Osteology of the Upper Limb (Clavicle)
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Questions and Answers

What is the specific characteristic of the lateral one-third of the clavicle in terms of its shape?

  • It is convex forwards.
  • It is concave forwards. (correct)
  • It is cylindrical in shape.
  • It is rounded and convex backwards.
  • What is the name of the structure located on the inferior surface of the clavicle near the posterior border, at the junction of the lateral one-fourth and medial three-fourths?

  • Deltoid tubercle
  • Trapezoid ridge
  • Conoid tubercle (correct)
  • Acromial facet
  • What is the name of the ligament that attaches to the trapezoid ridge on the inferior surface of the clavicle?

  • Acromioclavicular ligament
  • Coracoclavicular ligament (correct)
  • Interclavicular ligament
  • Sternoclavicular ligament
  • Which of the following attachments is NOT associated with the medial end (sternal end) of the clavicle?

    <p>Deltoid muscle (C)</p> Signup and view all the answers

    What is the significance of the concave forwards anterior border of the lateral one-third of the clavicle?

    <p>It gives origin to the deltoid muscle. (B)</p> Signup and view all the answers

    What is the primary function of the acromioclavicular joint?

    <p>Providing stability to the shoulder joint (D)</p> Signup and view all the answers

    Which of these statements is TRUE regarding the medial two-thirds of the clavicle?

    <p>It is cylindrical in shape. (B)</p> Signup and view all the answers

    What is the name of the small tubercle that may be present on the anterior border of the lateral one-third of the clavicle?

    <p>Deltoid tubercle (A)</p> Signup and view all the answers

    What is unique about the ossification of the clavicle compared to other long bones?

    <p>It ossifies by two primary centers. (D)</p> Signup and view all the answers

    Which statement accurately describes the clavicle's anatomical location?

    <p>It lies horizontally at the junction of the neck and trunk. (B)</p> Signup and view all the answers

    What are the two ends of the clavicle called?

    <p>Acromial and sternal ends. (A)</p> Signup and view all the answers

    What is the main function of the clavicle?

    <p>It holds the upper limb far from the trunk. (A)</p> Signup and view all the answers

    Which of the following characteristics of the clavicle is incorrect?

    <p>It has a medullary cavity. (B)</p> Signup and view all the answers

    What structure originates from the medial half of the superior surface of the clavicle?

    <p>Clavicular head of sternocleidomastoid muscle (D)</p> Signup and view all the answers

    What is the significance of the costoclavicular ligament in the context of the inferior surface of the clavicle?

    <p>It attaches to an oval impression at the medial end. (B)</p> Signup and view all the answers

    At what age does the clavicle typically complete its ossification?

    <p>At 25 years. (D)</p> Signup and view all the answers

    What is the structural shape of the clavicle?

    <p>S-shaped with a slight curve. (B)</p> Signup and view all the answers

    At what stage in intrauterine life does the primary ossification of the clavicle begin?

    <p>5-6 weeks (D)</p> Signup and view all the answers

    Which of the following statements is true regarding the clavicle’s ossification?

    <p>The shaft has two primary ossification centers. (D)</p> Signup and view all the answers

    Which nerve may pierce through the clavicle?

    <p>Supraclavicular nerve. (B)</p> Signup and view all the answers

    What typically causes the most common type of clavicle fracture?

    <p>Blow to the shoulder or falls on the outstretched hand (C)</p> Signup and view all the answers

    Why is the junction of the lateral one-third and medial two-thirds of the clavicle significant?

    <p>It is the weakest point of the clavicle. (D)</p> Signup and view all the answers

    What is the role of the subclavius muscle relative to the clavicle?

    <p>It is inserted into the subclavian groove. (C)</p> Signup and view all the answers

    What is the age range for the fusion of the secondary ossification center at the sternal end of the clavicle in females?

    <p>19-25 years (B)</p> Signup and view all the answers

    Flashcards

    Anterior surface of clavicle

    Convex forward, origins for pectoralis major.

    Posterior surface of clavicle

    Concave backward, origins for sternohyoid muscle.

    Superior surface of clavicle

    Medial half gives origin to sternocleidomastoid muscle.

    Inferior surface of clavicle

    Features include costoclavicular ligament and subclavian groove.

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    Ossification of clavicle

    Begins before any other bone in a membranocartilaginous manner.

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    Primary ossification centers in clavicle

    Two centers appear at 5-6 weeks of intrauterine life.

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    Secondary ossification at sternal end

    Appears at 19-20 years and fuses by 25 years.

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    Fracture of clavicle

    Most common fracture, usually at lateral-medial junction.

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    Number of bones in upper limb

    Each upper limb contains 32 bones including various types.

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    Clavicle

    The collar bone; a long bone with an S-shaped curve that connects trunk and limb.

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    Function of clavicle

    Holds upper limb away from the trunk for free movement and transmits forces to the axial skeleton.

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    Unique features of clavicle

    Only long bone lying horizontally, subcutaneous, first to ossify, and last to complete ossification.

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    Parts of the clavicle

    Composed of three parts: medial end, lateral end, and shaft.

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    Medial (sternal) end

    Enlarged and quadrilateral end of the clavicle that articulates with the manubrium.

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    Lateral (acromial) end

    Flattened end of the clavicle that articulates with the acromion process of the scapula.

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    Shaft of clavicle

    The curved section of the clavicle between the two ends.

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    Clavicle Shaft

    The shaft is divided into a medial two-thirds and a lateral one-third, with distinct shapes and surfaces.

