The clavicle, or collarbone, is a slender, S-shaped

long bone The long bones are those that are longer than they are wide. They are one of five types of bones: long, Short bone, short, Flat bone, flat, Irregular bone, irregular and Sesamoid bone, sesamoid. Long bones, especially the femur and tibia, are subj ...

approximately 6 inches (15 cm) long that serves as a

strut A strut is a structural component commonly found in engineering, aeronautics, architecture and anatomy. Struts generally work by resisting longitudinal compression, but they may also serve in tension. Human anatomy Part of the functionality o ...

between the shoulder blade and the

sternum The sternum 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, lungs, and major blood vessels from injury. Sh ...

(breastbone). There are two clavicles, one on the left and one on the right. The clavicle is the only long bone in the body that lies horizontally. Together with the shoulder blade, it makes up the

shoulder girdle The shoulder girdle or pectoral girdle is the set of bones in the appendicular skeleton which connects to the arm on each side. In humans it consists of the clavicle and scapula; in those species with three bones in the shoulder, it consists of t ...

. It is a palpable bone and, in people who have less

fat In nutrition science, nutrition, biology, and chemistry, fat usually means any ester of fatty acids, or a mixture of such chemical compound, compounds, most commonly those that occur in living beings or in food. The term often refers spec ...

in this region, the location of the bone is clearly visible. It receives its name from the

Latin Latin (, or , ) is a classical language belonging to the Italic branch of the Indo-European languages. Latin was originally a dialect spoken in the lower Tiber area (then known as Latium) around present-day Rome, but through the power of the ...

''clavicula'' ("little key"), because the bone rotates along its axis like a key when the shoulder is abducted. The clavicle is the most commonly fractured bone. It can easily be fractured by impacts to the shoulder from the force of falling on outstretched arms or by a direct hit.

Structure

The collarbone is a thin doubly curved

that connects the

arm In human anatomy, the arm refers to the upper limb in common usage, although academically the term specifically means the upper arm between the glenohumeral joint (shoulder joint) and the elbow joint. The distal part of the upper limb between th ...

to the trunk of the body. Located directly above the

first rib The rib cage, as an enclosure that comprises the ribs, vertebral column and sternum in the thorax of most vertebrates, protects vital organs such as the heart, lungs and great vessels. The sternum, together known as the thoracic cage, is a semi ...

, it acts as a strut to keep the scapula in place so that the arm can hang freely. At its rounded medial end (sternal end), it articulates with the

manubrium The sternum 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, lungs, and major blood vessels from injury. Sha ...

of the

(breastbone) at the

sternoclavicular joint The sternoclavicular joint or sternoclavicular articulation is a synovial saddle joint between the manubrium of the sternum, and the clavicle, as well as the first rib. The joint possesses a joint capsule, and an articular disk, and is reinfor ...

. At its flattened lateral end (acromial end), it articulates with the

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

, a process of the

scapula The scapula (plural 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 eithe ...

(shoulder blade), at the

acromioclavicular joint The acromioclavicular joint, or AC joint, is a joint at the top of the shoulder. It is the junction between the acromion (part of the scapula that forms the highest point of the shoulder) and the clavicle. It is a plane synovial joint. Structure ...

. The rounded medial region (sternal region) of the shaft has a long curve laterally and anteriorly along two-thirds of the entire shaft. The flattened lateral region (acromial region) of the shaft has an even larger posterior curve to articulate with the acromion of the scapula. The medial region is the longest clavicular region as it takes up two-thirds of the entire shaft. The lateral region is both the widest clavicular region and thinnest clavicular region. The lateral end has a rough inferior surface that bears a ridge, the

trapezoid line From the conoid tubercle an oblique ridge, the trapezoid line (or trapezoid ridge, or oblique), runs forward and lateralward, and affords attachment to the trapezoid ligament The trapezoid ligament is a ligament connecting the coracoid process ...

, and a slight rounded projection, the conoid tubercle (above the

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 ...

). These surface features are attachment sites for muscles and ligaments of the shoulder. It can be divided into three parts: medial end, lateral end, and shaft.

