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Related Concept Videos

Muscles of the Shoulder01:23

Muscles of the Shoulder

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
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Muscles that Move the Arm01:31

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Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
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Related Experiment Video

Updated: Oct 21, 2025

Reverse Total Shoulder Arthroplasty
10:10

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Subscapularis in Reverse Total Shoulder Arthroplasty.

Sebastian F Bigdon1, Lilianna Bolliger1, Christoph E Albers1

  • 1Department of Orthopaedic Surgery and Traumatology, University of Bern, Bern, Switzerland.

Journal of Shoulder and Elbow Arthroplasty
|September 9, 2021
PubMed
Summary
This summary is machine-generated.

Reverse total shoulder arthroplasty (RSA) is gaining popularity, but the subscapularis muscle's function after surgery remains unclear. This review suggests the subscapularis plays a crucial role in RSA outcomes.

Keywords:
impaired range of motionreverse total shoulder arthroplastyreviewstabilitysubscapularis

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Area of Science:

  • Orthopedic Surgery
  • Biomechanics
  • Musculoskeletal Research

Background:

  • Reverse total shoulder arthroplasty (RSA) is increasingly utilized for complex shoulder conditions.
  • The biomechanical role of the subscapularis muscle after RSA is not fully understood.
  • Existing literature presents conflicting evidence regarding subscapularis function in RSA.

Purpose of the Study:

  • To review and synthesize current literature on the subscapularis muscle's role following RSA.
  • To clarify the impact of the subscapularis on shoulder stability and range of motion post-RSA.
  • To highlight the potential significance of the subscapularis in RSA outcomes.

Main Methods:

  • Systematic literature review of clinical and biomechanical studies.
  • Analysis of research investigating subscapularis function in reverse total shoulder arthroplasty.
  • Synthesis of findings related to range of motion and joint stability.

Main Results:

  • Evidence suggests the subscapularis contributes positively to shoulder stability after RSA.
  • Some studies indicate that subscapularis preservation or function may limit range of motion.
  • The subscapularis appears to have a more significant role in RSA than initially presumed.

Conclusions:

  • The subscapularis muscle is a critical component in the functional success of reverse total shoulder arthroplasty.
  • Further research is warranted to optimize the management of the subscapularis in RSA patients.
  • Understanding subscapularis function is key to improving patient outcomes after RSA.