Trapezius Muscle

Author: Jana Vasković MD

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The trapezius is a diamond-shaped muscle that spans a large portion of the back, from the neck to the lumbar region. It belongs to the extrinsic muscles of the back, specifically the superficial layer. Other muscles in this group include the latissimus dorsi, rhomboid major and rhomboid minor, and levator scapulae.

The trapezius is also referred to as one of the hypaxial back muscles. These muscles are innervated by the ventral (anterior) branches of the spinal nerves, as opposed to the epiaxial muscles, which are supplied by their dorsal (posterior) branches.

The trapezius supports shoulder movements and plays a role in stabilizing and moving the scapula. This is why it is often considered a muscle of the upper extremity.

This article will explain the anatomy and functions of the trapezius muscle.

Trapezius muscleDescending partTransverse partAscending part
OriginSuperior nuchal line;
External occipital protuberance
Spinous processes of the vertebra T1-T4Spinous processes of the thoracic vertebrae T4-T12
InsertionLateral third of the clavicleAcromion of the scapula;
Spine of the scapula
Medial part of the spine of the scapula
InnervationAccessory nerve (CN XI); Anterior rami of the spinal nerves C3 and C4
FunctionsScapulothoracic joint: Elevates the scapula
Atlantooccipital joint: Extends the neck (when contracted bilaterally – from both sides) and laterally flexes the neck (when contracted unilaterally – from one side)
Atlantoaxial joint: Enables head rotation
Scapulothoracic joint: Retracts the scapulaScapulothoracic joint: Depresses the scapula

image descriptionTrapezius Muscle

Posterior view labeled: Trapezius, deltoid, triceps brachii, latissimus dorsi
Posterior view labeled: Levator scapular, supraspinatus, infraspinatus
Posterior view labeled: Teres minor and major
Posterior view labeled: Rhomboideus minor and major
Posterior view labeled: Trapezius muscle
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image descriptionAttachments of Trapezius Muscle: Origin and insertion

The trapezius muscle consists of three parts:

  • Descending (superior) part: originates from the superior nuchal line and external occipital protuberance and inserts onto the lateral third of the clavicle;
  • Transverse (middle) part: originates from the spinous processes of the thoracic vertebrae T1-T4 and inserts onto the acromion and spine of the scapula;
  • Ascending (inferior) part: originates from the spinous processes of the thoracic vertebrae T4-T12 and inserts onto the medial part of the spine of the scapula.

Learn the anatomy of the trapezius muscle faster with this trunk wall muscle reference chart.

Posterior view labeled: Trapezius muscle
Posterior view labeled: Origin and Insertion
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Functions

The descending (superior) part of the trapezius affects three joints:

  • Scapulothoracic joint: image descriptionelevates the scapula
  • Atlantooccipital joint: extends the neck (when contracted bilaterally – from both sides) and laterally flexes the neck (when contracted unilaterally – from one side)
  • Atlantoaxial joint: enables head rotation

Expand your knowledge with Kenhub free article: Trapezius muscle.

The transverse (middle) part of the trapezius draws the scapula medially, a movement known as image descriptionscapular retraction.

The ascending part of the trapezius pulls the scapula downward, i.e. scapula.

Also, the lower fibers help with image descriptionupward of the scapula.

Innervation

Innervation to the trapezius is supplied by the anterior rami of the spinal nerves C3 and C4, as well as the accessory nerve (cranial nerve XI).

An Overview of the Trapezius Muscle

Posterior view labeled: Trapezius, deltoid, teres minor and major, triceps brachii, latissimus dorsi
Posterior view labeled: Levator scapulae, trapezius, deltoid, teres minor and major, latissimus dorsi, triceps brachii
Posterior view labeled: Levator scapulae, trapezius, deltoid, teres minor and major, latissimus dorsi, triceps brachii
Posterior view labeled: Levator scapulae, supraspinatus, teres major and minor, triceps brachii, latissimus dorsi
Posterior view labeled: Levator scapulae, infraspinatus, teres major, triceps brachii, latissimus dorsi
Posterior view labeled: Levator scapulae, rhomboideus major and minor, teres major, latissimus dorsi, triceps brachii
Posterior view labeled: Levator scapulae, rhomboideus minor and major, teres major, latissimus dorsi
Posterior view labeled: Levator scapulae, rhomboideus minor and major, teres major
Posterior view labeled: Levator scapulae, rhomboideus minor and major, teres minor
Posterior view labeled: Trapezius, rhomboideus minor and major, teres major, latissimus dorsi
Posterior view labeled: Rhomdoideus minor and major
Posterior view labeled: Rhomdoideus minor
Posterior view labeled: Trapezius
Posterior view labeled: Insertion and origin
Posterior view labeled: Trapezius, deltoid, teres minor and major, triceps brachii, latissimus dorsi
Posterior view labeled: Levator scapulae, trapezius, deltoid, teres minor and major, latissimus dorsi, triceps brachii
Posterior view labeled: Levator scapulae, trapezius, deltoid, teres minor and major, latissimus dorsi, triceps brachii
Test yourself while observing the trapezius muscle anatomy
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Muscles That Act On The Posterior Shoulder

References

  • Open Anatomy. (n.d.). TA2 Viewer. Retrieved April 5, 2023, from https://ta2viewer.openanatomy.org/
  • Betts, J. G., Young, K. A., Wise, J. A., Johnson, E., Poe, B., & Kruse, D. H. (2022). Anatomy and Physiology (2nd ed.). OpenStax. https://openstax.org/details/books/anatomy-and-physiology-2e
  • Palastanga, N., & Soames, R. (2012). Anatomy of Human Movement (6th ed.). Edinburgh, Scotland: Churchill Livingstone.
  • Moore, K. L. (2018). Clinically Oriented Anatomy (8th ed.). Philadelphia, PA: Wolters Kluwer.
  • Drake, R. L., Vogl, A. W., & Mitchell, A. W. M. (2015). Gray’s Anatomy for Students (3rd ed.). Edinburgh, Scotland: Churchill Livingstone.