UPPER BODY ANATOMY: PECTORALIS MAJOR


PECTORALIS MAJOR

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  1. Clavicular – Upper or Superior Region 
    (1) Shoulder Flexion (2) Ab·duction above shoulder height (3) Horizontal Ad·duction (Horizontal Flexion) (4) Internal (Medial) Rotation
  2. Sternal – Middle Region
    (1) Shoulder Ad·duction (2) Horizontal Ad·duction (Horizontal Flexion) (3) Flexion (4) Internal (Medial) Rotation
  3. Costal – Lower or Inferior Region
    (1) Shoulder Ad·duction (2) Horizontal Ad·duction (Horizontal Flexion) (3) Extension (4) Internal (Medial) Rotation

Link – Normal anatomy of the pectoralis major muscle.
(1) Clavicular head (CH):
– the proximal clavicular head attaches to the medial half of the clavicle
(2) Sternal head – several segments (S1-S6).
– the sternal head segments attach to the sternum, second to sixth costal cartilages, and aponeurosis of the external oblique muscle.
Note: The clavicular and sternal head tendons combine to form a U-shaped tendon laterally; this tendon consists of an anterior layer (AT) and posterior layer (PT). This common tendon inserts onto the humerus at the lateral lip of the bicipital groove.


Radio Graphics .
(1) Clavicular Head (20%): is a single architectural segment that cannot be further divided. It’s within the clavicular lamina and arises from the medial half of the clavicle.
(2) Sternal head (80%): can be subdivided into 6 to 7 segments along individual fascial planes. The segments are within the abdominal and manubrial laminae and arise from the anterior manubrium, sternum, and second to sixth costal cartilages.


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