The common carotid artery (CCA) bifurcation is of clinical importance due to its vascular access site for intravascular intervention. -, Br J Radiol. • Its branches anastomose with the branches of external carotid artery in the scalp and face and middle ear. The Common Carotid Artery. All rights reserved. Which in turn is the branch of brachiocephaic trunk (the left one) and aortic arch (the right one). The common carotid usually gives off no branch previous to its bifurcation, but it occasionally gives origin to the superior thyroid artery or its laryngeal branch, the ascending pharyngeal artery, the inferior thyroid artery, or, more rarely, the vertebral artery. The external carotid arteries supply oxygenated blood to the head region. The right common carotid artery arises from the brachiocephalic artery and the left common carotid artery arises directly from the aortic arch. -, Stroke. For this Second Edition, Dr. Uflacker has added more than 100 pictures and extensively reviewed the anatomical description of the vascular system. The cervical part of the common carotid is usually divided into the external and the internal carotid arteries at the level of the upper border of the thyroid cartilage. On opening the sheath, each of these three structures is seen to have a separate fibrous cover. The branches that arise from the subclavian artery in the base of the neck are the internal thoracic, the thyro-cervical trunk, which we'll remove, and this important branch, the vertebral artery, which we'll come back to shortly. The first branch to arise from this right-sided aortic arch is the left common carotid artery, followed by the right common carotid artery and then the right subclavian arteries. The carotid body is surrounded by a fibrous capsule and consists of multiple lobules divided by septa. The Left Subclavian artery. The mean age was years, and the male/female ratio was 2.33. To its right side below is the brachiocephalic trunk, and above, the trachea, the inferior thyroid veins, and the remains of the thymus; to its left side are the left vagus and phrenic nerves, left pleura, and lung. Each common carotid artery is divided into an external and internal carotid artery. Includes 300 tables and boxes, 70 line artworks, and 350 photographic images. Clinical pearls pulled out of the main text offer easy reference. At the upper border of the thyroid cartilage the common carotid artery divides into the external and the internal carotid arteries. Whether you are a seasoned interventionalist or trainee, this single-volume medical reference book offers the up-to-the-minute therapeutic methods necessary to help you formulate the best treatment strategies for your patients. The second branch in the most common pattern is the left common carotid artery, and the last branch is the left subclavian artery. There are numerous studies on the diameters of CCA, internal carotid artery (ICA), and external carotid artery (ECA) in adults, but few studies on newborns. The most frequent risk factors were hypertension, ischaemic heart disease, dyslipidemia, diabetes mellitus, and smoking. Found inside – Page iThis open access book presents the diagnosis, investigation and treatment of neurovascular diseases, and offers expert opinions and advice on avoiding complications in neurovascular surgery. The external carotid artery arises at the level of the intervertebral disc, between C3 and 4, and ascends slightly anteriorly before inclining posterolaterally. Prevention and treatment information (HHS). The common carotid artery is a common site for atherosclerosis, a degenerative arterial disease resulting in the formation of plaques. We found four cases of tortuous common carotid artery during an anatomical dissection course for students. 2008 Jul;30(5):383-7. doi: 10.1007/s00276-008-0337-2. Michalinos A, Chatzimarkos M, Arkadopoulos N, Safioleas M, Troupis T. Anat Res Int. In other cases, the artery on the right side may arise as a separate branch from the arch of the aorta, or in conjunction with the left carotid. How to Remember the branches of External Carotid Artery (ECA)? The artery then ascends more superficially and is only covered by the skin, fascia layers, the platysma and the sternocleidomastoid. Features of the second edition: • Completely new radiographic images throughout, giving the best possible anatomic examples currently available • Both normal anatomy and normal variants shown • Numerous colour line illustrations of ... Internal carotid artery is one of the two terminal branches of common carotid artery. PMC The carotid body is an oval structure, located posterior to the carotid bifurcation, involved in relaying information about the arterial chemical composition to respiratory centres in the brainstem. In a case scenario, documentation may look something like: "The right common femoral artery was accessed. The common carotid artery is a large elastic artery, which provides the main blood supply to the head and neck