Scapular Region

Subscapularis

Origin

• medial 2/3 sub scapular fossa

Insertion

• Lesser tubercle of humerus

Nerve supply

• Upper & lower sub scapular Ns

Action

• Medial rotation

• Adduction
Supraspinatus

Origin

• Medial 2/3 of supraspinous fossa

of scapula

Insertion

• Upper impression of greater

tubercle of humerus

Nerve supply

• Suprascapular N

Action

• steadies the head of humerus

during the movements of arm
Infraspinatus

Origin

• Medial 2/3 of infraspinous fossa of

scapula

Insertion

• Middle impression of greater

tubercle of humerus

Nerve supply

• Suprascapular N

Action

• Lateral rotation of arm

Teres major

Origin

• Lower 1/3 of the dorsal surface of

lateral border of scapula

• inferior angle of scapula

Insertion

• Medial lip of bicipital groove of

humerus

Nerve supply

• Lower sub scapular N

Action

• Medial rotation of arm

• adduction of arm
Teres minor

Origin

• Upper 2/3 of dorsal surface of the

lateral border of scapula

Insertion

• Lowest impression of the greater

tubercle of humerus

Nerve supply

• Axillary N

Action

• Lateral rotation of arm

Quadrangular space

Boundaries

Superior

• Subscapularis

• Capsule of shoulder joint

• Inferior border of Teres minor

Inferior

• Superior border of Teres major

Medial

• Lateral border of long head of triceps brachii

Lateral

• surgical neck of humerus

Contents

• Axillary N

• Posterior circum ex humeral vessels

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 Upper triangular space

Boundaries

Superior

• Inferior border of teres minor

Lateral

• Medial border of long head of triceps

brachii

Inferior

• Superior border of teres major

Contents

• Circum ex scapular A
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Lower triangular space

Boundaries

Medial

• Lateral border of long head of triceps brachii

Lateral

• Medial border of humerus

Superior

• Lower border of Teres major

Contents

• Radial N

• Profunda brachii vessels

 Arterial Anastomoses around the scapula

Anastomoses occurs in three fossae

• Subscapular, supraspinous & infraspinous

fossae

Anastomoses occurs between

Branches of 1st part of subclavian A &

branches of 3rd part of Axillary A

• Suprascapular A - br of thyrocervical trunk,

br of 1st part Subclavian A

• deep br of transverse cervical A - br of

thyrocervical trunk, br of 1st part Subclavian
A

• Circum ex scapular A - br of sub scapular A,

br of 3rd part of Axillary A
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Anastomosis over acromion
process

It is formed by

• acromial br of thoracoacromial A

( 2nd part of Axillary A)

• acromial br of supra scapular A

(1st part of subclavian A)

• acromial br of Posterior circum ex

humeral A (3rd part of axillary A)
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