The suprascapular artery is a branch of the
thyrocervical trunk
The thyrocervical trunk is an artery of the neck. It is a branch of the subclavian artery. It arises from the first portion of this vessel, between the origin of the subclavian artery and the inner border of the scalenus anterior muscle. It is ...
on the
neck
The neck is the part of the body on many vertebrates that connects the head with the torso. The neck supports the weight of the head and protects the nerves that carry sensory and motor information from the brain down to the rest of the body. In ...
.
Structure
At first, it passes downward and laterally across the
scalenus anterior
The scalene muscles are a group of three pairs of muscles in the lateral neck, namely the anterior scalene, middle scalene, and posterior scalene. They are innervated by the third to the eight cervical spinal nerves (C3-C8).
The anterior and m ...
and
phrenic nerve
The phrenic nerve is a mixed motor/sensory nerve which originates from the C3-C5 spinal nerves in the neck. The nerve is important for breathing because it provides exclusive motor control of the diaphragm, the primary muscle of respiration. In ...
, being covered by the
sternocleidomastoid muscle
The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the access ...
; it then crosses the
subclavian artery
In human anatomy, the subclavian arteries are paired major arteries of the upper thorax, below the clavicle. They receive blood from the aortic arch. The left subclavian artery supplies blood to the left arm and the right subclavian artery supplie ...
and the
brachial plexus
The brachial plexus is a network () of nerves formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in th ...
, running behind and parallel with the
clavicle
The clavicle, or collarbone, is a slender, S-shaped long bone approximately 6 inches (15 cm) long that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on the left and one on the rig ...
and
subclavius muscle
The subclavius is a small triangular muscle, placed between the clavicle and the first rib. Along with the pectoralis major and pectoralis minor muscles, the subclavius muscle makes up the anterior axioappendicular muscles, also known as anterior ...
and beneath the inferior belly of the
omohyoid
The omohyoid muscle is a muscle that depresses the hyoid. It is located in the front of the neck, and consists of two bellies separated by an intermediate tendon. The omohyoid muscle is proximally attached to the scapula and distally attached to th ...
to the superior border of the
scapula
The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on eithe ...
. It passes over the
superior transverse scapular ligament
The superior transverse ligament (transverse or suprascapular ligament) converts the suprascapular notch into a foramen or opening.
It is a thin and flat fascicle, narrower at the middle than at the extremities, attached by one end to the base of ...
in most of the cases while below it through the
suprascapular notch
The suprascapular notch (or ''scapular notch'') is a notch in the superior border of the scapula, just medial to the base of the coracoid process. It forms the entrance site into the suprascapular canal.
Structure
This notch is converted into ...
in some cases.
The artery then enters the
supraspinous fossa of the scapula. It travels close to the bone, running through the
suprascapular canal
The suprascapular canal is an anatomical passage between two openings found on the upper dorsal aspect of the shoulder. It is found bilaterally running on superio-lateral aspect of the dorsal surface of the scapula underneath the supraspinatus mus ...
underneath the
supraspinatus muscle,
to which it supplies branches.
It then descends behind the
neck of the scapula
The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on eithe ...
, through the
great scapular notch and under cover of the
inferior transverse ligament, to reach the
infraspinatous fossa, where it supplies
infraspinatus and anastomoses with the
scapular circumflex artery and the descending branch (aka
dorsal scapular artery
The transverse cervical artery (transverse artery of neck or transversa colli artery) is an artery in the neck and a branch of the thyrocervical trunk, running at a higher level than the suprascapular artery.
Structure
It passes transversely b ...
) of the
transverse cervical artery
The transverse cervical artery (transverse artery of neck or transversa colli artery) is an artery in the neck and a branch of the thyrocervical trunk, running at a higher level than the suprascapular artery.
Structure
It passes transversely b ...
.
Function
Besides distributing branches to the
sternocleidomastoid
The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the access ...
(which, however, mainly is supplied by the
occipital artery
The occipital artery arises from the external carotid artery opposite the facial artery. Its path is below the posterior belly of digastric to the occipital region. This artery supplies blood to the back of the scalp and sternocleidomastoid muscles ...
and the
superior thyroid artery
The superior thyroid artery arises from the external carotid artery just below the level of the greater cornu of the hyoid bone and ends in the thyroid gland.
Structure
From its origin under the anterior border of the sternocleidomastoid the sup ...
),
subclavius
The subclavius is a small triangular muscle, placed between the clavicle and the first rib. Along with the pectoralis major and pectoralis minor muscles, the subclavius muscle makes up the anterior axioappendicular muscles, also known as anterior ...
(which mainly is supplied by the
thoracoacromial artery), and neighboring muscles, it gives off a suprasternal branch, which crosses over the sternal end of the clavicle to the skin of the upper part of the chest; and an acromial branch, which pierces the
trapezius
The trapezius is a large paired trapezoid-shaped surface muscle that extends longitudinally from the occipital bone to the lower thoracic vertebrae of the spine and laterally to the spine of the scapula. It moves the scapula and supports the ...
and supplies the skin over the
acromion
In human anatomy, the acromion (from Greek: ''akros'', "highest", ''ōmos'', "shoulder", plural: acromia) is a bony process on the scapula (shoulder blade). Together with the coracoid process it extends laterally over the shoulder joint. The acro ...
,
anastomosing with the
thoracoacromial artery. Just as with supplying the subclavius muscle, it anastomoses with the
thoracoacromial artery in supplying skin areas.
As the artery passes over the
superior transverse scapular ligament
The superior transverse ligament (transverse or suprascapular ligament) converts the suprascapular notch into a foramen or opening.
It is a thin and flat fascicle, narrower at the middle than at the extremities, attached by one end to the base of ...
, it sends a branch into the
subscapular fossa
The scapula (plural scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on eithe ...
, where it ramifies beneath the
subscapularis
The subscapularis is a large triangular muscle which fills the subscapular fossa and inserts into the lesser tubercle of the humerus and the front of the capsule of the shoulder-joint.
Structure
It arises from its medial two-thirds and
Som ...
, and anastomoses with the
subscapular artery and with the
dorsal scapular artery
The transverse cervical artery (transverse artery of neck or transversa colli artery) is an artery in the neck and a branch of the thyrocervical trunk, running at a higher level than the suprascapular artery.
Structure
It passes transversely b ...
.
It also sends articular branches to the
acromioclavicular joint and the
shoulder joint, and a nutrient artery to the clavicle.
References
External links
*
*
*
{{Authority control
Arteries of the head and neck