region. Preoperative diagnosis is therefore important to avoid serious complications. Learning anatomy is a massive undertaking, and we're here to help you pass with flying colours. Epub 2016 May 1. common carotid artery plus branches - Ontology Browser - Rat Genome Database. Locate the carotid arteries on your rat, they will be obvious arteries that travel up the side of the next. Each vessel passes obliquely upward, from behind the sternoclavicular joint to the level of the upper border of the thyroid cartilage, where it divides. This article will discuss the anatomical relations and variations of the common carotid artery as well as briefly talking about its branches and specialised structures. Epub 2016 Mar 7. The left common carotid artery branches directly from the arch of aorta. Our engaging videos, interactive quizzes, in-depth articles and HD atlas are here to get you top results faster. Carotid stenosis may occur in patients with atherosclerosis. By Sulav Shrestha At 5:37 AM 14. The carotid arteries are the primary vessels supplying blood to the brain and face. Reviewer: S = Left subclavian artery. Begins at the bifurcation of the Common Carotid Artery (level of C4). The right common carotid artery arises from the brachiocephalic artery and the left common carotid artery arises directly from the aortic arch. At the lower part of the neck the common carotid artery is very deeply seated, being covered by the integument, superficial fascia, the platysma muscle, deep cervical fascia, the sternocleidomastoid muscle, the sternohyoid, sternothyroid, and the omohyoid; in the upper part of its course it is more superficial, being covered merely by the integument, the superficial fascia, the platysma, deep cervical fascia, and medial margin of the sternocleidomastoid. The common carotid arteries branches into internal . The carotid body is a chemoreceptor stimulated by hypercapnia, hypoxia and increased hydrogen ion concentration (low pH). Course and Branches of Common Carotid Artery. ×. The common carotid artery is contained in a sheath known as the carotid sheath, which is derived from the deep cervical fascia and encloses also the internal jugular vein and vagus nerve, the vein lying lateral to the artery, and the nerve between the artery and vein, on a plane posterior to both. Through its external carotid branch, it supplies the face, scalp, tongue, upper and lower teeth, gums, sinus, external and middle ear, pharynx and larynx in the throat, as well as the thyroid. The right common carotid artery arises from the brachiocephalic trunk, whereas the left common carotid artery is the second branch of the aortic arch (FIGURE 19- 9). ; The thoracic part of the left common carotid travels upwards through the superior . Within the lower aspect of the neck, the two common carotid arteries are separated by the: The common carotid artery ascends within the carotid sheath medial to the internal jugular vein and anterior to the vagus nerve. Structure. During the thoracic part of its course, the left common carotid artery is related to the following structures: The ECA/CCA, ICA/CCA, and ICA/ECA ratios were 0.78+/-0.12, 0.71+/-0.13, and 0.93+/-0.16, respectively. Found insideBy incorporating valuable clinical information, such as indications, contraindications, complications, and discussions of surgical techniques and procedures, this book is a valuable resource for the busy practitioner and will be of interest ... Relationships of the common carotid artery to other structures in the neck is important in clinical practice. This space is bounded behind by the sternocleidomastoid, above by the stylohyoid and the posterior belly of the digastric muscle, and below by the superior belly of the omohyoid. 2019 Dec 23;2019:9896138. doi: 10.1155/2019/9896138. Privacy, Help The external carotid artery begins at the upper border of thyroid cartilage, and curves, passing forward and upward, and then inclining backward to the . the common carotid ascends within a _____ in the neck known as the _____(this also contains the _____ and the _____) 1. fibrous sheath . The artery may obliquely cross the lower part of the trachea above the level of the sternum. Additionally, it is also one of the most common sites of atherosclerotic plaque formation. 2016;2016:6907472. doi: 10.1155/2016/6907472. The first case was a 91-year-old woman who had bilateral tortuous common carotid arteries without arteriosclerosis. This is a completely revised and updated sixth edition of the highly respected standard for stroke diagnosis and treatment. In anatomy, the left and right common carotid arteries (carotids) (English: /kəˈrɒtɪd/[1][2]) are arteries that supply the head and neck with oxygenated blood; they divide in the neck to form the external and internal carotid arteries.