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Scapulohumeral muscles (intrinsic shoulder) muscles

Scapulohumeral muscles (intrinsic shoulder) muscles
Muscle Proximal attachment Distal attachment Innervation* Main action
Deltoid Lateral third of clavicle; acromion and spine of scapula Deltoid tuberosity of humerus Axillary nerve (C5, C6)

Clavicular (anterior) part: flexes and medially rotates arm

Acromial (middle) part: abducts arm

Spinal (posterior) part: extends and laterally rotates arm
Supraspinatus Supraspinous fossa of scapula Superior facet of greater tubercle of humerus Suprascapular nerve (C4, C5, C6) Initiates and assists deltoid in abduction of arm and acts with rotator cuff muscles
Infraspinatus Infraspinous fossa of scapula Middle facet of greater tubercle of humerus Suprascapular nerve (C5, C6) Laterally rotates arm; and acts with rotator cuff muscles
Teres minor Middle part of lateral border of scapula Inferior facet of greater tubercle of humerus Axillary nerve (C5, C6) Laterally rotates arm; and acts with rotator cuff muscles
Teres major Posterior surface of inferior angle of scapula Medial lip of intertubercular sulcus of humerus Lower subscapular nerve (C5, C6) Adducts and medially rotates arm
Subscapularis Subscapular fossa (most of anterior surface of scapula) Lesser tubercle of humerus Upper and lower subscapular nerves (C5, C6, C7) Medially rotates arm; as part of rotator cuff, helps hold head of humerus in glenoid cavity
* The spinal cord segmental innervation is indicated (eg, "C5, C6" means that the nerves supplying the deltoid are derived from the fifth and sixth cervical segments of the spinal cord). Numbers in boldface (C5) indicate the main segmental innervation. Damage to one or more of the listed spinal cord segments or to the motor nerve roots arising from them results in paralysis of the muscles concerned.
¶ Collectively, the supraspinatus, infraspinatus, teres minor, and subscapularis muscles are referred to as the rotator cuff, or SITS, muscles. Their primary function during all movements of the glenohumeral (shoulder) joint is to hold the humeral head in the glenoid cavity of the scapula.
Reproduced with permission from: Clinically Oriented Anatomy, 7th ed, Moore KL, Agur AM, Dalley AF (Eds), Lippincott Williams & Wilkins, Philadelphia 2013. Copyright © 2013 Lippincott Williams & Wilkins. www.lww.com.
Graphic 97470 Version 3.0

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