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{{Redirect|Delts|the fraternity|Delta Tau Delta}}
{{Redirect|Delts|the fraternity|Delta Tau Delta}}
{{Infobox muscle
{{Infobox muscle
fgtrhtjtg
| Name = Deltoid muscle
| Latin = musculus deltoideus
| Image = Deltoideus.png
| Caption = Deltoid muscle
| Caption = Deltoid muscle
| Image2 = 1119 Muscles that Move the Humerus b.png
| Image2 = 1119 Muscles that Move the Humerus b.png

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'{{Redirect|Delts|the fraternity|Delta Tau Delta}} {{Infobox muscle | Name = Deltoid muscle | Latin = musculus deltoideus | Image = Deltoideus.png | Caption = Deltoid muscle | Image2 = 1119 Muscles that Move the Humerus b.png | Caption2 = Muscles connecting the upper extremity to the vertebral column (not all are labeled) | Origin = the anterior border and upper surface of the lateral third of the [[clavicle]], [[acromion]], [[Spine of scapula|spine]] of the [[scapula]] | Insertion = [[deltoid tuberosity]] of [[humerus]] | Blood = [[thoracoacromial artery]], [[anterior humeral circumflex artery|anterior]] and [[posterior humeral circumflex artery]] | Nerve = [[Axillary nerve]] | Action = [[shoulder]] [[Abduction (kinesiology)|abduction]], [[flexion]] and [[Extension (kinesiology)|extension]] | Antagonist = [[Latissimus dorsi]] }} 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, it appears to be made up of three distinct sets of fibers though [[electromyography]] suggests that it consists of at least seven groups that can be independently coordinated by the [[nervous system]].<ref>Brown JM, Wickham JB, McAndrew DJ, Huang XF. (2007). Muscles within muscles: Coordination of 19 muscle segments within three shoulder muscles during isometric motor tasks. J Electromyogr Kinesiol. 17(1):57-73. {{PMID|16458022}} {{doi|10.1016/j.jelekin.2005.10.007}}</ref> It was previously called the '''deltoideus''' (plural ''deltoidei'') and the name is still used by some anatomists. It is called so because it is in the shape of the [[Greek alphabet|Greek]] capital letter [[Delta (letter)|delta]] (Δ). Deltoid is also further shortened in [[slang]] as "'''delt'''". A study of 30 shoulders revealed an average mass of {{convert|191.9|g}} in humans, ranging from {{convert|84|g}} to {{convert|366|g}}.<ref name="Potau">Potau JM, Bardina X, Ciurana N, Camprubí D. Pastor JF, de Paz F. Barbosa M. (2009). Quantitative Analysis of the Deltoid and Rotator Cuff Muscles in Humans and Great Apes. Int J Primatol 30:697–708. {{DOI|10.1007/s10764-009-9368-8}}</ref> ==Structure== Previous studies showed that the insertion of the intramuscular tendons of the deltoid muscle formed three discrete sets of [[muscle fiber]]s, often referred to as "heads":<ref>[http://www.fitstep.com/Advanced/Anatomy/Shoulders.htm The Anatomy of the Shoulder Muscles]: "The Deltoid is a three-headed muscle that caps the shoulder. The three heads of the Deltoid are the Anterior, Lateral, and Posterior."</ref> # The [[anterior]] or clavicular fibers arise from most of the anterior border and upper surface of the lateral third of the clavicle.<ref name="Wheeless">{{Cite web | title = Deltoid Muscle | publisher = Wheeless' Textbook of Orthopaedics | url = http://www.wheelessonline.com/ortho/deltoid_muscle | date = December 2011 | accessdate = January 2012 }}</ref> The anterior origin lies adjacent to the lateral fibers of the ''[[pectoralis major]]'' muscle as do the end tendons of both muscles. These muscle fibers are closely related and only a small chiasmatic space, through which the [[cephalic vein]] passes, prevents the two muscles from forming a continuous muscle mass.<ref name="Leijnse-etal">{{Cite journal | title = Morphology of deltoid origin and end tendons&nbsp;– a generic model | last1 = Leijnse | first1 = J N A L | last2 = Han | first2 = S-H | last3 = Kwon | first3 = Y H | journal = J Anat |date=December 2008 | volume = 213 | issue = 6 | pages = 733–742 | doi = 10.1111/j.1469-7580.2008.01000.x | pmc= 2666142 | pmid=19094189 }}</ref> #*The '''anterior deltoids'''<ref>[http://www.exrx.net/Muscles/DeltoidAnterior.html Anterior Deltoid]</ref> are commonly called '''front delts'''<ref name="MaF">[http://www.muscleandfitness.com/training/arms/pick-your-delts Pick up your delts] from [[Muscle and Fitness]]: "target point: front/middle delts"</ref> for short. # Lateral or acromial fibers arise from the superior surface of the [[acromion]] process of the [[scapula]].<ref name="Wheeless" /> #*They are commonly called '''lateral deltoid'''.<ref name="ExLat">[http://www.exrx.net/Muscles/DeltoidLateral.html Lateral deltoid]</ref> This muscle is also called '''middle delts''',<ref name="MaF" /> '''outer delts''',<ref>[http://www.livestrong.com/article/530154-the-best-exercise-for-outer-delts/ The Best Exercise for Outer Delts] on LiveStrong.com in 2011</ref> or '''side delts'''<ref name="ExLat" /> for short. #*They are also mistakenly called '''medial deltoid''',<ref>[http://www.abcbodybuilding.com/anatomy/shouldersanatomy1.htm Shoulders Anatomy] {{Webarchive|url=https://web.archive.org/web/20120428203909/http://www.abcbodybuilding.com/anatomy/shouldersanatomy1.htm |date=2012-04-28 }} by Yu Yevon</ref> which is wrong, as their origin is the least medial portion of the deltoid. # Posterior or spinal fibers arise from the lower lip of the [[Posterior (anatomy)|posterior]] border of the [[spine of the scapula]].<ref name="Wheeless" /> #*They are commonly called '''posterior deltoid'''<ref>[http://www.exrx.net/Muscles/DeltoidPosterior.html Posterior Deltoid]</ref> or '''rear deltoid'''<ref>[http://www.exrx.net/Stretches/DeltoidPosterior/RearDelt.html Rear Deltoid Stretch]</ref> ('''rear delts''' for short<ref>[http://www.leehayward.com/rear_delts.htm Lee Hayward - Rear delts]</ref>). Fick<ref>{{Cite book | last = Fick | first = R. | title = Handbuch der Anatomie und Mekanik der Gelenke | location = Jena | publisher = Gustav Fischer | year = 1911 }}</ref> divided these three groups of fibers, often referred to as parts (Latin: ''pars'') or bands, into seven functional components as did Kapandji and Sakoma Y et al. :<ref name="Kapandji-60">{{cite book | last = Kapandji | first = Ibrahim Adalbert | title = The Physiology of the Joints: Volume One Upper Limb | publisher = Churchill Livingstone | location = New York | year = 1982 | edition = 5th }}</ref><ref>[Anatomical and functional segments of the deltoid muscle. J Anat. 2011 Feb;218(2):185-90. doi: 10.1111/j.1469-7580.2010.01325.x. Epub 2010 Nov 30. ]: "</ref> the anterior part has two components (I and II); the lateral one (III); and the posterior four (IV, V, VI, and VII) components. In [[standard anatomical position]] (with the upper limb hanging alongside the body), the central components (II, III, and IV) lie lateral to the axis of abduction and therefore contribute to abduction from the start of the movement while the other components (I, V, VI, and VII) then act as adductors. During abduction most of these latter components (except VI and VII which always act as adductors) are displaced laterally and progressively start to abduct.<ref name="Kapandji-60" /> {{multiple image | footer = Deltoid muscle.{{Legend|red|Anterior part of deltoid (arises from most of the anterior border and upper surface of the lateral third of the [[clavicle]].)}}{{Legend|LawnGreen |Lateral part of deltoid (arises from the superior surface of the [[acromion]] process.)}}{{Legend|blue|Posterior part of deltoid (arises from the lower lip of the posterior border of the spine of the scapula.)}} | align = left | image1 = Deltoid muscle top10.png | width1 = 200 | alt1 = Side | caption1 = Side. | image2 = Deltoid muscle top8.png | width2 = 200 | alt2 = Front | caption2 = Front. | image3 = Deltoid muscle top9.png | width3 = 200 | alt3 = Back | caption3 = Back. | image4 = Deltoid muscle animation4.gif | width4 = 200 | alt4 = Animation | caption4 = Animation. }}{{Clear}} ===Insertion=== From this extensive origin the fibers converge toward their insertion on the [[deltoid tuberosity]] on the middle of the [[Human anatomical terms#Anatomical directions|lateral]] aspect of the shaft of the [[humerus]]; the middle fibers passing vertically, the anterior obliquely backward and laterally, and the posterior obliquely forward and laterally. Though traditionally described as a single insertion, the deltoid insertion is divided into two or three discernible areas corresponding to the muscle's three areas of origin. The insertion is an arch-like structure with strong anterior and posterior fascial connections flanking an intervening tissue bridge. It additionally gives off extensions to the [[Brachial fascia|deep brachial fascia]]. Furthermore, the [[deltoid fascia]] contributes to the brachial fascia and is connected to the [[Medial intermuscular septum of arm|medial]] and [[Lateral intermuscular septum of arm|lateral intermuscular septa]]. <ref>{{Cite journal |last1=Rispoli |first1=Damian M. |last2=Athwal |first2=George S. |last3=Sperling |first3=John W. |last4=Cofield |first4=Robert H. |title=The anatomy of the deltoid insertion |journal=J Shoulder Elbow Surg |year=2009 |volume=18 |issue=3 |pages=386–390 |url=http://www.anatomytrains.com/uploads/rich_media/Rispoli2009_anatomyDeltoidInsertion.pdf |doi=10.1016/j.jse.2008.10.012 |pmid=19186076 |url-status=dead |archiveurl=https://web.archive.org/web/20120904122301/http://www.anatomytrains.com/uploads/rich_media/Rispoli2009_anatomyDeltoidInsertion.pdf |archivedate=2012-09-04 }}</ref> ===Blood supply=== The deltoid is supplied by the [[posterior circumflex humeral artery]] and the deltoid branch of the [[thoracoacromial artery]] which branches from the [[axillary artery]].<ref name="Sunny" /> ===Nerve supply=== The deltoid is innervated by the [[axillary nerve]].<ref name="Sunny">{{SUNYAnatomyLabs|03|03|01|03}}</ref> The axillary nerve originates from the [[anterior ramus of spinal nerve|anterior rami]] of the [[spinal nerves|cervical nerves]] C5 and C6, via the superior trunk, posterior division of the superior trunk, and the posterior cord of the brachial plexus.<ref>{{Cite web|url=https://www.kenhub.com/en/library/anatomy/the-deltoid-muscle|title=Deltoid muscle|website=Kenhub|language=en|access-date=2019-09-21}}</ref> Studies have shown that there are seven neuromuscular segments to the deltoid muscle. Three of these lie in the anatomical anterior head of the deltoid, one in the anatomical middle head, and three in the anatomical posterior head of the deltoid.