Teres major muscle

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Teres major muscle
Teres major.PNG
Posterior view showing the relations between teres major muscle (in red) and the other muscles connecting the upper extremity to the vertebral column.
Teres major muscle back.png
Teres major muscle (in red) seen from back (posterior to anterior perspective).
Details
Origin Posterior aspect of the inferior angle of the scapula
Insertion Medial lip of the intertubercular sulcus of the humerus
Artery Subscapular and circumflex scapular arteries
Nerve Lower subscapular nerve (segmental levels C5 and C6)
Actions Adduct the humerus, internal rotation (medial rotation) of the humerus, extend the humerus from flexed position
Identifiers
Latin musculus teres major
TA98 A04.6.02.011
TA2 2462
FMA 32549
Anatomical terms of muscle

The teres major muscle is a muscle of the upper limb. It attaches to the scapula and the humerus and is one of the seven scapulohumeral muscles. It is a thick but somewhat flattened muscle.

Contents

The teres major muscle (from Latin teres, meaning "rounded") is positioned above the latissimus dorsi muscle and assists in the extension and medial rotation of the humerus. This muscle is commonly confused as a rotator cuff muscle, but it is not, because it does not attach to the capsule of the shoulder joint, unlike the teres minor muscle, for example.

Structure

The teres major muscle originates on the dorsal surface of the inferior angle and the lower part of the lateral border of the scapula.

The fibers of teres major insert into the medial lip of the intertubercular sulcus of the humerus. [1]

Relations

The tendon, at its insertion, lies behind that of the latissimus dorsi, from which it is separated by a bursa, the two tendons being, however, united along their lower borders for a short distance. The fibers of these two muscles run parallel to each other, and both muscles insert at the crest of the lesser tubercle of the humerus (also described as the medial lip of the intertubercular sulcus).

Together with teres minor muscle, teres major muscle forms the axillary space, through which several important arteries and veins pass. [2] [3]

Innervation

Teres major is supplied primarily by the lower subscapular nerve [4] and additionally by the thoracodorsal nerve (middle subscapular nerve). These are distal to the upper subscapular nerve. These three nerves branch off the posterior cord of the brachial plexus. The nerves that innervate teres major consist of fibers from spinal nerves C5-C8. [4]

Function

The teres major is a medial rotator and adductor of the humerus and assists the latissimus dorsi in drawing the previously raised humerus downwards and backwards (extension, but not hyperextension). It also helps stabilise the humeral head in the glenoid cavity.

Injury

Isolated teres major injuries are rare. They are almost exclusively encountered in professional and high-level recreational athletesbaseball pitchers in particular. These injuries can be debilitating, requiring lengthy rehabilitation periods and missed seasons of athletics. No clear indications for surgical treatment exist. Outcomes have been generally good after both nonoperative and operative treatment. [5]

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Arm</span> Proximal part of the free upper limb between the shoulder and the elbow

In human anatomy, the arm refers to the upper limb in common usage, although academically the term specifically means the upper arm between the glenohumeral joint and the elbow joint. The distal part of the upper limb between the elbow and the radiocarpal joint is known as the forearm or "lower" arm, and the extremity beyond the wrist is the hand.

<span class="mw-page-title-main">Scapula</span> Bone that connects the humerus (upper arm bone) with the clavicle (collar bone)

The scapula, also known as the shoulder blade, is the bone that connects the humerus with the clavicle. Like their connected bones, the scapulae are paired, with each scapula on either side of the body being roughly a mirror image of the other. The name derives from the Classical Latin word for trowel or small shovel, which it was thought to resemble.

<span class="mw-page-title-main">Humerus</span> Long bone of the upper arm

The humerus is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a rounded head, a narrow neck, and two short processes. The body is cylindrical in its upper portion, and more prismatic below. The lower extremity consists of 2 epicondyles, 2 processes, and 3 fossae. As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.

<span class="mw-page-title-main">Radial nerve</span> Nerve in the human body that supplies the posterior portion of the upper limb

The radial nerve is a nerve in the human body that supplies the posterior portion of the upper limb. It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial compartment of the forearm and the associated joints and overlying skin.

<span class="mw-page-title-main">Latissimus dorsi muscle</span> Large, flat back muscle

The latissimus dorsi is a large, flat muscle on the back that stretches to the sides, behind the arm, and is partly covered by the trapezius on the back near the midline.

<span class="mw-page-title-main">Axillary nerve</span> Nerve of the human body near the armpit

The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. The axillary nerve travels through the quadrangular space with the posterior circumflex humeral artery and vein to innervate the deltoid and teres minor.

<span class="mw-page-title-main">Deltoid muscle</span> Shoulder muscle

The deltoid muscle is the muscle forming the rounded contour of the human shoulder. It is also known as the 'common shoulder muscle', particularly in other animals such as the domestic cat. Anatomically, the deltoid muscle is made up of three distinct sets of muscle fibers, namely the

  1. anterior or clavicular part
  2. posterior or scapular part
  3. intermediate or acromial part
<span class="mw-page-title-main">Upper limb</span> Consists of the arm, forearm, and hand

The upper limbs or upper extremities are the forelimbs of an upright-postured tetrapod vertebrate, extending from the scapulae and clavicles down to and including the digits, including all the musculatures and ligaments involved with the shoulder, elbow, wrist and knuckle joints. In humans, each upper limb is divided into the arm, forearm and hand, and is primarily used for climbing, lifting and manipulating objects.

