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Anterior Shoulder Region
The anterior shoulder or pectoral
region is formed by
• Pectoralis Major
• Pectoralis Minor
Pectoralis Major has two heads
Pectoralis Major has two heads
• sternocostal head
Pectoralis Major has two heads
• sternocostal head
• clavicular head
Anterior View
Pectoralis Major attaches
to the lateral lip of the
bicipital groove of the
proximal humerus
Pectoralis Major
Is supplied by the
medial and lateral
pectoral nerves
Pectoralis Major
Sternocostal head adducts
and
medially rotates the arm
clavicular head adducts
and flexes the arm
Pectoralis Minor attaches to the
coracoid process of the scapula
Pectoralis Minor attaches to the
coracoid process of the scapula
Anterior view
Pectoralis Minor
Arises from ribs 3,4,5
It protracts the scapula
Pectoralis Minor
Is supplied by the
Medial
pectoral nerves
The anterior fibres of
Deltoid muscle
lie at the lateral aspect
of the anterior chest
wall
Muscles Summary
Anterior Chest Wall
Pectoralis Major
Origin Clavicular head: anterior surface
of medial half of clavicle;
Sternocostal head: anterior
surface of sternum, superior six
costal cartilages, and aponeurosis
of external oblique muscle
Insertion Lateral lip of intertubercular
groove of humerus
Action Adducts and internally rotates
humerus; moves scapula
anteriorly and inferiorly;
Nerve Supply Lateral and medial pectoral
nerves (C5, C6, C7, C8, and T1)
Blood Supply pectoral branch of
thoracoacromial trunk
Anterior Chest Wall
Pectoralis Minor
Origin 3rd to 5th ribs near their costal
cartilages
Insertion Medial border and superior
surface of coracoid process of
scapula
Action Stabilises scapula, pulls it
inferiorly and anteriorly
against thoracic wall
Nerve Supply Medial pectoral nerves; (C8
and T1)
Blood Supply Pectoral branch of the
thoracoacromial trunk
Anterior Chest Wall
Serratus Anterior
Origin Superolateral surfaces of
upper 8 or 9 ribs at the side of
chest
Insertion Medial border of scapula
Action Pulls scapula forward and
upward; abducts and rotates
it; stabilises medial border of
scapula
Nerve Supply Long thoracic nerve (C5, C6,
C7)
Blood Supply Circumflex scapular artery
Deltoid
Origin Lateral third of clavicle,
acromion, and spine of scapula
Insertion Deltoid tuberosity of humerus
Action Anterior part: flexes and
internally rotates arm; Middle
part: abducts arm; Posterior
part: extends and externally
rotates arm
Nerve Supply Axillary nerve (C5 and C6)
Blood Supply Deltoid branch of
thoracoacromial artery

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Slideshow: SHoulder Region Anterior

  • 2. The anterior shoulder or pectoral region is formed by • Pectoralis Major • Pectoralis Minor
  • 4. Pectoralis Major has two heads • sternocostal head
  • 5. Pectoralis Major has two heads • sternocostal head • clavicular head
  • 6. Anterior View Pectoralis Major attaches to the lateral lip of the bicipital groove of the proximal humerus
  • 7. Pectoralis Major Is supplied by the medial and lateral pectoral nerves
  • 8. Pectoralis Major Sternocostal head adducts and medially rotates the arm clavicular head adducts and flexes the arm
  • 9. Pectoralis Minor attaches to the coracoid process of the scapula
  • 10. Pectoralis Minor attaches to the coracoid process of the scapula Anterior view
  • 11. Pectoralis Minor Arises from ribs 3,4,5 It protracts the scapula
  • 12. Pectoralis Minor Is supplied by the Medial pectoral nerves
  • 13. The anterior fibres of Deltoid muscle lie at the lateral aspect of the anterior chest wall
  • 15. Anterior Chest Wall Pectoralis Major Origin Clavicular head: anterior surface of medial half of clavicle; Sternocostal head: anterior surface of sternum, superior six costal cartilages, and aponeurosis of external oblique muscle Insertion Lateral lip of intertubercular groove of humerus Action Adducts and internally rotates humerus; moves scapula anteriorly and inferiorly; Nerve Supply Lateral and medial pectoral nerves (C5, C6, C7, C8, and T1) Blood Supply pectoral branch of thoracoacromial trunk
  • 16. Anterior Chest Wall Pectoralis Minor Origin 3rd to 5th ribs near their costal cartilages Insertion Medial border and superior surface of coracoid process of scapula Action Stabilises scapula, pulls it inferiorly and anteriorly against thoracic wall Nerve Supply Medial pectoral nerves; (C8 and T1) Blood Supply Pectoral branch of the thoracoacromial trunk
  • 17. Anterior Chest Wall Serratus Anterior Origin Superolateral surfaces of upper 8 or 9 ribs at the side of chest Insertion Medial border of scapula Action Pulls scapula forward and upward; abducts and rotates it; stabilises medial border of scapula Nerve Supply Long thoracic nerve (C5, C6, C7) Blood Supply Circumflex scapular artery
  • 18. Deltoid Origin Lateral third of clavicle, acromion, and spine of scapula Insertion Deltoid tuberosity of humerus Action Anterior part: flexes and internally rotates arm; Middle part: abducts arm; Posterior part: extends and externally rotates arm Nerve Supply Axillary nerve (C5 and C6) Blood Supply Deltoid branch of thoracoacromial artery