Dissection vs AxP Anatomy: Rotatores Thoracis (L)

Compare dissection anatomy and soft tissue therapy anatomy: The left-sided rotatores thoracis right rotate the “transverse thoracic,” are single-complex muscles, have two single-complex synergists, three single-complex antagonists, and six multi-complex synergists and antagonists.

Written by

Willem Kramer

Published on

June 28, 2025

Anatomy by Planes

TRANSVERSE THORACIC COMPLEX (T9)

Plane
Transverse plane.

Complex 
Transverse thoracic, T9.

Joints
Facet joints T1 - L1.
Intervertebral symphyses T1 - L1.

Motions
35 degrees left rotation.
35 degrees right rotation.

Dermatomes
C6 - L1.

Indirect Motion
Transverse rib cage, T12.

Reciprocal Relationships
Transverse shoulder girdle, T13. ¶
Transverse rib cage, T12.
Transverse cervical, T10.
Transverse thoracis, T9.
Transverse lumbar, T8.

¶: left and right sides

LEFT-SIDE ROTATORES THORACIS

Motion
Right rotation (contralateral).

Muscles
Rotatores Thoracis (longi and brevis). L

Single-Complex
Thoracic.

Depth of Muscle
Level 4 (deep to skin and three layers of muscle).

L: left side of the body

Single-Complex Synergists (2)
Multifidus (thoracic part, left-side).
Semispinalis thoracis (left-side).

Single-Complex Antagonists (3)
Multifidus (thoracic part, right-side).
Rotatores thoracis (right-side).
Semispinalis thoracis (right-side).

Multi-Complex Synergists (6)
External oblique (left-side).
Iliocostalis lumborum (lumbar & thoracic parts, right-side).
Internal oblique (right-side).
Latissimus dorsi (right-side).
Rectus abdominis (left-side).
Transverse abdominis (upper part, right-side).

Multi-Complex Antagonists (6)
External oblique (right-side).
Iliocostalis lumborum (lumbar & thoracic parts, left-side).
Internal oblique (left-side).
Latissimus dorsi (left-side).
Rectus abdominis (right-side).
Transverse abdominis (upper part, left-side).

Traditional Anatomy

Inferior attachment
From the twelfth to the second thoracic vertebrae, the individual muscles connect with the upper, posterior surface ot the vertebral transverse processes.

Superior attachment
From the eleventh to the first thoracic vertebrae, the individual muscles connect with the lower margin and lateral aspect of the vertebral lamina, positioned between the spinous processes medially and the transverse processes laterally.

Location
On each side of the body, the rotatores thoracis muscle is comprised of eleven pairs (longi and brevis), small, square muscles.

Because of how they generate motion, the individual rectangular muscles are assumed to run up and inwards. The longer heads (longi) run from one vertebra to the next, skipping one vertebra. The shorter heads (breves) cross from one vertebra to the one above it. The muscles run obliquely, from their transverse attachment inward to the vertebral lamina. 

Innervation
By medial branches of the dorsal rami of spinal nerves.

Vascular Supply
Via dorsal branches of the posterior intercostal and lumbar arteries.

Motion
Extension (bilateral activity).
Rotation to opposite side (unilateral activity).

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Author

Willem is a Netherlands-educated physiotherapist and a US-licensed massage therapist with over thirty years of experience working with professional athletes, entertainers, and executives. He presents a unique approach that questions the reliance on dissection anatomy in the education of soft-tissue therapists. Willem advocates for a holistic understanding of the body, emphasizing that all organ systems are interconnected and interdependent. His insights offer both practitioners and enthusiasts a fresh perspective on musculoskeletal health.

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