<ref>{{cite journal |last1=Brown |first1=J M M |last2=Wickham |first2=J B |last3=McAndrew |first3=D J |last4=Huang |first4=X F |title=Muscles within muscles: Coordination of 19 muscle segments within three shoulder muscles during isometric motor tasks |journal=Journal of Electromyography and Kinesiology |date=2007 |volume=17 |issue=1 |pages=57–73 |doi=10.1016/j.jelekin.2005.10.007 |pmid=16458022 }}</ref> These neuromuscular segments are supplied by smaller branches of the axillary nerve, and work in coordination with other muscles of the shoulder girdle include pectoralis major and supraspinatus.<ref>{{cite journal |last1=Brown |first1=J M M |last2=Wickham |first2=J B |last3=McAndrew |first3=D J |last4=Huang |first4=X F |title=Muscles within muscles: Coordination of 19 muscle segments within three shoulder muscles during isometric motor tasks |journal=Journal of Electromyography and Kinesiology |date=2007 |volume=17 |issue=1 |pages=57–73 |doi=10.1016/j.jelekin.2005.10.007 |pmid=16458022 }}</ref> The axillary nerve is sometimes damaged during surgical procedures of the [[axilla]], such as for [[breast cancer]]. It may also be injured by anterior dislocation of the head of the humerus.<ref>{{Cite journal|last=Avis|first=Duncan|last2=Power|first2=Dominic|date=2018-03-26|title=Axillary nerve injury associated with glenohumeral dislocation|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890131/|journal=EFORT Open Reviews|volume=3|issue=3|pages=70–77|doi=10.1302/2058-5241.3.170003|issn=2058-5241|pmc=5890131|pmid=29657847}}</ref> ==Function== [[File:Deltoid muscle.JPG|thumb|right|Deltoid muscle with superior limb in abduction]] When all its fibers contract simultaneously, the deltoid is the prime mover of arm abduction along the frontal plane. The arm must be medially rotated for the deltoid to have maximum effect.<ref>Radiography of the Upper Extremities: 24 ARRT Category A. CE4RT, 2014. 201. Print.</ref> This makes the deltoid an antagonist muscle of the ''pectoralis major ''and ''[[latissimus dorsi]]'' during arm adduction. The anterior fibers assist the ''pectoralis major'' to flex the shoulder. The anterior deltoid also works in tandem with the [[subscapularis]], pecs and lats to internally (medially) rotate the humerus.<ref>{{Exrx|Muscles/DeltoidAnterior}}</ref> The lateral fibers perform basic shoulder abduction when the shoulder is internally rotated, and perform shoulder transverse abduction when the shoulder is externally rotated. They are not utilized significantly during strict transverse extension (shoulder internally rotated) such as in rowing movements, which use the posterior fibers.<ref>{{Exrx|Muscles/DeltoidLateral}}</ref> The posterior fibers assist the ''[[latissimus dorsi]]'' to extend the shoulder. Other transverse extensors, the ''[[infraspinatus]]'' and ''[[teres minor]]'', also work in tandem with the posterior deltoid as external (lateral) rotators, antagonists to strong internal rotators like the pecs and lats.<ref>{{Exrx|Muscles/DeltoidPosterior}}</ref> An important function of the deltoid in humans is preventing the [[dislocation (medicine)|dislocation]] of the [[humeral]] head when a person carries heavy loads. The function of abduction also means that it would help keep carried objects a safer distance away from the thighs to avoid hitting them, as during a [[farmer's walk]]. It also ensures a precise and rapid movement of the [[glenohumeral joint]] needed for hand and arm manipulation.<ref name="Potau"/> The lateral fibers are in the most efficient position to perform this role, though like basic abduction movements (such as lateral raise) it is assisted by simultaneous co-contraction of anterior/posterior fibers.<ref>http://muscleguide.co.uk/exercises/lateral-deltoid-raise.html</ref> The deltoid is responsible for elevating the arm in the scapular plane and its contraction in doing this also elevates the humeral head. To stop this compressing against the undersurface of the [[acromion]] the humeral head and injuring the [[Supraspinatus muscle|supraspinatus tendon]], there is a simultaneous contraction of some of the muscles of the [[rotator cuff]]: the [[infraspinatus]] and subscapularis primarily perform this role. In spite of this there may be still a 1–3&nbsp;mm upward movement of the head of the humerus during the first 30° to 60° of arm elevation.<ref name="Potau"/> ==Clinical significance== The most common abnormalities affecting the deltoid are tears, fatty atrophy, and [[enthesopathy]]. Deltoid muscle tears are unusual and frequently related to traumatic shoulder dislocation or massive rotator cuff tears. Muscle atrophy is the result of various causes, including aging, disuse, [[denervation]], [[muscular dystrophy]], [[cachexia]] and [[Iatrogenesis|iatrogenic injury]]. Deltoideal humeral enthesopathy is an exceedingly rare condition related to mechanical stress. Conversely, deltoideal acromial enthesopathy is likely a hallmark of seronegative spondylarthropathies and its detection should probably be followed by pertinent clinical and serological investigation.<ref>Arend CF. Ultrasound of the Shoulder. Master Medical Books, 2013. Chapter on deltoideal enthesopathy available at [http://www.shoulderus.com/ultrasound-of-the-shoulder/deltoid-ultrasound-entesopathy/ ShoulderUS.com]</ref> ==Other animals== The deltoid is also found in members of the [[Hominidae|great ape]] family other than humans. The human deltoid is of similar proportionate size as the muscles of the rotator cuff in apes like the [[orangutan]], which engage in [[brachiation]] and possess the muscle mass needed to support the body weight by the shoulders. In other apes, like the [[common chimpanzee]], the deltoid is much larger than in humans, weighing an average of 383.3&nbsp;gram compared to 191.9&nbsp;gram in humans. This reflects the need to strengthen the shoulders, particularly the rotatory cuff, in [[knuckle walking]] apes for the purpose of supporting the entire body weight.<ref name="Potau"/> ==References== {{Reflist|30em}} ==See also== {{Commons category|Deltoid muscle}} {{Anatomy-terms}}{{Muscles of upper limb}} {{Authority control}} {{DEFAULTSORT:Deltoid Muscle}} [[Category:Muscles of the upper limb]] [[Category:Shoulder abductors]] [[Category:Shoulder flexors]] [[Category:Shoulder medial rotators]] [[Category:Shoulder extensors]] [[Category:Shoulder lateral rotators]]'
New page wikitext, after the edit (new_wikitext)
'{{Redirect|Delts|the fraternity|Delta Tau Delta}} {{Infobox muscle fgtrhtjtg | Caption = Deltoid muscle | Image2 = 1119 Muscles that Move the Humerus b.png | Caption2 = Muscles connecting the upper extremity to the vertebral column (not all are labeled) | Origin = the anterior border and upper surface of the lateral third of the [[clavicle]], [[acromion]], [[Spine of scapula|spine]] of the [[scapula]] | Insertion = [[deltoid tuberosity]] of [[humerus]] | Blood = [[thoracoacromial artery]], [[anterior humeral circumflex artery|anterior]] and [[posterior humeral circumflex artery]] | Nerve = [[Axillary nerve]] | Action = [[shoulder]] [[Abduction (kinesiology)|abduction]], [[flexion]] and [[Extension (kinesiology)|extension]] | Antagonist = [[Latissimus dorsi]] }} 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, it appears to be made up of three distinct sets of fibers though [[electromyography]] suggests that it consists of at least seven groups that can be independently coordinated by the [[nervous system]].<ref>Brown JM, Wickham JB, McAndrew DJ, Huang XF. (2007). Muscles within muscles: Coordination of 19 muscle segments within three shoulder muscles during isometric motor tasks. J Electromyogr Kinesiol. 17(1):57-73. {{PMID|16458022}} {{doi|10.1016/j.jelekin.2005.10.007}}</ref> It was previously called the '''deltoideus''' (plural ''deltoidei'') and the name is still used by some anatomists. It is called so because it is in the shape of the [[Greek alphabet|Greek]] capital letter [[Delta (letter)|delta]] (Δ). Deltoid is also further shortened in [[slang]] as "'''delt'''". A study of 30 shoulders revealed an average mass of {{convert|191.9|g}} in humans, ranging from {{convert|84|g}} to {{convert|366|g}}.<ref name="Potau">Potau JM, Bardina X, Ciurana N, Camprubí D. Pastor JF, de Paz F. Barbosa M. (2009). Quantitative Analysis of the Deltoid and Rotator Cuff Muscles in Humans and Great Apes. Int J Primatol 30:697–708. {{DOI|10.1007/s10764-009-9368-8}}</ref> ==Structure== Previous studies showed that the insertion of the intramuscular tendons of the deltoid muscle formed three discrete sets of [[muscle fiber]]s, often referred to as "heads":<ref>[http://www.fitstep.com/Advanced/Anatomy/Shoulders.htm The Anatomy of the Shoulder Muscles]: "The Deltoid is a three-headed muscle that caps the shoulder. The three heads of the Deltoid are the Anterior, Lateral, and Posterior."</ref> # The [[anterior]] or clavicular fibers arise from most of the anterior border and upper surface of the lateral third of the clavicle.<ref name="Wheeless">{{Cite web | title = Deltoid Muscle | publisher = Wheeless' Textbook of Orthopaedics | url = http://www.wheelessonline.com/ortho/deltoid_muscle | date = December 2011 | accessdate = January 2012 }}</ref> The anterior origin lies adjacent to the lateral fibers of the ''[[pectoralis major]]'' muscle as do the end tendons of both muscles. These muscle fibers are closely related and only a small chiasmatic space, through which the [[cephalic vein]] passes, prevents the two muscles from forming a continuous muscle mass.<ref name="Leijnse-etal">{{Cite journal | title = Morphology of deltoid origin and end tendons&nbsp;– a generic model | last1 = Leijnse | first1 = J N A L | last2 = Han | first2 = S-H | last3 = Kwon | first3 = Y H | journal = J Anat |date=December 2008 | volume = 213 | issue = 6 | pages = 733–742 | doi = 10.1111/j.1469-7580.2008.01000.x | pmc= 2666142 | pmid=19094189 }}</ref> #*The '''anterior deltoids'''<ref>[http://www.exrx.net/Muscles/DeltoidAnterior.html Anterior Deltoid]</ref> are commonly called '''front delts'''<ref name="MaF">[http://www.muscleandfitness.com/training/arms/pick-your-delts Pick up your delts] from [[Muscle and Fitness]]: "target point: front/middle delts"</ref> for short. # Lateral or acromial fibers arise from the superior surface of the [[acromion]] process of the [[scapula]].<ref name="Wheeless" /> #*They are commonly called '''lateral deltoid'''.<ref name="ExLat">[http://www.exrx.net/Muscles/DeltoidLateral.html Lateral deltoid]</ref> This muscle is also called '''middle delts''',<ref name="MaF" /> '''outer delts''',<ref>[http://www.livestrong.com/article/530154-the-best-exercise-for-outer-delts/ The Best Exercise for Outer Delts] on LiveStrong.com in 2011</ref> or '''side delts'''<ref name="ExLat" /> for short. #*They are also mistakenly called '''medial deltoid''',<ref>[http://www.abcbodybuilding.com/anatomy/shouldersanatomy1.htm Shoulders Anatomy] {{Webarchive|url=https://web.archive.org/web/20120428203909/http://www.abcbodybuilding.com/anatomy/shouldersanatomy1.htm |date=2012-04-28 }} by Yu Yevon</ref> which is wrong, as their origin is the least medial portion of the deltoid. # Posterior or spinal fibers arise from the lower lip of the [[Posterior (anatomy)|posterior]] border of the [[spine of the scapula]].<ref name="Wheeless" /> #*They are commonly called '''posterior deltoid'''<ref>[http://www.exrx.net/Muscles/DeltoidPosterior.html Posterior Deltoid]</ref> or '''rear deltoid'''<ref>[http://www.exrx.net/Stretches/DeltoidPosterior/RearDelt.html Rear Deltoid Stretch]</ref> ('''rear delts''' for short<ref>[http://www.leehayward.com/rear_delts.htm Lee Hayward - Rear delts]</ref>). Fick<ref>{{Cite book | last = Fick | first = R. | title = Handbuch der Anatomie und Mekanik der Gelenke | location = Jena | publisher = Gustav Fischer | year = 1911 }}</ref> divided these three groups of fibers, often referred to as parts (Latin: ''pars'') or bands, into seven functional components as did Kapandji and Sakoma Y et al. :<ref name="Kapandji-60">{{cite book | last = Kapandji | first = Ibrahim Adalbert | title = The Physiology of the Joints: Volume One Upper Limb | publisher = Churchill Livingstone | location = New York | year = 1982 | edition = 5th }}</ref><ref>[Anatomical and functional segments of the deltoid muscle. J Anat. 2011 Feb;218(2):185-90. doi: 10.1111/j.1469-7580.2010.01325.x. Epub 2010 Nov 30. ]: "</ref> the anterior part has two components (I and II); the lateral one (III); and the posterior four (IV, V, VI, and VII) components. In [[standard anatomical position]] (with the upper limb hanging alongside the body), the central components (II, III, and IV) lie lateral to the axis of abduction and therefore contribute to abduction from the start of the movement while the other components (I, V, VI, and VII) then act as adductors. During abduction most of these latter components (except VI and VII which always act as adductors) are displaced laterally and progressively start to abduct.<ref name="Kapandji-60" /> {{multiple image | footer = Deltoid muscle.{{Legend|red|Anterior part of deltoid (arises from most of the anterior border and upper surface of the lateral third of the [[clavicle]].)}}{{Legend|LawnGreen |Lateral part of deltoid (arises from the superior surface of the [[acromion]] process.)}}{{Legend|blue|Posterior part of deltoid (arises from the lower lip of the posterior border of the spine of the scapula.)}} | align = left | image1 = Deltoid muscle top10.png | width1 = 200 | alt1 = Side | caption1 = Side. | image2 = Deltoid muscle top8.png | width2 = 200 | alt2 = Front | caption2 = Front. | image3 = Deltoid muscle top9.png | width3 = 200 | alt3 = Back | caption3 = Back. | image4 = Deltoid muscle animation4.gif | width4 = 200 | alt4 = Animation | caption4 = Animation. }}{{Clear}} ===Insertion=== From this extensive origin the fibers converge toward their insertion on the [[deltoid tuberosity]] on the middle of the [[Human anatomical terms#Anatomical directions|lateral]] aspect of the shaft of the [[humerus]]; the middle fibers passing vertically, the anterior obliquely backward and laterally, and the posterior obliquely forward and laterally. Though traditionally described as a single insertion, the deltoid insertion is divided into two or three discernible areas corresponding to the muscle's three areas of origin. The insertion is an arch-like structure with strong anterior and posterior fascial connections flanking an intervening tissue bridge. It additionally gives off extensions to the [[Brachial fascia|deep brachial fascia]]. Furthermore, the [[deltoid fascia]] contributes to the brachial fascia and is connected to the [[Medial intermuscular septum of arm|medial]] and [[Lateral intermuscular septum of arm|lateral intermuscular septa]]. <ref>{{Cite journal |last1=Rispoli |first1=Damian M. |last2=Athwal |first2=George S. |last3=Sperling |first3=John W. |last4=Cofield |first4=Robert H. |title=The anatomy of the deltoid insertion |journal=J Shoulder Elbow Surg |year=2009 |volume=18 |issue=3 |pages=386–390 |url=http://www.anatomytrains.com/uploads/rich_media/Rispoli2009_anatomyDeltoidInsertion.pdf |doi=10.1016/j.jse.2008.10.012 |pmid=19186076 |url-status=dead |archiveurl=https://web.archive.org/web/20120904122301/http://www.anatomytrains.com/uploads/rich_media/Rispoli2009_anatomyDeltoidInsertion.pdf |archivedate=2012-09-04 }}</ref> ===Blood supply=== The deltoid is supplied by the [[posterior circumflex humeral artery]] and the deltoid branch of the [[thoracoacromial artery]] which branches from the [[axillary artery]].<ref name="Sunny" /> ===Nerve supply=== The deltoid is innervated by the [[axillary nerve]].<ref name="Sunny">{{SUNYAnatomyLabs|03|03|01|03}}</ref> The axillary nerve originates from the [[anterior ramus of spinal nerve|anterior rami]] of the [[spinal nerves|cervical nerves]] C5 and C6, via the superior trunk, posterior division of the superior trunk, and the posterior cord of the brachial plexus.<ref>{{Cite web|url=https://www.kenhub.com/en/library/anatomy/the-deltoid-muscle|title=Deltoid muscle|website=Kenhub|language=en|access-date=2019-09-21}}</ref> Studies have shown that there are seven neuromuscular segments to the deltoid muscle. Three of these lie in the anatomical anterior head of the deltoid, one in the anatomical middle head, and three in the anatomical posterior head of the deltoid.<ref>{{cite journal |last1=Brown |first1=J M M |last2=Wickham |first2=J B |last3=McAndrew |first3=D J |last4=Huang |first4=X F |title=Muscles within muscles: Coordination of 19 muscle segments within three shoulder muscles during isometric motor tasks |journal=Journal of Electromyography and Kinesiology |date=2007 |volume=17 |issue=1 |pages=57–73 |doi=10.1016/j.jelekin.2005.10.007 |pmid=16458022 }}</ref> These neuromuscular segments are supplied by smaller branches of the axillary nerve, and work in coordination with other muscles of the shoulder girdle include pectoralis major and supraspinatus.<ref>{{cite journal |last1=Brown |first1=J M M |last2=Wickham |first2=J B |last3=McAndrew |first3=D J |last4=Huang |first4=X F |title=Muscles within muscles: Coordination of 19 muscle segments within three shoulder muscles during isometric motor tasks |journal=Journal of Electromyography and Kinesiology |date=2007 |volume=17 |issue=1 |pages=57–73 |doi=10.1016/j.jelekin.2005.10.007 |pmid=16458022 }}</ref> The axillary nerve is sometimes damaged during surgical procedures of the [[axilla]], such as for [[breast cancer]]. It may also be injured by anterior dislocation of the head of the humerus.<ref>{{Cite journal|last=Avis|first=Duncan|last2=Power|first2=Dominic|date=2018-03-26|title=Axillary nerve injury associated with glenohumeral dislocation|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5890131/|journal=EFORT Open Reviews|volume=3|issue=3|pages=70–77|doi=10.1302/2058-5241.3.170003|issn=2058-5241|pmc=5890131|pmid=29657847}}</ref> ==Function== [[File:Deltoid muscle.JPG|thumb|right|Deltoid muscle with superior limb in abduction]] When all its fibers contract simultaneously, the deltoid is the prime mover of arm abduction along the frontal plane. The arm must be medially rotated for the deltoid to have maximum effect.<ref>Radiography of the Upper Extremities: 24 ARRT Category A. CE4RT, 2014. 201. Print.</ref> This makes the deltoid an antagonist muscle of the ''pectoralis major ''and ''[[latissimus dorsi]]'' during arm adduction. The anterior fibers assist the ''pectoralis major'' to flex the shoulder. The anterior deltoid also works in tandem with the [[subscapularis]], pecs and lats to internally (medially) rotate the humerus.<ref>{{Exrx|Muscles/DeltoidAnterior}}</ref> The lateral fibers perform basic shoulder abduction when the shoulder is internally rotated, and perform shoulder transverse abduction when the shoulder is externally rotated. They are not utilized significantly during strict transverse extension (shoulder internally rotated) such as in rowing movements, which use the posterior fibers.<ref>{{Exrx|Muscles/DeltoidLateral}}</ref> The posterior fibers assist the ''[[latissimus dorsi]]'' to extend the shoulder. Other transverse extensors, the ''[[infraspinatus]]'' and ''[[teres minor]]'', also work in tandem with the posterior deltoid as external (lateral) rotators, antagonists to strong internal rotators like the pecs and lats.<ref>{{Exrx|Muscles/DeltoidPosterior}}</ref> An important function of the deltoid in humans is preventing the [[dislocation (medicine)|dislocation]] of the [[humeral]] head when a person carries heavy loads. The function of abduction also means that it would help keep carried objects a safer distance away from the thighs to avoid hitting them, as during a [[farmer's walk]]. It also ensures a precise and rapid movement of the [[glenohumeral joint]] needed for hand and arm manipulation.<ref name="Potau"/> The lateral fibers are in the most efficient position to perform this role, though like basic abduction movements (such as lateral raise) it is assisted by simultaneous co-contraction of anterior/posterior fibers.<ref>http://muscleguide.co.uk/exercises/lateral-deltoid-raise.html</ref> The deltoid is responsible for elevating the arm in the scapular plane and its contraction in doing this also elevates the humeral head. To stop this compressing against the undersurface of the [[acromion]] the humeral head and injuring the [[Supraspinatus muscle|supraspinatus tendon]], there is a simultaneous contraction of some of the muscles of the [[rotator cuff]]: the [[infraspinatus]] and subscapularis primarily perform this role. In spite of this there may be still a 1–3&nbsp;mm upward movement of the head of the humerus during the first 30° to 60° of arm elevation.<ref name="Potau"/> ==Clinical significance== The most common abnormalities affecting the deltoid are tears, fatty atrophy, and [[enthesopathy]]. Deltoid muscle tears are unusual and frequently related to traumatic shoulder dislocation or massive rotator cuff tears. Muscle atrophy is the result of various causes, including aging, disuse, [[denervation]], [[muscular dystrophy]], [[cachexia]] and [[Iatrogenesis|iatrogenic injury]]. Deltoideal humeral enthesopathy is an exceedingly rare condition related to mechanical stress. Conversely, deltoideal acromial enthesopathy is likely a hallmark of seronegative spondylarthropathies and its detection should probably be followed by pertinent clinical and serological investigation.<ref>Arend CF. Ultrasound of the Shoulder. Master Medical Books, 2013. Chapter on deltoideal enthesopathy available at [http://www.shoulderus.com/ultrasound-of-the-shoulder/deltoid-ultrasound-entesopathy/ ShoulderUS.com]</ref> ==Other animals== The deltoid is also found in members of the [[Hominidae|great ape]] family other than humans. The human deltoid is of similar proportionate size as the muscles of the rotator cuff in apes like the [[orangutan]], which engage in [[brachiation]] and possess the muscle mass needed to support the body weight by the shoulders. In other apes, like the [[common chimpanzee]], the deltoid is much larger than in humans, weighing an average of 383.3&nbsp;gram compared to 191.9&nbsp;gram in humans. This reflects the need to strengthen the shoulders, particularly the rotatory cuff, in [[knuckle walking]] apes for the purpose of supporting the entire body weight.<ref name="Potau"/> ==References== {{Reflist|30em}} ==See also== {{Commons category|Deltoid muscle}} {{Anatomy-terms}}{{Muscles of upper limb}} {{Authority control}} {{DEFAULTSORT:Deltoid Muscle}} [[Category:Muscles of the upper limb]] [[Category:Shoulder abductors]] [[Category:Shoulder flexors]] [[Category:Shoulder medial rotators]] [[Category:Shoulder extensors]] [[Category:Shoulder lateral rotators]]'
