The upper trapezius fibres converge into a tendinous insertion onto the posterior border of the lateral third of the clavicle and the acromion, contributing to shoulder elevation and upper limb suspension. This insertion is distinct from the lower trapezius scapular spine insertion.
Upper trapezius tendinopathy at the clavicular insertion is a common component of neck-shoulder pain syndrome and whiplash injury. Trigger points in the upper trapezius refer pain to the lateral neck, temporal region, and angle of the jaw. The tendinous insertion is at risk during distal clavicle excision. Dry needling and stretching of the upper trapezius insertion are mainstays of treatment.
Traction change at the lateral clavicular insertion producing shoulder and lateral neck pain, often with associated trigger points referring to the temporal region, managed with stretching and soft tissue therapy.
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