Anterior Scalene: Difference between revisions

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== Description  ==
== Description  ==


Tha anterior scalene, AKA scalenus anterior (or even scalenus anticus) muscle is one of the lateral muscles of the neck, belonging to the scalene group. It is deeply placed, lying behind the [[Sternocleidomastoid|Sternocleidomastoid]].  
The anterior scalene, AKA scalenus anterior (scalenus anticus; Latin: musculus scalenus anterior) muscle is one of the lateral muscles of the neck, belonging to the scalene group. It is deeply placed, lying behind the [[Sternocleidomastoid|Sternocleidomastoid]].


It is located between the subclavian vein and the subclavian artery; the roots of the [[Brachial plexus|brachial plexus]] pass posterior to it; the phrenic nerve crosses its anterior surface.<br>  
It is located between the subclavian vein and the subclavian artery. The roots of the [[Brachial plexus|brachial plexus]] pass posterior to it. The phrenic nerve crosses its anterior surface.<ref>Harry WG, Bennett JD, Guha SC. Scalene muscles and the brachial plexus: anatomical variations and their clinical significance. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 1997;10(4):250-2.</ref><br> [[Image:Scalenus anterior - animation04.gif|center|300x300px]]<br>  
 
[[Image:Scalenus anterior - animation04.gif|center|300x300px]]<br>  


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<br>  


== Origin  ==
== Origin  ==
 
Anterior tubercles of the transverse processes of [[Cervical Vertebrae|cervical vertebrae]] C3-C6 <ref>https://teachmeanatomy.info/neck/muscles/scalene/</ref>
*C3-6
*Anterior tubercles of the transverse processes of the third, fourth, fifth, and sixth [[Cervical Vertebrae|cervical vertebrae.]]  


== Insertion  ==
== Insertion  ==
 
By a narrow, flat tendon attaches into the scalene tubercle on the inner border of the first rib, and into the ridge on the upper surface of the rib in front of the subclavian groove
*1st rib
*By a narrow, flat tendon into the scalene tubercle on the inner border of the first rib, and into the ridge on the upper surface of the rib in front of the subclavian groove.


== Nerve Supply  ==
== Nerve Supply  ==
 
Anterior branches of the cervical nerves C5-C7
*Brachial plexus, C5-7
*Anterior branches of the Cervical nerves 5 to 7


== Blood Supply  ==
== Blood Supply  ==
Ascending cervical branch of the inferior thyroid artery


*Ascending cervical branch of the inferior thyroid artery
== Action and Function ==
 
== Action  ==
 
Acts with [[Middle Scalene|Middle]] and [[Posterior Scalene|Posterior Scalenes]]
 
When the Scalenes act from above, they elevate the first and second ribs.
 
Acting from below, they produce side flexion of the vertebral column; if the muscles of both sides act, the vertebral column is slightly flexed.


All 3 scalene muscles produce rotation of the cervical spine to the same side<ref>J Orthop Sports Phys Ther. 2002 Oct;32(10):488-96. Actions of the scalene muscles for rotation of the cervical spine in macaque and human. Buford JA, Yoder SM, Heiss DG, Chidley JV.</ref>.
Anterior scalene can perform individually or in synergistic group with other two scalenes ([[Middle Scalene|Middle]] and [[Posterior Scalene|Posterior]]):
* Individually, bends the neck laterally on the same side - '''side flexor'''
* In synergistic group:  
- Bilateral contraction causes anterior flexion of the neck - '''flexors'''


== Function  ==
- Ipsilateral contraction produces rotation of the cervical spine to the same side<ref>J Orthop Sports Phys Ther. 2002 Oct;32(10):488-96. Actions of the scalene muscles for rotation of the cervical spine in macaque and human. Buford JA, Yoder SM, Heiss DG, Chidley JV.</ref> - '''rotators'''


When acting from above, they help to elevate the 1st rib and are accessory muscles of respiration.
- Elevate the 1st rib and are '''accessory muscles of respiration'''


Acting from below they are cervical flexors and rotators. <div class="researchbox"> </div>  
<div class="researchbox"> </div>  
== References  ==
== References  ==



Revision as of 21:37, 5 February 2020

Description[edit | edit source]

The anterior scalene, AKA scalenus anterior (scalenus anticus; Latin: musculus scalenus anterior) muscle is one of the lateral muscles of the neck, belonging to the scalene group. It is deeply placed, lying behind the Sternocleidomastoid.

It is located between the subclavian vein and the subclavian artery. The roots of the brachial plexus pass posterior to it. The phrenic nerve crosses its anterior surface.[1]

Scalenus anterior - animation04.gif



Origin[edit | edit source]

Anterior tubercles of the transverse processes of cervical vertebrae C3-C6 [2]

Insertion[edit | edit source]

By a narrow, flat tendon attaches into the scalene tubercle on the inner border of the first rib, and into the ridge on the upper surface of the rib in front of the subclavian groove

Nerve Supply[edit | edit source]

Anterior branches of the cervical nerves C5-C7

Blood Supply[edit | edit source]

Ascending cervical branch of the inferior thyroid artery

Action and Function[edit | edit source]

Anterior scalene can perform individually or in synergistic group with other two scalenes (Middle and Posterior):

  • Individually, bends the neck laterally on the same side - side flexor
  • In synergistic group:

- Bilateral contraction causes anterior flexion of the neck - flexors

- Ipsilateral contraction produces rotation of the cervical spine to the same side[3] - rotators

- Elevate the 1st rib and are accessory muscles of respiration

References[edit | edit source]

  1. Harry WG, Bennett JD, Guha SC. Scalene muscles and the brachial plexus: anatomical variations and their clinical significance. Clinical Anatomy: The Official Journal of the American Association of Clinical Anatomists and the British Association of Clinical Anatomists. 1997;10(4):250-2.
  2. https://teachmeanatomy.info/neck/muscles/scalene/
  3. J Orthop Sports Phys Ther. 2002 Oct;32(10):488-96. Actions of the scalene muscles for rotation of the cervical spine in macaque and human. Buford JA, Yoder SM, Heiss DG, Chidley JV.