Scapular anastomosis

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Scapular anastomosis
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The scapular and circumflex arteries
Anatomical terminology

The scapular anastomosis is a system connecting certain subclavian artery and their corresponding axillary artery, forming a circulatory anastomosis around the scapula. It allows blood to flow past the joint in case of occlusion, damage, or pinching of the following scapular arteries:

The transverse cervical artery gives off a branch, the dorsal scapular artery, which accompanies the dorsal scapular nerve and runs down the vertebral border of the scapula to its medial edge and inferior angle. The dorsal scapular artery anastomoses with the subscapular artery, providing an alternate route to the 3rd part of the axillary artery in the event of a slowly forming occlusion.

The suprascapular artery branches off from the thyrocervical trunk, which in turn arises from the first part of the subclavian artery. This suprascapular artery crosses over the suprascapular ligament, passes through the supraspinous fossa and turns around the lateral border of the spine of the scapula and supplies the infraspinous fossa as far as the inferior angle.

The subscapular artery branches from the third part of the axillary and supplies the subscapularis muscle in the subscapular fossa as far as the inferior angle. The subscapular artery gives off a circumflex scapular branch that enters the infraspinous fossa on the dorsal surface of the bone, grooving the axillary border.

All these vessels anastamose or join to connect the first part of the subclavian with the third part of the axillary, providing a collateral circulation. This collateral circulation allows for blood to continue circulating if the subclavian is obstructed.

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Dorsal scapular nerve Branch of the brachial plexus that supplies rhomboid muscles and levator scapulae

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Axillary artery Large blood vessel bringing oxygenated blood to the thorax

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Shoulder joint Synovial ball and socket joint in the shoulder

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Circumflex scapular artery Artery of the upper body

The circumflex scapular artery is a branch of the subscapular artery and part of the scapular anastomoses.

Transverse cervical artery Artery of the neck

The transverse cervical artery is an artery in the neck and a branch of the thyrocervical trunk, running at a higher level than the suprascapular artery.

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Infraspinatous fossa Part of the shoulder blade

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Supraspinatous fossa Part of the shoulderblade

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Great scapular notch Notch which serves to connect the supraspinous fossa and infraspinous fossa

The great scapular 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.

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Outline of human anatomy Overview of and topical guide to human anatomy

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