Medial end

The medial end is also known as the sternal end. It is quadrangular and articulates with the clavicular notch of the manubrium of the sternum to form the sternoclavicular joint. The articular surface extends to the inferior aspect for articulation with the first

costal cartilage The costal cartilages are bars of hyaline cartilage that serve to prolong the ribs forward and contribute to the elasticity of the walls of the thorax. Costal cartilage is only found at the anterior ends of the ribs, providing medial extension. ...

Lateral end

The lateral end is also known as the acromial end. It is flat from above downward. It bears a facet that articulates with the shoulder to form the acromioclavicular joint. The area surrounding the joint gives an attachment to the joint capsule. The anterior border is concave forward and the posterior border is convex backward.

Shaft

The shaft is divided into two main regions, the medial region, and the lateral region. The medial region is also known as the sternal region, it is the longest clavicular region as it takes up two-thirds of the entire shaft. The lateral region is also known as the acromial region, it is both the widest clavicular region and thinnest clavicular region. Clavicle 3d Model

Lateral region of the shaft

The lateral region of the shaft has two borders and two surfaces. * the anterior border is concave forward and gives origin to the

deltoid muscle The deltoid muscle is the muscle forming the rounded contour of the human shoulder. It is also known as the 'common shoulder muscle', particularly in other animals such as the domestic cat. Anatomically, the deltoid muscle appears to be made up o ...

. * the posterior border is convex and gives attachment to the

trapezius muscle The trapezius is a large paired trapezoid-shaped surface muscle that extends longitudinally from the occipital bone to the lower thoracic vertebrae of the spine and laterally to the spine of the scapula. It moves the scapula and supports the ...

. * the inferior surface has a ridge called the

and a tubercle; the conoid tubercle for attachment with the trapezoid and the

conoid ligament The conoid ligament is the posterior and medial fasciculus of the coracoclavicular ligament. It is formed by a dense band of fibers, conical in form, with its base directed upward. It is attached by its apex to a rough impression at the base of th ...

, part of the

coracoclavicular ligament The coracoclavicular ligament is a ligament of the shoulder. It connects the clavicle to the coracoid process of the scapula. Structure The coracoclavicular ligament connects the clavicle to the coracoid process of the scapula. It it is not par ...

that serves to connect the collarbone with the coracoid process of the scapula.

Development

The collarbone is the first bone to begin the process of

ossification Ossification (also called osteogenesis or bone mineralization) in bone remodeling is the process of laying down new bone material by cells named osteoblasts. It is synonymous with bone tissue formation. There are two processes resulting in t ...

(laying down of minerals onto a preformed matrix) during development of the embryo, during the fifth and sixth weeks of

gestation Gestation is the period of development during the carrying of an embryo, and later fetus, inside viviparous animals (the embryo develops within the parent). It is typical for mammals, but also occurs for some non-mammals. Mammals during pregna ...

. However, it is one of the last bones to finish ossification at about 21–25 years of age. Its lateral end is formed by

intramembranous ossification Intramembranous ossification is one of the two essential processes during fetal development of the gnathostome (excluding chondrichthyans such as sharks) skeletal system by which rudimentary bone tissue is created. Intramembranous ossification is a ...

while medially it is formed by endochondral ossification. It consists of a mass of

cancellous bone A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, and ...

surrounded by a

compact bone A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, and ...

shell. The cancellous bone forms via two

ossification centres An ossification center is a point where ossification of the cartilage begins. The first step in ossification is that the cartilage cells at this point enlarge and arrange themselves in rows.Gray and Spitzka (1910), page 44. The matrix in which t ...

, one medial and one lateral, which fuse later on. The compact forms as the layer of

fascia A fascia (; plural fasciae or fascias; adjective fascial; from Latin: "band") is a band or sheet of connective tissue, primarily collagen, beneath the skin that attaches to, stabilizes, encloses, and separates muscles and other internal organs. ...

covering the bone stimulate the ossification of adjacent tissue. The resulting compact bone is known as a periosteal collar. Even though it is classified as a

, the collarbone has no

medullary cavity The medullary cavity (''medulla'', innermost part) is the central cavity of bone shafts where red bone marrow and/or yellow bone marrow (adipose tissue) is stored; hence, the medullary cavity is also known as the marrow cavity. Located in the m ...