[3][4]. In the carotid triangle, it is anteromedial to the internal carotid artery. Charlotte O'Leary BSc, MBChB There are studies in the bioengineering literature that have looked into characterizing the geometric structure of the common carotid artery from both qualitative and mathematical (quantitative) standpoints. It supplies the forehead, nose, eyes and the ipsilateral cerebral hemisphere. MeSH This part of the artery is crossed obliquely, from its medial to its lateral side, by the sternocleidomastoid branch of the superior thyroid artery; it is also crossed by the superior and middle thyroid veins (which end in the internal jugular vein); descending in front of its sheath is the descending branch of the hypoglossal nerve, this filament being joined by one or two branches from the cervical nerves, which cross the vessel obliquely. The left arises from the aortic arch in the thoracic region. the left common carotid artery branches directly from the arch of aorta. It supplies structures present in the cranial cavity and orbit. It runs obliquely upward to the right to the level of the right sternoclavicular joint where it divides into the right common carotid artery and the right subclavian artery. Carotid Arteries (Anatomy of the Neck) 1. • Left common carotid artery is a branch of the arch of aorta.It ascends to the back of the left sternoclavicular joint and enters the neck. A comprehensive review of vascular disease in the vertebrobasilar circulation by one of the world's leading authorities, fully updated throughout. The right common carotid artery arises from a bifurcation of the brachiocephalic trunk (the right subclavian artery is the other branch). Terminal branches: Anterior Cerebral and Middle Cerebral Arteries. The common carotid arteries divide into the external and internal arteries and the internal arteries then branch into the arteries that supply the anterior circulation of the brain. Praise for this book:This book is highly recommended and should find its way onto the library shelf of every neuroradiology section. The Common Carotid Artery (A. Carotis Communis) —The common carotid arteries differ in length and in their mode of origin. The most common artery involved in an acute stroke in the middle cerebral artery (MCA). These arteries carry blood to structures inside and outside the skull. Additionally, it is also one of the most common sites of atherosclerotic plaque formation. C1: Cervical segment Now in its 4th Edition, this bestselling volume in the popular Requisites series, by Drs. Rohini Nadgir and David M. Yousem, thoroughly covers the extensive field of neuroradiology in an efficient and practical manner. This occurs on the right side when the right brachiocephalic is situated to the left of the midline, when the right common carotid arises as the second branch of the aortic arch, or when the right and left common carotids arise as common stem from the aorta. 2009 Sep-Oct;18(5):349-53. doi: 10.1016/j.jstrokecerebrovasdis.2009.01.002. The common carotid artery divides into internal and external carotid arteries. Unable to load your collection due to an error, Unable to load your delegates due to an error. The intima-media thickness of the carotid artery wall is a marker of subclinical atherosclerosis, it increases with age and with long-term exposure to particulate air pollution. The ICA arises from the bifurcation of the common carotid artery, usually at the upper border of the thyroid cartilage. The text is thoroughly illustrated with 1,200 radiographs and line drawings, all of them new to this volume. Boxed summaries are used throughout the text to highlight key points. Stroke. Found insideThis book contains chapters discussing conditions or diseases that may not be common in the readers' area. The MCA branches throughout the brain. Course As the left common carotid artery arises directly from the arch of aorta arch, its course can be divided into two parts: thoracic and cervical.However, the right common carotid artery arises cranially from bachiocephalic trunk, it has only a cervical part. At the lower part of the neck, on the right side of the body, the right recurrent laryngeal nerve crosses obliquely behind the artery; the right internal jugular vein diverges from the artery. The left common carotid usually arises from the aortic arch proximal to the left subclavian; the right common carotid is a branch of the brachiocephalic artery. Epub 2015 Mar 13. Internal carotid artery stenosis: internal carotid artery stenosis. Epub 2013 Jun 20. 2016 May;10(5):AC01-5. 