The teres minor (
Latin
Latin (, or , ) is a classical language belonging to the Italic branch of the Indo-European languages. Latin was originally a dialect spoken in the lower Tiber area (then known as Latium) around present-day Rome, but through the power of the ...
''teres'' meaning 'rounded') is a narrow, elongated muscle of the
rotator cuff
The rotator cuff is a group of muscles and their tendons that act to stabilize the human shoulder and allow for its extensive range of motion. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles are the supraspi ...
. The muscle originates from the lateral border and adjacent posterior surface of the corresponding right or left scapula and inserts at both the greater tubercle of the
humerus
The humerus (; ) is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a roun ...
and the posterior surface of the joint capsule.
The primary function of the teres minor is to modulate the action of the
deltoid, preventing the humeral head from sliding upward as the arm is abducted. It also functions to rotate the humerus laterally. The teres minor is innervated by the
axillary nerve
The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus ( upper trunk, posterior division, posterior cord) at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. Th ...
.
Structure
It arises from the dorsal surface of the axillary border of the
scapula
The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on eithe ...
for the upper two-thirds of its extent, and from two
aponeurotic
An aponeurosis (; plural: ''aponeuroses'') is a type or a variant of the deep fascia, in the form of a sheet of pearly-white fibrous tissue that attaches sheet-like muscles needing a wide area of attachment. Their primary function is to join muscl ...
laminae, one of which separates it from the
infraspinatus muscle
In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa.'' Gray's Anatomy'', see infobox. As one of the four muscles of the rotator cuff, the main function of the infraspi ...
, the other from the
teres major muscle
The teres major muscle is a muscle of the upper limb. It attaches to the scapula and the humerus and is one of the seven scapulohumeral muscles. It is a thick but somewhat flattened muscle.
The teres major muscle (from Latin ''teres'', meanin ...
.
Its fibers run obliquely upwards and laterally; the upper ones end in a tendon which is inserted into the lowest of the three impressions on the
greater tubercle
The greater tubercle of the humerus is the outward part the upper end of that bone, adjacent to the large rounded prominence of the humerus head. It provides attachment points for the supraspinatus, infraspinatus, and teres minor muscles, thr ...
of the
humerus
The humerus (; ) is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a roun ...
; the lowest fibers are inserted directly into the humerus immediately below this impression.
Relations
The teres minor originates at the lateral border and adjacent posterior surface of the
scapula
The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on eithe ...
. It inserts at the greater tubercle of the humerus. The tendon of this muscle passes across, and is united with, the posterior part of the capsule of the
shoulder-joint
The shoulder joint (or glenohumeral joint from Greek ''glene'', eyeball, + -''oid'', 'form of', + Latin ''humerus'', shoulder) is structurally classified as a synovial ball-and-socket joint and functionally as a diarthrosis and multiaxial join ...
.
Innervation
The muscle is innervated by the posterior branch of axillary nerve where it forms a
pseudoganglion.
A pseudoganglion has no nerve cells but nerve fibres are present. Damage to the fibers innervating the teres minor is clinically significant.
Variation
Sometimes a group of muscle fibres from teres minor may be fused with
infraspinatus
In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa.''Gray's Anatomy'', see infobox. As one of the four muscles of the rotator cuff, the main function of the infraspin ...
.
Function
The
infraspinatus
In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa.''Gray's Anatomy'', see infobox. As one of the four muscles of the rotator cuff, the main function of the infraspin ...
and teres minor attach to
head of the humerus
The humerus (; ) is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a round ...
; as part of the
rotator cuff
The rotator cuff is a group of muscles and their tendons that act to stabilize the human shoulder and allow for its extensive range of motion. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles are the supraspi ...
they help hold the humeral head in the glenoid cavity of the scapula. They work in tandem with the
posterior deltoid
The deltoid muscle is the muscle forming the rounded contour of the human shoulder. It is also known as the 'common shoulder muscle', particularly in other animals such as the domestic cat. Anatomically, the deltoid muscle appears to be made up o ...
to externally (laterally) rotate the humerus, as well as adduction.
Teres Minor can produce only very small scapular plane adduction during maximal contraction (Hughes RE, An KN 1996) with adductor moment arm of approximately 0.2 cm at 45° of shoulder internal rotation and approximately 0.1 cm at 45° of shoulder external rotation.
Clinical significance
Injury
There are two types of
rotator cuff
The rotator cuff is a group of muscles and their tendons that act to stabilize the human shoulder and allow for its extensive range of motion. Of the seven scapulohumeral muscles, four make up the rotator cuff. The four muscles are the supraspi ...
injuries: acute tears and chronic tears. Acute tears occur as a result of a sudden movement. This might include throwing a powerful pitch, holding a fast moving rope during water sports, falling over onto an outstretched hand at speed, or making a sudden thrust with the paddle in kayaking. A chronic tear develops over a period of time. They usually occur at or near the tendon, as a result of the tendon rubbing against the underlying bone. The teres minor is typically normal following a rotator cuff tear.
Imaging
![MRI](https://upload.wikimedia.org/wikipedia/commons/7/7c/MRI._Conjoint_and_intact_tendon_disc_of_teres_minor_and_infraspinatus_muscle..jpg)
![MRI](https://upload.wikimedia.org/wikipedia/commons/3/33/MRI._Intact_teres_minor_tendon_with_physiologically_hypointense_signal..jpg)
Atrophy
Atrophy is the partial or complete wasting away of a part of the body. Causes of atrophy include mutations (which can destroy the gene to build up the organ), poor nourishment, poor circulation, loss of hormonal support, loss of nerve supply t ...
of the teres minor muscle is often a consequence of a
rotator cuff tear
A rotator cuff tear is an injury where one or more of the tendons or muscles of the rotator cuff of the shoulder get torn. Symptoms may include shoulder pain, which is often worse with movement, limited range of motion, or weakness. This may limi ...
