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The Clavicle

The Clavicle is a long bone

It is horizontally placed
The Clavicle is a long bone

It is horizontally placed
The medial end of the Clavicle articulates with the
manubrium at the Sternoclavicular Joint
The lateral end of the Clavicle articulates with the
acromion of the scapula at the Acromioclavicular Joint
The Clavicle is divided into thirds along its length

Undersurface of Right Clavicle


The lateral third is flattened and expanded

Lateral Third

Undersurface of Right Clavicle


The medial third is rounded

Medial Third

Undersurface of Right Clavicle


The Clavicle is curved convex forwards at its medial end

Anterior

Lateral
Medial

Posterior
The Clavicle is concave forwards at its lateral end

Anterior

Lateral
Medial

Posterior
There are a number of impressions on the undersurface

Anterior

Lateral
Medial

Posterior
This area gives attachment to the Trapezoid ligament

Anterior

Lateral
Medial

Posterior

This is one of the two coracoclavicular ligaments that


stabilise the acromioclavicular joint
This area gives attachment to the Conoid ligament

Anterior

Lateral
Medial

Posterior

This is one of the two coracoclavicular ligaments that


stabilise the acromioclavicular joint
This area gives attachment to the costoclavicular ligament that
arises from the first costal cartilage and first rib

Anterior

Lateral
Medial

Posterior

It stabilises the sternoclavicular joint


Sternoclavicular Joint
Costoclavicular Ligament anterior fibres

Clavicle

Manubrium
Manubrium
Costoclavicular Ligament posterior fibres

Clavicle

Manubrium
Manubrium
Anterior Sternoclavicular Ligament

Clavicle

Manubrium
Manubrium
Interclavicular Ligament

Clavicle

Manubrium
Manubrium
Interclavicular Ligament

Clavicle

Manubrium
Manubrium
Section through Sternoclavicular Joint

Clavicle

Manubrium
Manubrium
Section through Sternoclavicular Joint

Clavicle

Manubrium
Manubrium
Section through Sternoclavicular Joint

Clavicle

Manubrium
Manubrium

Articular Disc
Muscles that attach to the Clavicle
Muscles that attach to the Clavicle

Anterior

Deltoid
Lateral
Medial

Posterior
Muscles that attach to the Clavicle

Anterior

Pectoralis Major
Lateral
Medial

Posterior
Muscles that attach to the Clavicle

Anterior

Subclavius
Lateral
Medial

Posterior
Muscles that attach to the Clavicle

Anterior

Lateral
Medial

Trapezius Posterior
Muscles that attach to the Clavicle

Anterior

Lateral
Medial

Sternohyoid
Posterior
Summary of Muscles that attach to Clavicle

Deltoid

Pectoralis Major

Subclavius

Sternohyoid

Sternocleidomastoid

Trapezius
Lateral Chest Wall
Deltoid
Origin Lateral third of clavicle,
acromion, and spine of scapula
Insertion Deltoid tuberosity on lateral
shaft of humerus
Action Anterior part: flexes and
internally rotates arm; Middle
part: abducts arm; Posterior
part: extends and externally
rotates arm
Nerve Supply Axillary nerve (C5 and C6)
Blood Supply Deltoid branch of
thoracoacromial artery
Anterior Chest Wall
Pectoralis Major
Origin Clavicular head: anterior
surface of medial half of
clavicle; Sternocostal head:
anterior surface manubrium &
sternum, superior 6 costal
cartilages, and aponeurosis of
external oblique muscle
Insertion Lateral lip of bicipital groove of
humerus
Action Clavicular head: flexes &
adducts arm
Sternal head: adducts &
internally rotates arm
Nerve Supply Lateral and medial pectoral
nerves (C5, C6, C7, C8, and T1)
Blood Supply pectoral branch of
thoracoacromial trunk
Anterior Chest Wall

Subclavius
Origin Costochondral junction 1st
rib
Insertion Subclavian groove inferior
surface middle clavicle
Action Depresses clavicle
Nerve Supply Nerve to subclavius C5, 6
Blood Supply Clavicular branch of
thoraco-acromial artery
and suprascapular artery
Posterior Chest Wall
Trapezius
Origin Medial third of superior nuchal
line; external occipital
protuberance, nuchal ligament,
and spinous processes of thoracic
vertebrae
Insertion Lateral third of clavicle, acromion,
and spine of scapula
Action superior fibers elevate, middle
fibers retract, and inferior fibers
depress scapula
Nerve Supply Spinal root of accessory nerve (CN
XI) (motor) and cervical nerves (C3
and C4) (pain and proprioception)
Blood Supply Transverse cervical artery

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