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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]
Muscle groups such as serratus anterior, trapezius, and rhomboid major/minor need to be strengthened to allow for shoulder function. By stabilizing these muscles there is more alignment which causes a reduction in strain and protects the joints. Glenohumeral exercises are focused around strengthening the rotator cuff muscles.
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.
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]
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 five muscles that comprise the function of the shoulder girdle are the trapezius muscle (upper, middle, and lower), levator scapulae muscle, rhomboid muscles (major and minor), serratus anterior muscle, and pectoralis minor muscle. [3]
There are a variety of classifications for winged scapula, and likewise several treatment options. Strength training, particularly of the serratus anterior, may be recommended as this muscle is responsible for holding the medial scapula close to the rib cage. In more severe cases, physical therapy can help by strengthening related muscles.
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