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Summary anatomy of the posterior neck triangles and the shoulder muscles

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this document provides a comprehensive overview of the posterior neck triangles, detailing all associated muscles, vascular supply, and innervation .It also explores shoulder muscles, highlighting their anatomical structure, functions and connectivity to the neck region. The content is structured to enhance understanding of musculoskeletal relationships and neurovascular pathways within these anatomical areas

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March 1, 2025
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 The posterior triangle of the neck is a fascinating anatomical area.
It’s bordered by specific muscles and contains various vital
structures. Let’s break it down:

 Boundaries:

 Anterior: Sternocleidomastoid muscle
 Posterior: Trapezius muscle
 Inferior: Clavicle

 Subdivisions:

 The posterior triangle is further divided into:
 Occipital triangle: Bounded by the sternocleidomastoid, trapezius,
and the inferior belly of the omohyoid muscle.
 Supraclavicular (subclavian) triangle: Located below the
inferior belly of the omohyoid.

 Contents:

 Nerves: Brachial plexus (emerging between the anterior and
middle scalene muscles), accessory nerve (cranial nerve XI).
 Vessels: Subclavian artery and vein, transverse cervical artery, and
suprascapular artery.
 Lymph nodes: Deep cervical lymph nodes.

The posterior triangle of the neck is filled with various structures, each
with specific origins, innervation, and vascular supply. Here's an overview
of some key structures:

Nerves:

1. Accessory nerve (Cranial Nerve XI):
a. Origin: Brainstem
b. Innervation: Sternocleidomastoid and trapezius muscles
c. Vascular Supply: Branches of the occipital and transverse
cervical arteries
2. Brachial plexus:
a. Origin: Ventral rami of spinal nerves C5-T1
b. Innervation: Muscles and skin of the upper limb
c. Vascular Supply: Branches of the subclavian and axillary
arteries

, Vessels:

1. Subclavian artery:
a. Origin: Aortic arch (left) and brachiocephalic trunk (right)
b. Branches: Vertebral artery, internal thoracic artery,
thyrocervical trunk (which gives off the transverse cervical
and suprascapular arteries)
c. Vascular Supply: Neck, thorax, upper limb
2. Subclavian vein:
a. Origin: Continuation of the axillary vein
b. Drainage: Returns blood from the upper limb and thorax to
the heart
3. Transverse cervical artery:
a. Origin: Thyrocervical trunk
b. Supply: Trapezius muscle and surrounding tissues

Lymph Nodes:

1. Deep cervical lymph nodes:
a. Location: Along the internal jugular vein and within the
posterior triangle
b. Function: Drain lymph from the head and neck

The posterior triangle of the neck houses several muscles, each with
distinct innervation, vascular supply, and actions.

Muscles:

1. Sternocleidomastoid (SCM):
a. Innervation: Accessory nerve (cranial nerve XI) and branches
from the cervical plexus (C2-C3)
b. Vascular Supply: Branches of the superior thyroid, occipital,
and suprascapular arteries
c. Action: Flexes the neck, rotates the head to the opposite
side, and can extend the head at the atlanto-occipital joint
2. Trapezius:
a. Innervation: Accessory nerve (cranial nerve XI) and branches
from the cervical plexus (C2-C4)
b. Vascular Supply: Transverse cervical artery
c. Action: Elevates, retracts, and rotates the scapula; extends
the neck
3. Splenius capitis:
a. Innervation: Dorsal rami of the middle cervical spinal nerves
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