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 scapulaTop of greater tubercle of
humerusShoulder abduction
Stabilization of shoulder
Infraspinatus
(in-frah-spi-NAH-tus)Medial portion of
infraspinous fossa of
scapulaMiddle of greater tubercle
of humerusShoulder 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 scapulaLower greater tubercle and
adjacent shaft of humerusSame as infraspinatusSubscapularis
(sub-scap-u-LAR-is)Costal surface of scapula
(subscapular fossa)Lesser tubercle of
humerusShoulder 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
sternumIntertubercular 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
scapulaDeltoid tuberosity of
humerusAnterior:
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
scapulaAnteromedial aspect of
middle of humerusShoulder 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 ribsLower intertubercular
groove of humerus
parallel to attachment of
pectoralis majorShoulder 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 grooveShoulder 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)