_Insertion._—(1) The internal tuberosity of the humerus; (2) the
external lip of the bicipital groove; (3) the tendon of origin of the
coraco-brachialis.
_Action._—To adduct and retract the limb; if the limb is advanced and
fixed, to draw the trunk forward.
_Structure._—This muscle is also almost entirely fleshy. Its posterior
part is wide and thin, but as the muscle is traced forward, it becomes
narrower and much thicker. It passes forward and slightly upward in a
gentle curve to its insertion. The humeral insertion is just below that
of the inner division of the supraspinatus. Part of the fibers are
inserted by means of a tendinous band which binds down the tendon of the
biceps and is attached to the external lip of the bicipital groove, and
a small part is attached to the tendon of origin of the
coraco-brachialis.
_Relations._—Superficially, the skin, panniculus, and superficial
pectoral; deeply, the abdominal tunic, the external oblique, the rectus
abdominis et thoracis, the brachial vessels, and branches of the
brachial plexus of nerves. The external thoracic vein lies along the
outer or upper border.
_Blood-supply._—Internal and external thoracic, inferior cervical,
anterior circumflex, and intercostal arteries.
_Nerve-supply._—Pectoral (or thoracic) nerves, from the brachial plexus.
4. =Serratus magnus= (M. serratus ventralis).—This is a large,
fan-shaped muscle, situated on the lateral surface of the neck and
thorax. It derives its name from the serrated ventral edge of its
thoracic portion. It consists of a cervical and a thoracic portion.
(=a=) =Cervical part= (M. serratus cervicis; levator scapulæ hominis).
_Origin._—The transverse processes of the last four or five cervical
vertebræ.
_Insertion._—The anterior triangular area on the costal surface of the
scapula and the adjacent part of the cartilage.
(=b=) =Thoracic part= (M. serratus thoracis; serratus anterior hominis).
_Origin._—The external surfaces of the first eight or nine ribs.
_Insertion._—The posterior triangular area on the costal surface of the
scapula and the adjacent part of the cartilage.
_Action._—The two muscles form a sort of sling in which the trunk is
suspended. Contracting together, they raise the thorax; contracting
singly, the weight is shifted to the limb on the side of the muscle
acting. The two parts can contract separately and are antagonistic in
their action on the scapula. The cervical part draws the base of the
scapula toward the neck, while the thoracic part has the opposite
action; these effects concur in the backward and forward swing of the
limb respectively. With the limb fixed, the cervical part extends
(raises) the neck or inclines it laterally. The thoracic part may act as
a muscle of forced inspiration.
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