( marrow cavity) like other long bones, though this is not always true. It is made up of spongy

with a shell of

. It is a

dermal bone A dermal bone or investing bone or membrane bone is a bony structure derived from intramembranous ossification forming components of the vertebrate skeleton including much of the skull, jaws, gill covers, shoulder girdle and fin spines rays (lepi ...

derived from elements originally attached to the skull.

Variation

The shape of the clavicle varies more than most other long bones. It is occasionally pierced by a branch of the

supraclavicular nerve The supraclavicular nerves (descending branches) arise from the third and fourth cervical nerves. They emerge beneath the posterior border of the sternocleidomastoideus (sternocleidomastoid muscle), and descend in the posterior triangle of the neck ...

. In males the clavicle is usually longer and larger than in females. A study measuring 748 males and 252 females saw a difference in collarbone length between age groups 18–20 and 21–25 of about for males and females respectively. The left clavicle is usually longer and weaker than the right clavicle. The collarbones are sometimes partly or completely absent in cleidocranial dysostosis. The

levator claviculae muscle In human anatomy, the levator claviculae is a very rare accessory and vestigial skeletal muscle in the posterior triangle of the neck. It originates on the transverse processes of the upper cervical vertebrae and is inserted in the lateral h ...

, present in 2–3% of people, originates on the transverse processes of the upper cervical vertebrae and is inserted in the lateral half of the clavicle.

Functions

The collarbone serves several functions: * It serves as a rigid support from which the scapula and free limb suspended; an arrangement that keeps the upper limb away from the thorax so that the arm has maximum range of movement. Acting as a flexible, crane-like strut, it allows the scapula to move freely on the thoracic wall. * Covering the cervicoaxillary canal, it protects the neurovascular bundle that supplies the upper limb. * Transmits physical impacts from the upper limb to the

axial skeleton The axial skeleton is the part of the skeleton that consists of the bones of the head and trunk (anatomy), trunk of a vertebrate. In the human skeleton, it consists of 80 bones and is composed of six parts; the human skull, skull (22 bones), als ...

Muscle

Muscles and ligaments that attach to the collarbone include:

Clinical significance

Acromioclavicular dislocation A separated shoulder, also known as acromioclavicular joint injury, is a common injury to the acromioclavicular joint. The AC joint is located at the outer end of the clavicle where it attaches to the acromion of the scapula. Symptoms include non ...

("AC Separation") * Degeneration of the clavicle * Osteolysis * Sternoclavicular dislocations A vertical line drawn from the mid-clavicle called the

mid-clavicular line {{short description, None Anatomical "lines", or "reference lines," are theoretical lines drawn through anatomical structures and are used to describe anatomical location. The following reference lines are identified in ''Terminologia Anatomica'' ...

is used as a reference in describing cardiac apex beat during medical examination. It is also useful for evaluating an enlarged liver, and for locating the

gallbladder In vertebrates, the gallbladder, also known as the cholecyst, is a small hollow organ where bile is stored and concentrated before it is released into the small intestine. In humans, the pear-shaped gallbladder lies beneath the liver, although ...

which is between the mid-clavicular line and the

transpyloric plane The transpyloric plane, also known as Addison's plane, is an imaginary horizontal plane, located halfway between the suprasternal notch of the manubrium and the upper border of the symphysis pubis at the level of the first lumbar vertebrae, L1. It ...

Collarbone fracture

Clavicle fractures (colloquially, a broken collarbone) occur as a result of injury or trauma. The most common type of fractures occur when a person falls horizontally on the shoulder or with an outstretched hand. A direct hit to the collarbone will also cause a break. In most cases, the direct hit occurs from the lateral side towards the medial side of the bone. The most common site of fracture is the junction between the two curvatures of the bone, which is the weakest point. This results in the sternocleidomastoid muscle lifting the medial aspect superiorly, which can result in perforation of the overlying skin.

Other animals

The clavicle first appears as part of the skeleton in primitive

bony fish Osteichthyes (), popularly referred to as the bony fish, is a diverse superclass of fish that have skeletons primarily composed of bone tissue. They can be contrasted with the Chondrichthyes, which have skeletons primarily composed of cartilag ...

, where it is associated with the

pectoral fin Fins are distinctive anatomical features composed of bony spines or rays protruding from the body of a fish. They are covered with skin and joined together either in a webbed fashion, as seen in most bony fish, or similar to a flipper, as ...

