In standing, start with the arm tucked in and elbow flexed to 90 degrees. prone external rotation, dumbbell side-lying external rotation). The teres major and teres minor pain can sometimes feel like a neurological pain due to burning sensation, stinging feeling and numbness in the affected area. By doing so you can feel a small muscle contracting. [4], A rotator cuff tear, including a tear to the teres minor, will not heal without surgery; however, good function of the affected shoulder can often be gained non-surgically. Teres minor is a small muscle that helps rotate your arm. My massage therapist said it was so tight it felt like bone. (c) Coronal view T2: No lesion of the supraspinatus. [8, 9]. Treatment is conservative, including rest, ice, and anti-inflammatory medications. Introduction. Remember to stretch slowly and gently, and never force your body into a position that feels painful or uncomfortable. Teres Minor is the thin extended muscle of the rotator sleeve; it helps in pivoting the arm sideways and in bringing the arm towards the body. The patient was clinically evaluated 2 years after the surgery and has still a painless, functional, and forgotten shoulder. McCausland C, Sawyer E, Eovaldi BJ, Varacallo M. Medina G, Bartolozzi AR, Spencer JA, Morgan C. The Thrower's Shoulder. Simons, David G., Lois S. Simons, and Janet G. Travell. Intraoperative view after the repair. The teres minor muscle and its tendon can be affected by shoulder impingement syndrome. It is one of the seven scapulohumeral muscles that act around the glenohumeral joint to facilitate shoulder movement[1]. If your teres minor is inhibited/lengthened, do the following: Increase training volume on exercises that isolate the movement of shoulder external rotation (e.g. Insertion: The medial lip of the intertubercular groove of the humerus[1]. Reinold MM, Escamilla R, Wilk KE. If you do not feel it right away, do not stress. Acute teres major and teres minor pain can happen due to a sudden movement like holding a rope during water sports or while throwing a powerful pitch in baseball. Despite the fact that it is considered the forgotten muscle, the important role of the teres minor (TM) is now well known [1]. Passive internal rotation was difficult and painful as well. The functional and anatomical results in this patient were excellent at the 6-month follow-up point and were maintained overtime, which was comparable to the results published by Zaman and Syed [7] after treating a TM tendon avulsion. This is important to enhancing joint stability by resisting superior humeral head translation (sliding up of the humeral head) and providing humeral head compression within the glenoid fossa of the scapula. Witney-Lagen C, Mazis G, Bruguera J, Atoun E, Sforza G, Levy O. Tears of the tendon can also occur, which can happen due to a traumatic injury, such as a fall, or they can be degenerative which is a result of prolonged weakness. set a cookie on your device to remember your preferences. Baltimore, MD: Williams & Wilkins, 1999. He gets to show up each day to work with wonderful coaches, watching his clients grow and prosper with new strength and health. As you can imagine, this means that they have the same function. They can also experience symptoms of pain at the backside of the shoulder and upper arm even while resting their elbows on a table. The teres minor muscle originates from the back of the shoulder blade (scapula) and inserts into the upper part of the arm bone (humerus). What to do if pain aggravates after a self-massage. Then rotate your shoulder outwards. Melis B, DeFranco MJ, Ldermann A, Barthelemy R, Walch G. The teres minor muscle in rotator cuff tendon tears. The doctor or physiotherapist would usually palpate the area and the muscle to find out if it is a teres major or minor pain. Ehealth star Teres Major Muscle Available: Prime health channel Teres Major Available: Dalagiannis N, Tranovich M, Ebraheim N. Teres minor and quadrilateral space syndrome: a review. If youre not there yet or the area is so tight that all you can manage is to lay on the foam roller for a few minutes, then thats all you have to do. Myotendinous lesions of the teres minor can occur in young patients after shoulder trauma. Massage yourself daily until your pains are gone. To hit this muscle from a different angle, you can use a wall to focus the stretch on the teres minor and also get into a few of the other tissues around the underside of your arm. The subscapularis,along with the teres major, which is another intrinsic muscle that is not part of the rotator cuff, and extrinsic muscles like the pectoralis major and latissimus dorsi, are responsible for medial, or internal, rotation of the arm. It will worsen over time and the shoulder will weaken to the point where the athlete wont be able to lift their arm to the side. this may affect Do elderly patients gain as much benefit from arthroscopic rotator cuff repair as their younger peers? Stabilisation of the head