Not attached on medial border of scapula ?
**Core Concept**
The question is testing the knowledge of the anatomical landmarks of the scapula, specifically the muscles and nerves that attach to it. The scapula has a complex arrangement of muscles and nerves that attach to its borders, and identifying the correct muscles that attach to the medial border is essential for understanding shoulder anatomy.
**Why the Correct Answer is Right**
The correct answer is a muscle that originates from the medial border of the scapula, specifically the Levator Scapulae muscle. This muscle originates from the superior angle and the upper border of the medial third of the scapula, and inserts into the superior facet of the first thoracic vertebra. It is a key muscle in the scapular stabilizing muscles, helping to elevate the scapula and assist in movements of the shoulder joint.
**Why Each Wrong Option is Incorrect**
* **Option A:** This muscle is not typically associated with the medial border of the scapula, but rather originates from the clavicle. It is the Trapezius muscle, which has a more extensive origin and insertion.
* **Option B:** This muscle originates from the lateral border of the scapula, not the medial border. It is the Teres minor muscle, which is a small muscle that helps to adduct and rotate the humerus.
* **Option C:** This muscle originates from the spine of the scapula, not the medial border. It is the Rhomboid major muscle, which helps to stabilize the scapula and assist in movements of the shoulder joint.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that the Levator Scapulae muscle is often involved in cases of scapular winging, where the scapula protrudes from the posterior aspect of the thoracic cavity. This can be due to muscle weakness or paralysis, and is often seen in patients with neurological disorders such as amyotrophic lateral sclerosis (ALS).
**Correct Answer:** D.