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The subclavius is a small triangular muscle, placed between the clavicle and the first rib. [1] Along with the pectoralis major and pectoralis minor muscles , the subclavius muscle makes up the anterior axioappendicular muscles , also known as anterior wall of the axilla .
It is attached superiorly to the anterosuperior aspect of the sternal end of the clavicle, and inferiorly to the anterosuperior aspect of the manubrium of the sternum as well as the first costal cartilage. [2] The ligament passes obliquely inferomedially from its superior attachment to its inferior attachment. [1]
The joint is formed by the sternal end of the clavicle, the clavicular notch of the sternum, and (the superior surface of) the costal cartilage of the first rib. [1] The articular surface of the clavicle is larger than that of the sternum, and is invested with a layer of cartilage, which is considerably thicker than that of the sternum. [1]
The coracoacromial ligament may impinge and compress rotator cuff muscle or tendon. [3] It may be damaged during a shoulder injury. [4] The attachment of the coracoacromial ligament may be moved from acromion to the end of the clavicle when reconstructing the acromioclavicular joint. [5] [6] This often fails. [5]
The coracoclavicular ligament connects the clavicle to the coracoid process of the scapula. [1] It is not part of the acromioclavicular joint articulation, but is usually described with it, since it keeps the clavicle in contact with the acromion. It consists of two fasciculi, the trapezoid ligament in front, and the conoid ligament behind. [2]
Acromioclavicular joint dislocations are graded from I to VI. Grading is based upon the degree of separation of the acromion from the clavicle with weight applied to the arm. Grade I is slight displacement of the joint, and a badly stretched or partially torn AC ligament. It has the normal separation of <4 mm.
The costoclavicular ligament, also known as the rhomboid ligament or Halsted's ligament, is a ligament of the shoulder girdle.It is short, flat, and rhomboid in form. It is the major stabilizing factor of the sternoclavicular joint and is the axis of movement of the joint, especially during elevation of the clavicle.
On the medial part of the clavicle is a broad rough surface, the costal tuberosity (rhomboid impression), rather more than 2 cm. in length, for the attachment of the costoclavicular ligament. The rest of this surface is occupied by a groove , which gives attachment to the Subclavius ; the coracoclavicular fascia , which splits to enclose the ...