The subclavius is a small triangular muscle, placed between the
clavicle
The clavicle, or collarbone, is a slender, S-shaped long bone approximately 6 inches (15 cm) long that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on the left and one on the rig ...
and the
first rib.
Along with the
pectoralis major
The pectoralis major () is a thick, fan-shaped or triangular convergent muscle, situated at the chest of the human body. It makes up the bulk of the chest muscles and lies under the breast. Beneath the pectoralis major is the pectoralis minor, ...
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.
Structure
Attachments
Pectoralis minor muscle arises from the upper margins and outer surface ...
s, the subclavius muscle makes up the anterior
axioappendicular muscles, also known as anterior wall of the
axilla
The axilla (also, 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 and the thoracic cage, bounded supe ...
.
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 formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in th ...
.
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 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 ...
to clavicle between
pectoralis major
The pectoralis major () is a thick, fan-shaped or triangular convergent muscle, situated at the chest of the human body. It makes up the bulk of the chest muscles and lies under the breast. Beneath the pectoralis major is the pectoralis minor, ...
and
coracoclavicular fascia
The clavipectoral fascia (costocoracoid membrane; coracoclavicular fascia) is a strong fascia situated under cover of the clavicular portion of the pectoralis major.
It occupies the interval between the pectoralis minor and subclavius, and prot ...
.
Rarely, the subclavius may be missing entirely.
Function
It depresses the lateral
clavicle
The clavicle, or collarbone, is a slender, S-shaped long bone approximately 6 inches (15 cm) long that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on the left and one on the rig ...
, 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 formed by the anterior rami of the lower four cervical nerves and first thoracic nerve ( C5, C6, C7, C8, and T1). This plexus extends from the spinal cord, through the cervicoaxillary canal in th ...
and subclavian vessels from a broken
clavicle
The clavicle, or collarbone, is a slender, S-shaped long bone approximately 6 inches (15 cm) long that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on the left and one on the rig ...
- the most frequently broken
long bone.
Additional images
File:Subclavius muscle animation2.gif, Subclavius muscle (shown in red). 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 ...
and 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 ...
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
PTCentralPivotal Places: help for problem shoulders
{{Authority control
Muscles of the upper limb