The sternal head of the pectoralis major is a stronger shoulder transverse
flexor (shoulder
internally rotated) than transverse
adductor (shoulder
externally rotated). It is a stronger shoulder
adductor when the shoulder is internally rotated. It is also
a stronger shoulder
extensor when the shoulder is internally rotated. Incidentally,
the sternal head of the pectoralis major does not extend the
shoulder beyond anatomical position
(shoulder hyperextension).
The biarticulate
sternal head of the pectoralis major enters passive
insufficiency through the completion of shoulder
transverse extension or transverse
abducted when the shoulder girdle is more retracted
or through the completion of shoulder abduction when the scapula
is more rotated
upward and elevated.
The biarticulate sternal head of the pectoralis major enters
active insufficiency
through the completion of shoulder
transverse flexion or transverse
adduction when the shoulder girdle is more protracted
or through the completion of shoulder adduction when the scapula
is more rotated
downward and depressed.