Rhomboid Major

Authors
Affiliations

Doctor of Physical Therapy

B.S. in Kinesiology

Doctor of Physical Therapy

B.A. in Neuroscience

Figure 1: Muscles of the Neck and Back
Figure 2: Muscles that position the Pectoral Girdle
Reading list
  • Trigger points
    • Rhomboid minor and major Muscle
    • Rhomboids
  • MMT

Origin

SP T1–T4

Insertion

Medial border of scapula (below scapular spine)

Figure 3: Left scapula (Posterior view)

Innervation

Dorsal Scapular N. (C4, C5)

Action

STJ: Retraction, Downward rotation, Stabilization

The rhomboid major fixes the scapula to the thoracic wall.

Function

The Serratus Anterior (along with the rhomboids) serves to aid in scapular stability during arm elevation

Release

Compressing the rhomboid against the ribcage is not the most effective way to release this muscle. It is better to stabilize the scapula with one hand and drive the fingertips of the other hand anterolaterally deep to the scapula in order to apply a stretch.

Paralysis

Rhomboid paralysis can result in a separation of the scapula from the thoracic wall, known as a “scapular winging sign”.

References

1.
Betts JG, Blaker W. Anatomy and Physiology. 2nd ed. OpenStax; 2022. https://openstax.org/details/books/anatomy-and-physiology-2e/?Book%20details
2.
Donnelly JM, Simons DG, eds. Travell, Simons & Simons’ Myofascial Pain and Dysfunction: The Trigger Point Manual. Third edition. Wolters Kluwer Health; 2019.
3.
Finando D, Finando SJ, Finando D. Trigger Point Therapy for Myofascial Pain: The Practice of Informed Touch. Healing Arts Press; 2005.
4.
Neumann DA, Kelly ER, Kiefer CL, Martens K, Grosz CM. Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. 3rd ed. Elsevier; 2017.
5.
Weinstock D. NeuroKinetic Therapy: An Innovative Approach to Manual Muscle Testing. North Atlantic Books; 2010.
6.
Gilroy AM, MacPherson BR, Wikenheiser JC, Voll MM, Wesker K, Schünke M, eds. Atlas of Anatomy. 4th ed. Thieme; 2020.
7.
Gray H. Anatomy of the Human Body. 20th ed. (Lewis WH, ed.). Lea & Febiger; 1918. https://www.bartleby.com/107/
8.
Jones B. B Project Foundations. b Project; 2025.
9.
Dutton M. Dutton’s Orthopaedic Examination, Evaluation, and Intervention. 5th ed. McGraw Hill Education; 2020.

Citation

For attribution, please cite this work as: