3. Supraspinatus

Origin: Supraspinatus fossa of scapula

Insertion: Superior facet on greater tuberosity of humerus

Action:

  1. Initiates abduction
  2. Assists in stabilization of humerus in glenoid – Assists with depression of humerus

Innervation: Suprascapular nerve (C4/5/6)

Supraspinatus.
Figure 8.6 Supraspinatus, adapted by Uwe Gille from the original image by Henry Gray and Henry Vandyke Carter (Public domain).

Needling

Position: Prone

Palpation: Palpate the spine of the scapula and hook fingers up and over it

Technique: Needle directly down between fingers in an inferior direction aiming for the suprascapular fossa

Caution: Moderate – ensure you have located the scapular spine and not the superior border of the scapula

Supraspinatus foramen have been reported in literature

(McCutcheon, L., & Yelland, M. (2011). Iatrogenic pneumothorax: safety concerns when using acupuncture or dry needling in the thoracic region. Physical Therapy Reviews, 16(2), 126–132. https://doi.org/10.1179/1743288X11Y.0000000012)

(Patel et al. (1985). Scapula foramina. Skeletal Radiology, 14, 270–275.) 

Needling supraspinatus.
Figure 8.7 Needling supraspinatus, original image by Nadine Crocker, CC BY-NC 4.0.
Needling supraspinatus.
Figure 8.8 Needling supraspinatus, original image by Nadine Crocker, CC BY-NC 4.0.

Video 8.3 Needling supraspinatus, original video by Nadine Crocker, CC BY-NC 4.0.

License

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