The Clavicle: Understanding the Collarbone

General

The clavicle, commonly known as the collarbone, is a long, slender bone that serves as a critical connection between the upper limb and the trunk. Though often overlooked, the clavicle plays a vital role in the structure, mobility, and protection of the shoulder region.

Anatomy of the Clavicle

The clavicle is located horizontally at the top of the chest, just above the first rib. Each person has two clavicles—one on the left and one on the right. The bone is slightly S-shaped and has three main parts:

  1. Medial (sternal) end – This rounded end connects to the sternum (breastbone) at the sternoclavicular joint.
  2. Shaft – The long, central portion of the bone, which provides attachment points for muscles.
  3. Lateral (acromial) end – This flattened end articulates with the acromion of the scapula (shoulder blade), forming the acromioclavicular joint.

The clavicle is surrounded by important muscles, ligaments, and nerves, making it crucial for both stability and movement of the shoulder.

Functions of the Clavicle

The clavicle has several important functions:

  • Support: It acts as a strut that keeps the shoulder blade in position, allowing the arm to hang freely and move in a wide range of motion.
  • Protection: The clavicle protects neurovascular structures that pass from the neck to the arm, including major blood vessels and nerves.
  • Force Transmission: It helps transfer physical forces from the arm to the axial skeleton, aiding in lifting, pushing, and pulling movements.
  • Muscle Attachment: Several muscles attach to the clavicle, including the deltoid, pectoralis major, trapezius, and sternocleidomastoid, supporting shoulder movement and stability.

Common Injuries

The clavicle is one of the most frequently fractured bones in the human body, especially due to falls onto the shoulder or outstretched arm. Fractures are common in contact sports, cycling accidents, and vehicle collisions.

  • Symptoms of a clavicle fracture may include pain, swelling, bruising, and limited shoulder movement.
  • Treatment can range from immobilization with a sling to surgical intervention, depending on the severity and displacement of the fracture.

Clinical Importance

Beyond fractures, the clavicle is often involved in conditions such as osteolysis, arthritis at the acromioclavicular joint, and congenital malformations. Its prominence also makes it a landmark for medical procedures, such as central venous catheter placement.

Conclusion

The clavicle may be a small bone, but its importance to the structure and function of the shoulder cannot be overstated. From supporting arm movement to protecting vital nerves and blood vessels, the collarbone is a remarkable component of the human skeletal system. Proper care, awareness of injury risks, and timely treatment are essential to maintain its functionality and overall upper body mobility.

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