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The Latissimus dorsi is the large, flat, dorso-lateral muscle on
the trunk, posterior to the arm, and partly covered by the
spinotrapezius on its median dorsal region.
The Latissimus dorsi is a triangular, flat muscle, which covers the lumbar
region and the lower half of the thoracic region, and is gradually contracted
into a narrow fasciculus at its insertion into the humerus. It arises by
tendinous fibers from the spinous processes of the lower six thoracic vertebrę
and from the posterior layer of the lumbodorsal fascia, by which it is attached to the spines of the lumbar and
sacral vertebrę, to the supraspinal ligament, and to the posterior part of the
crest of the ilium. It also arises by muscular fibers from the external lip of
the crest of the ilium lateral to the margin of the
Sacrospinalis, and from the three or four lower ribs by fleshy digitations,
which are interposed between similar processes of the
Obliquus abdominis externus. From this extensive origin the fibers pass in
different directions, the upper ones horizontally, the middle obliquely upward,
and the lower vertically upward, so as to converge and form a thick fasciculus,
which crosses the inferior angle of the scapula, and usually receives a few
fibers from it. The muscle curves around the lower border of the Teres major,
and is twisted upon itself, so that the superior fibers become at first
posterior and then inferior, and the vertical fibers at first anterior and then
superior. It ends in a quadrilateral tendon, about 7 cm. long, which passes in
front of the tendon of the Teres major, and is inserted into the bottom of the
intertubercular groove of the humerus; its insertion extends higher on the
humerus than that of the tendon of the Pectoralis major. The lower border of its
tendon is united with that of the Teres major, the surfaces of the two being separated near their insertions by a
bursa; another bursa is sometimes interposed between the muscle and the inferior
angle of the scapula. The tendon of the muscle gives off an expansion to the
deep fascia of the arm.
Variations.The number of dorsal vertebrę to which it is attached vary from
four to seven or eight; the number of costal attachments varies; muscle fibers
may or may not reach the crest of the ilium.
A muscular slip, the axillary arch, varying from 7 to 10 cm. in length, and
from 5 to 15 mm. in breadth, occasionally springs from the upper edge of the
Latissimus dorsi about the middle of the posterior fold of the axilla, and
crosses the axilla in front of the axillary vessels and nerves, to join the
under surface of the tendon of the Pectoralis major, the Coracobrachialis, or
the fascia over the Biceps brachii. This axillary arch crosses the axillary
artery, just above the spot usually selected for the application of a ligature,
and may mislead the surgeon during the operation. It is present in about 7 per
cent. of subjects and may be easily recognized by the transverse direction of
its fibers.
A fibrous slip usually passes from the lower border of the tendon of the
Latissimus dorsi, near its insertion, to the long head of the Triceps brachii.
This is occasionally muscular, and is the representative of the
Dorsoepitrochlearis brachii of apes.
The lateral margin of the Latissimus dorsi is separated below from the
Obliquus externus abdominis by a small triangular interval, the lumbar triangle
of Petit, the base of which is formed by the iliac crest, and its floor by the
Obliquus internus abdominis. Another triangle is situated behind the scapula. It
is bounded above by the
Trapezius,
below by the Latissimus dorsi, and laterally by the vertebral border of the
scapula; the floor is partly formed by the
Rhomboideus major. If the scapula be drawn forward by folding the arms
across the chest, and the trunk bent forward, parts of the sixth and seventh
ribs and the interspace between them become subcutaneous and available for
ausculation. The space is therefore known as the triangle of ausculation.
Nerves.The Trapezius is supplied by the accessory nerve, and by branches
from the third and fourth cervical nerves; the Latissimus dorsi by the sixth,
seventh, and eighth cervical nerves through the thoracodorsal (long subscapular)
nerve.
Training
To increase the power of this muscle, the muscle can be trained with the
following exercices:
This article was originally based on an entry from a
public domain edition of
Gray's Anatomy. As such, some of the information contained herein may be
outdated. Please edit the article if this is the case, and feel free to remove
this notice when it is no longer relevant.