Subclavian nerve

Subclavian nerve
Diagram of the right brachial plexus. Subclavian nerve labelled at top right.
The right brachial plexus with its short branches, viewed from in front. Subclavian nerve not visible.
Details
From	Upper trunk (C5-C6) of brachial plexus
To	Sometimes the accessory phrenic nerve
Innervates	Subclavius muscle
Identifiers
Latin	nervus subclavius
TA98	A14.2.03.013
TA2	6412
FMA	65280
Anatomical terms of neuroanatomy [ edit on Wikidata]

The subclavian nerve, also known as the nerve to the subclavius, is a small branch of the upper trunk of the brachial plexus. It contains axons from C5 and C6. It innervates the subclavius muscle.

Anatomy

Origin

The subclavian nerve is a branch of the upper trunk of the brachial plexus. It contains axons derived from the ventral rami of the C5 and C6 cervical spinal nerves. ^[1]

The origin is situated within the posterior triangle of the neck. ^[2]

Course

Descending, it passes anterior to (the 3rd part of) the subclavian artery and vein. ^[2]

Variation

Accessory phrenic nerve

The subclavian nerve may issue a branch called the accessory phrenic nerve ^{[3] [2]} which innervates the diaphragm. ^[3] The accessory phrenic nerve may rather branch from the C4 or C6 segments or ansa cervicalis. ^[4] This nerve usually joins with the phrenic nerve before innervating the diaphragm, ventral to the subclavian vein. ^[5]

Function

The subclavian nerve innervates the subclavius muscle. ^[6]

Additional images

• 
  Diagram of the brachial plexus. The subclavian nerve can be seen branching from where C5 and C6 join to form the upper trunk. (Label at top right).
• 
  The right brachial plexus. The subclavian nerve is not visible, but the muscle it innervates called the subclavius can be seen underneath the clavicle.

References

1. Rubin, Michael (28 September 2016). Netter's concise neuroanatomy. Netter, Frank H. (Frank Henry), 1906-1991 (Updated ed.). Philadelphia, PA: Elsevier. p. 310. ISBN   978-0-323-48091-8. OCLC   946698976.
2. Kadasne, D. K. (2009). Kadasne's Textbook of Anatomy (1st ed.). New Delhi: Jaypee Brothers Medical Publishers. ISBN   978-81-8448-455-7. OCLC   682534511.
3. Loukas, Marios; Kinsella, Christopher R.; Louis, Robert G.; Gandhi, Sagar; Curry, Brian (November 2006). "Surgical anatomy of the accessory phrenic nerve". The Annals of Thoracic Surgery. 82 (5): 1870–1875. doi:10.1016/j.athoracsur.2006.05.098. ISSN   1552-6259. PMID   17062263.
4. Kayalioglu, Gulgun (2009-01-01), "Chapter 4 - The Spinal Nerves", in Watson, Charles; Paxinos, George; Kayalioglu, Gulgun (eds.), The Spinal Cord, San Diego: Academic Press, pp. 37–56, ISBN   978-0-12-374247-6 , retrieved 2022-06-14
5. Sharma, Manish S.; Loukas, Marios; Spinner, Robert J. (2011). "Accessory phrenic nerve: A rarely discussed common variation with clinical implications" . Clinical Anatomy. 24 (5): 671–673. doi:10.1002/ca.21142. PMID   21374726. S2CID   20001098.
6. Drake, Richard L. (2005). Gray's anatomy for students. Wayne Vogl, Adam W. M. Mitchell, Henry Gray. Philadelphia: Elsevier / Churchill Livingstone. p. 645. ISBN   0-443-06612-4. OCLC   55139039.