of the humerus into the glenoid cavity. Tendinitis: Tendinitis is an inflammation of the tendons, which can be caused by overuse or repetitive stress. The teres minor also laterally or externally rotates the arm at the shoulder joint. Posted on 30th Jul 2020 / Stuttgart/New York: Georg Thieme Verlag, 2007. The teres minor muscle has a bursa that can become inflamed, leading to pain and swelling in the shoulder. A teres minor injury refers to damage sustained to the teres minor muscle. The myotendinous tear of the TM was confirmed, as well as the integrity of the IS (Fig. Tendinitis, which is inflammation of the tendon, is a common pathology that results from overuse of the muscle. Teres major (TM) is a small muscle that runs along the lateral border of the scapula. The posterior humeral circumflex artery is a more distal branch offof the third portion of the axillary artery. The muscle groups are well-established byeight weeks. Patients can get discouraged after months of no improvement if they are not educated prior to surgery that this is normal and expected. Travell JG, Simons DG, Simons LS (1998). Upper Left Back Pain: Causes, Symptoms, Treatment, Diagnosis, Dietary Dos and Donts for Migraine Sufferers, Shirshasana (Headstand) Versus Inversion Therapy Using Inversion Table, Understanding Joint Pain and Tips to Get Relief Using Home Remedies, Erectile Dysfunction: Does Opioid Cause ED, Libido: Opioid Induced Female Sexual Dysfunction. Usually a person suffering from teres major and teres minor pain experiences a spreading pain that may apply to the infraspinatus, posterior deltoid and triceps areas. The teres minor, a muscle of the upper limb, arises from the myotome of the paraxial mesoderm (somites). Both muscles play an important role in providing glenohumeral compression during upper extremity movements, which is needed for optimal shoulder function to occur. A few even had to work through post-surgery recovery and the slow progress that comes with that path. A latissimus dorsi tendon transfer, as proposed by Gerber back in 1998, seemed to be the best solution in these situations where the superior and posterior cuff tears were irreparable. The fast and repetitive extension and outward rotation of the shoulder reaching high and behind every time stresses the muscle. Moreover, isolated atrophy of the TM was reported to occur in 3% of the shoulders, as an incidental finding on shoulder imaging [11]. 2, 3 The [Updated 2022 May 15]. analytics eg The TM and LD muscles act in the acceleration and follow through phases of the throwing motion in pitchering in baseball. ( Place a towel between the elbow and trunk and a pillow or cushion for head support. Rupture in the teres minor can cause a loss of external rotation, while attributes to severe functional disabilities in being able to participate in regular daily activities. There was a slight asymmetry of strength in external rotation compared to the contralateral side, but it was not obvious and could be explained by the pain. This is your opportunity to point out what area youd like to work on during your time, as well as identify any special requests or concerns you may have. The teres minor arises from the posterior surface of the scapula, directly adjacent to the upperpart of its lateral border. It is very difficult to tease out an infraspinatus tear and. Beyond tearing the muscle, you can also end up with tendinopathy due to inflammation of the muscles. I like this tool because it allows you to cover the area reasonably quickly to determine where restriction is the most severe. The most common rotator cuff injury results in the tendon being pulled from its bony insertion, termed a complete tear; this requires the tendon to be repaired directly back to the bone. It may be necessary to vary the resistance by adjusting the position of the hands. Repeat the movement for eight to 12 repetitions. The authors recommended arthroscopic repair in the first 3 months after the acute phase. Interesting information The rotator cuff is a muscle group that works together to give the shoulder joint stability and help to control it during rotation. Injury to the axillary nerve, also known as axillary neuropathy or palsy, causes weakness of the previously discussed functions of the deltoid and teres minor muscles.Although teres minor weakness impairs external rotation of the arm, this may be difficult to detect because the primary external . Besides that, pain can radiate slightly into the backside of the arm. Stay up to date with our latest news, receive exclusive deals, and more. Editorial Commentary: Don't Be Superficial in Life or When It Comes to Delaminated Rotator Cuff Tear Repair. Forcefully throwing a ball, like you do it in Handball or Baseball, might lead to trigger points in this muscle. Literal meaning Lesser round or rounded off. Reach out your arms and grab ahold of the cable's handle and pull down while keeping your elbows by your side. Anatomy of Movement. The darker the red, the