Contents
Anatomy
General information
- This section is strictly limited to anatomy, you might be looking for clinical relevant information which is found under the clinical chapters -- muscles section, click here to go to that page
Position
- Superficial
Origin
- Margo lateralis scapula
- Superior aspect
Insertion
- Tuberculum majus humerus
- Inferior facet
Main function
- Shoulder
- Lateral rotation
Secondary function
- Shoulder
- Adduction
Nerve innervation
- Segmental
- C5-C6
- Peripheral
- Axillaris nerve
Arterial supply
- Circumflex scapular artery
- Posterior circumflex humeral artery
Palpation of the muscle belly
- Patient position
- Prone
- Place the patient's arm just outside the edge of the treatment bench
- Palpate just lateral to the superior part of margo lateralis on the scapula
- Note that it may be difficult to seperate between the infraspinatus and teres minor, of the two the teres minor is localized inferiorly to the infraspinatus
- To distinguish further, ask the patient to perform a lateral rotation of the shoulder while you feel for the contraction
Palpation of the distal tendon
- Patient position
- Prone
- Place the patient's arm outside the edge of the treatment table
- Hold the patient's arm in passive flexion
- Palpate the tuberculum majus and then palpate further to the most posterior and inferior part of the tuberculum majus
- To further distinguish the tendon, ask the patient to perform a lateral rotation of the shoulder while you feel for tension in the tendon
Strength test
- Patient position
- Sitting
- This test is also testing the strength of infraspinatus and not solely the teres minor
- Place the patient arm in a 90° abduction of the shoulder joint
- The upper arm is resting on the bench while the lower arm is hanging outside the edge of the treatment bench
- Place the arm in a 70° lateral rotated position
- Place a arm under the patient's elbow to stabilize the patient's arm while your hand is put on the dorsal side of the lower arm
- Give resistance in medial rotation so that the patient is giving force towards lateral rotation