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Neck and Shoulder Posterior regions of neck and shoulder (left side: superficial layer; right side: trapezius and latissimus dorsi muscles have been removed). Dissection of dorsal branches of spinal nerves. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Greater occipital nerve Ligamentum nuchae Splenius capitis muscle Sternocleidomastoid muscle Lesser occipital nerve Splenius cervicis muscle Descending and transverse fibers of trapezius muscle Medial cutaneous branches of dorsal rami of spinal nerves Ascending fibers of trapezius muscle Latissimus dorsi muscle Cutaneous branch of third occipital nerve Great auricular nerve Accessory nerve (n. XI) Posterior supraclavicular nerve and levator scapulae muscle Branches of suprascapular artery 16 17 18 19 20 21 22 23 24 25 26 27 Deltoid muscle Rhomboid major muscle Infraspinatus muscle Teres minor muscle Upper lateral cutaneous nerve of arm (branch of axillary nerve) Teres major muscle Medial margin of scapula Long head of triceps muscle Posterior cutaneous nerve of arm (branch of radial nerve) Latissimus dorsi muscle (divided) Ulnar nerve and brachial artery Lateral cutaneous branches of dorsal rami of spinal nerves and iliocostalis thoracis muscle 28 External intercostal muscle and seventh rib 29 Serratus posterior inferior muscle Rohen et al.: Anatomy. ISBN: 978-3-7945-2982-7. © Schattauer GmbH 415 416 Shoulder: Posterior Region 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Clavicle Deltoid muscle Suprascapular artery Suprascapular nerve Superior transverse scapular ligament Teres minor muscle Axillary nerve and posterior circumflex humeral artery Long head of triceps muscle Circumflex scapular artery Teres major muscle Greater occipital nerve Lesser occipital nerve Great auricular nerve Splenius capitis muscle Accessory nerve (n. XI) Third occipital nerve and levator scapulae muscle Serratus posterior superior muscle Spine of scapula Descending scapular artery and dorsal scapular nerve Rhomboid major muscle Infraspinatus muscle and medial margin of scapula Axillary artery Radial nerve and brachial artery Thoracodorsal artery Thyrocervical trunk Brachial plexus Posterior region of the shoulder, deepest layer. Rhomboid and scapular muscles have been fenestrated, the posterior part of deltoid muscle has been reflected. 3 4 25 26 22 5 4 6 18 19 7 8 9 10 23 24 Collateral circulation of the shoulder (posterior aspect). Anastomosis of suprascapular and circumflex scapular arteries. Rohen et al.: Anatomy. ISBN: 978-3-7945-2982-7. © Schattauer GmbH Shoulder: Posterior Region Posterior region of the shoulder, deep layer. The arteries of the scapular region have been injected with red gelatin. Trapezius, deltoid, and infraspinatus muscles have been partially removed or reflected. 1 Sternocleidomastoid muscle 2 Lesser occipital nerve 3 Splenius capitis muscle and third occipital nerve 4 Accessory nerve (n. XI) 5 Splenius cervicis muscle and transverse cervical artery (deep branch) 6 Levator scapulae muscle 7 Transverse cervical artery (superficial branch) 8 Spine of scapula and serratus posterior superior muscle 9 Rhomboid major muscle 10 11 12 13 14 15 16 17 18 19 20 Trapezius muscle Latissimus dorsi muscle Facial artery Acromion Deltoid muscle Suprascapular artery and supraspinatus muscle (reflected) Axillary nerve, posterior circumflex humeral artery, and lateral head of triceps brachii muscle Teres minor muscle Long head of triceps brachii muscle Circumflex scapular artery and teres major muscle Infraspinatus muscle Rohen et al.: Anatomy. ISBN: 978-3-7945-2982-7. © Schattauer GmbH 417