, but common isolated teres minor atrophies have also been found. A
quadrangular space
The quadrangular space, also known as the quadrilateral space f Velpeau'' and the foramen humerotricipitale, is one of the three spaces in the axillary space. The other two spaces are: triangular space and triangular interval.
Structure
The q ...
syndrome causes excessive and or chronically compression of the structures which pass through this anatomical tunnel. The
axillary nerve
The axillary nerve or the circumflex nerve is a nerve of the human body, that originates from the brachial plexus ( upper trunk, posterior division, posterior cord) at the level of the axilla (armpit) and carries nerve fibers from C5 and C6. Th ...
and the
posterior humeral circumflex artery
The posterior humeral circumflex artery (posterior circumflex artery, posterior circumflex humeral artery) arises from the third part of axillary artery at the lower border of the subscapularis, and runs posteriorly with the axillary nerve throug ...
pass through the space. People affected note shoulder pain and
paresthesia
Paresthesia is an abnormal sensation of the skin (tingling, pricking, chilling, burning, numbness) with no apparent physical cause. Paresthesia may be transient or chronic, and may have any of dozens of possible underlying causes. Paresthesias ar ...
down the arm first and foremost in abduction, extension, external rotation and overhead activity. Selective atrophy of the teres minor muscle has been seen and pulled together directly with compression of the corresponding axillary nerve branch or posterior humeral circumflex artery. Fibrous bands,
cysts
A cyst is a closed sac, having a distinct envelope and division compared with the nearby tissue. Hence, it is a cluster of cells that have grouped together to form a sac (like the manner in which water molecules group together to form a bubble) ...
of the
glenoid labrum
The glenoid labrum (glenoid ligament) is a fibrocartilaginous structure (not a fibrocartilage as previously thought) rim attached around the margin of the glenoid cavity in the shoulder blade. The shoulder joint is considered a ball and socket ...
,
lipoma
A lipoma is a benign tumor made of fat tissue. They are generally soft to the touch, movable, and painless. They usually occur just under the skin, but occasionally may be deeper. Most are less than in size. Common locations include upper back, ...
or dilated veins can occupy the quadrilateral space pathologically. Similar symptoms are common with anterior
shoulder dislocation
A dislocated shoulder is a condition in which the head of the humerus is detached from the shoulder joint. Symptoms include shoulder pain and instability. Complications may include a Bankart lesion, Hill-Sachs lesion, rotator cuff tear, or inj ...
, humeral neck fracture,
brachial plexus
The brachial plexus is a network () of nerves formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in th ...
injury and thoracic outlet and inlet syndrome. It is important to include those pathologies for a complete as possible differential diagnosis.
Ultrasonography
Ultrasound is sound waves with frequencies higher than the upper audible limit of human hearing. Ultrasound is not different from "normal" (audible) sound in its physical properties, except that humans cannot hear it. This limit varies fr ...
is a tool to detect a fatty degenerative atrophy of the teres minor and shows in affected muscles increased echogenicity and betimes a slight reduction in muscle bulk.
MR imaging helps to consolidate the diagnosis of neurogenic muscle atrophy. Extracellular
edema
Edema, also spelled oedema, and also known as fluid retention, dropsy, hydropsy and swelling, is the build-up of fluid in the body's Tissue (biology), tissue. Most commonly, the legs or arms are affected. Symptoms may include skin which feels t ...
after traumatic events causing neural damage show an increased signal intensity on T2-weighted MRI sequences and normal intensity on T1-weighted sequences. Posterior humeral circumflex artery compression and reduced blood flow in stressful arm positions and or maneuvers can be diagnosed by a
Doppler ultrasonography
Doppler ultrasonography is medical ultrasonography that employs the Doppler effect to perform imaging of the movement of tissues and body fluids (usually blood), and their relative velocity to the probe. By calculating the frequency shift of ...
. The nerve should be detected adjacent to the vessel. In an elevated arm position the axillary neurovascular bundle can be seen at the posterior axillary fold just before it perforates the deltoideus, while the posterior course is well visible in the neutral position. For a detailed assessment of the artery, a
MR angiography
Magnetic resonance angiography (MRA) is a group of techniques based on magnetic resonance imaging (MRI) to image blood vessels. Magnetic resonance angiography is used to generate images of arteries (and less commonly veins) in order to evaluate t ...
is required. The major task of an ultrasonographic examination is to rule out any space occupying mass. Additional
electromyography
Electromyography (EMG) is a technique for evaluating and recording the electrical activity produced by skeletal muscles. EMG is performed using an instrument called an electromyograph to produce a record called an electromyogram. An electromyog ...
is helpful to reveal any decelerated nerve conduction velocity, and thus denervation of the concerned muscle.
Additional images
File:Teres minor muscle animation2.gif, Position of the teres minor muscles (shown in red). Animation.
File:Gray810.png, Suprascapular and axillary nerves of right side, seen from behind. (Teres minor is visible at center.)
File:Shoulder joint.svg, Diagram of the human shoulder joint, front view
File:Shoulder joint back-en.svg, Diagram of the human shoulder joint, back view
File:Gray203.png, Left scapula. Dorsal surface.
File:Gray208.png, Left humerus. Posterior view.
File:Gray521.png, The scapular and circumflex arteries.
File:Gray818.png, The suprascapular, axillary, and radial nerves.
File:Teres minor muscle.JPG, Teres minor muscle
See also
*
Accessory muscles of the scapula
References
External links
*
ExRx
{{DEFAULTSORT:Teres Minor Muscle
Muscles of the upper limb
Rotator cuff
Shoulder extensors
Shoulder lateral rotators