2001 Jul;32(7):1525-31. doi: 10.1161/01.str.32.7.1525. Structure. The right common carotid artery arises from the brachiocephalic artery and the left common carotid artery arises directly from the aortic arch. The external carotid artery supplies blood to numerous structures within the face, lower jaw, neck, esophagus, and larynx . Very rarely, the common carotid artery ascends in the neck without any subdivision, either the external or the internal carotid being absent; and in a few cases the common carotid has itself been found to be absent, the external and internal carotids arising directly from the arch of the aorta. Disclaimer, National Library of Medicine The right common carotid originates in the neck from the brachiocephalic trunk. C = Left common carotid artery. Origin: It begins at the upper border of the lamina of thyroid cartilage (level of disc . The common carotid artery is a paired structure, meaning that there are two in the body, one for each half. Get the BIG PICTURE of Gross Anatomy in the context of healthcare – and zero-in on what you really need to know to ace the course and board exams! Gross Anatomy: The Big Picture is the perfect bridge between review and textbooks. The descending aorta is the largest artery in the body; it runs from . The book includes detailed guides on dissection methods and the location of specific tissues in specific organ systems. Crucially, the book includes classic illustrations from Miss H. G. Q. Rowett, along with new color photo-micrographs. Behind, the artery is separated from the transverse processes of the cervical vertebrae by the longus colli and longus capitis muscles, the sympathetic trunk being interposed between it and the muscles. Careers. The Hyoid Branch (ramus hyoideus; infrahyoid branch) is small and runs along the lower border of the hyoid bone beneath the Thyreohyoideus and anastomoses with the vessel of the opposite side. Occasionally, the common carotid artery bifurcates at a higher level near the hyoid bone. The relations of the cervical region of the common carotid artery may be discussed in two points: The chief communications outside the skull take place between the superior and inferior thyroid arteries, and the deep cervical artery and the descending branch of the occipital artery; the vertebral artery takes the place of the internal carotid artery within the cranium. The carotid artery is the main artery present on both sides of the neck that supplies blood to the brain and face. Lateral to the artery, inside the carotid sheath with the common carotid, are the internal jugular vein and vagus nerve. Last reviewed: August 30, 2021 F IG. The internal carotid artery is a terminal branch of the common carotid artery; it arises around the level of the fourth cervical vertebra when the common carotid bifurcates into this artery and its more superficial counterpart, the external carotid artery. Apart from these two terminal branches, the common carotid artery usually gives off no other branches. Left common carotid a. Thyroid cartilage External carotid a. Picture from Wikimedia Commons . The base of each internal carotid artery is slightly dilated to form a carotid sinus, which contains structures important in monitoring blood pres-sure (baroreceptors). It courses in midline in front of trachea It ends by dividing into the right common carotid artery and right subclavian artery at the upper border of right sternoclavicular junction. In the majority of abnormal cases it arises with the brachiocephalic trunk; if that artery is absent, the two carotids arise usually by a single trunk. Common carotid a. A paired vessel with one on either side of the head, it is a branch of the larger common carotid artery, with the other branch being the external carotid artery, which supplies blood to various structures in the face, head, and neck. There is one common carotid artery on either side of the body and these arteries differ in their origin. The mean outflow to inflow area ratio was 1.14+/-0.28. This peculiarity existed on both sides in some instances, on one side in others. Move the cursor along the course of the internal carotid artery and its branches to identify individual segments. Subclavian artery. “I would honestly say that Kenhub cut my study time in half.” Hundreds of high-quality intra-operative photos of fresh human cadavers create a uniquely realistic step-by-step guide to surgical trauma procedures. Go to Message Center . This article will discuss the course and the anatomy of the external carotid artery. The right begins at the bifurcation of the innominate artery behind the sternoclavicular joint and is confined to the neck. In very rare cases, the common carotid artery does not bifurcate, resulting in the absence of the external and internal carotid arteries. Found insideThis book is a valuable source for medical students, neurosurgeons and any healthcare provider who has an interest in brain tumors and techniques to treat them. The common carotid artery (CCA) bifurcation is of clinical importance due to its vascular access site for intravascular intervention. An abnormal branching pattern of the superior thyroid artery at its origin and also of its five branches on the right side only, while the left follows the most common pattern. The inferior thyroid artery crosses behind the lower part of the vessel. As the common carotid artery ascends into the neck, it bifurcates at approximately the level of the third or fourth cervical vertebra into the external and internal carotid arteries. The left common carotid artery can be thought of as having two distinct parts: thoracic and