Subclavian triangle

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Subclavian triangle
Musculi coli base, my edits for tringles, Subclavian.svg
Subclavian triangle
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Side of neck, showing chief surface markings. (Nerves are yellow, arteries are red.)
Details
Identifiers
Latin trigonum omoclaviculare
TA A01.2.02.010
FMA 75021
Anatomical terminology

The subclavian triangle (or supraclavicular triangle, omoclavicular triangle, Ho's 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.

Contents

Its floor is formed by the first rib with the first digitation of the serratus anterior.

The size of the subclavian triangle varies with the extent of attachment of the clavicular portions of the Sternocleidomastoideus and Trapezius, and also with the height at which the Omohyoideus crosses the neck.

Its height also varies according to the position of the arm, being diminished by raising the limb, on account of the ascent of the clavicle, and increased by drawing the arm downward, when that bone is depressed.

This space is covered by the integument, the superficial and deep fasciæ and the platysma, and crossed by the supraclavicular nerves.

Just above the level of the clavicle, the third portion of the subclavian artery curves lateralward and downward from the lateral margin of the scalenus anterior, across the first rib, to the axilla, and this is the situation most commonly chosen for ligaturing the vessel.

Sometimes this vessel rises as high as 4 cm. above the clavicle; occasionally, it passes in front of the Scalenus anterior, or pierces the fibers of that muscle.

The subclavian vein lies behind the clavicle, and is not usually seen in this space; but in some cases it rises as high as the artery, and has even been seen to pass with that vessel behind the Scalenus anterior.

The brachial plexus of nerves lies above the artery, and in close contact with it. Passing transversely behind the clavicle are the transverse scapular vessels; and traversing its upper angle in the same direction, the transverse cervical artery and vein.

The external jugular vein runs vertically downward behind the posterior border of the Sternocleidomastoideus, to terminate in the subclavian vein; it receives the transverse cervical and transverse scapular veins, which form a plexus in front of the artery, and occasionally a small vein which crosses the clavicle from the cephalic.

The small nerve to the subclavius also crosses this triangle about its middle, and some lymph glands are usually found in the space.

Enlarged nodes in this triangle irrespective of size are categorized at N3 in the TNM classification for nasopharyngeal carcinoma.

See also

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The phrenic nerve is a mixed motor/sensory nerve which originates from the C3-C5 spinal nerves in the neck. The nerve is important for breathing because it provides exclusive motor control of the diaphragm, the primary muscle of respiration. In humans, the right and left phrenic nerves are primarily supplied by the C4 spinal nerve, but there is also contribution from the C3 and C5 spinal nerves. From its origin in the neck, the nerve travels downward into the chest to pass between the heart and lungs towards the diaphragm.

Subclavian artery major arteries of the upper thorax, below the clavicle

In human anatomy, the subclavian arteries are paired major arteries of the upper thorax, below the clavicle. They receive blood from the aortic arch. The left subclavian artery supplies blood to the left arm and the right subclavian artery supplies blood to the right arm, with some branches supplying the head and thorax. On the left side of the body, the subclavian comes directly off the aortic arch, while on the right side it arises from the relatively short brachiocephalic artery when it bifurcates into the subclavian and the right common carotid artery.

Levator scapulae muscle muscle

The levator scapulae is a skeletal muscle situated at the back and side of the neck. As the Latin name suggests, its main function is to lift the scapula.

Omohyoid muscle

The omohyoid muscle is a muscle that depresses the hyoid. It is located in the front of the neck and consists of two bellies separated by an intermediate tendon. Its superior belly serves as the most lateral member of the infrahyoid muscles, located lateral to both the sternothyroid and thyrohyoid muscles. Its name derives from the Greek "omos" meaning shoulder, giving one of its attachments, and "hyoid", giving the other attachment – the hyoid bone.

Cervical plexus

The cervical plexus is a plexus of the anterior rami of the first four cervical spinal nerves which arise from C1 to C4 cervical segment in the neck. They are located laterally to the transverse processes between prevertebral muscles from the medial side and vertebral from lateral side. There is anastomosis with accessory nerve, hypoglossal nerve and sympathetic trunk.

Cervical vertebrae Vertebrae of the neck

In tetrapods, cervical vertebrae are the vertebrae of the neck, immediately below the skull. Truncal vertebrae lie caudal of cervical vertebrae. In sauropsid species, the cervical vertebrae bear cervical ribs. In lizards and saurischian dinosaurs, the cervical ribs are large; in birds, they are small and completely fused to the vertebrae. The vertebral transverse processes of mammals are homologous to the cervical ribs of other amniotes. Most mammals have seven cervical vertebrae, with the only three known exceptions being the manatee with six, the two-toed sloth with five to six, and the three-toed sloth with nine.

External jugular vein

The external jugular vein receives the greater part of the blood from the exterior of the cranium and the deep parts of the face, being formed by the junction of the posterior division of the retromandibular vein with the posterior auricular vein.

Vertebral artery Major arteries of the neck

The vertebral arteries are major arteries of the neck. Typically, the vertebral arteries originate from the subclavian arteries. Each vessel courses superiorly along each side of the neck, merging within the skull to form the single, midline basilar artery. As the supplying component of the vertebrobasilar vascular system, the vertebral arteries supply blood to the upper spinal cord, brainstem, cerebellum, and posterior part of brain.

Thoracic inlet

The thoracic inlet, also known as the superior thoracic aperture, refers to the opening at the top of the thoracic cavity. It is also clinically referred to as the thoracic outlet, in the case of thoracic outlet syndrome; this refers to the superior thoracic aperture, and not to the lower, larger opening, the inferior thoracic aperture.

Scalene muscles Muscles on the sides of the neck

The scalene muscles are a group of three pairs of muscles in the lateral neck, namely the anterior scalene, middle scalene, and posterior scalene. They are innervated by the fourth, fifth, and sixth cervical spinal nerves (C4-C6).

Posterior triangle of the neck region of the neck

The posterior triangle is a region of the neck.

Thyrocervical trunk Artery of the neck

The thyrocervical trunk is a branch of the subclavian artery arising from the first portion of this vessel, i.e. between the origin of the subclavian artery and the inner border of the scalenus anterior muscle. It is located distally to the vertebral artery and proximally to the costocervical trunk.

Transverse cervical artery Artery 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.

Suprascapular artery Artery of the neck

The suprascapular artery is a branch of the thyrocervical trunk on the neck.

Supraclavicular nerves types of nerves

The supraclavicular nerves arise from the third and fourth cervical nerves; they emerge beneath the posterior border of the sternocleidomastoideus, and descend in the posterior triangle of the neck beneath the platysma and deep cervical fascia.

Deep cervical fascia invests the muscles of the neck

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.

Carotid triangle portion of the anterior triangle of the neck

The carotid triangle is a portion of the anterior triangle of the neck.

Occipital triangle larger division of the posterior triangle

The occipital triangle, the larger division of the posterior triangle, is bounded, in front, by the Sternocleidomastoideus; behind, by the Trapezius; below, by the Omohyoideus.

Prevertebral fascia

The prevertebral fascia is a fascia in the neck.

Outline of human anatomy Overview of and topical guide to human anatomy

The following outline is provided as an overview of and topical guide to human anatomy:

References

This article incorporates text in the public domain from page 563 of the 20th edition of Gray's Anatomy (1918)