Rhomboid major muscle

Musculus rhomboideus major

Rhomboid major is a flat, diamond-shaped muscle of the upper back that ties the scapula's medial border to the thoracic spine.

At a glance

English
Rhomboid major muscle
Latin (TA2)
Musculus rhomboideus major
System
Muscle
Region
Back
Side
Paired, left and right

About the rhomboid major muscle

Rhomboid major is a flat, four-sided sheet in the upper back, lying deep to trapezius and just below rhomboid minor. As its name suggests it is shaped like a rhombus, and it is the bigger of the two rhomboids. It is grouped with the superficial back muscles that connect the upper limb to the trunk, and in some people the two rhomboids are fused into one.

It arises from the spines of T2 to T5 and the supraspinous ligament between them. Its fibres run down and outward to the scapula's medial border, covering the stretch from where the scapular spine begins down to the inferior angle. Beneath it lie serratus posterior superior and the erector spinae, and along its scapular edge run the dorsal scapular nerve and artery.

With rhomboid minor it pulls the scapula towards the spine and keeps it pressed flat against the chest wall, a holding job it shares with serratus anterior and pectoralis minor. It also helps levator scapulae to raise the scapula's medial border, which rotates the glenoid downward. These movements oppose the upward rotation produced by serratus anterior and trapezius, so the rhomboids help to lower the arm against resistance.

Its nerve is the dorsal scapular nerve, mainly from C5, and its blood comes from the dorsal scapular artery. Weakness or injury lets the scapula drift away from the spine and wing slightly when the arm is pushed forward, with pain and reduced shoulder movement. Strengthening the muscle is a routine part of rehabilitation for shoulder problems.

Attachments, action and supply

Origin
Spines of T2 to T5 and the supraspinous ligament between them.
Insertion
Medial border of scapula, from opposite the scapular spine down to the inferior angle.
Action
Retracts the scapula, holds it against the chest wall and rotates the glenoid downward.
Nerve supply
Dorsal scapular nerve (C4, C5).
Blood supply
Dorsal scapular artery, with dorsal branches of the upper posterior intercostal arteries.

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