slideshow: clavicle

34
The Clavicle

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Page 1: Slideshow: Clavicle

The Clavicle

Page 2: Slideshow: Clavicle

The Clavicle is a long bone

It is horizontally placed

Page 3: Slideshow: Clavicle

The Clavicle is a long bone

It is horizontally placed

Page 4: Slideshow: Clavicle

The medial end of the Clavicle articulates with the manubrium at the Sternoclavicular Joint

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The lateral end of the Clavicle articulates with the acromion of the scapula at the Acromioclavicular Joint

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The Clavicle is divided into thirds along its length

Undersurface of Right Clavicle

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Lateral Third

The lateral third is flattened and expanded

Undersurface of Right Clavicle

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Medial Third

The medial third is rounded

Undersurface of Right Clavicle

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The Clavicle is curved convex forwards at its medial end

Lateral Medial

Posterior

Anterior

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The Clavicle is concave forwards at its lateral end

Lateral Medial

Posterior

Anterior

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There are a number of impressions on the undersurface

Lateral Medial

Posterior

Anterior

Page 12: Slideshow: Clavicle

This area gives attachment to the Trapezoid ligament

Lateral Medial

Posterior

Anterior

This is one of the two coracoclavicular ligaments that stabilise the acromioclavicular joint

Page 13: Slideshow: Clavicle

This area gives attachment to the Conoid ligament

Lateral Medial

Posterior

Anterior

This is one of the two coracoclavicular ligaments that stabilise the acromioclavicular joint

Page 14: Slideshow: Clavicle

This area gives attachment to the costoclavicular ligament that arises from the first costal cartilage and first rib

Lateral Medial

Posterior

Anterior

It stabilises the sternoclavicular joint

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Sternoclavicular Joint

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Manubrium

Clavicle

Manubrium

Costoclavicular Ligament anterior fibres

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Manubrium

Clavicle

Manubrium

Costoclavicular Ligament posterior fibres

Page 18: Slideshow: Clavicle

Manubrium

Clavicle

Manubrium

Anterior Sternoclavicular Ligament

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Manubrium

Clavicle

Manubrium

Interclavicular Ligament

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Manubrium

Clavicle

Manubrium

Interclavicular Ligament

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Manubrium

Clavicle

Manubrium

Section through Sternoclavicular Joint

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Manubrium

Clavicle

Manubrium

Section through Sternoclavicular Joint

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Manubrium

Clavicle

Manubrium

Section through Sternoclavicular Joint

Articular Disc

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Muscles that attach to the Clavicle

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Muscles that attach to the Clavicle

Lateral Medial

Posterior

Anterior

Deltoid

Page 26: Slideshow: Clavicle

Muscles that attach to the Clavicle

Lateral Medial

Posterior

Anterior

Pectoralis Major

Page 27: Slideshow: Clavicle

Muscles that attach to the Clavicle

Lateral Medial

Posterior

Anterior

Subclavius

Page 28: Slideshow: Clavicle

Muscles that attach to the Clavicle

Lateral Medial

Posterior

Anterior

Trapezius

Page 29: Slideshow: Clavicle

Muscles that attach to the Clavicle

Lateral Medial

Posterior

Anterior

Sternohyoid

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Summary of Muscles that attach to Clavicle

Deltoid

Pectoralis Major

Subclavius

Sternohyoid

Sternocleidomastoid

Trapezius

Page 31: Slideshow: Clavicle

Lateral Chest Wall

DeltoidOrigin Lateral third of clavicle,

acromion, and spine of scapulaInsertion Deltoid tuberosity on lateral

shaft of humerusAction Anterior part: flexes and

internally rotates arm; Middle part: abducts arm; Posterior part: extends and externally rotates arm

Nerve Supply Axillary nerve (C5 and C6)Blood Supply Deltoid branch of

thoracoacromial artery

Page 32: Slideshow: Clavicle

Anterior Chest WallPectoralis Major

Origin Clavicular head: anterior surface of medial half of clavicle; Sternocostal head: anterior surface manubrium & sternum, superior 6 costal cartilages, and aponeurosis of external oblique muscle

Insertion Lateral lip of bicipital groove of humerus

Action Clavicular head: flexes & adducts arm Sternal head: adducts & internally rotates arm

Nerve Supply Lateral and medial pectoral nerves (C5, C6, C7, C8, and T1)

Blood Supply pectoral branch of thoracoacromial trunk

Page 33: Slideshow: Clavicle

SubclaviusOrigin Costochondral junction 1st

ribInsertion Subclavian groove inferior

surface middle clavicleAction Depresses clavicleNerve Supply Nerve to subclavius C5, 6Blood Supply Clavicular branch of

thoraco-acromial artery and suprascapular artery

Anterior Chest Wall

Page 34: Slideshow: Clavicle

Posterior Chest Wall

TrapeziusOrigin Medial third of superior nuchal

line; external occipital protuberance, nuchal ligament, and spinous processes of thoracic vertebrae

Insertion Lateral third of clavicle, acromion, and spine of scapula

Action superior fibers elevate, middle fibers retract, and inferior fibers depress scapula

Nerve Supply Spinal root of accessory nerve (CN XI) (motor) and cervical nerves (C3 and C4) (pain and proprioception)

Blood Supply Transverse cervical artery