392
Muscle Proximal attachment(s) Distal attachment(s) Primary action(s)
Rotator cuff muscles
Supraspinatus
(soo-prah-spi-NAH-tus)
Inner portion of supra-
spinous fossa of scapula
Top of greater tubercle of
humerus
Shoulder abduction
Stabilization of shoulder
Infraspinatus
(in-frah-spi-NAH-tus)
Medial portion of
infraspinous fossa of
scapula
Middle of greater tubercle
of humerus
Shoulder external rotation
Stabilization of shoulder
Shoulder horizontal abduction
Component of SIT force couple
Teres minor
(TE-reez MY-nor)
Dorsal aspect of lateral
border of scapula
Lower greater tubercle and
adjacent shaft of humerus
Same as infraspinatus
Subscapularis
(sub-scap-u-LAR-is)
Costal surface of scapula
(subscapular fossa)
Lesser tubercle of
humerus
Shoulder internal rotation
Stabilization of shoulder
Component of SIT force couple
Other glenohumeral muscles
Pectoralis major
(pek-to-RA-lis MAY-jer)
Inner two-thirds of anterior
aspect of clavicle
Sternum
Costal cartilage of ribs
1 or 2 to 6 or 7 near
sternum
Intertubercular groove of
humerus extending down
from tubercles about 3
inches (7.6 centimeters)
Clavicular:
Shoulder flexion
Shoulder abduction above 90°
Assists with shoulder adduction
(lower ranges)
Sternal:
Shoulder extension
Shoulder adduction
Both:
Shoulder horizontal adduction
Shoulder internal rotation
Deltoid
(DEL-toid)
Outer anterior aspect of
clavicle
Acromion of scapula
Lower border of spine of
scapula
Deltoid tuberosity of
humerus
Anterior:
Shoulder flexion
Shoulder horizontal adduction
Assists with shoulder internal rotation
Middle:
Shoulder abduction
Shoulder horizontal abduction
Posterior:
Shoulder extension
Shoulder horizontal abduction
Assists with shoulder external rotation
Coracobrachialis
(kor-ah-ko-bra-kee-AL-is)
Coracoid process of
scapula
Anteromedial aspect of
middle of humerus
Shoulder flexion
Shoulder adduction
Shoulder horizontal adduction
Latissimus dorsi
(lah-TIS-i-mus DOR-see)
T6-L5 spinous processes
Sacrum
Crest of ilium
Posterior aspect of lower
3 ribs
Lower intertubercular
groove of humerus
parallel to attachment of
pectoralis major
Shoulder extension
Shoulder adduction
Shoulder horizontal abduction
Shoulder internal rotation
Depression of humerus
Teres major
(TE-reez MAY-jer)
Inferior angle of scapula Medial lip of
intertubercular groove
Shoulder extension
Shoulder adduction
Shoulder horizontal abduction
Shoulder internal rotation
(Depression of humerus)
TABLE 7.2 Summary of Attachments and Primary Actions of the Muscles of the Shoulder Complex (continued)