<span class="mw-page-title-main">Triceps</span> Muscle on the back of the upper arm

The triceps, or triceps brachii, is a large muscle on the back of the upper limb of many vertebrates. It consists of 3 parts: the medial, lateral, and long head. It is the muscle principally responsible for extension of the elbow joint.

<span class="mw-page-title-main">Shoulder joint</span> Synovial ball and socket joint in the shoulder

The shoulder joint is structurally classified as a synovial ball-and-socket joint and functionally as a diarthrosis and multiaxial joint. It involves an articulation between the glenoid fossa of the scapula and the head of the humerus. Due to the very loose joint capsule ,that gives a limited interface of the humerus and scapula, it is the most mobile joint of the human body.

<span class="mw-page-title-main">Subscapularis muscle</span> Large triangle muscle of the shoulder

The subscapularis is a large triangular muscle which fills the subscapular fossa and inserts into the lesser tubercle of the humerus and the front of the capsule of the shoulder-joint.

<span class="mw-page-title-main">Thoracodorsal nerve</span> Nerve that supplies the latissimus dorsi

The thoracodorsal nerve is a nerve present in humans and other animals, also known as the middle subscapular nerve or the long subscapular nerve. It supplies the latissimus dorsi muscle.

<span class="mw-page-title-main">Lower subscapular nerve</span>

The lower subscapular nerve, also known as the inferior subscapular nerve, is the third branch of the posterior cord of the brachial plexus. It innervates the inferior portion of the subscapularis muscle and the teres major muscle.

<span class="mw-page-title-main">Subscapular nerves</span> Nerves that control the shoulder blade

Subscapular nerves can refer to:

<span class="mw-page-title-main">Deep artery of arm</span> Deep arterial system of the arm

The deep artery of arm is a large artery of the arm which arises from the brachial artery. It descends in the arm before ending by anastomosing with the radial recurrent artery.

<span class="mw-page-title-main">Bicipital groove</span> Groove in the humerus bone

The bicipital groove is a deep groove on the humerus that separates the greater tubercle from the lesser tubercle. It allows for the long tendon of the biceps brachii muscle to pass.

The brachial fascia is continuous with that covering the deltoideus and the pectoralis major muscle, by means of which it is attached, above, to the clavicle, acromion, and spine of the scapula; it forms a thin, loose, membranous sheath for the muscles of the arm, and sends septa between them; it is composed of fibers disposed in a circular or spiral direction, and connected together by vertical and oblique fibers.

<span class="mw-page-title-main">Fascial compartments of arm</span> Anatomical compartments

The fascial compartments of arm refers to the specific anatomical term of the compartments within the upper segment of the upper limb of the body. The upper limb is divided into two segments, the arm and the forearm. Each of these segments is further divided into two compartments which are formed by deep fascia – tough connective tissue septa (walls). Each compartment encloses specific muscles and nerves.

<span class="mw-page-title-main">Quadrangular space</span>

The quadrangular space, also known as the quadrilateral space (of Velpeau) and the foramen humerotricipitale, is one of the three spaces in the axillary space. The other two spaces are: triangular space and triangular interval.

<span class="mw-page-title-main">Axillary space</span>

The axillary spaces are anatomic spaces. through which axillary contents leave the axilla. They consist of the quadrangular space, triangular space, and triangular interval. It is bounded by teres major, teres minor, medial border of the humerus, and long head of triceps brachii.

References

PD-icon.svgThis article incorporates text in the public domain from page 442 of the 20th edition of Gray's Anatomy (1918)

  1. Grosclaude, M.; Najihi, N.; Lädermann, A.; Menetrey, J.; Ziltener, J.-L. (February 2012). "Teres major muscle tear in two professional ice hockey players: cases study and literature review". Orthopaedics & traumatology, surgery & research: OTSR. 98 (1): 122–125. doi:10.1016/j.otsr.2011.09.014. ISSN   1877-0568. PMID   22197182.
  2. Bouche, P. (January 1, 2013), Said, Gérard; Krarup, Christian (eds.), "Chapter 19 - Compression and entrapment neuropathies", Handbook of Clinical Neurology, Peripheral Nerve Disorders, 115, Elsevier: 311–366, doi:10.1016/b978-0-444-52902-2.00019-9, ISBN   9780444529022, PMID   23931789 , retrieved November 2, 2020
  3. Pindrik, Jonathan; Dorsi, Michael; Belzberg, Allan (January 1, 2015), Tubbs, R. Shane; Rizk, Elias; Shoja, Mohammadali M.; Loukas, Marios (eds.), "Chapter 9 - Surgical Exposures for Nerves of the Upper Limbs", Nerves and Nerve Injuries, San Diego: Academic Press, pp. 131–138, doi:10.1016/b978-0-12-802653-3.00058-0, ISBN   978-0-12-802653-3 , retrieved November 2, 2020
  4. 1 2 Bertorini, Tulio E. (January 1, 2008), Bertorini, Tulio E. (ed.), "1 - Neuromuscular Anatomy and Function", Neuromuscular Case Studies, Philadelphia: Butterworth-Heinemann, pp. 1–25, doi:10.1016/b978-0-7506-7332-7.50005-2, ISBN   978-0-7506-7332-7 , retrieved November 2, 2020
  5. Donohue, Benjamin; Lubitz, Marc (December 20, 2016). "Sports Injuries to the Latissimus Dorsi and Teres Major". The American Journal of Sports Medicine. 45 (10): 2428–2435. doi:10.1177/0363546516676062. PMID   28125914. S2CID   3872258.