; they also have a bone called the

cleithrum The cleithrum (plural cleithra) is a membrane bone which first appears as part of the skeleton in primitive bony fish, where it runs vertically along the scapula. Its name is derived from Greek κλειθρον = " key (lock)", by analogy with "cl ...

. In such fish, the paired clavicles run behind and below the gills on each side, and are joined by a solid

symphysis A symphysis (, pl. symphyses) is a fibrocartilaginous fusion between two bones. It is a type of cartilaginous joint, specifically a secondary cartilaginous joint. # A symphysis is an amphiarthrosis, a slightly movable joint. # A growing together ...

on the fish's underside. They are, however, absent in

cartilaginous fish Chondrichthyes (; ) is a class that contains the cartilaginous fishes that have skeletons primarily composed of cartilage. They can be contrasted with the Osteichthyes or ''bony fishes'', which have skeletons primarily composed of bone tissue ...

and in the vast majority of living bony fish, including all of the

teleost Teleostei (; Greek ''teleios'' "complete" + ''osteon'' "bone"), members of which are known as teleosts ), is, by far, the largest infraclass in the class Actinopterygii, the ray-finned fishes, containing 96% of all extant species of fish. Tel ...

s. The earliest

tetrapod Tetrapods (; ) are four-limbed vertebrate animals constituting the superclass Tetrapoda (). It includes extant and extinct amphibians, sauropsids ( reptiles, including dinosaurs and therefore birds) and synapsids (pelycosaurs, extinct theraps ...

s retained this arrangement, with the addition of a diamond-shaped

interclavicle An interclavicle is a bone which, in most tetrapods, is located between the clavicles. Therian mammals ( marsupials and placentals) are the only tetrapods which never have an interclavicle, although some members of other groups also lack one. In th ...

between the base of the clavicles, although this is not found in living

amphibian Amphibians are tetrapod, four-limbed and ectothermic vertebrates of the Class (biology), class Amphibia. All living amphibians belong to the group Lissamphibia. They inhabit a wide variety of habitats, with most species living within terres ...

s. The cleithrum disappeared early in the evolution of

reptile Reptiles, as most commonly defined are the animals in the class Reptilia ( ), a paraphyletic grouping comprising all sauropsids except birds. Living reptiles comprise turtles, crocodilians, squamates (lizards and snakes) and rhynchocephalians ( ...

s, and is not found in any living

amniote Amniotes are a clade of tetrapod vertebrates that comprises sauropsids (including all reptiles and birds, and extinct parareptiles and non-avian dinosaurs) and synapsids (including pelycosaurs and therapsids such as mammals). They are disti ...

s, but the interclavicle is present in most modern reptiles, and also in

monotreme Monotremes () are prototherian mammals of the order Monotremata. They are one of the three groups of living mammals, along with placentals (Eutheria), and marsupials (Metatheria). Monotremes are typified by structural differences in their brain ...

s. In modern forms, however, there are a number of variations from the primitive pattern. For example,

crocodilian Crocodilia (or Crocodylia, both ) is an order of mostly large, predatory, semiaquatic reptiles, known as crocodilians. They first appeared 95 million years ago in the Late Cretaceous period ( Cenomanian stage) and are the closest living ...

s and

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 ten ...

s lack clavicles altogether (although crocodilians do retain the interclavicle), while in

turtle Turtles are an order of reptiles known as Testudines, characterized by a special shell developed mainly from their ribs. Modern turtles are divided into two major groups, the Pleurodira (side necked turtles) and Cryptodira (hidden necked tu ...

s, they form part of the armoured plastron. The interclavicle is absent in

marsupial Marsupials are any members of the mammalian infraclass Marsupialia. All extant marsupials are endemic to Australasia, Wallacea and the Americas. A distinctive characteristic common to most of these species is that the young are carried in a po ...

s and

placental mammal Placental mammals (infraclass Placentalia ) are one of the three extant subdivisions of the class Mammalia, the other two being Monotremata and Marsupialia. Placentalia contains the vast majority of extant mammals, which are partly distinguishe ...

s. In many mammals, the clavicles are also reduced, or even absent, to allow the scapula greater freedom of motion, which may be useful in fast-running animals. Though a number of fossil

hominin The Hominini form a taxonomic tribe of the subfamily Homininae ("hominines"). Hominini includes the extant genera ''Homo'' (humans) and '' Pan'' (chimpanzees and bonobos) and in standard usage excludes the genus ''Gorilla'' (gorillas). The t ...

