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The subclavius is a small triangular muscle, placed between 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 ...
and the
first rib The rib cage or thoracic cage is an endoskeletal enclosure in the thorax of most vertebrates that comprises the ribs, vertebral column and sternum, which protect the vital organs of the thoracic cavity, such as the heart, lungs and great vessel ...
. Along with the pectoralis major and
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 ...
s, the subclavius muscle makes up the anterior axioappendicular muscles, also known as anterior wall of the
axilla The axilla (: axillae or axillas; also known as the armpit, underarm or oxter) is the area on the human body directly under the shoulder joint. It includes the axillary space, an anatomical space within the shoulder girdle between the arm a ...
.


Structure

It arises by a short, thick tendon from the first rib and its cartilage at their junction, in front of the costoclavicular ligament. The fleshy fibers proceed obliquely superolaterally, to be inserted into the groove on the under surface of the clavicle.


Innervation

The 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 The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four Spinal nerve#Cervical nerves, cervical nerves and first Spinal nerve#Thoracic nerves, thoracic nerve (cervical spinal nerve 5, C5, Cervical spi ...
.


Variation

Insertion into
coracoid process The coracoid process (from Greek κόραξ, raven) is a small hook-like structure on the lateral edge of the superior anterior portion of the scapula (hence: coracoid, or "like a raven's beak"). Pointing laterally forward, it, together with the ...
instead of clavicle or into both clavicle and coracoid process. Sternoscapular fasciculus to the upper border of scapula. Sternoclavicularis from
manubrium The sternum (: sternums or sterna) or breastbone is a long flat bone located in the central part of the chest. It connects to the ribs via cartilage and forms the front of the rib cage, thus helping to protect the heart, human lung, lungs, and ma ...
to clavicle between pectoralis major and coracoclavicular fascia. Rarely, the subclavius may be missing entirely.


Function

It depresses the lateral
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 ...
, 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 The brachial plexus is a network of nerves (nerve plexus) formed by the anterior rami of the lower four Spinal nerve#Cervical nerves, cervical nerves and first Spinal nerve#Thoracic nerves, thoracic nerve (cervical spinal nerve 5, C5, Cervical spi ...
and subclavian vessels from a broken
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 most frequently broken
long bone The long bones are those that are longer than they are wide. They are one of five types of bones: long, short, flat, irregular and sesamoid. Long bones, especially the femur and tibia, are subjected to most of the load during daily activities ...
.


Additional images

File:Subclavius muscle animation2.gif, Subclavius muscle (shown in red).
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 ...
and
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 ...
are shown in semi-transparent. Animation. File:Subclavius muscle frontal3.png, Subclavius muscle (shown in red). File:Gray115.png, Anterior surface of sternum and costal cartilages. File:Gray201.png, Left clavicle. Inferior surface. File:Gray523.png, The axillary artery and its branches. File:Gray809.png, The right brachial plexus (infraclavicular portion) in the axillary fossa; viewed from below and in front. File:Slide7b.JPG, Subclavius muscle - left view File:Slide10d.JPG, Subclavius muscle- right view File:1118 Muscles that Position the Pectoral Girdle anterior.png, Subclavius (labeled top left) — frontal view


References


External links


PTCentral

Pivotal Places: help for problem shoulders
{{Authority control Muscles of the upper limb