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Downward rotation would be prevented by co-contraction of other muscles that elevate the spine, the upper fibers of the trapezius, which is an upward rotator. When the shoulder is fixed, levator scapulae rotates to the same side and flexes the cervical spine laterally.
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.
The pec minor also works in conjunction with the rhomboid muscle and levator scapulae to perform downward rotation of the scapulae. Muscles which attach to the scapulae that adduct and extend the arm include the posterior deltoid muscles, the teres major, and minor stabilizing contribution from some rotator cuff muscles (infraspinatus and teres ...
Iliac crest, lumbar fascia, spines of lower six thoracic vertebrae, lower 3-4 ribs, inferior angle of scapula Floor of bicipital groove of humerus Teres major: Lower third of lateral border of scapula: Medial lip of bicipital groove of humerus Teres minor: Upper two thirds of lateral border of scapula Greater tubercle of humerus Lateral rotation
This movement may be broken down into two parts: True abduction of the arm, which takes the humerus from parallel to the spine to perpendicular; and upward rotation of the scapula, which raises the humerus above the shoulders until it points straight upwards.
The serratus anterior is occasionally called the "big swing muscle" or "boxer's muscle" [5] because it is largely responsible for the protraction of the scapula — that is, the pulling of the scapula forward and around the rib cage that occurs when someone throws a punch.
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The upper and lower fibers tend to rotate the scapula around the sternoclavicular articulation so that the acromion and inferior angles move up and the medial border moves down (upward rotation). The upper and lower fibers work in tandem with serratus anterior to upwardly rotate the scapulae, and work in opposition to the levator scapulae and ...