What Artery Supplies the Trapezius Muscle?

The trapezius muscle, a large and superficial muscle, extends across the upper back, neck, and shoulders. It plays a significant role in various everyday movements and contributes substantially to maintaining upright posture. Understanding the blood supply to this muscle is important for comprehending its function and overall health.

Understanding the Trapezius Muscle

The trapezius muscle is a broad, flat, and triangular muscle that covers much of the upper back and neck. It is divided into three distinct parts: the superior (descending) fibers, the middle (transverse) fibers, and the inferior (ascending) fibers. Each part contributes to specific movements of the shoulder blade, or scapula, and the neck.
The superior fibers elevate the scapula and can extend and rotate the head, such as when shrugging the shoulders or looking upward. The middle fibers primarily pull the scapula inward, towards the spine, a motion known as retraction. The inferior fibers depress the scapula, pulling it downward, and also assist in its upward rotation. These coordinated actions enable a wide range of arm and shoulder movements and help stabilize the scapula against the torso.

The Main Arterial Supply

The primary arterial supply to the trapezius muscle comes from the transverse cervical artery, known anatomically as the arteria transversa cervicis. This artery typically originates from the thyrocervical trunk, a major branch of the subclavian artery located at the base of the neck. The transverse cervical artery courses horizontally across the neck, often passing beneath the inferior belly of the omohyoid muscle, before reaching the anterior margin of the trapezius.
As it reaches the trapezius, the transverse cervical artery usually divides into superficial and deep branches. The superficial cervical artery travels deep to the trapezius, supplying its middle and sometimes upper portions. The deep branch, often referred to as the dorsal scapular artery, also contributes significantly, particularly to the lower and middle parts of the muscle.

Additional Blood Vessels

While the transverse cervical artery is the main supplier, other arteries also contribute to the trapezius muscle’s blood flow, demonstrating its rich and variable vascular network. The dorsal scapular artery (arteria dorsalis scapulae) is a significant contributor, sometimes arising directly from the subclavian artery rather than as a branch of the transverse cervical artery. This vessel typically supplies the lower and middle fibers of the trapezius.
The occipital artery (arteria occipitalis), a branch of the external carotid artery, provides blood to the superior (upper) part of the trapezius. Its descending branches specifically supply the upper third of the muscle. In some cases, superficial branches from the posterior intercostal arteries, which originate from the thoracic aorta, can supply the deeper portions of the lower trapezius. These additional vessels form anastomoses, or connections, ensuring a robust blood supply to the muscle.

The Importance of Healthy Blood Flow

Maintaining adequate blood flow to the trapezius, like any other muscle, is essential for its function and health. Blood serves as the transport system, delivering oxygen and nutrients that muscle cells require for energy and repair. This continuous supply supports the muscle’s ability to contract, maintain posture, and perform movements without premature fatigue.
Beyond nutrient delivery, blood flow is important for the efficient removal of metabolic waste products, which accumulate during muscle activity. Effective waste removal prevents their buildup, which could impair muscle performance and contribute to soreness. Healthy circulation facilitates the recovery process after physical exertion, enabling muscle tissue repair and adaptation.