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Bones of the Pectoral Girdle

Cingulum membri superioris

For medical students2 min readUpdated 2026-10-10

The pectoral girdle (shoulder girdle) is a vital skeletal structure connecting the free upper limb to the trunk, providing a sturdy mechanical base and attachment sites for muscles. In humans, this girdle consists of just two paired bones: the clavicle and the scapula.

ComponentsIncludes only the clavicle and scapula
ClavicleS-shaped long bone with tubular characteristics
ScapulaFlat triangular bone
Main functionMuscle attachment and anchoring the upper limb to the trunk

Clavicle (Clavicula)

Anatomically, the clavicle (clavicula) is an S-shaped long bone. Its central portion is termed the shaft or body of the clavicle (corpus claviculae). On the inferior surface of the shaft runs the subclavian groove (sulcus musculi subclavii).

The clavicle clearly presents two ends:

The surfaces of the bone differ significantly: the superior surface (facies superior) is completely smooth, whereas the inferior surface (facies inferior) is rough due to ligamentous attachments. The main function of the clavicle is to connect the upper limb to the axial skeleton and provide a bony strut for muscles.

Scapula: Borders, Angles, and Surfaces

The scapula (scapula) is a flat, triangular bone located in the frontal plane of the human body.

For precise anatomical description, the scapula features three borders:

  1. Medial border (margo medialis).
  2. Lateral border (margo lateralis).
  3. Superior border (margo superior).

Corresponding to these borders, the bone possesses three angles: the superior angle (angulus superior), inferior angle (angulus inferior), and lateral angle (angulus lateralis).

The surfaces of the scapula bear important anatomical features. The anterior surface, also known as the costal surface (facies costalis seu anterior), contains a broad subscapular fossa (fossa subscapularis). The posterior surface (facies posterior) is more complex, divided by a prominent bony ridge, the spine of the scapula (spina scapulae). This spine divides the posterior surface into two isolated areas: the supraspinous fossa (fossa supraspinata), located above, and the infraspinous fossa (fossa infraspinata), located below the spine.

Processes and Articular Features of the Scapula

The scapula features several processes and articular elements that are critical for the mobility of the entire shoulder girdle.

Between the coracoid process and the acromion lies the scapular notch (incisura scapulae). As an anatomical variant, this notch can sometimes be bridged by bone, forming the scapular foramen (foramen scapulae).

The primary articular feature is the glenoid cavity (cavitas glenoidalis), which serves as the socket for the glenohumeral (shoulder) joint. The periphery of the cavity is slightly constricted, forming the neck of the scapula (collum scapulae). Superior to the glenoid cavity is the supraglenoid tubercle (tuberculum supraglenoidale), and directly inferior to it is the infraglenoid tubercle (tuberculum infraglenoidale).

Mnemonic

How to easily determine bone laterality? For the clavicle: place the sternal end medially, the acromial end laterally, and the smooth superior surface facing upwards. For the scapula: identify the posterior surface (with the spine and fossae), the superior border (with the acromion and notch), and the lateral angle marked by the glenoid cavity.

Frequently asked questions

Which ligaments and muscles attach to the clavicle and scapula?

The following ligaments and muscles attach to the pectoral girdle bones:

  • Costoclavicular ligament (ligamentum costoclaviculare) — leaves an impression on the sternal end of the clavicle.
  • Coracoclavicular ligament (ligamentum coracoclaviculare) — connects the coracoid process of the scapula to the distal end of the clavicle, consisting of the conoid and trapezoid ligaments.
  • Acromioclavicular ligament — reinforces and surrounds the acromioclavicular joint.
  • Levator scapulae muscle (m. levator scapulae) — attaches to the superior angle of the scapula.
  • Omohyoid muscle (m. omohyoideus) — originates from the superior border of the scapula and connects via an intermediate tendon near the clavicle.
  • Pectoralis minor muscle (m. pectoralis minor) — attaches to the coracoid process of the scapula.
What type of bone is the clavicle?

The clavicle is an S-shaped long bone.

What divides the posterior surface of the scapula?

The posterior surface of the scapula is divided by the spine of the scapula (spina scapulae) into two parts: the supraspinous and infraspinous fossae.

Where is the glenoid cavity of the scapula located and what is its function?

The glenoid cavity (cavitas glenoidalis) is located on the lateral angle of the scapula. It serves as the socket for the articulation with the humerus.

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