Thirteen shoulders of 13 cases with aberrant muscle attached to the subscap
ularis encountered during surgery are described. The distal part of the sub
scapularis was completely or incompletely covered by aberrant muscle in all
cases, and the anterior circumflex vessels were covered in 3 cases. Knowle
dge concerning these aberrant muscles is indispensable in minimizing confus
ion concerning surgical anatomy and in achieving adequate exposure of the s
houlder during surgery while preserving the anterior circumflex artery, whi
ch constitutes the main nutrient vessel of the humeral head.