
Pectoralis Major Muscle
Pectoralis Major Clavicular Head
Origin: Anterior surface of the medial half of the clavicle
Insertion: Lateral lip of the bicipital groove of the humerus and the anterior lip of the deltoid tuberosity
Actions: Flexion, adduction, internal rotation of the arm at the shoulder
Innervation: Medial pectoral nerve (C8, T1) and lateral pectoral nerve (C5, 6, 7 )
Blood Supply: Pectoral branches from the thoraco-acromial artery
Primary Actions of the Pectoralis Major-Clavicular Head
1. Flexion of the arm at the shoulder
Agonists:
- Deltoid (anterior part)
- Biceps Brachii
- Coracobrachialis
Antagonists:
- Deltoid (posterior fibers)
- Triceps Brachii (long head)
- Latissimus Dorsi
- Pectoralis Major (sternal head)
- Teres Major
2. Adduction of the arm at the shoulder
Agonists:
- Latissimus Dorsi
- Teres Major
- Pectoralis Major (sternal head)
- Triceps Brachii
Antagonists:
- Deltoid (middle fibers)
- Supraspinatus
Coracobrachialis and teres minor assist with adduction of the arm at the shoulder.
3. Internal rotation of the arm at the shoulder
Agonists:
- Latissimus Dorsi
- Subscapularis
- Deltoid (anterior fibers)
- Pectoralis Major (sternal head)
- Teres Major
Antagonists:
- Infraspinatus
- Teres Minor
- Deltoid (posterior part)
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Pectoralis Major Sternal Head
Origin: Lateral aspects of the manubrium and body of the sternum, the upper six costal cartilages and the aponeurosis of external abdominal oblique
Insertion: Lateral lip of the bicipital groove of the humerus and anterior lip of the deltoid tuberosity
Actions: Adduction, internal rotation and extension of the arm at the shoulder
Innervation: Medial pectoral nerve (C8, T1) and lateral pectoral nerve (C5, 6, 7 )
Blood Supply: Pectoral branches from the thoraco-acromial artery
Primary Actions of the Pectoralis Major-Sternal Head
1. Adduction of the arm at the shoulder
Agonists:
- Latissimus dorsi
- Teres major
- Pectoralis major (clavicular head)
- Triceps brachii (long head)
Antagonists:
- Deltoid (middle)
- Supraspinatus
Coracobrachialis and teres minor assist with adduction of the arm at the shoulder.
2. Internal rotation of the arm at the shoulder
Agonists:
- Latissimus dorsi
- Subscapularis
- Deltoid (anterior)
- Pectoralis major (clavicular head)
- Teres major
Antagonists:
- Infraspinatus
- Teres minor
- Deltoid (posterior part)
3. Extension of the arm at the shoulder
Agonists:
- Latissimus dorsi
- Deltoid (posterior)
- Triceps brachii (long head)
- Teres major
Antagonist:
- Deltoid (anterior part)
- Biceps brachii
- Coracobrachialis
- Pectoralis major (clavicular head)
Muscle Pain Information: The pectoralis major muscle contributes to pain in the chest, shoulder, breast and upper back.