The serratus posterior superior and inferior muscles are generally consider
ed clinically insignificant muscles that, based on attachments, probably fu
nction in respiration. Interestingly, however, there is no evidence support
ing a respiratory role for these muscles. In fact, some electromyographic d
ata refute a respiratory function for these muscles. We suggest that the se
rratus posterior muscles function primarily in proprioception. Further, the
se muscles, especially the superior, have been implicated in myofascial pai
n syndromes and therefore may have greater clinical relevance than commonly
attributed to them. (C) 2001 Wiley-Liss, Inc.