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Muscles of the shoulder and upper limb can be divided into four groups: muscles that stabilize and position the pectoral girdle, muscles that move the arm, muscles that move the forearm, and muscles that move the wrists, hands, and fingers. The pectoral girdle , or shoulder girdle, consists of the lateral ends of the clavicle and scapula, along with the proximal end of the humerus, and the muscles covering these three bones to stabilize the shoulder joint. The girdle creates a base from which the head of the humerus, in its ball-and-socket joint with the glenoid fossa of the scapula, can move the arm in multiple directions.
Muscles that position the pectoral girdle are located either on the anterior thorax or on the posterior thorax ( [link] and [link] ). The anterior muscles include the subclavius , pectoralis minor , and serratus anterior . The posterior muscles include the trapezius , rhomboid major , and rhomboid minor . When the rhomboids are contracted, your scapula moves medially, which can pull the shoulder and upper limb posteriorly.
| Muscles that Position the Pectoral Girdle | ||||||
|---|---|---|---|---|---|---|
| Position in the thorax | Movement | Target | Target motion direction | Prime mover | Origin | Insertion |
| Anterior thorax | Stabilizes clavicle during movement by depressing it | Clavicle | Depression | Subclavius | First rib | Inferior surface of clavicle |
| Anterior thorax | Rotates shoulder anteriorly (throwing motion); assists with inhalation | Scapula; ribs | Scapula: depresses; ribs: elevates | Pectoralis minor | Anterior surfaces of certain ribs (2–4 or 3–5) | Coracoid process of scapula |
| Anterior thorax | Moves arm from side of body to front of body; assists with inhalation | Scapula; ribs | Scapula: protracts; ribs: elevates | Serratus anterior | Muscle slips from certain ribs (1–8 or 1–9) | Anterior surface of vertebral border of scapula |
| Posterior thorax | Elevates shoulders (shrugging); pulls shoulder blades together; tilts head backwards | Scapula; cervical spine | Scapula: rotests inferiorly, retracts, elevates, and depresses; spine: extends | Trapezius | Skull; vertebral column | Acromion and spine of scapula; clavicle |
| Posterior thorax | Stabilizes scapula during pectoral girdle movement | Scapula | Retracts; rotates inferiorly | Rhomboid major | Thoracic vertebrae (T2–T5) | Medial border of scapula |
| Posterior thorax | Stabilizes scapula during pectoral girdle movement | Scapula | Retracts; rotates inferiorly | Rhomboid minor | Cervical and thoracic vertebrae (C7 and T1) | Medial border of scapula |
Similar to the muscles that position the pectoral girdle, muscles that cross the shoulder joint and move the humerus bone of the arm include both axial and scapular muscles ( [link] and [link] ). The two axial muscles are the pectoralis major and the latissimus dorsi. The pectoralis major is thick and fan-shaped, covering much of the superior portion of the anterior thorax. The broad, triangular latissimus dorsi is located on the inferior part of the back, where it inserts into a thick connective tissue shealth called an aponeurosis.
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