The coracoid

process A process is a series or set of activities that interact to produce a result; it may occur once-only or be recurrent or periodic. Things called a process include: Business and management * Business process, activities that produce a specific s ...

(from

Greek Greek may refer to: Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group *Greek language, a branch of the Indo-European language family **Proto-Greek language, the assumed last common ancestor of all kno ...

κόραξ, raven) is a small hook-like structure on the lateral edge of the superior anterior portion of the

scapula The scapula (: scapulae or scapulas), also known as the shoulder blade, is the bone that connects the humerus (upper arm bone) with the clavicle (collar bone). Like their connected bones, the scapulae are paired, with each scapula on either side ...

(hence: coracoid, or "like a raven's beak"). Pointing laterally forward, it, together with the

acromion In human anatomy, the acromion (from Greek: ''akros'', "highest", ''ōmos'', "shoulder", : acromia) or summit of the shoulder is a bony process on the scapula (shoulder blade). Together with the coracoid process, it extends laterally over the sh ...

, serves to stabilize the shoulder joint. It is

palpable {{Short pages monitor The coracoid process is a snare molded bone design projecting anterolaterally from the unrivaled(?) part of the scapular neck. Surgeons refer to this part of the body as the “lighthouse of the shoulder” as it is close to the area where structures of veins and nerves (neurovascular) are bound together. The distances between the coracoid base and the neurovascular structures is like a 90 degree chair. The suprascapular ligament is right next to the coracoid process. The muscles that are attached are: Pectoralis Minor, Coracobrachialis, and

Biceps Brachii The biceps or biceps brachii (, "two-headed muscle of the arm") is a large muscle that lies on the front of the upper arm between the shoulder and the elbow. Both heads of the muscle arise on the scapula and join to form a single muscle bell ...

. In addition, this structure attaches all the tendons and ligaments together. There are two purposes for this structure: it is the primary hold by which the clavicle is joined to the scapula and alongside the acromion and coraco-acromial tendon, it shapes the curve over the glenoid. By having the coracoid process, this allows the scapula to not be attached to the skeletons by the bone so that it can only support the limbs. Although there are minor instances where the coracoid process can be damaged by itself, there can still be damage to the structure with an acute subscapularis tear. Usually a disruption in the coracoid process can indicate a shoulder injury such as dislocation and instability.

Attachments

It is the site of attachment for several structures:

Muscles

* The

pectoralis minor muscle Pectoralis minor muscle () is a thin, triangular muscle, situated at the upper part of the chest, beneath the pectoralis major in the human body. It arises from ribs III-V; it inserts onto the coracoid process of the scapula. It is innervated by t ...

(insertion) – to 3rd, 4th, 5th and on some rare occasions, 6th

rib In vertebrate anatomy, ribs () are the long curved bones which form the rib cage, part of the axial skeleton. In most tetrapods, ribs surround the thoracic cavity, enabling the lungs to expand and thus facilitate breathing by expanding the ...

. * The short head of

biceps brachii muscle The biceps or biceps brachii (, "two-headed muscle of the arm") is a large muscle that lies on the front of the upper arm between the shoulder and the elbow. Both Muscle head, heads of the muscle arise on the scapula and join to form a single ...

(origin) – to radial tuberosity. * The coracobrachialis muscle (origin) – to medial

humerus The humerus (; : humeri) is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius (bone), radius and ulna, and consists of three sections. The humeral upper extrem ...

Ligaments

* The coracoclavicular ligament – to the

clavicle The clavicle, collarbone, or keybone is a slender, S-shaped long bone approximately long that serves as a strut between the scapula, shoulder blade and the sternum (breastbone). There are two clavicles, one on each side of the body. The clavic ...

. (The ligament is formed by the conoid ligament and trapezoid ligament.) * The coracoacromial ligament – to the

* The coracohumeral ligament – to the

* The superior transverse scapular ligament – from the base of the

coracoid A coracoid is a paired bone which is part of the shoulder assembly in all vertebrates except therian mammals (marsupials and placentals). In therian mammals (including humans), a coracoid process is present as part of the scapula, but this is n ...

to the medial portion of the suprascapular notch

Clinical significance

The coracoid process is palpable just below the lateral end of the clavicle (collar bone). It is otherwise known as the "Surgeon's Lighthouse" because it serves as a landmark to avoid neurovascular damage. Major neurovascular structures enter the upper limb medial to the coracoid process, so that surgical approaches to the shoulder region should always take place laterally to the coracoid process.

Other animals

monotreme Monotremes () are mammals of the order Monotremata. They are the only group of living mammals that lay eggs, rather than bearing live young. The extant monotreme species are the platypus and the four species of echidnas. Monotremes are typified ...

s, the

is a separate bone.

