Which muscle originates from the transverse processes of C1-C4?

• A. Levator scapulae
• B. Rhomboid major
• C. Rhomboid minor
• D. Trapezius

Answer: (A)

Origin from the transverse processes of C1–C4 is a distinctive feature of the levator scapulae. This muscle runs from those upper cervical transverse processes down to the superior angle and medial border of the scapula, making it the prime elevator of the scapula and a contributor to downward rotation. The other muscles in the list come from different bony landmarks: rhomboid minor and major originate from spinous processes (C7–T1 and T2–T5, respectively) and insert on the medial border of the scapula, not from transverse processes; trapezius has its origins extending from the skull and nuchal ligaments down to the spinous processes of the thoracic spine. Thus, levator scapulae best fits the described origin. It’s innervated primarily by the dorsal scapular nerve (with cervical contributions) and its action centers on scapular elevation.