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Chapter: 02-Upper Limb

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Clavicle

  • The clavicle is an S-shaped long bone connecting the sternum to the scapula.
  • It transmits forces from the upper limb to the axial skeleton.
  • Its medial two-thirds curve anteriorly, while its lateral third curves posteriorly.
  • The medial end joins the manubrium and first costal cartilage at the sternoclavicular joint.
  • The lateral end joins the acromion at the acromioclavicular joint.
  • The inferior surface contains the conoid tubercle and trapezoid line for the coracoclavicular ligament.
  • The subclavian groove anchors subclavius, and an inferior impression anchors the costoclavicular ligament.
  • Inferior clavicle landmarks are roughened areas where soft tissues attach; the conoid tubercle and trapezoid line anchor the coracoclavicular ligament, the subclavian groove anchors subclavius, and the costoclavicular impression anchors the ligament from the first rib.
  • The clavicle is subcutaneous along most of its length and commonly fractures near the junction of its middle and lateral thirds.
  • Subcutaneous means just under the skin, so clavicle fractures are often easy to feel; the middle-lateral junction is a weak transition point between the two main curves of the bone.

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