(humans and chimpanzees) clavicles have been found, most of these are mere segments offering limited information on the form and function of the pectoral girdle. One exception is the clavicle of AL 333x6/9 attributed to ''

Australopithecus afarensis ''Australopithecus afarensis'' is an extinct species of australopithecine which lived from about 3.9–2.9 million years ago (mya) in the Pliocene of East Africa. The first fossils were discovered in the 1930s, but major fossil finds would not ...

'' which has a well-preserved sternal end. One interpretation of this specimen, based on the orientation of its lateral end and the position of the deltoid attachment area, suggests that this clavicle is distinct from those found in extant

ape Apes (collectively Hominoidea ) are a clade of Old World simians native to sub-Saharan Africa and Southeast Asia (though they were more widespread in Africa, most of Asia, and as well as Europe in prehistory), which together with its sister g ...

s (including humans), and thus that the shape of the human shoulder dates back to less than . However, analyses of the clavicle in extant primates suggest that the low position of the scapula in humans is reflected mostly in the curvature of the medial portion of the clavicle rather than the lateral portion. This part of the bone is similar in ''A. afarensis'' and it is thus possible that this species had a high shoulder position similar to that in

modern humans Humans (''Homo sapiens'') are the most abundant and widespread species of primate, characterized by bipedalism and exceptional cognitive skills due to a large and complex brain. This has enabled the development of advanced tools, culture, an ...

In dinosaurs

dinosaur Dinosaurs are a diverse group of reptiles of the clade Dinosauria. They first appeared during the Triassic period, between 243 and 233.23 million years ago (mya), although the exact origin and timing of the evolution of dinosaurs is t ...

s the main bones of the

pectoral girdle The shoulder girdle or pectoral girdle is the set of bones in the appendicular skeleton which connects to the arm on each side. In humans it consists of the clavicle and scapula; in those species with three bones in the shoulder, it consists of t ...

were the

(shoulder blade) and the

coracoid A coracoid (from Greek κόραξ, ''koraks'', raven) 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 prese ...

, both of which directly articulated with the clavicle. The clavicle was present in

saurischian Saurischia ( , meaning "reptile-hipped" from the Greek ' () meaning 'lizard' and ' () meaning 'hip joint') is one of the two basic divisions of dinosaurs (the other being Ornithischia), classified by their hip structure. Saurischia and Ornithis ...

dinosaurs but largely absent in

ornithischian Ornithischia () is an extinct order of mainly herbivorous dinosaurs characterized by a pelvic structure superficially similar to that of birds. The name ''Ornithischia'', or "bird-hipped", reflects this similarity and is derived from the Greek st ...

dinosaurs. The place on the scapula where it articulated with the

humerus The humerus (; ) 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 and ulna, and consists of three sections. The humeral upper extremity consists of a roun ...

(upper bone of the forelimb) is the called the

glenoid The glenoid fossa of the scapula or the glenoid cavity is a bone part of the shoulder. The word ''glenoid'' is pronounced or (both are common) and is from el, gléne, "socket", reflecting the shoulder joint's ball-and-socket form. It is a sha ...

. The clavicles fused in some

theropod Theropoda (; ), whose members are known as theropods, is a dinosaur clade that is characterized by hollow bones and three toes and claws on each limb. Theropods are generally classed as a group of saurischian dinosaurs. They were ancestrally c ...

dinosaurs to form a

furcula The (Latin for "little fork") or wishbone is a forked bone found in most birds and some species of non-avian dinosaurs, and is formed by the fusion of the two pink clavicles. In birds, its primary function is in the strengthening of the thoracic ...

, which is the equivalent to a wishbone.Martin, A.J. (2006). Introduction to the Study of Dinosaurs. Second Edition. Oxford, Blackwell Publishing. pg. 299-300. . In birds, the clavicles and interclavicle have fused to form a single Y-shaped bone, the

or "wishbone" which evolved from the clavicles found in coelurosaurian theropods.

Additional media

References

External links

Clavicle
- BlueLink Anatomy - University of Michigan Medical School {{Authority control Skeletal system Upper limb anatomy Shoulder