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Home › Body Atlas › Fascia & Spaces › Occipital Triangle
Fascia or Space Neck

Occipital Triangle

trigonum occipitale

The occipital triangle is the larger upper part of the posterior triangle of the neck, above the inferior belly of omohyoid. It is bounded by sternocleidomastoid, trapezius and omohyoid and is crossed by the spinal accessory nerve.

Anatomical Data

Boundaries & Contents

LocationUpper side of the neck, behind sternocleidomastoid.
Boundaries
Contents
  • Spinal accessory nerve
  • Lesser occipital, great auricular, transverse cervical and supraclavicular nerves
  • Occipital artery at the apex
  • Lymph nodes
Biomechanics

Function & Actions

Subdivision of the posterior triangle containing the accessory nerve and cervical plexus branches.

Clinical Relevance

Clinical Notes

The superficial course of the accessory nerve across this triangle makes it vulnerable during node biopsy and neck dissection. Cutaneous branches of the cervical plexus emerge here near the midpoint of the sternocleidomastoid border, the landmark for a superficial cervical plexus block.

Pathology

Common Injuries & Conditions

Accessory Nerve Palsy

Injury to the nerve as it crosses the occipital triangle, leading to trapezius wasting and shoulder droop.

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