Dissection vs AxP Anatomy: Rhomboids (L)

Compare dissection anatomy and soft tissue therapy anatomy: The left-sided rhomboids posterior tilt the “sagittal shoulder girdle,” are single-complex muscles, have no single-complex synergists or antagonists, two multi-complex synergists, and one multi-complex antagonist.

Written by

Willem Kramer

Published on

June 16, 2025

Anatomy by Planes

SAGITTAL SHOULDER GIRDLE COMPLEX (S13)

Plane
Sagittal plane.

Complex
Sagittal shoulder girdle, S13.

Joints
Acromioclavicular joint.
Sternoclavicular joint.
Scapulothoracic "joint."

Motions
10 - 15 degrees anterior tilt.
20 - 25 degrees posterior tilt.

Dermatomes
C3 - T9.

Indirect Motion
None.

Reciprocal Relationships
Sagittal rib cage, S12.
Sagittal shoulder girdle, S13.
Sagittal shoulder, S14.

LEFT-SIDE RHOMBOIDS

Motion
Posterior tilt.

Muscles
Rhomboids (major and minor).

Single-Complex
Shoulder girdle.

Depth of Muscle
Level 2 (deep to skin and one layer of muscle).

Single-Complex Synergists (0)
None.

Single-Complex Antagonists (0)
None.

Multi-Complex Synergists (2)
Serratus anterior.
Trapezius (lower part, mostly).

Multi-Complex Antagonists (1)
Pectoralis minor.

Traditional Anatomy

Proximal attachments
The rhomboids (major and minor) connect with the spines of the seventh cervical through fifth thoracic vertebrae, the lower part of the ligamentum nuchae, and the supraspinous ligaments of the second through fifth thoracic vertebrae.

Distal attachment
The muscles connect with the medial border of the scapula from its spine to just above its inferior angle. 

Location
The muscles cover the upper five to six ribs between the spines of the upper thoracic vertebrae and the medial edge of the scapula. It's located deep to the trapezius.

Innervation
By a branch from the dorsal scapular nerve.

Vascular Supply
By the dorsal scapular artery or a branch of the transverse cervical artery, and by dorsal perforating branches from the first five or six posterior intercostal arteries.

Motion
Elevation shoulder girdle.
Retraction shoulder girdle.

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Author

Willem is a Netherlands-educated physiotherapist and a US-licensed massage therapist with over thirty years of experience working with professional athletes, entertainers, and executives. He presents a movement-based approach that extends dissection anatomy for the specific needs of soft-tissue therapists. Willem advocates for a holistic understanding of the body, emphasizing that all organ systems are interconnected and interdependent. His insights offer both practitioners and enthusiasts a fresh perspective on musculoskeletal health.

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