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The superior angle of the scapula is thin, smooth, rounded, inclined somewhat lateralward, and gives attachment to a few fibers of the levator scapulae muscle.
It provides motor innervation to the rhomboid muscles, which pull the scapula towards the spine and levator scapulae muscle, which elevates the scapula.
The rhomboids work collectively with the levator scapulae muscles to elevate the medial border of the scapula, downwardly rotating the scapula with respect to the glenohumeral joint.
Its origin is on at least the third uppermost vertebrae, from where it courses inferiorly and laterally, lateral to the scalene and levator scapulae muscles but medial to the sternocleidomastoid muscle.
The first nerve off the brachial plexus, or plexus brachialis, is the dorsal scapular nerve, arising from C5 nerve root, and innervating the rhomboids and the levator scapulae muscles.
Acting as an antagonist to the trapezius, both rhomboids elevate the medial border of the scapula medially and upward, working in tandem with the levator scapulae muscle to rotate the scapulae downward.
When both shoulders are fixed, a simultaneous co-contraction of both levator scapulae muscles in equal amounts would not produce lateral flexion or rotation, and may produce straight flexion or extension of the cervical spine.