Evidence map›Paper›PMID 34697796›Full record

ArticleJournal of anatomy2022

The anatomy and variation of the coracoid attachment of the subclavius muscle in humans.

Ulrich Crepaz-Eger, Simon Lambert, Romed Hörmann, Dominik Knierzinger, Erich Brenner, Clemens Hengg

Open access · hybridAbstract read
In one paragraph

Article in Journal of anatomy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Ulrich Crepaz-EgerDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-0663-6849
Simon LambertDepartment of Trauma and Orthopaedic Surgery, University College London Hospital, London, UK.
Romed HörmannDivision of Clinical and Functional Anatomy, Medical University of Innsbruck, Innsbruck, Austria.
Dominik KnierzingerDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.
Erich BrennerDivision of Clinical and Functional Anatomy, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0001-6739-1198
Clemens HenggDepartment of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Austria.
Innsbruck Medical University · ATUniversity College Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The functions of the subclavius muscle (SM) are described as stabilization of the sternoclavicular joint (SCJ) and resisting elevation of the lateral end of the clavicle. During systematic cadaveric dissections, we observed additional fibrous structures, previously described as variants of the anatomy, extending from the SM and inserting into the coracoid process (CP). Due to the high incidence of these structures in our dissections, we hypothesized that the attachment at the CP is more common than appreciated and that, as a corollary, the function of the SM was (or has been) more complex than simply depressing the clavicle and generating stability at the SCJ. For our investigation, fifty-two upper extremities of 26 human cadavers were dissected. The SM was demonstrated from costal to clavicular attachment. We documented additional fibrous structures apparently derived from the SM inserting into the CP. Measurements of the length of the SM, the length of its attachment, and the length of the clavicle were taken in situ, with the specimens supine and the upper extremity in the anatomical position. Variations in the anatomy of the SM and its coracoidal attachment were recorded, and potential correlations were investigated. For documentation purposes photographs and video sequences of passive motion of the shoulder girdle of the specimens were taken. In 49 of the 52 specimens we found additional fibrous structures passing from the SM to the CP. We differentiated three types: (1) a strong cord-like structure; (2) a small or thin cord-like structure or structures; and (3) a planar twisted sheet-like structure. The SM and its extension to the CP appears to contribute to a 'functional scapular suspension system' together with the other muscles enveloped by the clavipectoral fascia (pectoralis minor, coracobrachialis and the short head of the biceps brachii). This system assists in the control of the position of the scapula in relation to the thorax, particularly in elevated positions of the upper extremity. We speculate that the differentiation of the fibrous structure depends on the functional demands of the individual. Level of Evidence: Basic science study.

Indexed as

Pectoralis MusclesShoulderCadaverClavicleCoracoid ProcessHumansScapulacoracoid attachmentfunctional unitmusculoskeletal systemscapulasubclavius muscle proximal and distal attachmentupper extremity

Identifiers

PMID34697796
PMCPMC8742971
OpenAlexW3210075910

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.