The subclavius is a small triangular muscle, placed between the clavicle and the first rib.[1] Along with the pectoralis major and pectoralis minor muscles, the subclavius muscle makes up the anterior axioappendicular muscles, also known as anterior wall of the axilla.[2]
Subclavius muscle | |
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Details | |
Origin | First rib and cartilage |
Insertion | Subclavian groove of clavicle (inferior surface of middle one third of the clavicle) |
Artery | Thoracoacromial trunk, clavicular branch |
Nerve | Subclavian nerve |
Actions | Depression of clavicle elevation of first rib |
Identifiers | |
Latin | musculus subclavius |
TA98 | A04.4.01.007 |
TA2 | 2306 |
FMA | 13410 |
Anatomical terms of muscle |
Structure
editIt arises by a short, thick tendon from the first rib and its cartilage at their junction, in front of the costoclavicular ligament.[1]
The fleshy fibers proceed obliquely superolaterally, to be inserted into the groove on the under surface of the clavicle.
Innervation
editThe nerve to subclavius (or subclavian nerve) innervates the muscle. This arises from the junction of the fifth and sixth cervical nerves, from the superior/upper trunk of the brachial plexus.
Variation
editInsertion into coracoid process instead of clavicle or into both clavicle and coracoid process. Sternoscapular fasciculus to the upper border of scapula. Sternoclavicularis[3] from manubrium to clavicle between pectoralis major and coracoclavicular fascia.[1] Rarely, the subclavius may be missing entirely.[4]
Function
editIt depresses the lateral clavicle, acts to stabilize the clavicle while the shoulder moves the arm. It also raises the first rib while lowering the clavicle during breathing.
The subclavius protects the underlying brachial plexus and subclavian vessels from a broken clavicle—the most frequently broken long bone.
Additional images
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Subclavius muscle (shown in red).
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Anterior surface of sternum and costal cartilages.
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Left clavicle. Inferior surface.
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The axillary artery and its branches.
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The right brachial plexus (infraclavicular portion) in the axillary fossa; viewed from below and in front.
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Subclavius muscle - left view
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Subclavius muscle- right view
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Subclavius (labeled top left) — frontal view
References
editThis article incorporates text in the public domain from page 438 of the 20th edition of Gray's Anatomy (1918)
- ^ a b c "IV. Myology: 13". Gray's Anatomy: The Muscles Connecting the Upper Extremity to the Anterior and Lateral Thoracic Walls. 1918. Archived from the original on 2014-03-08.
- ^ Drake, Richard, et al. Gray's Anatomy For Students, Elsevier Inc., 2005
- ^ Sternoclavicularis is a rare muscle found in a large triangular gap between the sternocostal and clavicularheads of Pectoralis Major muscle on the right side during routine cadaveric dissection.
- ^ Yun, Sam; Park, Sekyoung; Kim, Chang Su (May 2018). "Absence of the subclavius muscle with contralateral subclavius posticus muscle: first imaging report". Clinical Imaging. 49: 54–57. doi:10.1016/j.clinimag.2017.10.008. ISSN 0899-7071. PMID 29127878.