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'<div class="mw-parser-output"><div role="note" class="hatnote navigation-not-searchable">"Delts" redirects here. For the fraternity, see <a href="/enwiki/wiki/Delta_Tau_Delta" title="Delta Tau Delta">Delta Tau Delta</a>.</div> <p>{{Infobox muscle fgtrhtjtg | Caption = Deltoid muscle | Image2 = 1119 Muscles that Move the Humerus b.png | Caption2 = Muscles connecting the upper extremity to the vertebral column (not all are labeled) | Origin = the anterior border and upper surface of the lateral third of the <a href="/enwiki/wiki/Clavicle" title="Clavicle">clavicle</a>, <a href="/enwiki/wiki/Acromion" title="Acromion">acromion</a>, <a href="/enwiki/wiki/Spine_of_scapula" title="Spine of scapula">spine</a> of the <a href="/enwiki/wiki/Scapula" title="Scapula">scapula</a> | Insertion = <a href="/enwiki/wiki/Deltoid_tuberosity" title="Deltoid tuberosity">deltoid tuberosity</a> of <a href="/enwiki/wiki/Humerus" title="Humerus">humerus</a> | Blood = <a href="/enwiki/wiki/Thoracoacromial_artery" title="Thoracoacromial artery">thoracoacromial artery</a>, <a href="/enwiki/wiki/Anterior_humeral_circumflex_artery" title="Anterior humeral circumflex artery">anterior</a> and <a href="/enwiki/wiki/Posterior_humeral_circumflex_artery" title="Posterior humeral circumflex artery">posterior humeral circumflex artery</a> | Nerve = <a href="/enwiki/wiki/Axillary_nerve" title="Axillary nerve">Axillary nerve</a> | Action = <a href="/enwiki/wiki/Shoulder" title="Shoulder">shoulder</a> <a href="/enwiki/wiki/Abduction_(kinesiology)" class="mw-redirect" title="Abduction (kinesiology)">abduction</a>, <a href="/enwiki/wiki/Flexion" class="mw-redirect" title="Flexion">flexion</a> and <a href="/enwiki/wiki/Extension_(kinesiology)" class="mw-redirect" title="Extension (kinesiology)">extension</a> | Antagonist = <a href="/enwiki/wiki/Latissimus_dorsi" class="mw-redirect" title="Latissimus dorsi">Latissimus dorsi</a> }} The <b>deltoid muscle</b> is the <a href="/enwiki/wiki/Muscle" title="Muscle">muscle</a> forming the rounded contour of the <a href="/enwiki/wiki/Human" title="Human">human</a> <a href="/enwiki/wiki/Shoulder" title="Shoulder">shoulder</a>. It is also known as the 'common shoulder muscle', particularly in other animals such as the domestic <a href="/enwiki/wiki/Cat" title="Cat">cat</a>. Anatomically, it appears to be made up of three distinct sets of fibers though <a href="/enwiki/wiki/Electromyography" title="Electromyography">electromyography</a> suggests that it consists of at least seven groups that can be independently coordinated by the <a href="/enwiki/wiki/Nervous_system" title="Nervous system">nervous system</a>.<sup id="cite_ref-1" class="reference"><a href="#cite_note-1">&#91;1&#93;</a></sup> </p><p>It was previously called the <b>deltoideus</b> (plural <i>deltoidei</i>) and the name is still used by some anatomists. It is called so because it is in the shape of the <a href="/enwiki/wiki/Greek_alphabet" title="Greek alphabet">Greek</a> capital letter <a href="/enwiki/wiki/Delta_(letter)" title="Delta (letter)">delta</a> (Δ). Deltoid is also further shortened in <a href="/enwiki/wiki/Slang" title="Slang">slang</a> as "<b>delt</b>". </p><p>A study of 30 shoulders revealed an average mass of 191.9 grams (6.77&#160;oz) in humans, ranging from 84 grams (3.0&#160;oz) to 366 grams (12.9&#160;oz).<sup id="cite_ref-Potau_2-0" class="reference"><a href="#cite_note-Potau-2">&#91;2&#93;</a></sup> </p> <div id="toc" class="toc"><input type="checkbox" role="button" id="toctogglecheckbox" class="toctogglecheckbox" style="display:none" /><div class="toctitle" lang="en" dir="ltr"><h2>Contents</h2><span class="toctogglespan"><label class="toctogglelabel" for="toctogglecheckbox"></label></span></div> <ul> <li class="toclevel-1 tocsection-1"><a href="#Structure"><span class="tocnumber">1</span> <span class="toctext">Structure</span></a> <ul> <li class="toclevel-2 tocsection-2"><a href="#Insertion"><span class="tocnumber">1.1</span> <span class="toctext">Insertion</span></a></li> <li class="toclevel-2 tocsection-3"><a href="#Blood_supply"><span class="tocnumber">1.2</span> <span class="toctext">Blood supply</span></a></li> <li class="toclevel-2 tocsection-4"><a href="#Nerve_supply"><span class="tocnumber">1.3</span> <span class="toctext">Nerve supply</span></a></li> </ul> </li> <li class="toclevel-1 tocsection-5"><a href="#Function"><span class="tocnumber">2</span> <span class="toctext">Function</span></a></li> <li class="toclevel-1 tocsection-6"><a href="#Clinical_significance"><span class="tocnumber">3</span> <span class="toctext">Clinical significance</span></a></li> <li class="toclevel-1 tocsection-7"><a href="#Other_animals"><span class="tocnumber">4</span> <span class="toctext">Other animals</span></a></li> <li class="toclevel-1 tocsection-8"><a href="#References"><span class="tocnumber">5</span> <span class="toctext">References</span></a></li> <li class="toclevel-1 tocsection-9"><a href="#See_also"><span class="tocnumber">6</span> <span class="toctext">See also</span></a></li> </ul> </div> <h2><span class="mw-headline" id="Structure">Structure</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/enwiki/w/index.php?title=Deltoid_muscle&amp;action=edit&amp;section=1" title="Edit section: Structure">edit</a><span class="mw-editsection-bracket">]</span></span></h2> <p>Previous studies showed that the insertion of the intramuscular tendons of the deltoid muscle formed three discrete sets of <a href="/enwiki/wiki/Muscle_fiber" class="mw-redirect" title="Muscle fiber">muscle fibers</a>, often referred to as "heads":<sup id="cite_ref-3" class="reference"><a href="#cite_note-3">&#91;3&#93;</a></sup> </p> <ol><li>The <a href="/enwiki/wiki/Anterior" class="mw-redirect" title="Anterior">anterior</a> or clavicular fibers arise from most of the anterior border and upper surface of the lateral third of the clavicle.<sup id="cite_ref-Wheeless_4-0" class="reference"><a href="#cite_note-Wheeless-4">&#91;4&#93;</a></sup> The anterior origin lies adjacent to the lateral fibers of the <i><a href="/enwiki/wiki/Pectoralis_major" title="Pectoralis major">pectoralis major</a></i> muscle as do the end tendons of both muscles. These muscle fibers are closely related and only a small chiasmatic space, through which the <a href="/enwiki/wiki/Cephalic_vein" title="Cephalic vein">cephalic vein</a> passes, prevents the two muscles from forming a continuous muscle mass.<sup id="cite_ref-Leijnse-etal_5-0" class="reference"><a href="#cite_note-Leijnse-etal-5">&#91;5&#93;</a></sup> <ul><li>The <b>anterior deltoids</b><sup id="cite_ref-6" class="reference"><a href="#cite_note-6">&#91;6&#93;</a></sup> are commonly called <b>front delts</b><sup id="cite_ref-MaF_7-0" class="reference"><a href="#cite_note-MaF-7">&#91;7&#93;</a></sup> for short.</li></ul></li> <li>Lateral or acromial fibers arise from the superior surface of the <a href="/enwiki/wiki/Acromion" title="Acromion">acromion</a> process of the <a href="/enwiki/wiki/Scapula" title="Scapula">scapula</a>.<sup id="cite_ref-Wheeless_4-1" class="reference"><a href="#cite_note-Wheeless-4">&#91;4&#93;</a></sup> <ul><li>They are commonly called <b>lateral deltoid</b>.<sup id="cite_ref-ExLat_8-0" class="reference"><a href="#cite_note-ExLat-8">&#91;8&#93;</a></sup> This muscle is also called <b>middle delts</b>,<sup id="cite_ref-MaF_7-1" class="reference"><a href="#cite_note-MaF-7">&#91;7&#93;</a></sup> <b>outer delts</b>,<sup id="cite_ref-9" class="reference"><a href="#cite_note-9">&#91;9&#93;</a></sup> or <b>side delts</b><sup id="cite_ref-ExLat_8-1" class="reference"><a href="#cite_note-ExLat-8">&#91;8&#93;</a></sup> for short.</li> <li>They are also mistakenly called <b>medial deltoid</b>,<sup id="cite_ref-10" class="reference"><a href="#cite_note-10">&#91;10&#93;</a></sup> which is wrong, as their origin is the least medial portion of the deltoid.</li></ul></li> <li>Posterior or spinal fibers arise from the lower lip of the <a href="/enwiki/wiki/Posterior_(anatomy)" class="mw-redirect" title="Posterior (anatomy)">posterior</a> border of the <a href="/enwiki/wiki/Spine_of_the_scapula" class="mw-redirect" title="Spine of the scapula">spine of the scapula</a>.<sup id="cite_ref-Wheeless_4-2" class="reference"><a href="#cite_note-Wheeless-4">&#91;4&#93;</a></sup> <ul><li>They are commonly called <b>posterior deltoid</b><sup id="cite_ref-11" class="reference"><a href="#cite_note-11">&#91;11&#93;</a></sup> or <b>rear deltoid</b><sup id="cite_ref-12" class="reference"><a href="#cite_note-12">&#91;12&#93;</a></sup> (<b>rear delts</b> for short<sup id="cite_ref-13" class="reference"><a href="#cite_note-13">&#91;13&#93;</a></sup>).</li></ul></li></ol> <p>Fick<sup id="cite_ref-14" class="reference"><a href="#cite_note-14">&#91;14&#93;</a></sup> divided these three groups of fibers, often referred to as parts (Latin: <i>pars</i>) or bands, into seven functional components as did Kapandji and Sakoma Y et al.