Upper limb
Teres Major
Musculus teres major
- Origin
- Inferior angle and lateral border of the scapula
- Insertion
- Crest of the lesser tubercle of the humerus (medial lip of the intertubercular sulcus)
- Function
- Internal rotation, adduction, and extension of the shoulder
- Innervation
- Lower subscapular nerve (C5-C7)
- Movement & chain
- Functionally works together with latissimus dorsi (both insert close together) in movements such as pulling the arm downward and climbing.
- Palpation
- Palpable as the posterior border of the axilla, below teres minor, during adduction and internal rotation against resistance.
- Clinical
- Sometimes used as a muscle donor in reconstructive surgery (tendon transfer) for irreparable rotator cuff tears; overload of the adjacent space can contribute to quadrangular space syndrome with compression of the axillary nerve.
- Segmental innervation
- Lower subscapular nerve, C5-C7.
- In clinical practice
- Safe transfer techniques avoiding arm traction (prevents shoulder subluxation in stroke patients); monitor injection sites and offload scapular pressure.
- Region in the model
- Upper limb