Muscle subscapular: function, photo. Damage to the subscapularis: treatment

The human body is inherently unique. In it everything is thought out to the smallest detail. Every muscle, every cell performs its specific work. And only because of this a person can fully exist. Now I want to talk about what a muscle is, and what is its main function.

Definition of concepts

Initially, you need to understand the main terminology. So, what is the muscle subscapular? According to the medical dictionary, in Latin the name of this part of the human body sounds like m. Subscapularis. It refers to the muscle group of the shoulder girdle. It originates from the front surface of the scapula, which is called the costal shoulder. It is attached to the tubercle located on the humerus.

Primary Function

Why is a subscapular muscle needed ? Its functions are very simple. However, without their execution, a person will not be able to fully live and perform his daily work. So, she:

• Leads the shoulder to the human body;
• Helps the shoulder to turn inside.

However, its main task is to help the shoulder joint, stabilizing its work with shoulder movements. It is indispensable with the proper operation of the entire shoulder girdle.

Appearance

Muscle subscapular has a triangular shape, it is flat. Consists of multiple beams. It is important to note that there are special layers between these beams, which makes this muscle very unique and unlike the others. It also has two layers:

1. Deep. It starts from the costal surface of the scapula. However, it does not match the form with it a bit, because it seems a little biased.
2. Surface. It is located from the fascia of the subscapular type, where it is securely attached to the margins of the subscapular fossa.

Palpation

In addition to the subscapular muscle, another three are included in the so-called rotating ring: a small round, cavity and supraspinatus. It is because of this that the muscle of the subscapular is palpable and very difficult. Not only is it part of a large complex, it is also located on the front of the scapula. That is, it fits tightly to the chest. It can only be palpated by a specialist. To do this, you will have to perform a number of actions:

• The patient should lie either on his stomach or on his back.
• The patient's hand is taken as far as possible.
• It is necessary to "pass" the fingers under the back wall of the axillary fossa, groping at the edge of the scapula.
• Moving medially, you can feel the submapular muscle. At the same time, it should be pressed against the front wall of the scapula.

Doctors say that the muscle can not always be found. Much depends on the ability of the patient's shoulder blade to move relative to the chest.

About painful sensations

Damage to the subscapular muscle is always associated with unpleasant sensations. So, a person can feel discomfort not only in the place where it is located. Pain can concentrate in the area of the muscle, it can spread to the entire scapula. But it also happens that uncomfortable sensations appear even in the wrist area. It is in this place that they are shrouded in character. Also, unpleasant sensations can be in case of an attempt to divert the shoulder to the side or move it outward. Pain can occur as a result of the most common causes:

• Strong shoulder load when turning inwards, especially if the load is regular. This problem, for example, often occurs in swimmers swimming with crayfish;
• Also, the cause may be injuries of the shoulder of a different nature.

About problems

What kind of problems can arise when it comes to this part of the human body? The first problem is tendopathy of the subscapular muscle. These are certain degenerative changes that arise as a result of insufficient blood supply to the muscles of the shoulder girdle. The cause of tendopathies can also be hereditary pathologies of connective tissue. It should be noted that, for example, with tendonopathy of the scapula muscle, the pain sensations in a person are intensified when the spoon is brought to the mouth, combed through the hair, and the arm is pulled behind the back. It should be noted that if a patient often has similar problems concerning the muscles of the shoulder girdle, then he can be diagnosed with "humeropathy periarthritis". Also this problem can arise in the event of permanent traumatization of tendons.

About gaps

The rupture of the subscapular muscle does not happen and often. However, the cause is often tendonitis, which arise as precursors of this problem. Symptoms of rupture of the tendons of the subscapular muscle:

• A sharp increase in pain;
• Inability to move your hand freely.

It is also important to note that the gaps can be both partial and complete, when the tendon is completely detached from the attachment. From this, of course, depends on the intensity of pain. With partial discontinuities, hand movement may still persist (although it will be accompanied by pain), while with complete ruptures the hand is immobilized completely.

Diagnostics

Only the doctor can diagnose the problem. To do this, you will need to examine the patient and collect an anamnesis. Also, the patient must be sent to X-ray. To determine the extent of damage, you will have to undergo an ultrasound procedure or an MRI.

Treatment

How is the treatment of the scapula muscle treated? Most often it is conservative. The main thing with a partial rupture of the tendons is to calm the pain. For this, pain medications, anti-inflammatory drugs can be prescribed. Also, the sore spot is fixed with a tight bandage. When a tendon rupture, a tire can be used. When the pain passes and the shoulder returns to normal, doctors prescribe special exercises for the development of the joint.

Sometimes surgical intervention is required. This is most often necessary in cases of complete rupture of tendons, or if conservative treatment does not produce the desired results.