&#160;:<sup id="cite_ref-Kapandji-60_15-0" class="reference"><a href="#cite_note-Kapandji-60-15">&#91;15&#93;</a></sup><sup id="cite_ref-16" class="reference"><a href="#cite_note-16">&#91;16&#93;</a></sup> the anterior part has two components (I and II); the lateral one (III); and the posterior four (IV, V, VI, and VII) components. In <a href="/enwiki/wiki/Standard_anatomical_position" title="Standard anatomical position">standard anatomical position</a> (with the upper limb hanging alongside the body), the central components (II, III, and IV) lie lateral to the axis of abduction and therefore contribute to abduction from the start of the movement while the other components (I, V, VI, and VII) then act as adductors. During abduction most of these latter components (except VI and VII which always act as adductors) are displaced laterally and progressively start to abduct.<sup id="cite_ref-Kapandji-60_15-1" class="reference"><a href="#cite_note-Kapandji-60-15">&#91;15&#93;</a></sup> </p> <style data-mw-deduplicate="TemplateStyles:r923042769/mw-parser-output/.tmulti">.mw-parser-output .tmulti .thumbinner{display:flex;flex-direction:column}.mw-parser-output .tmulti .trow{display:flex;flex-direction:row;clear:left;flex-wrap:wrap;width:100%;box-sizing:border-box}.mw-parser-output .tmulti .tsingle{margin:1px;float:left}.mw-parser-output .tmulti .theader{clear:both;font-weight:bold;text-align:center;align-self:center;background-color:transparent;width:100%}.mw-parser-output .tmulti .thumbcaption{text-align:left;background-color:transparent}.mw-parser-output .tmulti .thumbcaption-center{text-align:center;background-color:transparent}.mw-parser-output .tmulti .text-align-left{text-align:left}.mw-parser-output .tmulti .text-align-right{text-align:right}.mw-parser-output .tmulti .text-align-center{text-align:center}@media all and (max-width:720px){.mw-parser-output .tmulti .thumbinner{width:100%!important;box-sizing:border-box;max-width:none!important;align-items:center}.mw-parser-output .tmulti .trow{justify-content:center}.mw-parser-output .tmulti .tsingle{float:none!important;max-width:100%!important;box-sizing:border-box;text-align:center}.mw-parser-output .tmulti .thumbcaption{text-align:center}}</style><div class="thumb tmulti tleft"><div class="thumbinner" style="width:816px;max-width:816px"><div class="trow"><div class="tsingle" style="width:202px;max-width:202px"><div class="thumbimage"><a href="/enwiki/wiki/File:Deltoid_muscle_top10.png" class="image"><img alt="Side" src="/upwiki/wikipedia/commons/thumb/c/c4/Deltoid_muscle_top10.png/200px-Deltoid_muscle_top10.png" decoding="async" width="200" height="200" srcset="/upwiki/wikipedia/commons/thumb/c/c4/Deltoid_muscle_top10.png/300px-Deltoid_muscle_top10.png 1.5x, /upwiki/wikipedia/commons/thumb/c/c4/Deltoid_muscle_top10.png/400px-Deltoid_muscle_top10.png 2x" data-file-width="900" data-file-height="900" /></a></div><div class="thumbcaption">Side.</div></div><div class="tsingle" style="width:202px;max-width:202px"><div class="thumbimage"><a href="/enwiki/wiki/File:Deltoid_muscle_top8.png" class="image"><img alt="Front" src="/upwiki/wikipedia/commons/thumb/a/a2/Deltoid_muscle_top8.png/200px-Deltoid_muscle_top8.png" decoding="async" width="200" height="200" srcset="/upwiki/wikipedia/commons/thumb/a/a2/Deltoid_muscle_top8.png/300px-Deltoid_muscle_top8.png 1.5x, /upwiki/wikipedia/commons/thumb/a/a2/Deltoid_muscle_top8.png/400px-Deltoid_muscle_top8.png 2x" data-file-width="900" data-file-height="900" /></a></div><div class="thumbcaption">Front.</div></div><div class="tsingle" style="width:202px;max-width:202px"><div class="thumbimage"><a href="/enwiki/wiki/File:Deltoid_muscle_top9.png" class="image"><img alt="Back" src="/upwiki/wikipedia/commons/thumb/0/02/Deltoid_muscle_top9.png/200px-Deltoid_muscle_top9.png" decoding="async" width="200" height="200" srcset="/upwiki/wikipedia/commons/thumb/0/02/Deltoid_muscle_top9.png/300px-Deltoid_muscle_top9.png 1.5x, /upwiki/wikipedia/commons/thumb/0/02/Deltoid_muscle_top9.png/400px-Deltoid_muscle_top9.png 2x" data-file-width="900" data-file-height="900" /></a></div><div class="thumbcaption">Back.</div></div><div class="tsingle" style="width:202px;max-width:202px"><div class="thumbimage"><a href="/enwiki/wiki/File:Deltoid_muscle_animation4.gif" class="image"><img alt="Animation" src="/upwiki/wikipedia/commons/thumb/4/43/Deltoid_muscle_animation4.gif/200px-Deltoid_muscle_animation4.gif" decoding="async" width="200" height="200" srcset="/upwiki/wikipedia/commons/thumb/4/43/Deltoid_muscle_animation4.gif/300px-Deltoid_muscle_animation4.gif 1.5x, /upwiki/wikipedia/commons/thumb/4/43/Deltoid_muscle_animation4.gif/400px-Deltoid_muscle_animation4.gif 2x" data-file-width="600" data-file-height="600" /></a></div><div class="thumbcaption">Animation.</div></div></div><div class="trow"><div class="thumbcaption" style="background-color:transparent">Deltoid muscle.<div class="legend" style="-webkit-column-break-inside: avoid;page-break-inside: avoid;break-inside: avoid-column"><span class="legend-color" style="display:inline-block; width:1.5em; height:1.5em; margin:1px 0; border:1px solid black; background-color:red; color:black; font-size:100%; text-align:center;">&#160;</span>&#160;Anterior part of deltoid (arises from most of the anterior border and upper surface of the lateral third of the <a href="/enwiki/wiki/Clavicle" title="Clavicle">clavicle</a>.)</div><div class="legend" style="-webkit-column-break-inside: avoid;page-break-inside: avoid;break-inside: avoid-column"><span class="legend-color" style="display:inline-block; width:1.5em; height:1.5em; margin:1px 0; border:1px solid black; background-color:LawnGreen; color:black; font-size:100%; text-align:center;">&#160;</span>&#160;Lateral part of deltoid (arises from the superior surface of the <a href="/enwiki/wiki/Acromion" title="Acromion">acromion</a> process.)</div><div class="legend" style="-webkit-column-break-inside: avoid;page-break-inside: avoid;break-inside: avoid-column"><span class="legend-color" style="display:inline-block; width:1.5em; height:1.5em; margin:1px 0; border:1px solid black; background-color:blue; color:black; font-size:100%; text-align:center;">&#160;</span>&#160;Posterior part of deltoid (arises from the lower lip of the posterior border of the spine of the scapula.)</div></div></div></div></div><div style="clear:both;"></div> <h3><span class="mw-headline" id="Insertion">Insertion</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/enwiki/w/index.php?title=Deltoid_muscle&amp;action=edit&amp;section=2" title="Edit section: Insertion">edit</a><span class="mw-editsection-bracket">]</span></span></h3> <p>From this extensive origin the fibers converge toward their insertion on the <a href="/enwiki/wiki/Deltoid_tuberosity" title="Deltoid tuberosity">deltoid tuberosity</a> on the middle of the <a href="/enwiki/wiki/Human_anatomical_terms#Anatomical_directions" class="mw-redirect" title="Human anatomical terms">lateral</a> aspect of the shaft of the <a href="/enwiki/wiki/Humerus" title="Humerus">humerus</a>; the middle fibers passing vertically, the anterior obliquely backward and laterally, and the posterior obliquely forward and laterally. </p><p>Though traditionally described as a single insertion, the deltoid insertion is divided into two or three discernible areas corresponding to the muscle's three areas of origin. The insertion is an arch-like structure with strong anterior and posterior fascial connections flanking an intervening tissue bridge. It additionally gives off extensions to the <a href="/enwiki/wiki/Brachial_fascia" title="Brachial fascia">deep brachial fascia</a>. Furthermore, the <a href="/enwiki/wiki/Deltoid_fascia" class="mw-redirect" title="Deltoid fascia">deltoid fascia</a> contributes to the brachial fascia and is connected to the <a href="/enwiki/wiki/Medial_intermuscular_septum_of_arm" class="mw-redirect" title="Medial intermuscular septum of arm">medial</a> and <a href="/enwiki/wiki/Lateral_intermuscular_septum_of_arm" class="mw-redirect" title="Lateral intermuscular septum of arm">lateral intermuscular septa</a>. <sup id="cite_ref-17" class="reference"><a href="#cite_note-17">&#91;17&#93;</a></sup> </p> <h3><span class="mw-headline" id="Blood_supply">Blood supply</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/enwiki/w/index.php?title=Deltoid_muscle&amp;action=edit&amp;section=3" title="Edit section: Blood supply">edit</a><span class="mw-editsection-bracket">]</span></span></h3> <p>The deltoid is supplied by the <a href="/enwiki/wiki/Posterior_circumflex_humeral_artery" class="mw-redirect" title="Posterior circumflex humeral artery">posterior circumflex humeral artery</a> and the deltoid branch of the <a href="/enwiki/wiki/Thoracoacromial_artery" title="Thoracoacromial artery">thoracoacromial artery</a> which branches from the <a href="/enwiki/wiki/Axillary_artery" title="Axillary artery">axillary artery</a>.<sup id="cite_ref-Sunny_18-0" class="reference"><a href="#cite_note-Sunny-18">&#91;18&#93;</a></sup> </p> <h3><span class="mw-headline" id="Nerve_supply">Nerve supply</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/enwiki/w/index.php?title=Deltoid_muscle&amp;action=edit&amp;section=4" title="Edit section: Nerve supply">edit</a><span class="mw-editsection-bracket">]</span></span></h3> <p>The deltoid is innervated by the <a href="/enwiki/wiki/Axillary_nerve" title="Axillary nerve">axillary nerve</a>.<sup id="cite_ref-Sunny_18-1" class="reference"><a href="#cite_note-Sunny-18">&#91;18&#93;</a></sup> The axillary nerve originates from the <a href="/enwiki/wiki/Anterior_ramus_of_spinal_nerve" class="mw-redirect" title="Anterior ramus of spinal nerve">anterior rami</a> of the <a href="/enwiki/wiki/Spinal_nerves" class="mw-redirect" title="Spinal nerves">cervical nerves</a> C5 and C6, via the superior trunk, posterior division of the superior trunk, and the posterior cord of the brachial plexus.<sup id="cite_ref-19" class="reference"><a href="#cite_note-19">&#91;19&#93;</a></sup> </p><p>Studies have shown that there are seven neuromuscular segments to the deltoid muscle. Three of these lie in the anatomical anterior head of the deltoid, one in the anatomical middle head, and three in the anatomical posterior head of the deltoid.<sup id="cite_ref-20" class="reference"><a href="#cite_note-20">&#91;20&#93;</a></sup> These neuromuscular segments are supplied by smaller branches of the axillary nerve, and work in coordination with other muscles of the shoulder girdle include pectoralis major and supraspinatus.<sup id="cite_ref-21" class="reference"><a href="#cite_note-21">&#91;21&#93;</a></sup> </p><p>The axillary nerve is sometimes damaged during surgical procedures of the <a href="/enwiki/wiki/Axilla" title="Axilla">axilla</a>, such as for <a href="/enwiki/wiki/Breast_cancer" title="Breast cancer">breast cancer</a>. It may also be injured by anterior dislocation of the head of the humerus.