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The subscapularis is covered by a dense fascia which attaches to the scapula at the margins of the subscapularis' attachment (origin) on the scapula. [1] The muscle's fibers pass laterally from its origin before coalescing into a tendon of insertion. [citation needed] The tendon intermingles with the glenohumeral (shoulder) joint capsule. [1]
Biceps muscle. The rotator cuff (SITS muscles) is a group of muscles and their tendons that act to stabilize the human shoulder and allow for its extensive range of motion. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles are: supraspinatus muscle; infraspinatus muscle; teres minor muscle; subscapularis muscle.
Hawkins–Kennedy test: a positive test indicates shoulder impingement syndrome; Empty beer can test: a positive test indicates rotator cuff tear, specifically, supraspinatus muscle tear; Drop arm test: a positive test indicates a supraspinatus tear; External Rotation test: a positive test indicates an infraspinatus or teres minor tear
One source of snapping scapula is when the muscles underneath the scapula (the subscapularis muscle) atrophies.This causes the scapula to become very close to the rib cage, eventually causing rubbing or bumping during arm/shoulder movement.
subscapularis muscle. [2] It usually gives 4 branches to innervate the subscapularis, and can give up to 8 branches. [1] teres major muscle. [2] [3] Function.
In both tests, the patient is placed in a standing or sitting position, and the arms are raised parallel to the ground in the scapular plane. [2] The tests differ in the rotation of the arm; in the empty can test, the arm is rotated to full internal rotation (thumb down) and in the full can test, the arm is rotated to 45° external rotation, thumb up. [1]
The middle subscapular nerve, known as the thoracodorsal nerve, innervates the latissimus dorsi muscle. [1] The lower subscapular nerve contains two branches. One branch inserts into the lower portion of the subscapularis muscle and the other branch inserts into the teres major.
The lesser tuberosity, is more prominent than the greater: it is situated in front, and is directed medialward and forward. Above and in front it presents an impression for the insertion of the tendon of the subscapularis muscle. [2] Lesser tubercle of the right humerus Insertion of subscapularis muscle on the lesser tubercle