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If the rhomboid major is torn, wasted, or unable to contract, scapular instability may result. The implications of scapular instability caused by the rhomboid major include scapular winging during scapular protraction, excessive lateral rotation and depression of the scapula, as the antagonistic action by the rhomboid major is absent.
In the right image, the rhomboid major muscles are distinguishable. Surgical options include neurolysis ( chordotomy ) and intercostal nerve transfer if a nerve lesion is the cause of winging. For scapular winging not amenable to nerve repair, tendon transfer is an option.
There are two rhomboid muscles on each side of the upper back: [1] [2] [3] Rhomboid major muscle; Rhomboid minor muscle; The large rhombus-shaped muscle, located under the trapezius muscle, in the upper part of the thoracic region of the back, and the small muscle, in the same way, participate in the movement of the scapula. [4]
Dorsal scapular nerve syndrome can be caused by nerve compression syndrome.A winged scapula is the most common symptom. [7] Shoulder pain may occur. [7] It causes weakness in rhomboid major muscle, rhomboid minor muscle, and levator scapulae muscle. [7]
The two muscles most commonly inhibited during this first part of an overhead motion are the serratus anterior and the lower trapezius. [10] These two muscles act as a force couple within the glenohumeral joint to properly elevate the acromion process, and if a muscle imbalance exists, shoulder impingement may develop.
The original technique was first described by Eden [4] in 1924 and verified by Lange in the 1950s. [5] [6] The rhomboid major and rhomboid minor were transferred laterally from the medial border of the scapula to the infraspinatous fossa, and the levator scapulae was transferred laterally to the spine of the scapula, near the acromion.
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The muscle which can 'cancel' or to some degree reverse the action of the muscle. Muscle synergies are noted in parentheses when relevant. O (Occurrences) Number of times that the named muscle row occurs in a standard human body. Here it may also be denoted when a given muscles only occurs in a male or a female body.