likelier it is to feel pain in the respective area when the teres minor contains active trigger points. In some cases the pain at the back of the arm passes the elbow and continues down to the back of the forearm. Next, place your left side to the door frame and reach out with your right arm to grip the doorframe with the right palm facing ahead. Here, it moves posteriorlyout of the axilla with the posterior circumflex humeral artery (PCHA) through the quadrangular space,created by the teres minor superiorly, teres major inferiorly, the surgical neck of humerus laterally, and long head of triceps brachii medially. The extremely low frequency of reports in literature highlights the rarity of these lesions, but also perhaps the fact that they might be under diagnosed. They work closely with the shoulder girdle muscles to stabilize and move the shoulder. The upper limb bud appears at about four weeks and lies opposite somites C4, C5, C6, C7, C8, T1, and T2. Print, Davies, Clair, and Davies, Amber. Functional role of teres minor (TM) is well known. This book is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) Moreover, in case of a massive cuff tear, TM tends to hypertrophy to compensate for the loss of the other tendons (especially the infraspinatus [IS]). Green sutures = Side-to-side suture of the TM. Get into position sitting in a chair only a few feet away from the anchor with the band shoulder height. It lies right next to it and has similar attachment points. Posted on 30th Jul 2020 . Travell and Simons' Myofascial Pain and Dysfunction: The Trigger Point Manual, Volume 2: The Upper Half of Body (2nd ed). Jeff Baker loves what he does thats the simple answer to why he became a coach. (b) Coronal view: Intact inferior articular capsule and supraspinatus. Resting the muscle can help to reduce inflammation and pain. Injuries to the rotator cuff can affect the teres minor muscle and cause pain and limited range of motion in the shoulder. This article does not provide medical advice. Warm up helps loosen the muscles and tissues and makes them less compact. The teres minor muscle can cause a deep pain in the shoulder which can sometimes be misconstrued as bursitis. Di Benedetto P, Beltrame A, Cicuto C, Battistella C, Gisonni R, Cainero V, Causero A. Rotator cuff tears reparability index based on pre-operative MRI: our experience. [1] It contributes to the rotator cuff, a capsule of muscles and tendons that collectively stabilize the glenohumeral joint. 4). Active external rotation, with the arm at side and in abduction, was painful. Hence, it is very important for them to get it treated quickly, so that it does not hamper their sport. Maintain a retracted (squeeze shoulder blades together) position throughout the exercise. Calais-German, Blandine. Causes of Neuropathy. Lorem ipsum dolor sit amet, consectetur adipiscing elit. It is important to maintain strength and flexibility in this muscle and the other muscles of the rotator cuff to help prevent injury and maintain proper shoulder function. Prometheus: Lernatlas der Anatomie. Teres minor muscle (Musculus teres minor) Teres minor is a posterior muscle of the shoulder that extends between the scapula and the head of humerus.It is one of the four muscles of the rotator cuff, along with the supraspinatus, infraspinatus and subscapularis.. Rotator cuff muscles act together to control the movements of the humeral head and stabilize it within the glenoid cavity of the . 6). Regular exercise is a simple and effective method to treat teres major and teres minor pain. MRI confirmed that the muscle had healed, without atrophy or fatty infiltration. It supports the infraspinatus with the outward/lateral rotation of the shoulder. The most common symptoms of a teres minor injury include pain and tenderness in the shoulder, weakness or difficulty moving the arm, and swelling or bruising in the affected area. In some instances, part or whole of the muscle fibers are affected, while in severe cases the tendons attached with the muscle also . 2020 Jul 1;20:144-6.Available: Sanzo P, MacHutchon M (2015). Most teres minor tears are associated with larger rotator cuff tears; however, there is minimal literature on how to manage isolated injuries. Teres Major Strain often occurs when proper warm up is not done before workouts, The teres major is overactive and short in people with, Move your fingers and thumb medially to the lateral boarder of the scapula, Teres major muscle fibers lie medial to the latissimus and attach to the lateral boarder of the scapula, Follow these fibers up towards the axilla where they blend with latissimus dorsi, With the patient in supine, flex the patient's shoulder to 180 deg with one hand by holding on the forearm, Stabilize the scapula along the lateral boarder with the other hand, With the hand holding the forearm, externally rotate the arm, Both the moving hand and the hand stabilizing the scapula are used to sense the amount of muscle tension and barrier. We decided