Skip to main content

Advertisement

Log in

Unusual origin of the levator scapulae muscle from mastoid process

  • Anatomic Variations
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Anatomic variations of the neck musculature are uncommon and incidentally found during cadaveric dissection. The levator scapulae muscle is found in the floor of the posterior cervical triangle. It connects the axial skeleton with the superior appendicular skeleton and acts as a scapular elevator. Normally, it originates from the transverse processes of first four cervical vertebrae and inserts into the superomedial border of the scapula. During a routine cadaveric dissection, we encountered an additional slip of the left levator scapulae originating from the left mastoid process. This muscle is frequently implicated in the etiopathology of neck and shoulder pain. Knowledge of this variation is not only interesting to anatomists, but also to surgeons operating on the posterior neck and physicians managing patients with cervical or shoulder pain.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Behrsin JF, Maguire K (1986) Levator scapulae action during shoulder movement: a possible mechanism for shoulder pain of cervical origin. Aust J Physiother 32:101–106. doi:10.1016/s0004-9514(14)60646-2

    Article  CAS  PubMed  Google Scholar 

  2. Bergman RA, Afifi AK, Miyauchi R (2015) Illustrated encyclopedia of human anatomic variation: Opus I: muscular system: alphabetical listing of muscles: L. http://www.anatomyatlases.org/AnatomicVariants/MuscularSystem/Text/L/14Levator.shtml

  3. Erro R, Bhatia KP, Catania S, Shields K, Cordivari C (2013) When the levator scapulae becomes a “rotator capitis”: implications for cervical dystonia. Parkinsonism Relat Disord 19:705–706. doi:10.1016/j.parkreldis.2013.03.012

    Article  PubMed  Google Scholar 

  4. Garten H, Shafer J (2013) M Levator scapulae. In: Garten H, Shafer J (eds) The muscle test handbook. Churchill Livingstone, London, pp 130–133

    Chapter  Google Scholar 

  5. LeDouble A (1897) Traite des variations du systeme musculaire de l’ homme et de leur signification au point de vue de l’anthropologie zoologique. Schleicher Frares 2:215–240

    Google Scholar 

  6. Loukas M, Louis RG Jr, Merbs W (2006) A case of atypical insertion of the levator scapulae. Folia Morphol (Warsz) 65:232–235

    CAS  Google Scholar 

  7. Macalister A (1875) Additional observations on muscular anomalies in human anatomy (third series), with a catalogue of the principal muscular variations hitherto published. Trans Roy Irish Acad Sci 25:1–134

    Google Scholar 

  8. Macbeth RA, Martin CP (1953) A note on the levator scapulae muscle in man. Anat Rec 115:691–696

    Article  CAS  PubMed  Google Scholar 

  9. Menachem A, Kaplan O, Dekel S (1993) Levator scapulae syndrome: an anatomic-clinical study. Bull Hosp Jt Dis 53:21–24

    CAS  PubMed  Google Scholar 

  10. Moore K, Dalley A, Agur A (2014) Clinically oriented anatomy, 7th edn. Lippincott, Williams and Wilkins, Baltimore

    Google Scholar 

  11. Mori M (1964) Statistics on the musculature of the Japanese. Okajimas Folia Anat Jpn 40:195–300

    Article  CAS  PubMed  Google Scholar 

  12. Wood J (1870) On a group of varieties of the muscles of the human neck, shoulder, and chest, with their transitional forms and homologies in the Mammalia. Phil Trans Roy Soc Lond 160:83–116

    Article  Google Scholar 

Download references

Conflict of interest

No conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. Shane Tubbs.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chotai, P.N., Loukas, M. & Tubbs, R.S. Unusual origin of the levator scapulae muscle from mastoid process. Surg Radiol Anat 37, 1277–1281 (2015). https://doi.org/10.1007/s00276-015-1508-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-015-1508-6

Keywords

Navigation