Levator claviculae muscle | |
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Details | |
Origin | Anterior portion of transverse processes of C1 – C4 vertebrae |
Insertion | Lateral half of the clavicle |
Artery | Ascending cervical artery |
Nerve | C2-C5 |
Actions | Lifts clavicle |
Identifiers | |
Latin | Musculus levator claviculae or musculus omocervicalis |
Anatomical terms of muscle |
In human anatomy, the levator claviculae is a very rare [1] accessory [2] and vestigial [3] skeletal muscle in the posterior triangle of the neck. It originates on the transverse processes of the upper cervical vertebrae and is inserted in the lateral half of the clavicle. [4] Though a supernumerary muscle [2] present in only 2–3% of all people, it is not an abnormality but a variant of normal human anatomy [4] with an atavistic character. [2]
It has also been referred to as the omocervicalis, cleidocervicalis, and tracheloacromial muscle, with the variation in names indicating different sites of origin and insertion. [1]
Its origin is on at least the third uppermost vertebrae, from where it courses inferiorly and laterally, lateral to the scalene and levator scapulae muscles but medial to the sternocleidomastoid muscle. Passing posteriorly to the latter muscle, it is inserted either to the middle of the clavicle or, more frequently, to the lateral third of the clavicle. It might also blend with the trapezius before its insertion. [4]
It has been reported to originate on the sixth cervical vertebra. [5]
The levator claviculae is an infrequently recognized anatomical variant in humans, distinguished from, for example, cervical adenopathy or a thrombosed vein, but a normal muscle in lower mammals and anthropoids. In humans, when present, it often appears unilaterally, most commonly on the left side, or bilaterally. [4]
The embryologic origin of the muscle is controversial and subject to numerous hypotheses. It has been proposed to originate from several neighbouring muscles, including the sternocleidomastoid, the trapezius, the scalenus anterior, and the longus colli, but is possibly derived from an additional segmentation of the ventrolateral muscle primordia of the neck. [2]
Uncommon in human anatomy, the levator claviculae is nearly always present in most other mammals — including gibbons, orangutans, and chimpanzees. There are yet no phylogenetic explanations for its absence in humans. [1]
The first documented observation of the levator claviculae occurs in an anatomical drawing by Leonardo da Vinci, but the first documented case was not reported until 1813. Darwin [6] briefly described the muscle as an example of many muscles "found in all kinds of apes" but rare in humans. About the same time, Huxley and Wood [7] reported the muscle has a predominantly unilateral occurrence. Since then only a dozen cases have been reported and the traditional 2–3% ratio, attributed to Wood, is possibly an overestimation not clearly corroborated by recent research. [1]
German anatomist Robert Wiedersheim included it in his list of 86 vestigial organs. [3]
The neck is the part of the body on many vertebrates that connects the head with the torso. The neck supports the weight of the head and protects the nerves that carry sensory and motor information from the brain down to the rest of the body. In addition, the neck is highly flexible and allows the head to turn and flex in all directions. The structures of the human neck are anatomically grouped into four compartments; vertebral, visceral and two vascular compartments. Within these compartments, the neck houses the cervical vertebrae and cervical part of the spinal cord, upper parts of the respiratory and digestive tracts, endocrine glands, nerves, arteries and veins. Muscles of the neck are described separately from the compartments. They bound the neck triangles.
The clavicle, or collarbone, is a slender, S-shaped long bone approximately 6 inches (15 cm) long that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on the left and one on the right. The clavicle is the only long bone in the body that lies horizontally. Together with the shoulder blade, it makes up the shoulder girdle. It is a palpable bone and, in people who have less fat in this region, the location of the bone is clearly visible. It receives its name from Latin clavicula 'little key' because the bone rotates along its axis like a key when the shoulder is abducted. The clavicle is the most commonly fractured bone. It can easily be fractured by impacts to the shoulder from the force of falling on outstretched arms or by a direct hit.