<sup id="cite_ref-22" class="reference"><a href="#cite_note-22">&#91;22&#93;</a></sup> </p> <h2><span class="mw-headline" id="Function">Function</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/enwiki/w/index.php?title=Deltoid_muscle&amp;action=edit&amp;section=5" title="Edit section: Function">edit</a><span class="mw-editsection-bracket">]</span></span></h2> <div class="thumb tright"><div class="thumbinner" style="width:222px;"><a href="/enwiki/wiki/File:Deltoid_muscle.JPG" class="image"><img alt="" src="/upwiki/wikipedia/commons/thumb/3/3c/Deltoid_muscle.JPG/220px-Deltoid_muscle.JPG" decoding="async" width="220" height="165" class="thumbimage" srcset="/upwiki/wikipedia/commons/thumb/3/3c/Deltoid_muscle.JPG/330px-Deltoid_muscle.JPG 1.5x, /upwiki/wikipedia/commons/thumb/3/3c/Deltoid_muscle.JPG/440px-Deltoid_muscle.JPG 2x" data-file-width="960" data-file-height="720" /></a> <div class="thumbcaption"><div class="magnify"><a href="/enwiki/wiki/File:Deltoid_muscle.JPG" class="internal" title="Enlarge"></a></div>Deltoid muscle with superior limb in abduction</div></div></div> <p>When all its fibers contract simultaneously, the deltoid is the prime mover of arm abduction along the frontal plane. The arm must be medially rotated for the deltoid to have maximum effect.<sup id="cite_ref-23" class="reference"><a href="#cite_note-23">&#91;23&#93;</a></sup> This makes the deltoid an antagonist muscle of the <i>pectoralis major </i>and <i><a href="/enwiki/wiki/Latissimus_dorsi" class="mw-redirect" title="Latissimus dorsi">latissimus dorsi</a></i> during arm adduction. </p><p>The anterior fibers assist the <i>pectoralis major</i> to flex the shoulder. The anterior deltoid also works in tandem with the <a href="/enwiki/wiki/Subscapularis" class="mw-redirect" title="Subscapularis">subscapularis</a>, pecs and lats to internally (medially) rotate the humerus.<sup id="cite_ref-24" class="reference"><a href="#cite_note-24">&#91;24&#93;</a></sup> </p><p>The lateral fibers perform basic shoulder abduction when the shoulder is internally rotated, and perform shoulder transverse abduction when the shoulder is externally rotated. They are not utilized significantly during strict transverse extension (shoulder internally rotated) such as in rowing movements, which use the posterior fibers.<sup id="cite_ref-25" class="reference"><a href="#cite_note-25">&#91;25&#93;</a></sup> </p><p>The posterior fibers assist the <i><a href="/enwiki/wiki/Latissimus_dorsi" class="mw-redirect" title="Latissimus dorsi">latissimus dorsi</a></i> to extend the shoulder. Other transverse extensors, the <i><a href="/enwiki/wiki/Infraspinatus" class="mw-redirect" title="Infraspinatus">infraspinatus</a></i> and <i><a href="/enwiki/wiki/Teres_minor" class="mw-redirect" title="Teres minor">teres minor</a></i>, also work in tandem with the posterior deltoid as external (lateral) rotators, antagonists to strong internal rotators like the pecs and lats.<sup id="cite_ref-26" class="reference"><a href="#cite_note-26">&#91;26&#93;</a></sup> </p><p>An important function of the deltoid in humans is preventing the <a href="/enwiki/wiki/Dislocation_(medicine)" class="mw-redirect" title="Dislocation (medicine)">dislocation</a> of the <a href="/enwiki/wiki/Humeral" class="mw-redirect" title="Humeral">humeral</a> head when a person carries heavy loads. The function of abduction also means that it would help keep carried objects a safer distance away from the thighs to avoid hitting them, as during a <a href="/enwiki/wiki/Farmer%27s_walk" class="mw-redirect" title="Farmer&#39;s walk">farmer's walk</a>. It also ensures a precise and rapid movement of the <a href="/enwiki/wiki/Glenohumeral_joint" class="mw-redirect" title="Glenohumeral joint">glenohumeral joint</a> needed for hand and arm manipulation.<sup id="cite_ref-Potau_2-1" class="reference"><a href="#cite_note-Potau-2">&#91;2&#93;</a></sup> The lateral fibers are in the most efficient position to perform this role, though like basic abduction movements (such as lateral raise) it is assisted by simultaneous co-contraction of anterior/posterior fibers.<sup id="cite_ref-27" class="reference"><a href="#cite_note-27">&#91;27&#93;</a></sup> </p><p>The deltoid is responsible for elevating the arm in the scapular plane and its contraction in doing this also elevates the humeral head. To stop this compressing against the undersurface of the <a href="/enwiki/wiki/Acromion" title="Acromion">acromion</a> the humeral head and injuring the <a href="/enwiki/wiki/Supraspinatus_muscle" title="Supraspinatus muscle">supraspinatus tendon</a>, there is a simultaneous contraction of some of the muscles of the <a href="/enwiki/wiki/Rotator_cuff" title="Rotator cuff">rotator cuff</a>: the <a href="/enwiki/wiki/Infraspinatus" class="mw-redirect" title="Infraspinatus">infraspinatus</a> and subscapularis primarily perform this role. In spite of this there may be still a 1–3&#160;mm upward movement of the head of the humerus during the first 30° to 60° of arm elevation.<sup id="cite_ref-Potau_2-2" class="reference"><a href="#cite_note-Potau-2">&#91;2&#93;</a></sup> </p> <h2><span class="mw-headline" id="Clinical_significance">Clinical significance</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/enwiki/w/index.php?title=Deltoid_muscle&amp;action=edit&amp;section=6" title="Edit section: Clinical significance">edit</a><span class="mw-editsection-bracket">]</span></span></h2> <p>The most common abnormalities affecting the deltoid are tears, fatty atrophy, and <a href="/enwiki/wiki/Enthesopathy" title="Enthesopathy">enthesopathy</a>. Deltoid muscle tears are unusual and frequently related to traumatic shoulder dislocation or massive rotator cuff tears. Muscle atrophy is the result of various causes, including aging, disuse, <a href="/enwiki/wiki/Denervation" title="Denervation">denervation</a>, <a href="/enwiki/wiki/Muscular_dystrophy" title="Muscular dystrophy">muscular dystrophy</a>, <a href="/enwiki/wiki/Cachexia" title="Cachexia">cachexia</a> and <a href="/enwiki/wiki/Iatrogenesis" title="Iatrogenesis">iatrogenic injury</a>. Deltoideal humeral enthesopathy is an exceedingly rare condition related to mechanical stress. Conversely, deltoideal acromial enthesopathy is likely a hallmark of seronegative spondylarthropathies and its detection should probably be followed by pertinent clinical and serological investigation.<sup id="cite_ref-28" class="reference"><a href="#cite_note-28">&#91;28&#93;</a></sup> </p> <h2><span class="mw-headline" id="Other_animals">Other animals</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/enwiki/w/index.php?title=Deltoid_muscle&amp;action=edit&amp;section=7" title="Edit section: Other animals">edit</a><span class="mw-editsection-bracket">]</span></span></h2> <p>The deltoid is also found in members of the <a href="/enwiki/wiki/Hominidae" title="Hominidae">great ape</a> family other than humans. The human deltoid is of similar proportionate size as the muscles of the rotator cuff in apes like the <a href="/enwiki/wiki/Orangutan" title="Orangutan">orangutan</a>, which engage in <a href="/enwiki/wiki/Brachiation" title="Brachiation">brachiation</a> and possess the muscle mass needed to support the body weight by the shoulders. In other apes, like the <a href="/enwiki/wiki/Common_chimpanzee" class="mw-redirect" title="Common chimpanzee">common chimpanzee</a>, the deltoid is much larger than in humans, weighing an average of 383.3&#160;gram compared to 191.9&#160;gram in humans. This reflects the need to strengthen the shoulders, particularly the rotatory cuff, in <a href="/enwiki/wiki/Knuckle_walking" class="mw-redirect" title="Knuckle walking">knuckle walking</a> apes for the purpose of supporting the entire body weight.<sup id="cite_ref-Potau_2-3" class="reference"><a href="#cite_note-Potau-2">&#91;2&#93;</a></sup> </p> <h2><span class="mw-headline" id="References">References</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/enwiki/w/index.php?title=Deltoid_muscle&amp;action=edit&amp;section=8" title="Edit section: References">edit</a><span class="mw-editsection-bracket">]</span></span></h2> <div class="reflist columns references-column-width" style="-moz-column-width: 30em; -webkit-column-width: 30em; column-width: 30em; list-style-type: decimal;"> <ol class="references"> <li id="cite_note-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-1">^</a></b></span> <span class="reference-text">Brown JM, Wickham JB, McAndrew DJ, Huang XF. (2007). Muscles within muscles: Coordination of 19 muscle segments within three shoulder muscles during isometric motor tasks. J Electromyogr Kinesiol. 17(1):57-73. <style data-mw-deduplicate="TemplateStyles:r886058088">.mw-parser-output cite.citation{font-style:inherit}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation .cs1-lock-free a{background:url("/upwiki/wikipedia/commons/thumb/6/65/Lock-green.svg/9px-Lock-green.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output .citation .cs1-lock-limited a,.mw-parser-output .citation .cs1-lock-registration a{background:url("/upwiki/wikipedia/commons/thumb/d/d6/Lock-gray-alt-2.svg/9px-Lock-gray-alt-2.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output .citation .cs1-lock-subscription a{background:url("/upwiki/wikipedia/commons/thumb/a/aa/Lock-red-alt-2.svg/9px-Lock-red-alt-2.