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    Medial Two-Thirds

    The medial two-thirds of the clavicle shaft is round and convex forward.

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    Lateral One-Third

    The lateral one-third of the clavicle is flattened and concave forward.

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    Acromial End

    The lateral end of the clavicle is flattened and articulates with the acromion to form the acromioclavicular joint.

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    Sternal End

    The enlarged medial end has a saddle-shaped articular surface connecting to the manubrium sterni at the sternoclavicular joint.

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    Conoid Tubercle

    A bony prominence on the inferior surface of the clavicle providing attachment for the conoid part of the coracoclavicular ligament.

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    Trapezoid Ridge

    The trapezoid ridge extends from the conoid tubercle, also providing attachment for the trapezoid part of the coracoclavicular ligament.

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    Deltoid Tubercle

    A small tubercle on the anterior border of the clavicle that gives origin to the deltoid muscle.

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    Study Notes

    Osteology of the Upper Limb (Clavicle)

    • The upper limb contains 32 bones, including those of the pectoral girdle, arm, forearm, wrist, hand, and digits
    • Bones of the pectoral girdle:
      • Scapula (1) - the shoulder blade
      • Clavicle (1) - the collar bone
    • Arm bone:
      • Humerus (1)
    • Forearm bones:
      • Radius (1)
      • Ulna (1)
    • Wrist bones:
      • Carpal bones (8)
    • Hand bones:
      • Metacarpals (5)
    • Digit bones:
      • Phalanges (14)

    Clavicle

    • The clavicle, or collarbone, is a long bone with a slight S-shaped curve
    • Located horizontally on the anterior aspect of the body, at the junction of the neck and trunk
    • Articulates medially with the sternum and first rib cartilage; laterally with the acromion process of the scapula
    • Subcutaneous
    • Only bony attachment between the trunk and upper limb

    Functions of the Clavicle

    • Acts as a brace, allowing free movement of the upper limb away from the trunk
    • Transmits forces from the upper limb to the axial skeleton (sternum)
    • Provides an area for muscle attachments

    Features of the Clavicle

    • Only long bone that lies horizontally
    • No medullary cavity
    • Subcutaneous throughout its extent
    • First bone to begin ossification (between the fifth and sixth week of intrauterine life) and the last bone to complete ossification (at 25 years)
    • Ossifies from two primary centers
    • Ossifies in membrane except for the medial end (which ossifies in cartilage)
    • Can be pierced by cutaneous nerve (supraclavicular nerve)

    Parts of the Clavicle

    • Consists of three parts: two ends (medial and lateral) and a shaft
    • Lateral (acromial) end: flattened and articulates with the acromion process margin
    • Medial (sternal) end: enlarged and quadrilateral, articulates with the clavicular notch of the manubrium sterni
    • Shaft: curved; medial two-thirds are round and convex forward; lateral one-third is flattened and concave forward. The inferior surface has a small longitudinal groove in its middle third

    Features and Attachments of Clavicle Parts

    • Lateral End/Acromial End: Flattened top-to-bottom, with a facet that articulates with the acromion to form the acromioclavicular joint. This end also attaches to the fibrous capsule of the acromioclavicular joint.
    • Medial End/Sternal End: Saddle-shaped articular surface; articulates with the clavicular notch of the manubrium sterni to form the sternoclavicular joint. It also attaches to the fibrous capsule, articular disc, and interclavicular ligament

    Shaft of the Clavicle

    • Divided into a lateral one-third and a medial two-thirds
    • Lateral one-third:
      • Flattened from above downwards
      • Two surfaces (superior and inferior) and two borders (anterior and posterior)
    • Medial two-thirds:
      • Cylindrical in shape with four surfaces (anterior, posterior, superior, and inferior)
      • Anterior surface: convex forwards; origin of clavicular head of pectoralis major
      • Posterior surface: concave backwards; origin of sternohyoid muscle near its medial end

    Surfaces of the Clavicle

    • Superior: Subcutaneous between deltoid and trapezius attachments
    • Inferior: Presents a conoid tubercle and trapezoid ridge, attaching to parts of the coracoclavicular ligament

    Borders of the Clavicle

    • Anterior: Concave forwards; origin of deltoid muscle (with potential deltoid tubercle)
    • Posterior: Convex backwards; insertion of trapezius muscle

    Ossification of the Clavicle

    • Membranocartilaginous ossification
    • Ossifies in membrane except the medial end, which ossifies in cartilage
    • Four ossification centers: two primary (for the shaft); two secondary (for each end)

    Ossification Centers of the Clavicle

    • Time of Appearance and Fusion: Table of primary and secondary ossification centers, time of appearance, and fusion.

    Applied Anatomy (Clavicle Fractures)

    • Most commonly fractured bone in the body
    • Typically fracture at the junction of the lateral one-third and medial two-thirds
    • Often due to blows to the shoulder or indirect forces - like falling on outstretched hand or shoulder
    • Lateral fragment displaces downwards due to upper limb weight

    Additional Points (Clavicle)

    • Clavicular dysostosis: A clinical condition where medial and lateral clavicle parts remain separate due to non-union of primary ossification centers.
    • Cleidocranial dysostosis: A clinical condition showing partial or complete absence of clavicle associated with defective skull bone ossification.

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    Description

    This quiz focuses on the osteology of the upper limb, particularly the clavicle. It covers the anatomy, structure, and functions of the clavicle along with the bones of the upper limb. Test your knowledge on the different bones and their roles within the skeletal system.

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