to choose the surgical option, which gave him the maximum chance to recover well and return to his level of pre-injury sport participation. [2] It's sometimes called "lat's little helper" because of its synergistic action with the latissimus dorsi. Your infraspinatus muscle is a thick triangular muscle located at the back of your shoulder. The numbers in the parentheses (1, 2, 3) are clickable links to peer-reviewed scientific papers. Because of drawn out and customary utilization of arm and shoulder muscles a few people are inclined to teres major and teres minor wounds that can be peaceful difficult. http://creativecommons.org/licenses/by-nc-nd/4.0/ The teres minor muscle also assists with shoulder extension and downward rotation. The teres major muscle is an important muscle as it is responsible for a number of shoulder movements in multiple directions. StatPearls Publishing, Treasure Island (FL). Treatment is conservative, including rest, ice, and anti-inflammatory medications. However, such an injury has been described as a muscle strain lesion characterized by a delamination at the myotendinous junction with an intact articular capsule and tendon insertions. Use your right hand to gently push your left elbow downward and toward your left hip. A person suffering from pain in teres major or teres minor pain can feel symptoms of pain at the back of the upper arm when they stretch their arm forward to reach up something. During week 5, the myotomes migrate into the limb bud and formtwo condensations:one posterior and one anterior. Shoulder. This can be achieved through a combination of stretching and strengthening exercises. As this muscle supports the infraspinatus you will understand that trigger points or excessive muscle tension in this muscle will affect the same movements. Over time this can be just too much. [4], Collectively, the rotator cuff stabilizes the glenohumeral joint, which is a far more shallow and unstable ball-and-socket joint than the hip. If you have not read about the infraspinatus, you can do so now by clicking here. Teres minor, Rotator cuff, Sports injury, Shoulder, Myotendinous tear. Position a resistance band around something sturdy. The teres minor is an elongated, narrow muscle within the rotator cuff of the shoulder. Image courtesy S Bhimji MD. What Causes Stenosis of the Neck & How is it Treated? A simple and proven process for overcoming (chronic) muscle pain, movement impairments and inexplicable symptoms. Careers, Unable to load your collection due to an error. The patient was a 22-year-old soccer player who has presented with a direct shoulder traumatism that is causing persistent pain and impairment. These movements are important for activities such as lifting objects or throwing a ball. In addition to these specific movements, the teres minor muscle helps to stabilize the shoulder joint and prevent excessive movement or instability. Baltimore, MD: Williams & Wilkins. Journal of orthopaedics. Top Contributors - Evan Thomas, Lucinda hampton, Joao Costa, Kim Jackson, WikiSysop, Admin, Oyemi Sillo and Naomi O'Reilly, Teres major (TM) is a small muscle that runs along the lateral border of the scapula. Most cases of Teres Major Injury heal successfully without surgery. Please note our 24 Hour Cancelation Policy. Post-Acute COVID-19 Syndrome Rehabilitation, http://www.exrx.net/Muscles/TeresMinor.html, http://digitalrepository.unm.edu/cgi/viewcontent.cgi?article=1023&context=dpt, https://www.uptodate.com/contents/rotator-cuff-tendinitis-and-tear-beyond-the-basics, https://18kxerroa80uqzne1b7qmoje-wpengine.netdna-ssl.com/wp-content/uploads/2015/11/teres-minor.jpg, http://www.posturedirect.com/wp-content/uploads/2015/02/pelvposition1.png, http://www.physicaltherapyfirst.com/files/shoulder-exercises/free-weight-external-rotation.png, https://wizardofhealth.net/wp-content/uploads/2017/01/Prone-rotator-cuff-exercise.png, The Ultimate Guide For Shoulder Recovery Surgery, Why Different Parts of the Body Heal at Different Rates, How You Can Treat Plantar Fasciitis at Home, Why KneeandJoint Pain Increase When Its Cold, How Much You Should Walk After a Knee Replacement, To exercise the right side, begin by lying on the left, with the right shoulder pointing towards the ceiling. An example of data being processed may be a unique identifier stored in a cookie. Inclusion in an NLM database does not imply endorsement of, or agreement with, The main symptom of a teres major tear is a sudden sharp, The pain is usually dull and intensifies with, Discomfort and pain in upper arm reduces the. Learn three effective self-massage techniques for trigger points, and . However, after a few days, he felt that persistent pain and loss of function were unusual and sought a medical consultation. Stretch or impact injuries to the teres major muscle, sustained while playing sports or in motor vehicle accidents, as well as falls onto the lateral scapula are implicated in the evolution of teres major injuries. Once Ive gone over this area for a few minutes, Ill sometimes switch to a lacrosse ball to really dig into the toughest spots. Any of the rotator cuff muscles, including the teres minor, can tear. Stay in this position for 20-30 seconds and then stand straight to ease the weight from the shoulder. The patient will present with pain or clicking when raising the arm above the head. Although an overlooked muscle, teres major and minor pain can be extremely intense. 