CHAPTER 15: Shoulder Joint and The Arm

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Scapulo Thoracic Joint

This is the connection of the scapula to the thoracic wall mainly muscular and fascial connection. The muscles are best classified according to the movements which they bring about on the scapula.


Elevation of the scapula
  • Upper part of trapezius
  • Levator scapulae
  • Rhomboideus major and minor

Depression of scapula  
  • Weight of upper limb
  • Pectoralis major,
  • latissimus dorsi, (Sternocostal head)
  • Lower part of trapezius

Retraction of the scapula  
  • Rhomboid muscles
  • Middle part of trapezius

Protraction of the scapula  
  • Pectoralis minor
  • Serratus anterior

Lateral Rotation  
  • Upper part of trapezius
  • Lower part of the trapezius
  • Lower 4 digitations of serratus anterior

Medial Rotation  
  • Pectoralis minor
  • Latissimus dorsi,
  • Sternocostal head of the pectoralis major.