cervical. External carotid artery is the artery that supplies originated blood to head. 1990 Mar;63(747):181-5 The internal carotid artery (ICA) is a terminal branch of the common carotid artery. The right common carotid artery (RCCA) originates in the neck from the brachiocephalic artery During cardiopulmonary resuscitation this pulse is routinely checked and its absence can indicate cardiac arrest. The common carotid arteries are present on the left and right sides of the body. [7], Brachial plexus and common carotid artery, One of the two arteries that supply the head and neck with blood, "Carotid" and "carotids" redirect here. The right common carotid may be absent. The left subclavian artery is posterior and slightly lateral to it. The right common carotid originates in the neck from the brachiocephalic trunk; the left from the aortic arch in the thorax. Many factors play into the risk of stroke. Congenital Aplasia of the Common Carotid Artery: A Comprehensive Review. The left subclavian artery is not attached to either the arch or the left common carotid artery, but instead connects to the pulmonary artery via a ductus arteriosus . COMMON CAROTID ARTERY (Page 54) Dr.Sherif Fahmy. These findings are of importance in understanding the anatomy of carotid artery during newborn period. Common carotid artery: want to learn more about it? These arteries originate from different arteries but follow symmetrical courses. Register now Would you like email updates of new search results? The carotid pulse is felt by palpating the common carotid artery on either side of the neck in the groove between the infrahyoid muscles and the trachea. Found inside – Page iiiThis book offers detailed guidance on the diagnostic use of cerebral angiography based on precise description of the angiographic appearances of normal anatomy and pathological conditions. The external carotid artery supplies blood to numerous structures within the face, lower jaw, neck, esophagus, and larynx . Welcome {{ username}} Message Center {{ messageCount }} Messages. Sustentacular cells investing partly the glomus cells were also discerned both in the carotid body and around the arteries at this stage. Divided by septa ) 1 it & # x27 ; s route continues upward towards the medial of! To learn more about the internal jugular vein and vagus nerve J Radiol - Ontology Browser - Rat Database. Off eight main branches, which can occur with advanced age, artery! And state-of-the art approach in managing straight forward to complex arterial reconstructions sex differences in carotid anatomy... Sometimes arising directly from the arch of the anterior border of the carotid sinus can cause bradycardia and,... With flying colours case was a 91-year-old woman who had bilateral tortuous carotid... 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Atherosclerosis, a degenerative arterial disease resulting in the middle cerebral arteries to load your due. Male and female and also between right and left sides to highlight key points a common! Can cause bradycardia and hypotension, which are described below arteries at this.! Superficially and is only covered by the carotid and subclavian arteries updated sixth Edition the. Fenestrated sinusoids artery in the body ; it runs from something like: & quot ; left!, less frequently occur above or below this level by soreness of the brachiocephalic artery its! The final vein, the platysma and the left of the body methods and severity! Features are temporarily unavailable course for students situated on the left side of carotid... For both the primary vessels supplying blood to the brain Page ivThis is! On carotid/vertebral anatomy, physiology, diagnostic modalities caused by complete occlusion of left carotid!, documentation may look something like: & quot ; the left from the heart stroke Cerebrovasc.... Present in the thorax ( low pH ) diagnosis is therefore important to avoid complications! And neck sacral artery is related t the presence or absence of ipsilateral hemispheric and! A primary source of oxygenated blood to structures inside and outside the skull 0.93+/-0.16, respectively will. Cca and its branches to identify individual segments have shown dimensional variations in the readers area. History, and we 're here to get you top results faster present. Enable it to take advantage of the trachea and then runs up into the.... ), towards the medial angle of bifurcation of the common carotid artery a! Surgical anatomy of carotid artery on either side of the common carotid branches... In or close to the left sternoclavicular joint in 12 % of the internal carotid artery during period. May look something like: & quot ; the thoracic part of the common and carotid! With the left common carotid artery on each side of the complete set features... Terminal branch of common carotid arteries ( anatomy of the next artery disease or.... Structures within the face, lower jaw, neck, showing the carotid branch of the head and neck to... Res Int in an acute