Deltoid
Musculus deltoideus
Also known as: delts, deltoid muscle
A thick, triangular muscle that caps the shoulder and gives it its rounded contour. Its three parts abduct (15–90°), flex and extend the arm.
Overview
Deltoid arises from a U-shaped line that mirrors the insertion of trapezius: the lateral third of the clavicle, the acromion and the spine of the scapula. It converges on the deltoid tuberosity halfway down the lateral humerus. It has three parts.
- Clavicular (anterior) part: flexes and medially rotates the arm.
- Acromial (middle) part: multipennate and very powerful. It is the main abductor from ≈15° to 90°.
- Spinal (posterior) part: extends and laterally rotates the arm.
At the very start of abduction, deltoid's line of pull is almost vertical, so it would simply drag the humeral head upward. Supraspinatus initiates the first ≈15° and the rotator cuff holds the head in the glenoid. Above ≈90°, scapular rotation by trapezius and serratus anterior completes elevation. The overall ratio of glenohumeral to scapulothoracic movement is ≈2 : 1 (the scapulohumeral rhythm).
Deltoid is supplied by the axillary nerve (C5–C6), which winds around the surgical neck of the humerus with the posterior circumflex humeral artery, about 5–7 cm below the acromion.
- Location
Shoulder, covering the glenohumeral joint anteriorly, laterally and posteriorly.
Parts & subdivisions
- Clavicular (anterior) partLateral third of the clavicle. Flexion and medial rotation.
- Acromial (middle) partAcromion. Multipennate. Abduction 15–90°.
- Spinal (posterior) partSpine of the scapula. Extension and lateral rotation.
Anatomy
- Origin
Lateral third of the clavicle, acromion and spine of the scapula.
- Insertion
Deltoid tuberosity of the humerus.
- Action
Abduction of the arm beyond the first 15°; anterior part flexes and medially rotates; posterior part extends and laterally rotates.
- Innervation
Axillary nerve (posterior cord of the brachial plexus).
- Nerve roots
C5–C6
- Arterial supply
Posterior circumflex humeral artery; deltoid branch of the thoraco-acromial trunk; anterior circumflex humeral artery.
- Relations
Covers the subacromial (subdeltoid) bursa, the rotator cuff tendons and the proximal humerus. The cephalic vein runs in the deltopectoral groove at its anterior border.
Function
- Abducts the arm (15–90°)
- Flexes and medially rotates (anterior part); extends and laterally rotates (posterior part)
- Prevents inferior dislocation of the humeral head when carrying loads
Clinical significance
Axillary nerve injury
Caused by surgical neck fractures or anterior dislocation of the shoulder. It causes loss of abduction beyond 15°, flattening of the shoulder contour as deltoid wastes, and numbness over the lower deltoid ("regimental badge" area, via the superior lateral cutaneous nerve of the arm).
Intramuscular injection
Injections are given into the thickest part of deltoid, 2–3 finger-breadths (≈5 cm) below the acromion. Going lower risks the axillary and radial nerves.
Compiled from standard anatomy and physiology references — see the Muscular System sources. For education only; not medical advice.