Transverse Scapular Artery
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The suprascapular artery is a branch of the
thyrocervical trunk The thyrocervical trunks are very small arteries of the neck arising from the subclavian arteries, lateral to the vertebral arteries. They divide into branches: the inferior thyroid artery, suprascapular artery, and the transverse cervical art ...
on the
neck The neck is the part of the body in many vertebrates that connects the head to the torso. It supports the weight of the head and protects the nerves that transmit sensory and motor information between the brain and the rest of the body. Addition ...
.


Structure

At first, it passes downward and laterally across the
scalenus anterior The scalene muscles are a group of three muscles on each side of the neck, identified as the anterior, the middle, and the posterior. They are innervated by the third to the eighth cervical spinal nerves (C3-C8). The anterior and middle scale ...
and
phrenic nerve The phrenic nerve is a mixed nerve that 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 humans, t ...
, 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 Anatomical terms of motion#Flexion and extension, flexion of the neck. ...
; 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 suppli ...
and the
brachial plexus The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four Spinal nerve#Cervical nerves, cervical nerves and first Spinal nerve#Thoracic nerves, thoracic nerve (cervical spinal nerve 5, C5, Cervical spi ...
, running behind and parallel with the
clavicle The clavicle, collarbone, or keybone is a slender, S-shaped long bone approximately long that serves as a strut between the scapula, shoulder blade and the sternum (breastbone). There are two clavicles, one on each side of the body. The clavic ...
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 anteri ...
and beneath the inferior belly of the
omohyoid The omohyoid muscle is a muscle in the neck. It is one of the infrahyoid muscles. It consists of two bellies separated by an intermediate tendon. Its inferior belly is attached to the scapula; its superior belly is attached to the hyoid bone. Its i ...
to the superior border of the
scapula The scapula (: 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 either side ...
. 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 o ...
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 is converted into the suprascapular canal by the suprascapular ligament. Structure This notc ...
in some cases. The artery then enters the
supraspinous fossa The supraspinous fossa (supraspinatus fossa, supraspinatous fossa) of the posterior aspect of the scapula (the shoulder blade) is smaller than the infraspinous fossa, concave, smooth, and broader at its vertebral than at its humeral end. Its m ...
of the scapula. It travels close to the bone, running through the suprascapular canal underneath the
supraspinatus muscle The supraspinatus (: supraspinati) is a relatively small muscle of the upper back that runs from the supraspinous fossa superior portion of the scapula (shoulder blade) to the greater tubercle of the humerus. It is one of the four rotator cuff mus ...
, to which it supplies branches. It then descends behind the
neck of the scapula The scapula (: 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 either side ...
, through the
great scapular notch The great scapular notch (or ''spinoglenoid notch'') is a notch which serves to connect the supraspinous fossa and infraspinous fossa. It lies immediately medial to the attachment of the acromion to the lateral angle of the scapular spine. The su ...
and under cover of the inferior transverse ligament, to reach the
infraspinatous fossa The infraspinous fossa (infraspinatus fossa or infraspinatous fossa) of the scapula The scapula (: scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone ...
, where it supplies
infraspinatus In human anatomy, the infraspinatus muscle is a thick triangular muscle, which occupies the chief part of the infraspinatous fossa.''Gray's Anatomy'', see infobox. As one of the four muscles of the rotator cuff, the main function of the infraspin ...
and anastomoses with the
scapular circumflex artery The circumflex scapular artery (scapular circumflex artery, dorsalis scapulae artery) is a branch of the subscapular artery and part of the scapular anastomoses. It curves around the axillary border of the scapula, traveling through the anato ...
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 ...
) 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 ...
.


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 acces ...
(which, however, mainly is supplied by the
occipital artery The occipital artery is a branch of the external carotid artery that provides arterial supply to the back of the scalp, sternocleidomastoid muscles, and deep muscles of the back and neck. Structure Origin The occipital artery arises from (the ...
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 super ...
),
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 anteri ...
(which mainly is supplied by the
thoracoacromial artery The thoracoacromial artery (acromiothoracic artery; thoracic axis) is a short trunk that arises from the second part of the axillary artery, its origin being generally overlapped by the upper edge of the pectoralis minor. Structure Projecting forw ...
), 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 human spine, spine and laterally to the spine of the scapula. It moves the scapula and ...
and supplies the skin over the
acromion In human anatomy, the acromion (from Greek: ''akros'', "highest", ''ōmos'', "shoulder", : acromia) or summit of the shoulder is a bony process on the scapula (shoulder blade). Together with the coracoid process, it extends laterally over the sh ...
,
anastomosing An anastomosis (, : anastomoses) is a connection or opening between two things (especially cavities or passages) that are normally diverging or branching, such as between blood vessels, leaf veins, or streams. Such a connection may be normal (suc ...
with the
thoracoacromial artery The thoracoacromial artery (acromiothoracic artery; thoracic axis) is a short trunk that arises from the second part of the axillary artery, its origin being generally overlapped by the upper edge of the pectoralis minor. Structure Projecting forw ...
. Just after supplying the subclavius muscle, it anastomoses with the
thoracoacromial artery The thoracoacromial artery (acromiothoracic artery; thoracic axis) is a short trunk that arises from the second part of the axillary artery, its origin being generally overlapped by the upper edge of the pectoralis minor. Structure Projecting forw ...
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 o ...
, it sends a branch into the
subscapular fossa The scapula (: 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 either side ...
, 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 Glenohumeral joint, shoulder-joint. Structure The subscapularis is covere ...
, and anastomoses with the
subscapular artery The subscapular artery, the largest branch of the axillary artery, arises from the third part of the axillary artery at the lower border of the subscapularis muscle, which it follows to the inferior angle of the scapula, where it anastomoses wi ...
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 ...
. It also sends articular branches to the
acromioclavicular joint The acromioclavicular joint, or AC joint, is a joint at the top of the shoulder. It is the junction between the acromion (part of the scapula that forms the highest point of the shoulder) and the clavicle. It is a Plane joint, plane synovial joint ...
and the
shoulder joint The shoulder joint (or glenohumeral joint from Greek ''glene'', eyeball, + -''oid'', 'form of', + Latin ''humerus'', shoulder) is structurally classified as a synovial joint, synovial ball-and-socket joint and functionally as a diarthrosis and m ...
, and a nutrient artery to the clavicle.


References


External links

* * * {{Authority control Arteries of the head and neck