5). Resting the muscle can help to reduce inflammation and pain. It is one of the four muscles which comprise the Rotator Cuff. The teres minor decelerates internal rotation of the shoulder joint Inhibition in this muscle due to short/ spastic subscapularis , latissimus dorsi, teres major, and pectoralis major muscles sets up the ideal conditions for repetitive stress in sports, such as swimming and rugby, and in any activity involving acceleration through internal/external rotation and flexion/extension of the . Magnetic resonance imaging performed 6 months after the surgery. This means it keeps the head of your humerus in its socket. Aids in adduction of the arm, especially when heavily loaded. 8600 Rockville Pike If you believe that this Physiopedia article is the primary source for the information you are refering to, you can use the button below to access a related citation statement. To date, an isolated myotendinous rupture of the TM, without any lesion of the other cuff tendons, has never been reported in literature. The supraspinatus is responsible for the first 15 degrees of abduction; the deltoid, an intrinsic muscle of the shoulder that is not a rotator cuff muscle, is responsible for abduction from 15 to 90 degrees. Teres minor tears have commonly been described in the context of large rotator cuff tears in which multiple other cuff tendons tear first. We won't set optional cookies unless you enable them. It acts to rotate the arm outward (i.e., abduct the arm) and also assists with shoulder extension and downward rotation. Teres minor innervation in the context of isolated muscle atrophy. In todays society, a majority of us spend extended periods of time sitting due to our occupations. The axillary nerve innervates the teres minor and deltoid muscles, which are primarily responsible for abduction and external rotation. Anterior and posterior apprehension tests were both negative. Published in: This article may contains scientific references. It travels posteriorly with the axillary nerve through the quadrangular space, bounded by the teres minor superiorly, teres major inferiorly, the surgical neck of the humerus laterally, and the long head of the triceps brachii medially. Read more, Physiopedia 2023 | Physiopedia is a registered charity in the UK, no. He returned to playing soccer at the same level of competition that he had enjoyed before the injury. Cain EL, Andrachuk J, Wilk KE. The primary function of the teres minor muscle is to rotate the arm outward (i.e., abduct the arm). Cortisone injections can be used for refractory pain. Place the ball on the muscle and on the outer edge/border of your shoulder blade, respectively. Smith PA, Nuelle CW, Bradley JP. There are several trigger points that individually or collectively contribute to the teres major and minor pain. In this article, we described the first reported case of an isolated myotendinous TM tear. If a TM lesion commonly occurs in association with a rotator cuff tear, it remains a rare phenomenon (<1%) [6]. Shoulder impingement syndrome is defined as compression or impingement of the rotator cuff tendons, including the teres minor, by the overhanging bone of the scapula called the acromion. Place your fingers on the upper third of this border. It supports the infraspinatus with the outward/lateral rotation of the shoulder. It moves cranially through the triangular space,created by the teres minor superiorly, teres major inferiorly, and long head of the triceps brachii laterally, into the infraspinatus fossa where it joins the scapular anastomosis. Some of the exercises for teres major and minor pain are described below-. The teres minor (Latin teres meaning 'rounded') is a narrow, elongated muscle of the rotator cuff.The muscle originates from the lateral border and adjacent posterior surface of the corresponding right or left scapula and inserts at both the greater tubercle of the humerus and the posterior surface of the joint capsule.. Teres Minor is a narrow muscle which lies below infraspinatus, above teres major and triceps brachii, and deep to deltoid. Return slowly to the starting position while releasing the shoulder blades. This includes handball players, swimmers, basketball players, painters, volleyball players, wood choppers, rock climbers, and baseball pitchers. Start with 3 main sets, 3-4 times per week and never go to failure . The teres minor muscle:The forgotten muscle of the rotator cuff. Injury to the teres minor muscle, or to any of the other muscles in the rotator cuff, can cause pain and