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At its rounded medial end (sternal end), it articulates with the manubrium of the sternum (breastbone) at the sternoclavicular joint. At its flattened lateral end (acromial end), it articulates with the acromion, a process of the scapula (shoulder blade), at the acromioclavicular joint.
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]
When the scapula is moved laterally it lies in a sagittal plane with the glenoid cavity facing anteriorly. At this position, the lateral end of the clavicle is rotated anteriorly so that the clavicle lies in a frontal plane. While this slightly closes the angle between the clavicle and the scapula, it also widens the shoulder. [4]: 40
The clavicle is unstable to direct stress examination. [5] On radiographs, the lateral end of the clavicle may be slightly elevated by pressing on the sternal aspect of the clavicle forcing the acromial end down, and by releasing, it may pop back up eliciting a piano key sign due to the tearing of the AC.
The clavicle consists of a medial end, a shaft, and a lateral end. The medial end connects with the manubrium of the sternum and gives attachments to the fibrous capsule of the sternoclavicular joint, articular disc, and interclavicular ligament. The lateral end connects at the acromion of the scapula which is referred to as the ...
The acromioclavicular ligament, which attaches the clavicle to the acromion of the scapula. Superior acromioclavicular ligament. This ligament is a quadrilateral band, covering the superior part of the articulation, and extending between the upper part of the lateral end of the clavicle and the adjoining part of the upper surface of the acromion.
Attaches to the sternum (sterno-), the clavicle (cleido-), and the mastoid process of the temporal bone of the skull. Most of its actions flex and rotate the head. In regards to the shoulder, however, it also aids in respiration by elevating the sternoclavicular joint when the head is fixed.
The articular disc of the sternoclavicular joint is flat and nearly circular, interposed between the articulating surfaces of the sternum and clavicle.. It is attached, above, to the upper and posterior border of the articular surface of the clavicle; below, to the cartilage of the first rib, near its junction with the sternum; and by its circumference to the interclavicular and anterior and ...