Schlüsselbein

The clavicle, also colloquially known as the collarbone, is the only bone connecting the pectoral girdle to the axial skeleton and is the only long bone that lies horizontally in the human skeleton.

Gross anatomy

Osteology

The clavicle is roughly "S-shaped" with a flattened, concave, lateral one-third and a thickened, convex, medial two-thirds. On the inferior surface of lateral third is the conoid tubercle for the attachment of the conoid ligament and lateral to this is the trapezoid line for attachment of the trapezoid ligament. On the inferior surface of the medial clavicle is the costal tuberosity and groove for subclavius for the attachment of costoclavicular ligament and subclavius muscle, respectively.

The female clavicle is shorter, thinner and less curved than the male clavicle.

Articulations

The clavicle articulates with the acromion at the acromioclavicular joint laterally and the sternum at the sternoclavicular joint medially.

Attachments

Arterial supply

Development

Ossification

It is the first bone to start ossification at around 5th-6th weeks of gestation. It is also the last ossification center to fuse, around 22-25 years of age. The lateral end has intramembranous ossification. See main article: ossification centers of the pectoral girdle.

Variant anatomy

Radiographic features

Plain radiograph

On a chest x-ray image, the clavicles are superimposed over the apex of both the lungs and obscure the subtle lesions. An apical or lordotic view may then provide greater detail of the lung apices.

Chest x-rays are correctly aligned if the medial ends of clavicles are equidistant from the spinous process of vertebrae at the T4/5 level.

Related pathology