Reptile Reptiles, as commonly defined, are a group of tetrapods with an ectothermic metabolism and Amniotic egg, amniotic development. Living traditional reptiles comprise four Order (biology), orders: Testudines, Crocodilia, Squamata, and Rhynchocepha ...

bird Birds are a group of warm-blooded vertebrates constituting the class (biology), class Aves (), characterised by feathers, toothless beaked jaws, the Oviparity, laying of Eggshell, hard-shelled eggs, a high Metabolism, metabolic rate, a fou ...

s, and

frog A frog is any member of a diverse and largely semiaquatic group of short-bodied, tailless amphibian vertebrates composing the order (biology), order Anura (coming from the Ancient Greek , literally 'without tail'). Frog species with rough ski ...

s (but not

salamander Salamanders are a group of amphibians typically characterized by their lizard-like appearance, with slender bodies, blunt snouts, short limbs projecting at right angles to the body, and the presence of a tail in both larvae and adults. All t ...

s) also possess a bone by this name, but is not homologous with the coracoid process of mammals. Analyses of the size and shape of the coracoid process in ''

Australopithecus africanus ''Australopithecus africanus'' is an extinct species of australopithecine which lived between about 3.3 and 2.1 million years ago in the Late Pliocene to Early Pleistocene of South Africa. The species has been recovered from Taung, Sterkfontei ...

'' (STS 7) have shown that, in this species, it displayed a prominent dorsolateral tubercle placed more laterally than in

modern humans Humans (''Homo sapiens'') or modern humans are the most common and widespread species of primate, and the last surviving species of the genus ''Homo''. They are great apes characterized by their hairlessness, bipedalism, and high intelligen ...

. This may reflect, according to one interpretation, a scapula positioned high on a funnel-shaped thorax with an obliquely-positioned clavicle, as in extant non-human

great ape The Hominidae (), whose members are known as the great apes or hominids (), are a taxonomic family of primates that includes eight extant species in four genera: '' Pongo'' (the Bornean, Sumatran and Tapanuli orangutan); '' Gorilla'' (the ...

s. Anthropologists examine the coracoid process when studying shoulder morphology to determine whether the upper limbs provided support for bipedalism in the early hominin ages. The shoulder is an area of primate life structures that previous examinations have demonstrated to emphatically mirror the varying useful requests forced by contrasts in locomotor modes. Since the morphology of early hominin upper appendage components comprises a blend of derived traits, it is noted that these primitive features are of continuous usage throughout the evolution of hominins. When ''Australopithecus africanus'' (known as Sts 7 within the realms of Anthropology) was being examined, it was observed that the scapular orientation was higher as compared to modern day humans (''

Homo sapiens Humans (''Homo sapiens'') or modern humans are the most common and widespread species of primate, and the last surviving species of the genus ''Homo''. They are Hominidae, great apes characterized by their Prehistory of nakedness and clothing ...

''). However, Homo Sapiens do not have distinct features in terms of shape or size when it comes to the coracoid process. Within the research of Elizabeth Vrbua, a paleoanthropologist who made a study called “A New Study of the Scapula of Australopithecus africanus from Sterkfontein”, it was seen that ''A. africanus'' had a higher scapular position which could infer that this position is likely to be seen in earlier hominins as well. According to the authors of “The human acromion viewed from an evolutionary perspective”, there were different shapes of surface of the coracoid process within the various hominins. The

gorilla Gorillas are primarily herbivorous, terrestrial great apes that inhabit the tropical forests of equatorial Africa. The genus ''Gorilla'' is divided into two species: the eastern gorilla and the western gorilla, and either four or five su ...

s had a wide shape,

chimpanzee The chimpanzee (; ''Pan troglodytes''), also simply known as the chimp, is a species of Hominidae, great ape native to the forests and savannahs of tropical Africa. It has four confirmed subspecies and a fifth proposed one. When its close rel ...

orangutan Orangutans are great apes native to the rainforests of Indonesia and Malaysia. They are now found only in parts of Borneo and Sumatra, but during the Pleistocene they ranged throughout Southeast Asia and South China. Classified in the genus ...

s and

human Humans (''Homo sapiens'') or modern humans are the most common and widespread species of primate, and the last surviving species of the genus ''Homo''. They are Hominidae, great apes characterized by their Prehistory of nakedness and clothing ...

s had an intermediate shape, and the

gibbon Gibbons () are apes in the family Hylobatidae (). The family historically contained one genus, but now is split into four extant genera and 20 species. Gibbons live in subtropical and tropical forests from eastern Bangladesh and Northeast Indi ...

had a small shape. This can further be analyzed as the different

hominid The Hominidae (), whose members are known as the great apes or hominids (), are a taxonomic family of primates that includes eight extant species in four genera: '' Pongo'' (the Bornean, Sumatran and Tapanuli orangutan); '' Gorilla'' (the ...

s have variability in their shape of the coracoid process. The latest contributions to the evolutionary coracoid process were from Doctor M. Hussan in 2016 where he added further insight on the significance of the subacromial impingement and coracoacromial arch's importance with the aid of pathology.

Additional images

File:Coracoid process of left scapula - animation01.gif, Left

. Coracoid process shown in red. File:Coracoid process of scapula - animation01.gif, Animation. Coracoid process shown in red. File:Coracoid process of left scapula01.png, Left scapula. Lateral view. Coracoid process shown in red.

References

External links

*
Coracoid Process
- BlueLink Anatomy, University of Michigan Medical School {{Authority control Scapula