It has been claimed that the upper traps just stabilize the clavicle. However, the last 2 pages of the Johnson study are dedicated to describing how the upper trap fibers from the nuchal ligament to the clavicle are able to support the weight of the upper limb without pulling upward or pulling directly on the scapula. But rather lifting the shoulder like a drawbridge through medial rotation of the clavicle which they modeled here in figure 7. Which is the other figure I used to depict the moment arm estimations.
The Johnson study is written very literal and specific so let me put some quotes from the study back in context so that they can be interpreted properly for those who have not read the full study.
“At no time does the trapezius exert an upward force on the scapula.“
This is true because the upper traps insert on the clavicle not the scapula, and the middle and lower traps do not pull upward on the scapula, but that doesn’t mean that their transverse force doesn’t shrug because that is accomplished through the medial rotation of the clavicle.
“The nuchal fibers of trapezius have no direct action on the scapula because they attach to the clavicle, but they can move the scapula indirectly through the acromioclavicular joint. Their transverse orientation is well suited to draw the clavicle and scapula backwards in actions such as pulling and rowing, but denies any capacity of these fibers to pull the clavicle and scapula upwards.“
Again this is very literal in that they are referring to the force that the nuchal fibers are not pulling in an upward direction, but again, the way they raise the shoulder is through their transverse pull and medial rotation (figure 7) and here is their explanation of that.
“However, these fibers can raise the clavicle (and thereby the scapula) by another mechanism. At rest, the clavicle is orientated upwards and laterally, and the nuchal fires of trapezius pass transversely above the axis of upward rotation of the clavicle, which passes through the sternoclavicular joint or the clavicular attachment of the costoclavicular ligament. Consequently these fibers can exert a medially directed moment on the clavicle about this axis, which would draw the lateral end of the clavicle medially and upwards. Thus, the clavicle and scapula can be raised not by drawing them upwards by elevation but by rotating the clavicle (Figure 7). A consequence of this mechanism is that the sterno-clavicular joint must sustain substantial compression loads (Figure 7). This interpretation of the actions of trapezius in elevation of the scapula is novel but nonetheless consistent with electromyography (EMG) data. EMG studies reveal that during elevation of the scapula the upper fibers of trapezius are strongly active.“
Whereas this might be interpreted as indicating that the trapezius pulls the scapula upwards, it is no less consistent with the trapezius achieving elevation by exerting an upward moment on the clavicle at the cost of compression loads at the sternoclavicular joint.
“This mechanism offers two advantages. First and foremost the weight of the upper limb and any weight carried by it, is not borne by the cervical trapezius. Because of its transverse orientation the cervical trapezius balances the moments exerted by this load but the vertical force exerted by the weight is transferred to the sternoclavicular joint. Consequently, the trapezius does not need to be anchored to the cervical vertebrae, which explains why the ligamentum nuchae does not attach to the C,-C, spinous processes.”
To balance moments all that trapezius requires is an attachment site that resists lateral (not downward) displacement, and this is provided by the superficial funicular portion of the ligamentum nuchae 18.
The second advantage of this mechanism is that it avoids compressive loads exerted on the cervical spine by the upper limb. The strongest fascicles of trapezius arise from C6 and C, but are basically transverse in orientation and would contribute little compressive load to the neck.
The only compressive loads exerted by the trapezius would be those resulting from the obliquity of its uppermost fibers, but those with the greatest obliquity and hence the greatest capacity to exert compression loads happen also to be the smallest component of trapezius.
In essence, by exerting only transverse loads on the ligamentum nuchae, the cervical trapezius spares the cervical spine from compressive loads and transfers the weight of the upper limb and any loads carried by it to the sternoclavicular joint. By elucidating this mechanism we seek to stem the misrepresentation of trapezius as an elevator of the scapula and to emphasize the role of the sternoclavicular joint in sustaining downward loads applied to the upper limb.
According to the authors the relevance of the study was “this study refutes misconceptions about the actions of the trapezius and how they are conventionally depicted. It brings to light the importance of the sternoclavicular joint. Not the cervical spine in sustaining loads borne by the upper limb.”
Continued in Part 2 – Levator VS Upper Trapezius