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output .cs1-subscription,.mw-parser-output .cs1-registration{color:#555}.mw-parser-output .cs1-subscription span,.mw-parser-output .cs1-registration span{border-bottom:1px dotted;cursor:help}.mw-parser-output .cs1-ws-icon a{background:url("/upwiki/wikipedia/commons/thumb/4/4c/Wikisource-logo.svg/12px-Wikisource-logo.svg.png")no-repeat;background-position:right .1em center}.mw-parser-output code.cs1-code{color:inherit;background:inherit;border:inherit;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;font-size:100%}.mw-parser-output .cs1-visible-error{font-size:100%}.mw-parser-output .cs1-maint{display:none;color:#33aa33;margin-left:0.3em}.mw-parser-output .cs1-subscription,.mw-parser-output .cs1-registration,.mw-parser-output .cs1-format{font-size:95%}.mw-parser-output .cs1-kern-left,.mw-parser-output .cs1-kern-wl-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right,.mw-parser-output .cs1-kern-wl-right{padding-right:0.2em}</style><a href="/enwiki/wiki/PubMed_Identifier" class="mw-redirect" title="PubMed Identifier">PMID</a>&#160;<a rel="nofollow" class="external text" href="/enwiki//www.ncbi.nlm.nih.gov/pubmed/16458022">16458022</a> <a href="/enwiki/wiki/Digital_object_identifier" title="Digital object identifier">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1016%2Fj.jelekin.2005.10.007">10.1016/j.jelekin.2005.10.007</a></span> </li> <li id="cite_note-Potau-2"><span class="mw-cite-backlink">^ <a href="#cite_ref-Potau_2-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Potau_2-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Potau_2-2"><sup><i><b>c</b></i></sup></a> <a href="#cite_ref-Potau_2-3"><sup><i><b>d</b></i></sup></a></span> <span class="reference-text">Potau JM, Bardina X, Ciurana N, Camprubí D. Pastor JF, de Paz F. Barbosa M. (2009). Quantitative Analysis of the Deltoid and Rotator Cuff Muscles in Humans and Great Apes. Int J Primatol 30:697–708. <a href="/enwiki/wiki/Digital_object_identifier" title="Digital object identifier">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1007%2Fs10764-009-9368-8">10.1007/s10764-009-9368-8</a></span> </li> <li id="cite_note-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-3">^</a></b></span> <span class="reference-text"><a rel="nofollow" class="external text" href="http://www.fitstep.com/Advanced/Anatomy/Shoulders.htm">The Anatomy of the Shoulder Muscles</a>: "The Deltoid is a three-headed muscle that caps the shoulder. The three heads of the Deltoid are the Anterior, Lateral, and Posterior."</span> </li> <li id="cite_note-Wheeless-4"><span class="mw-cite-backlink">^ <a href="#cite_ref-Wheeless_4-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-Wheeless_4-1"><sup><i><b>b</b></i></sup></a> <a href="#cite_ref-Wheeless_4-2"><sup><i><b>c</b></i></sup></a></span> <span class="reference-text"><cite class="citation web"><a rel="nofollow" class="external text" href="http://www.wheelessonline.com/ortho/deltoid_muscle">"Deltoid Muscle"</a>. Wheeless' Textbook of Orthopaedics. December 2011<span class="reference-accessdate">. Retrieved January 2012</span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Deltoid+Muscle&amp;rft.pub=Wheeless%27+Textbook+of+Orthopaedics&amp;rft.date=2011-12&amp;rft_id=http%3A%2F%2Fwww.wheelessonline.com%2Fortho%2Fdeltoid_muscle&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ADeltoid+muscle" class="Z3988"></span> <span class="cs1-visible-error error citation-comment">Check date values in: <code class="cs1-code">&#124;accessdate=</code> (<a href="/enwiki/wiki/Help:CS1_errors#bad_date" title="Help:CS1 errors">help</a>)</span><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886058088"/></span> </li> <li id="cite_note-Leijnse-etal-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-Leijnse-etal_5-0">^</a></b></span> <span class="reference-text"><cite class="citation journal">Leijnse, J N A L; Han, S-H; Kwon, Y H (December 2008). <a rel="nofollow" class="external text" href="/enwiki//www.ncbi.nlm.nih.gov/pmc/articles/PMC2666142">"Morphology of deltoid origin and end tendons&#160;– a generic model"</a>. <i>J Anat</i>. <b>213</b> (6): 733–742. <a href="/enwiki/wiki/Digital_object_identifier" title="Digital object identifier">doi</a>:<a rel="nofollow" class="external text" href="/enwiki//doi.org/10.1111%2Fj.1469-7580.2008.01000.x">10.1111/j.1469-7580.2008.01000.x</a>. <a href="/enwiki/wiki/PubMed_Central" title="PubMed Central">PMC</a>&#160;<span class="cs1-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="/enwiki//www.ncbi.nlm.nih.gov/pmc/articles/PMC2666142">2666142</a></span>. <a href="/enwiki/wiki/PubMed_Identifier" class="mw-redirect" title="PubMed Identifier">PMID</a>&#160;<a rel="nofollow" class="external text" href="/enwiki//www.ncbi.nlm.nih.gov/pubmed/19094189">19094189</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=J+Anat&amp;rft.atitle=Morphology+of+deltoid+origin+and+end+tendons+%E2%80%93+a+generic+model&amp;rft.volume=213&amp;rft.issue=6&amp;rft.pages=733-742&amp;rft.date=2008-12&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2666142&amp;rft_id=info%3Apmid%2F19094189&amp;rft_id=info%3Adoi%2F10.1111%2Fj.1469-7580.2008.01000.x&amp;rft.aulast=Leijnse&amp;rft.aufirst=J+N+A+L&amp;rft.au=Han%2C+S-H&amp;rft.au=Kwon%2C+Y+H&amp;rft_id=%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2666142&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ADeltoid+muscle" class="Z3988"></span><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886058088"/></span> </li> <li id="cite_note-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-6">^</a></b></span> <span class="reference-text"><a rel="nofollow" class="external text" href="http://www.exrx.net/Muscles/DeltoidAnterior.html">Anterior Deltoid</a></span> </li> <li id="cite_note-MaF-7"><span class="mw-cite-backlink">^ <a href="#cite_ref-MaF_7-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-MaF_7-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><a rel="nofollow" class="external text" href="http://www.muscleandfitness.com/training/arms/pick-your-delts">Pick up your delts</a> from <a href="/enwiki/wiki/Muscle_and_Fitness" class="mw-redirect" title="Muscle and Fitness">Muscle and Fitness</a>: "target point: front/middle delts"</span> </li> <li id="cite_note-ExLat-8"><span class="mw-cite-backlink">^ <a href="#cite_ref-ExLat_8-0"><sup><i><b>a</b></i></sup></a> <a href="#cite_ref-ExLat_8-1"><sup><i><b>b</b></i></sup></a></span> <span class="reference-text"><a rel="nofollow" class="external text" href="http://www.exrx.net/Muscles/DeltoidLateral.html">Lateral deltoid</a></span> </li> <li id="cite_note-9"><span 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Chapter on deltoideal enthesopathy available at <a rel="nofollow" class="external text" href="http://www.shoulderus.com/ultrasound-of-the-shoulder/deltoid-ultrasound-entesopathy/">ShoulderUS.com</a></span> </li> </ol></div> <h2><span class="mw-headline" id="See_also">See also</span><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/enwiki/w/index.php?title=Deltoid_muscle&amp;action=edit&amp;section=9" title="Edit section: See also">edit</a><span class="mw-editsection-bracket">]</span></span></h2> <table role="presentation" class="mbox-small plainlinks sistersitebox" style="background-color:#f9f9f9;border:1px solid #aaa;color:#000"> <tbody><tr> <td class="mbox-image"><img alt="" src="/upwiki/wikipedia/en/thumb/4/4a/Commons-logo.svg/30px-Commons-logo.svg.png" decoding="async" width="30" height="40" class="noviewer" srcset="/upwiki/wikipedia/en/thumb/4/4a/Commons-logo.svg/45px-Commons-logo.svg.png 1.5x, /upwiki/wikipedia/en/thumb/4/4a/Commons-logo.svg/59px-Commons-logo.svg.png 2x" data-file-width="1024" data-file-height="1376" /></td> <td class="mbox-text plainlist">Wikimedia Commons has media related to <i><b><a href="https://commons.wikimedia.org/wiki/Category:Deltoid_muscle" class="extiw" title="commons:Category:Deltoid muscle"><span style="">Deltoid muscle</span></a></b></i>.</td></tr> </tbody></table> <div role="note" class="hatnote navigation-not-searchable">This article uses anatomical terminology; for an overview, see <a href="/enwiki/wiki/Anatomical_terminology" title="Anatomical terminology">anatomical terminology</a>.</div><div role="navigation" class="navbox" aria-labelledby="Muscles_of_the_arm" style="padding:3px"><table class="nowraplinks mw-collapsible autocollapse navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th scope="col" class="navbox-title" colspan="2"><div class="plainlinks hlist navbar mini"><ul><li class="nv-view"><a href="/enwiki/wiki/Template:Muscles_of_upper_limb" title="Template:Muscles of upper limb"><abbr title="View this template" style=";;background:none transparent;border:none;-moz-box-shadow:none;-webkit-box-shadow:none;box-shadow:none; padding:0;">v</abbr></a></li><li class="nv-talk"><a href="/enwiki/wiki/Template_talk:Muscles_of_upper_limb" title="Template talk:Muscles of upper limb"><abbr title="Discuss this template" style=";;background:none transparent;border:none;-moz-box-shadow:none;-webkit-box-shadow:none;box-shadow:none; padding:0;">t</abbr></a></li><li class="nv-edit"><a class="external text" href="https://en.wikipedia.org/enwiki/w/index.php?title=Template:Muscles_of_upper_limb&amp;action=edit"><abbr title="Edit this template" style=";;background:none transparent;border:none;-moz-box-shadow:none;-webkit-box-shadow:none;box-shadow:none; padding:0;">e</abbr></a></li></ul></div><div id="Muscles_of_the_arm" style="font-size:114%;margin:0 4em"><a href="/enwiki/wiki/Muscle" title="Muscle">Muscles</a> of the <a href="/enwiki/wiki/Arm" title="Arm">arm</a></div></th></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Shoulder" title="Shoulder">Shoulder</a></th><td class="navbox-list navbox-odd hlist" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><td colspan="2" class="navbox-list navbox-odd" style="width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a class="mw-selflink selflink">deltoid</a></li> <li><a href="/enwiki/wiki/Rotator_cuff" title="Rotator cuff">rotator cuff</a> <ul><li><a href="/enwiki/wiki/Supraspinatus_muscle" title="Supraspinatus muscle">supraspinatus</a></li> <li><a href="/enwiki/wiki/Infraspinatus_muscle" title="Infraspinatus muscle">infraspinatus</a></li> <li><a href="/enwiki/wiki/Teres_minor_muscle" title="Teres minor muscle">teres minor</a></li> <li><a href="/enwiki/wiki/Subscapularis_muscle" title="Subscapularis muscle">subscapularis</a></li></ul></li> <li><a href="/enwiki/wiki/Teres_major_muscle" title="Teres major muscle">teres major</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Fascia" title="Fascia">fascia</a>:</th><td class="navbox-list navbox-even" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Deltoid_fascia" class="mw-redirect" title="Deltoid fascia">deltoid fascia</a></li> <li><a href="/enwiki/wiki/Supraspinous_fascia" title="Supraspinous fascia">supraspinous fascia</a></li> <li><a href="/enwiki/wiki/Infraspinous_fascia" title="Infraspinous fascia">infraspinous fascia</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Arm" title="Arm">Arm</a><br />(<a href="/enwiki/wiki/Fascial_compartments_of_arm" title="Fascial compartments of arm">compartments</a>)</th><td class="navbox-list navbox-odd hlist" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Anterior_compartment_of_the_arm" class="mw-redirect" title="Anterior compartment of the arm">anterior</a></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Coracobrachialis_muscle" title="Coracobrachialis muscle">coracobrachialis</a></li> <li><a href="/enwiki/wiki/Biceps" title="Biceps">biceps</a></li> <li><a href="/enwiki/wiki/Brachialis_muscle" title="Brachialis muscle">brachialis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Posterior_compartment_of_the_arm" class="mw-redirect" title="Posterior compartment of the arm">posterior</a></th><td