Necessary Anatomy of Shoulder Joint Rehabilitation —— Main Muscle Groups of Shoulder Joint and Shoulder-Thoracic Joint

1, rotator cuff muscles: subscapular muscles, gangue muscles (upper and lower muscles), teres minor-stabilize the humerus on the glenoid.

2. Shoulder-thoracic joint: not an anatomical joint. Clinically, it is generally composed of acromioclavicular joint, sternoclavicular joint and thoracoscapular joint. It is not a joint in the actual sense, but a joint connecting bones, which can dominate the activities of upper limbs and shoulder joints. The movement of the shoulder joint will also lead to a certain degree of mobility of these muscles. It mainly affects the muscles: pectoralis minor, serratus anterior, pectoralis major and deltoid; Dorsal muscle-abductor (up and down), levator scapulae, serratus anterior, rhomboid (size), latissimus dorsi, trapezius.

Deltoid (anterior, middle and posterior fasciculus), biceps brachii and triceps brachii (lateral head and long muscle)-mainly related to the elbow joint of the arm.

Subscapular muscle

Starting point: subscapular fossa

Stop point: humeral tubercle

Function: adduction and pronation of shoulder joint (C5-6 subscapular nerve)

Supraspinal muscle

Starting point: supraspinatus fossa of scapula

Stop point: upper part of greater tubercle of humerus

Function: Shoulder abduction (suprascapular nerve C5-6)

infraspinatus

Starting point: infraspinatus fossa of scapula

Stop point: middle part of greater tubercle of humerus

Function: Shoulder external rotation (suprascapular nerve C5-6)

teres minor

Starting point: back of lateral margin of scapula

Stop point: lower part of greater tubercle of humerus

Function: Shoulder external rotation (axillary nerve C5-7)

curassow

Starting point: the back of the lower corner of the scapula

Stop point: crest of humeral tubercle

Function: Shoulder extension, adduction and pronation (subscapular muscle C5-6)

Anterior and posterior bundles of deltoid muscle

Starting point: toe, acromion, lateral clavicle of scapular crest1/3; The posterior bundle originated from the lateral margin of the scapular ridge.

Stop point: tuberosity of deltoid muscle of humerus

Functions: shoulder abduction, flexion, pronation (adduction), shoulder extension, supination (adduction).

musculus pectoralis major

Starting point: medial clavicle, sternum, ribs 1-6.

Stop point: crest of greater tuberosity of humerus

Function: Main functions: adduction and pronation and shoulder flexion.

musculus pectoralis minor

Starting point: rib 3-5 or rib 2-5 (rib change)

Stop point: coracoid process of scapula

Function: when the scapula is fixed, pull the scapula upward, forward and downward, and lift the ribs to help inhale (medial thoracic nerve).

serratus anterior

Starting point: the side of rib 1-8 or 9.

Stop point: the medial edge and lower corner of scapula.

Function: Pull the scapula forward (long thoracic nerve 5-7)

Musculus posterior superior digitorum

Starting point: C6-7 spinous process and T 1-2 spinous process.

Stop point: Outside the 2nd-5th rib angle.

Function: Rib lifting (intercostal nerve T 1-4)

Musculus digitorum posterior inferior

Starting point: c11-kloc-0/2 and L 1-2 spinous process.

Stop point: 9- 12 outside the rib angle.

Function: descending rib (intercostal nerve T9- 12)

Rhomboid muscle

Starting point: T 1-4 spinous process

Stop point: the lower part of the medial edge of scapula.

Function: Lift and pull the scapula (dorsal scapular nerve C4-6) inward.

Musculus rhomboideus

Starting point: C6-7 spinous process

Stop point: the upper part of the medial edge of scapula.

Function: Lift and pull the scapula (dorsal scapular nerve C4-6) inward.

levator scapulae

Starting point: C 1-4 cervical transverse process

Stop point: medial angle of scapula

Function: Lift the scapula (dorsal scapular nerve C4-6).

latissimus dorsi

Starting point: T7- 12 spinous process, L 1-5 spinous process, iliac crest.

Stop point: humeral tubercle

Function: shoulder extension, adduction and pronation (thoracic dorsal nerve C-8)

trapezius

Starting point: supranuchal line, extraoccipital protuberance, nuchal ligament and all thoracic spinous processes.

Stop point: clavicle, acromion, outside scapular crest 1/3.

Function: pull both sides close to the midline, the upper fiber lifts the scapula, and the lower fiber lowers the scapula (accessory nerve).

Related bone markers: clavicle, humerus (big and small nodules), humeral tuberosity, scapula (medial and lateral edges, upper and lower parts), supraspinatus fossa, coracoid process, cervical C spinous process, cervical C transverse process, thoracic T spinous process, lumbar L spinous process and iliac crest.

Summary: Main functions-

1 Joint movements such as shoulder flexion, extension, pronation, supination, adduction and abduction.

2. It is the key muscle group that determines human shoulder activities, such as daily activities such as lifting arms and "hooking shoulders".

When these muscles are locally tense or overstretched, they will appear:

1, posture problems: round shoulders, sliding shoulders, bare shoulders, high and low shoulders, hunched back, hunched chest, head lead, wealth bag, bye-bye meat.

2, pain health problems: scapulohumeral periarthritis, shoulder pain, stiff neck, arm numbness.

3. Impact on life span: the stability of joints is reduced. When the external force suddenly hits or pulls, it is easy to cause dislocation or dislocation of humerus and strain of pectoral muscle.

The intercostal muscle and diaphragm also play a considerable role, spreading in the trunk chapter of the body.

The pictures refer to 3Dbody, and the articles are arranged for self-study notes. Errors are inevitable and are for reference only.