Anterior scalene muscle

The scalenus anterior (also known as anterior scalene) is a neck muscle and known as the "key" structure for the thoracic inlet as it is an important anatomical landmark.

Summary

  • origin: transverse processes of 3 to 6 cervical vertebrae
  • insertion: inner border of first rib (scalene tubercle)
  • blood supply: ascending cervical artery
  • innervation: ventral rami of cervical nerves (C4, C5 and C6) from the cervical plexus and occasionally C3
  • action
    • raises first rib (inspiration)
    • adjunct: neck rotation/flexion
  • note: this muscle is covered by prevertebral fascia

Gross anatomy

Relations
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