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Additional muscle deficits can contraindicate tendon transfer, namely the serratus anterior muscle or the muscles-to-be-transferred themselves. Serratus anterior muscle deficit is another cause of scapular winging and decreases the efficacy of an Eden–Lange procedure, but it can be overcome with a simultaneous pectoralis major transfer .
The rhomboid major is a skeletal muscle of the back that connects the scapula with the vertebrae of the spinal column. [1] It originates from the spinous processes of the thoracic vertebrae T2–T5 and supraspinous ligament; it inserts onto the lower portion of the medial border of the scapula. [2]
The muscle is inserted along the medial border of the scapula between the superior and inferior angle of the scapula. The muscle is divided into three parts according to the points of insertion: [1] the serratus anterior superior is inserted near the superior angle; the serratus anterior intermediate is inserted along the medial border;
It moves the scapula and supports the arm. The trapezius has three functional parts: an upper (descending) part which supports the weight of the arm; a middle region (transverse), which retracts the scapula; and; a lower (ascending) part which medially rotates and depresses the scapula.
Snapping scapula syndrome, also known as scapulocostal syndrome or scapulothoracic syndrome, is described by a "grating, grinding, popping or snapping sensation of the scapula onto the back side of the ribs or thoracic area of the spine" (Hauser). Disruption of the normal scapulothoracic mechanics causes this problem.
In human anatomy, the rhomboid minor is a small skeletal muscle of the back that connects the scapula to the vertebrae of the spinal column. [1] It arises from the nuchal ligament, and the 7th cervical and 1st thoracic vertebrae and intervening supraspinous ligaments; it inserts onto the medial border of the scapula.
In addition to the four muscles of the rotator cuff, the deltoid muscle and teres major muscles arise and exist in the shoulder region itself. [3] The deltoid muscle covers the shoulder joint on three sides, arising from the front upper third of the clavicle, the acromion, and the spine of the scapula, and travelling to insert on the deltoid ...
The coracoid process acts as an attachment and origin for a large number of muscles (attached muscles not labeled here). The coracoid process is a thick curved process attached by a broad base to the upper part of the neck of the scapula; [2] it runs at first upward and medially; then, becoming smaller, it changes its direction, and projects forward and laterally.