Scalenus anterior muscle

Changed by Owen Kang, 5 Jul 2016

Updates to Article Attributes

Body was changed:

The scalenus anterior (also known as anterior scalene) is a neck muscle and known as the "key" structure for the thoracic inlet as it is an important anatomical landmark.  

Summary

  • origin: transverse processes of 3rd to 6th  cervical vertebrae
  • insertion: inner border of first rib (scalene tubercle)
  • actionblood supply:
    • raises first rib (inspiration)
    • adjunct - neck rotation/flexion
    ascending cervical artery
  • nerve supplyinnervation: ventral rami of cervical nerves (C4, C5 and C6) from the cervical plexus and occasionally C3
  • action
    • raises first rib (inspiration)
    • adjunct: neck rotation/flexion
  • note: this muscle is covered by prevertebral fascia

Gross anatomy

Relations
  • -<strong>o</strong><strong>rigin:</strong> transverse processes of 3<sup>rd</sup> to 6<sup>th</sup>  cervical vertebrae</li>
  • +<strong>o</strong><strong>rigin</strong>: transverse processes of 3<sup>rd</sup> to 6<sup>th</sup>  cervical vertebrae</li>
  • -<strong>insertion:</strong> inner border of first rib (scalene tubercle)</li>
  • +<strong>insertion</strong>: inner border of first rib (scalene tubercle)</li>
  • -<strong>action:</strong><ul>
  • +<strong>blood supply</strong>: ascending cervical artery</li>
  • +<li>
  • +<strong>innervation</strong>: ventral rami of cervical nerves (C4, C5 and C6) from the <a href="/articles/cervical-plexus">cervical plexus</a> and occasionally C3</li>
  • +<li>
  • +<strong>action</strong><ul>
  • -<li>adjunct - neck rotation/flexion</li>
  • +<li>adjunct: neck rotation/flexion</li>
  • -<li>
  • -<strong>nerve supply:</strong> ventral rami of cervical nerves (C4, C5 and C6) from the <a href="/articles/cervical-plexus">cervical plexus</a> and occasionally C3</li>
  • -<li>anteriorly: <ul>
  • +<li>anteriorly<ul>
  • -<li>posteriorly:<ul><li>second portion of <a href="/articles/subclavian-artery">subclavian artery</a> (which is divided in three parts by the muscle)</li></ul>
  • +<li>posteriorly<ul><li>second portion of <a href="/articles/subclavian-artery">subclavian artery</a> (which is divided in three parts by the muscle)</li></ul>
  • -<li>medially:<ul>
  • +<li>medially<ul>
  • -<a href="/articles/thoracic-duct">thoracic duct</a> (left) or right lymphatic duct (right).</li>
  • +<a href="/articles/thoracic-duct">thoracic duct</a> (left) or right lymphatic duct (right)</li>
  • -<li>laterally:<ul>
  • +<li>laterally<ul>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.