Deltoid muscle

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Deltoid muscle
Deltoid muscle
Muscles connecting the upper extremity to the vertebral column.
Latin musculus deltoideus
Gray's subject #123 439
Origin clavicle, acromion, spine of the scapula
Insertion    deltoid tuberosity of humerus
Artery: primarily posterior circumflex humeral artery
Nerve: Axillary nerve
Action: shoulder abduction, flexion and extension
Antagonist: Latissimus dorsi
Dorlands
/Elsevier		 m_22/12548745

In human anatomy, the deltoid muscle is the muscle forming the rounded contour of the shoulder.

It was previously called the Deltoideus and the name is still used by some anatomists. It is called so because it is in the shape of the Greek letter Delta (triangle).

The deltoid is a frequent site to administer intra-muscular injections.

Contents

[edit] Origin

It arises in three distinct sets of fibers:[1]

  • Anterior fiber: from the anterior border and upper surface of the lateral third of the clavicle
  • Middle fibers: from the lateral margin and upper surface of the acromion
  • Posterior fibers: from the lower lip of the posterior border of the spine of the scapula, as far back as the triangular surface at its medial end

[edit] Insertion

From this extensive origin the fibers converge toward their insertion, the middle passing vertically, the anterior obliquely backward and laterally, the posterior obliquely forward and laterally; they unite in a thick tendon, which is inserted into the V-shaped deltoid tuberosity on the middle of the lateral aspect of the shaft of the humerus. At its insertion the muscle gives off an expansion to the deep bfascia of the arm.

[edit] Innervation

Axillary nerve (C5,C6) and, to a lesser extent, lateral supraclavicular nerve.

[edit] Action

The anterior fibers are involved in shoulder abduction when the shoulder is externally rotated. The anterior deltoid is weak in strict transverse flexion but assists the pectoralis major during shoulder transverse flexion / shoulder flexion (elbow slightly inferior to shoulders).

The posterior fibers are strongly involved in transverse extension particularly since the latissimus dorsi is very weak in strict transverse extension. The posterior deltoid is also the primary shoulder hyperextensor.

The lateral fibers are involved in shoulder abduction when the shoulder is internally rotated, are involved in shoulder flexion when the shoulder is internally rotated, and are involved in shoulder transverse abduction (shoulder externally rotated) -- but are not utilized significantly during strict transverse extension (shoulder internally rotated).

[edit] Training

Soldier performing a bench press, working the front deltoid
Soldier performing a bench press, working the front deltoid

The deltoid muscle has three sections, the front head, the side head and the rear head. These heads have different actions and so need different strength training exercises to completely train the whole of the muscle.

  • The front deltoid is used in all pressing movements, such as the bench press, and can be trained adequately without any isolation movements. However for isolation front dumbbell raises are the most commonly used.
  • The middle head of the deltoid is the main abductor at the gleno-humeral joint (shoulder) and is commonly trained using side lateral raises (also known as the shoulder fly. The middle head also benefits from overhead pressing movements.
  • The rear head of the deltoid is best trained with bent-over dumbbell laterals (an inverted fly)


[edit] Structure

The Deltoid is a classical example of a multipennate muscle.

The middle fibres of the muscle arise in a bipenniform manner (like a bird's feather) from the sides of the tendinous intersections, generally four in number, which are attached above to the acromion and pass downward parallel to one another in the substance of the muscle. The oblique fibers thus formed are inserted into similar tendinous intersections, generally three in number, which pass upward from the insertion of the muscle and alternate with the descending septa. The portions of the muscle arising from the clavicle and spine of the scapula are not arranged in this manner, but are inserted into the margins of the inferior tendon.

[edit] Additional images

Superficial muscles of the chest and front of the arm.

Left clavicle. Superior surface.

Left scapula. Dorsal surface.

Left humerus. Anterior view.

Deep muscles of the chest and front of the arm, with the boundaries of the axilla.

Muscles on the dorsum of the scapula, and the Triceps brachii.

The scapular and circumflex arteries.

The axillary artery and its branches.

The brachial artery.

The veins of the right axilla, viewed from in front.

The right brachial plexus with its short branches, viewed from in front.

Suprascapular and axillary nerves of right side, seen from behind.

Nerves of the left upper extremity.

The suprascapular, axillary, and radial nerves.

Surface anatomy of the back.

[edit] References

  1. ^ Mnemonic at medicalmnemonics.com 3558

[edit] External links

v • d • e
List of muscles of upper limbs
VERTEBRAL COLUMN
THORACIC WALLS
SHOULDER
ARM
FOREARM
HAND