II. THE MUSCLES OF THE SHOULDER

Under this head will be described those muscles which arise on the

scapula and end on the arm; they may be divided into two groups—one

covering the dorsum, the other the venter of the scapula.

The =superficial fascia= of the shoulder and arm contains the panniculus

carnosus of this region, and may be considered to be continued on the

inner side of the limb by the subscapular fascia.

The =thoracic= or =scapulo-humeral portion= of the =panniculus= (M.

cutaneus scapulæ et humeri) arises by a thin aponeurosis from the

ligamentum nuchæ at the withers. The fleshy portion begins over the

upper part of the scapula and extends to the elbow. Its fibers have in

general a dorso-ventral direction. It is continuous behind with the

abdominal portion.

The =deep fascia= of the shoulder and arm (Fascia omobrachialis) is much

more developed and important. It is strong and tendinous, and is

intimately adherent to the muscles on the outer surface of the scapula,

between which it detaches =intermuscular septa=, which are attached to

the spine and borders of the scapula. The brachial portion is, for the

most part, only loosely attached to the underlying muscles, for which it

forms sheaths; it is attached to the humerus, especially to the lips of

the bicipital groove and the deltoid tuberosity. It blends distally with

the tendon of insertion of the biceps, and is continued by the

antibrachial fascia.

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