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The fourth thoracic vertebra, together with the fifth, is at the same level as the sternal angle. The thoracic spinal nerve 4 (T4) passes inferior it. A thoracic spine X-ray of a 57-year-old male. Surface orientation of T3 and T7, at middle of spine of scapula and at inferior angle of the scapula, respectively.
It attaches to the scapula and the humerus and is one of the seven scapulohumeral muscles. It is a thick but somewhat flattened muscle. The teres major muscle (from Latin teres, meaning "rounded") is positioned above the latissimus dorsi muscle and assists in the extension and medial rotation of the humerus.
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Active exercises include the Pendulum exercise, which is used to strengthen the Supraspinatus, Infraspinatus, and Subscapularis. [9] External rotation of the shoulder with the arm at a 90-degree angle is an additional exercise done to increase control and range of motion of the Infraspinatus and Teres minor muscles.
Scapular line: A vertical line passing through the inferior angle of the scapula. Paravertebral line: A vertical line corresponding to the tips of the transverse processes of the vertebrae. Posterior median line; Other anatomical lines include:
The latissimus dorsi crosses the inferior angle of the scapula. A study found that, of 100 cadavers dissected: [6] 43% had "a substantial amount" of fibers in the latissimus dorsi originating from the scapula. 36% had few or no muscular fibers, but a "soft fibrous link" between the scapula and the latissimus dorsi
The infraspinatus is the main external rotator of the shoulder. When the arm is fixed, it adducts the inferior angle of the scapula. Its synergists are teres minor and the deltoid. [4] The infraspinatus and teres minor rotate the head of the humerus outward (external, or lateral, rotation); they also assist in carrying the arm backward. [1]
This angle is formed by the junction of the superior and medial borders of the scapula. The superior angle is located at the approximate level of the second thoracic vertebra. The superior angle of the scapula is thin, smooth, rounded, and inclined somewhat lateralward, and gives attachment to a few fibers of the levator scapulae muscle. [5]