class="navbox-list navbox-even" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Triceps_brachii_muscle" class="mw-redirect" title="Triceps brachii muscle">triceps brachii</a></li> <li><a href="/enwiki/wiki/Anconeus_muscle" title="Anconeus muscle">anconeus</a></li> <li><a href="/enwiki/wiki/Articularis_cubiti_muscle" title="Articularis cubiti muscle">articularis cubiti</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Fascia" title="Fascia">fascia</a></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Axillary_sheath" title="Axillary sheath">axillary sheath</a></li> <li><a href="/enwiki/wiki/Axillary_fascia" title="Axillary fascia">axillary fascia</a></li> <li><a href="/enwiki/wiki/Brachial_fascia" title="Brachial fascia">brachial fascia</a></li> <li><i>intermuscular septa</i> <ul><li><a href="/enwiki/wiki/Lateral_intermuscular_septum_of_arm" class="mw-redirect" title="Lateral intermuscular septum of arm">lateral</a></li> <li><a href="/enwiki/wiki/Medial_intermuscular_septum_of_arm" class="mw-redirect" title="Medial intermuscular septum of arm">medial</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">other</th><td class="navbox-list navbox-even" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><i>spaces</i> <ul><li><a href="/enwiki/wiki/Quadrangular_space" title="Quadrangular space">quadrangular space</a></li> <li><a href="/enwiki/wiki/Triangular_space" title="Triangular space">triangular space</a></li> <li><a href="/enwiki/wiki/Triangular_interval" title="Triangular interval">triangular interval</a></li></ul></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Forearm" title="Forearm">Forearm</a></th><td class="navbox-list navbox-odd hlist" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Anterior_compartment_of_the_forearm" title="Anterior compartment of the forearm">anterior</a></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><style data-mw-deduplicate="TemplateStyles:r886047488">.mw-parser-output .nobold{font-weight:normal}</style><span class="nobold"><i>superficial:</i></span></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Pronator_teres_muscle" title="Pronator teres muscle">pronator teres</a></li> <li><a href="/enwiki/wiki/Palmaris_longus_muscle" title="Palmaris longus muscle">palmaris longus</a></li> <li><a href="/enwiki/wiki/Flexor_carpi_radialis_muscle" title="Flexor carpi radialis muscle">flexor carpi radialis</a></li> <li><a href="/enwiki/wiki/Flexor_carpi_ulnaris_muscle" title="Flexor carpi ulnaris muscle">flexor carpi ulnaris</a></li> <li><a href="/enwiki/wiki/Flexor_digitorum_superficialis_muscle" title="Flexor digitorum superficialis muscle">flexor digitorum superficialis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886047488"/><span class="nobold"><i>deep:</i></span></th><td class="navbox-list navbox-even" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Pronator_quadratus_muscle" title="Pronator quadratus muscle">pronator quadratus</a></li> <li><a href="/enwiki/wiki/Flexor_digitorum_profundus_muscle" title="Flexor digitorum profundus muscle">flexor digitorum profundus</a></li> <li><a href="/enwiki/wiki/Flexor_pollicis_longus_muscle" title="Flexor pollicis longus muscle">flexor pollicis longus</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Posterior_compartment_of_the_forearm" title="Posterior compartment of the forearm">posterior</a></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886047488"/><span class="nobold"><i> superficial:</i></span></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Mobile_wad" title="Mobile wad">mobile wad</a> <ul><li><a href="/enwiki/wiki/Brachioradialis" title="Brachioradialis">brachioradialis</a></li> <li><a href="/enwiki/wiki/Extensor_carpi_radialis_longus_muscle" title="Extensor carpi radialis longus muscle">extensor carpi radialis longus</a> and <a href="/enwiki/wiki/Extensor_carpi_radialis_brevis_muscle" title="Extensor carpi radialis brevis muscle">brevis</a></li></ul></li> <li><a href="/enwiki/wiki/Extensor_digitorum_muscle" title="Extensor digitorum muscle">extensor digitorum</a></li> <li><a href="/enwiki/wiki/Extensor_digiti_minimi_muscle" title="Extensor digiti minimi muscle">extensor digiti minimi</a></li> <li><a href="/enwiki/wiki/Extensor_carpi_ulnaris_muscle" title="Extensor carpi ulnaris muscle">extensor carpi ulnaris</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886047488"/><span class="nobold"><i>deep:</i></span></th><td class="navbox-list navbox-even" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Supinator_muscle" title="Supinator muscle">supinator</a></li> <li><a href="/enwiki/wiki/Anatomical_snuff_box" class="mw-redirect" title="Anatomical snuff box">anatomical snuff box</a> <ul><li><a href="/enwiki/wiki/Abductor_pollicis_longus_muscle" title="Abductor pollicis longus muscle">abductor pollicis longus</a></li> <li><a href="/enwiki/wiki/Extensor_pollicis_brevis_muscle" title="Extensor pollicis brevis muscle">extensor pollicis brevis</a></li> <li><a href="/enwiki/wiki/Extensor_pollicis_longus_muscle" title="Extensor pollicis longus muscle">extensor pollicis longus</a></li></ul></li> <li><a href="/enwiki/wiki/Extensor_indicis_muscle" title="Extensor indicis muscle">extensor indicis</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Fascia" title="Fascia">fascia</a></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Bicipital_aponeurosis" title="Bicipital aponeurosis">bicipital aponeurosis</a></li> <li><i>common tendons</i> <ul><li><a href="/enwiki/wiki/Common_extensor_tendon" title="Common extensor tendon">extensor</a></li> <li><a href="/enwiki/wiki/Common_flexor_tendon" title="Common flexor tendon">flexor</a></li></ul></li> <li><a href="/enwiki/wiki/Antebrachial_fascia" title="Antebrachial fascia">antebrachial fascia</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">other</th><td class="navbox-list navbox-even" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Cubital_tunnel" title="Cubital tunnel">cubital tunnel</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Hand" title="Hand">Hand</a></th><td class="navbox-list navbox-odd hlist" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%">lateral volar</th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Thenar_eminence" title="Thenar eminence">thenar</a> <ul><li><a href="/enwiki/wiki/Opponens_pollicis_muscle" title="Opponens pollicis muscle">opponens pollicis</a></li> <li><a href="/enwiki/wiki/Flexor_pollicis_brevis_muscle" title="Flexor pollicis brevis muscle">flexor pollicis brevis</a></li> <li><a href="/enwiki/wiki/Abductor_pollicis_brevis_muscle" title="Abductor pollicis brevis muscle">abductor pollicis brevis</a></li></ul></li> <li><a href="/enwiki/wiki/Adductor_pollicis_muscle" title="Adductor pollicis muscle">adductor pollicis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">medial volar</th><td class="navbox-list navbox-even" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Hypothenar_eminence" title="Hypothenar eminence">hypothenar</a> <ul><li><a href="/enwiki/wiki/Opponens_digiti_minimi_muscle" class="mw-redirect" title="Opponens digiti minimi muscle">opponens digiti minimi</a></li> <li><a href="/enwiki/wiki/Flexor_digiti_minimi_brevis_muscle_(hand)" title="Flexor digiti minimi brevis muscle (hand)">flexor digiti minimi brevis</a></li> <li><a href="/enwiki/wiki/Abductor_digiti_minimi_muscle_of_hand" title="Abductor digiti minimi muscle of hand">abductor digiti minimi</a></li></ul></li> <li><a href="/enwiki/wiki/Palmaris_brevis_muscle" title="Palmaris brevis muscle">palmaris brevis</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">intermediate</th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Lumbricals_of_the_hand" title="Lumbricals of the hand">lumbrical</a></li> <li><i>interossei</i> <ul><li><a href="/enwiki/wiki/Dorsal_interossei_of_the_hand" title="Dorsal interossei of the hand">dorsal</a></li> <li><a href="/enwiki/wiki/Palmar_interossei_muscles" title="Palmar interossei muscles">palmar</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/enwiki/wiki/Fascia" title="Fascia">fascia</a></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886047488"/><span class="nobold"><i>posterior:</i></span></th><td class="navbox-list navbox-even" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Extensor_retinaculum_of_the_hand" title="Extensor retinaculum of the hand">extensor retinaculum</a></li> <li><a href="/enwiki/wiki/Extensor_expansion" title="Extensor expansion">extensor expansion</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886047488"/><span class="nobold"><i>anterior:</i></span></th><td class="navbox-list navbox-odd" style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><a href="/enwiki/wiki/Flexor_retinaculum_of_the_hand" title="Flexor retinaculum of the hand">flexor retinaculum</a></li> <li><a href="/enwiki/wiki/Palmar_aponeurosis" title="Palmar aponeurosis">palmar aponeurosis</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr></tbody></table><div></div></td></tr></tbody></table></div> <div role="navigation" class="navbox authority-control" aria-labelledby="Authority_control_frameless_&amp;#124;text-top_&amp;#124;10px_&amp;#124;alt=Edit_this_at_Wikidata_&amp;#124;link=https&amp;#58;//www.wikidata.org/wiki/Q130243&amp;#124;Edit_this_at_Wikidata" style="padding:3px"><table class="nowraplinks hlist navbox-inner" style="border-spacing:0;background:transparent;color:inherit"><tbody><tr><th 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style="text-align:left;border-left-width:2px;border-left-style:solid;width:100%;padding:0px"><div style="padding:0em 0.25em"> <ul><li><span class="nowrap"><a href="/enwiki/wiki/Terminologia_Anatomica" title="Terminologia Anatomica">TA98</a>: <span class="uid"><a class="external text" href="http://tools.wmflabs.org/wikidata-externalid-url/?p=1323&amp;url_prefix=https:%2F%2Fwww.unifr.ch%2Fifaa%2FPublic%2FEntryPage%2FTA98%20Tree%2FEntity%20TA98%20EN%2F&amp;url_suffix=%20Entity%20TA98%20EN.htm&amp;id=A04.6.02.002">A04.6.02.002</a></span></span></li></ul> </div></td></tr></tbody></table></div> <!-- NewPP limit report Parsed by mw1347 Cached time: 20191114012053 Cache expiry: 2592000 Dynamic content: false Complications: [vary‐revision‐sha1] CPU time usage: 0.492 seconds Real time usage: 0.682 seconds Preprocessor visited node count: 1646/1000000 Preprocessor generated node count: 0/1500000 Post‐expand include size: 92874/2097152 bytes Template argument size: 1461/2097152 bytes Highest 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Whether or not the change was made through a Tor exit node (tor_exit_node)
false
Unix timestamp of change (timestamp)
1573694453