We studied the origin of the anterior deltoid from the lateral third o
f the clavicle and the leading anterior edge of the acromion in 18 cad
aver shoulders by anatomical and histological methods. The main origin
of the deltoid was from the superior surface of the anterior acromion
, but muscle and tendinous attachments were also seen on the entire an
terior surface of the acromion, its anteroinferior surface and on the
whole width of the anterior surface of the clavicle. Mock arthroscopic
acromioplasty was shown to detach deltoid fibres from the anterior su
rfaces, leaving the superior attachment in continuity. Potentially, ar
throscopic subacromial and clavicular resection can detach deltoid fib
res originating from the anterior and anteroinferior surfaces of the a
cromion and clavicle and thus weaken the anterior deltoid.