fossa Insertion: greater tubercle
Actions: extension external rotation horizontal abduction Other: rotator cuff muscle
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Teres Minor Origin: lateral border Insertion: greater tubercle
Actions: extension external rotation horizontal abduction Other: rotator cuff
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Rotator Cuff Muscles S.I.T.S
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Name the horizontal adduction muscles
pectoralis major (upper and lower fibers) corachobrachialis anterior deltoid
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Name the horizontal abduction muscles
posterior deltoid infraspinatus teres minor latissimus dorsi
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Name the flexor muscles
coracobrachialis pect major (upper fibers) anterior deltoid
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Name the extensor muscles
latissimus dorsi teres major posterior deltoid pectoralis major (lower fibers)
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Name the adductor muscles
pect major (upper and lower fibers) coracobrachialis latissimus dorsi teres major
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Name the abductor muscles
deltoid (all fibers) supraspinatus
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Name the internal rotator muscles
subscapularis latissimus dorsi teres major anterior deltoid
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