The trapezius is a large paired trapezoid-shaped surface muscle that extends longitudinally from the occipital bone to the lower thoracic vertebrae of the spine and laterally to the spine of the scapula. It moves the scapula and supports the arm.
The scapula, also known as the shoulder blade, is the bone that connects the humerus with the clavicle. Like their connected bones, the scapulae are paired, with each scapula on either side of the body being roughly a mirror image of the other. The name derives from the Classical Latin word for trowel or small shovel, which it was thought to resemble.
The accessory nerve, also known as the eleventh cranial nerve, cranial nerve XI, or simply CN XI, is a cranial nerve that supplies the sternocleidomastoid and trapezius muscles. It is classified as the eleventh of twelve pairs of cranial nerves because part of it was formerly believed to originate in the brain. The sternocleidomastoid muscle tilts and rotates the head, whereas the trapezius muscle, connecting to the scapula, acts to shrug the shoulder.
The sternocleidomastoid muscle is one of the largest and most superficial cervical muscles. The primary actions of the muscle are rotation of the head to the opposite side and flexion of the neck. The sternocleidomastoid is innervated by the accessory nerve.
The levator scapulae is a slender skeletal muscle situated at the back and side of the neck. It originates from the transverse processes of the four uppermost cervical vertebrae; it inserts onto the upper portion of the medial border of the scapula. It is innervated by the cervical nerves C3-C4, and frequently also by the dorsal scapular nerve. As the Latin name suggests, its main function is to lift the scapula.
The rhomboid major is a skeletal muscle of the back that connects the scapula with the vertebrae of the spinal column. It originates from the spinous processes of the thoracic vertebrae T2-T5 and supraspinous ligament; it inserts onto the lower portion of the medial border of the scapula. It acts together with the rhomboid minor to keep the scapula pressed against thoracic wall and to retract the scapula toward the vertebral column.
The cervical plexus is a nerve plexus of the anterior rami of the first four cervical spinal nerves C1-C4. The cervical plexus provides motor innervation to some muscles of the neck, and the diaphragm; it provides sensory innervation to parts of the head, neck, and chest.
In anatomy, the left and right common carotid arteries (carotids) are arteries that supply the head and neck with oxygenated blood; they divide in the neck to form the external and internal carotid arteries.
The scalene muscles are a group of three muscles on each side of the neck, identified as the anterior, the middle, and the posterior. They are innervated by the third to the eighth cervical spinal nerves (C3-C8).
The posterior triangle is a region of the neck.
The transverse cervical artery is an artery in the neck and a branch of the thyrocervical trunk, running at a higher level than the suprascapular artery.
The suprascapular artery is a branch of the thyrocervical trunk on the neck.
The supraclavicular nerve is a cutaneous (sensory) nerve of the cervical plexus that arises from the third and fourth cervical (spinal) nerves. It emerges from beneath the posterior border of the sternocleidomastoid muscle, then split into multiple branches. Together, these innervate the skin over the shoulder.
The deep cervical fascia lies under cover of the platysma, and invests the muscles of the neck; it also forms sheaths for the carotid vessels, and for the structures situated in front of the vertebral column. Its attachment to the hyoid bone prevents the formation of a dewlap.
The subclavian triangle, the smaller division of the posterior triangle, is bounded, above, by the inferior belly of the omohyoideus; below, by the clavicle; its base is formed by the posterior border of the sternocleidomastoideus.
Cervical lymph nodes are lymph nodes found in the neck. Of the 800 lymph nodes in the human body, 300 are in the neck. Cervical lymph nodes are subject to a number of different pathological conditions including tumours, infection and inflammation.
The investing layer of deep cervical fascia is the most superficial part of the deep cervical fascia, and encloses the whole neck.
In the context of human evolution, human vestigiality involves those traits occurring in humans that have lost all or most of their original function through evolution. Although structures called vestigial often appear functionless, a vestigial structure may retain lesser functions or develop minor new ones. In some cases, structures once identified as vestigial simply had an unrecognized function. Vestigial organs are sometimes called rudimentary organs. Many human characteristics are also vestigial in other primates and related animals.