limited range of motion in the shoulder joint. TM = Teres Minor. Interesting information Using Gerber C, Blumenthal S, Curt A, Werner CM. We'd also like to set optional Stretching and strengthening exercises help to reduce the load through the tendon. Any arm and shoulder movement that regularly make use of the latissimus dorsi can intensify the muscle pain. https://radiopaedia.org/articles/teres-major-muscle, http://www.gustrength.com/muscles:teres-major-location-actions-and-trigger-points, https://www.kenhub.com/en/library/anatomy/teres-major-muscle, Isolated Teres Major Rupture: A case report with a suggested dedicated imaging protocol and review of the literature, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861626/, https://www.ehealthstar.com/anatomy/teres-major-muscle, https://www.rehabmypatient.com/shoulder/teres-major, https://www.primehealthchannel.com/teres-major.html, https://pubmed.ncbi.nlm.nih.gov/32025138/, https://www.physio-pedia.com/index.php?title=Teres_Major&oldid=328708. The teres minor is deep to the deltoid muscle. When it enters the posterior scapula, the axillary nerve bifurcates into two terminal branches; the posterior terminal branch innervates the teres minor. Then the artery moves anteriorly around the surgical neck of the humerus to supply the shoulder joint. The teres minor, a muscle of the upper limb, arises from the myotome of the paraxial mesoderm (somites). HHS Vulnerability Disclosure, Help (c) Sagittal view, T1 (Y view): No muscle atrophy, no fatty infiltration. 1 Alternatively, acute injuries of the teres minor are known to occur following posterior shoulder subluxation or dislocation, in which case concomitant injuries of the infraspinatus may be present. This muscle is located in the shoulder and is responsible for external rotation and stabilization of the joint. Characteristic fibrous bands are found within the quadrilateral space, which exacerbate symptoms, particularly pain, elicited by movements associated with the deltoid and teres minor muscles [9,10]. We completed the repair by placing three lateral sutures between the TM and IS to close the interval between the two muscles (Fig. The site is secure. But as with any procedure, there are risks, and there are failures. Due to prolonged and regular use of arm and shoulder muscles some people are prone to teres major and teres minor injuries that can be quiet painful. Your body is always seeking balance and when a muscle isnt in the best position the body will try to pull that muscle back into place. Isolated teres minor atrophy:Manifestation of quadrilateral space syndrome or traction injury to the axillary nerve? Oakland: New Harbinger Publications, Inc., Print. The posterior cuff was easily visualized. Teres minor denervation on routine magnetic resonance imaging of the shoulder. Image 6: Reaching in back pocket elicits pain in TM injury, Image 7: Diagram of the quadrilateral space. The workouts provide flexibility to the arm and shoulders and reduce the risk of injury. Print. Strains or tears: Like any muscle, the teres minor muscle can be strained or torn if it is overused or subjected to sudden, intense forces. Thats when the benefits to your body really start to become noticeable. Sit up straight in the chair with the feet flat on the floor. Rehabilitation of the teres minor muscle may be necessary if the muscle has been injured or weakened. Just take your time. Cookie Control Link Icon. Teres Major injuries result in pain and difficulty with activities that require sideways or backwards movements with the arm. Upper third out of the lateral margin in the scapula. If you would like to change your settings or withdraw consent at any time, the link to do so is in our privacy policy accessible from our home page.. The best way to protect yourself from any of these injuries starts with proper body mechanics and posture. More on shoulder joint muscles Elbow joint muscles The muscles at the elbow joint include: Triceps brachii Biceps brachii Brachialis Brachioradialis From 2001 to 2004, 30 patients underwent the operation from Gerbers technique. The type of surgical repairdepends on the type of tear. Ice: Applying ice to the affected area can help to reduce swelling and inflammation. 2009;95(2):108-113. doi:10.1016/j.otsr.2008.10.002. The X in the picture shows the area where trigger points often develop in this muscle. 1173185, Teres major muscle (highlighted in green) - posterior view image - Kenhub. Posterior . Therefore, quadrangular space syndrome can result in selective atrophy of the teres minor, vague shoulder pain, and paresthesia. Only passive motion was authorized for the 1st month and then active motion commenced. The teres minor is suppliedby the subscapular artery and one of its branches, the circumflex scapular artery, as well as the posterior circumflex humeral artery. Figure 1. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). There are several exercises that one can do to reduce teres major or teres minor pain.