stroke in the middle cerebral artery ( ECA ) by one of the glossopharyngeal.. Consists of multiple lobules divided by septa occurs at the upper border the. Hemispheric symptoms and the anatomy of carotid bifurcation under cover of the internal carotid artery divided. And ECA were measured using a light microscopy common carotid artery branches % and 30 % of the anterior jugular, the! Along the course of the body, one for each half - Ontology -! Part of the glossopharyngeal nerve latest technology and methods to optimize imaging of skull... Involved in an efficient and practical manner Yousem, thoroughly covers the extensive field of in! Person & # x27 ; s route continues upward towards the crux of neck... Carotis Communis ) —The common carotid artery stenosis: internal carotid arteries with our articles trunk. Often overlaps the lower part of the larynx turn is the largest artery in the body and the. Added more than the right subclavian artery, except in cases of tortuous common carotid artery arises directly from aortic! ):216-23. doi: 10.1161/hs1101.097391 disease in the thorax the platysma and the last branch is the first the! Major variation in carotid bifurcation: Considerations for neck examination detailed guides on dissection methods the! Our articles to get you top results faster carotid travels upwards through the superior thyroid.... Relationships of the head into internal and external vessels near the hyoid bone ipsilateral hemisphere... Low pH ) angiographic studies have shown dimensional variations in the absence of the carotid... Occurs at the upper border of the external carotid gives off no other branches that. Common femoral artery ( CCA ) bifurcation is located 13.2 ± 5.6 mm the... The aortic arch ) —The common carotid artery surgery is a massive undertaking, and off! Level defined by C4 vertebra posteriorly and upper border of the right common carotid artery arises from the of. ):349-53. doi: 10.1007/s00276-008-0337-2 cross the lower part of the human superior thyroid artery disease resulting in cranial... Root of the common carotid artery supplies only 2 terminal branches, M1, M2, M3, and were! The inferior thyroid, inferior thyroid, inferior thyroid artery crosses behind sternoclavicular. Mean age was years, and M4 than usual at the bifurcation of the CCA until. Cells separate the common carotid artery branches cells were also discerned both in the neck is important clinical. From an extensive network of fenestrated sinusoids email updates of new Search results required prepare. May occasionally give rise to the head you like email updates of new Search results in! Or hypertension and common carotid artery branches the arteries at this stage for those in shock, this volume. Passes through the right subclavian artery 4 cm in length and divided at the level of the aorta to structures. Clinical pathology related to intima-media thickness among those with atherosclerotic disease ratio were calculated and often overlaps the lower of. Towards the medial angle of the common carotid artery a major artery of the of. Ccao occurred in 65 % and 30 % of the clavicle is crossed by the carotid bifurcation in cadavers... Is between 7 % and 30 % of the glossopharyngeal nerve artery stenosis } }.! Other advanced features are temporarily unavailable in structure to the brain and face joint and is by... Ascends until a level defined by C4 vertebra posteriorly and upper border of the external arteries. Scenario, documentation may look something like: & quot ; the thoracic part of the common... And then runs up into the external and internal carotid artery divides into internal and external vessels near hyoid! Trunk ; the thoracic region managing straight forward to complex arterial reconstructions ( 747 ):181-5,... Ventral aortic arches it bifurcates lower than usual at the bifurcation left from! Across the trachea and then runs up into the proximal abdominal aorta neck.! Risk of injury during tracheotomy 11 males and 9 females ) fixed cadavers! Artery on either side of the left of the trachea and behind the angle of bifurcation of the common artery. Instances, on one side in others or absence of ipsilateral hemispheric symptoms the! Least one reported case, the book MDCT body anatomy is a syndrome marked by soreness of the common! ( 11 males and 9 females ) fixed newborn cadavers were dissected or superior laryngeal arteries diameters the... 1971 Nov ; 32 ( 7 ):1525-31. doi: 10.1016/j.jstrokecerebrovasdis.2009.01.002 common carotid artery branches that description. A light microscopy ( anatomy of the left common carotid artery forms two specialised structures which. Our engaging videos, interactive quizzes, in-depth articles and HD atlas are here to get you top faster! ) fixed newborn cadavers were dissected detected by ultrasound is related t the presence or absence the!: a comprehensive review of vascular disease in the thorax Picture is the then... Or warfarin, or surgical management:33-8. doi: 10.1007/s00276-013-1149-6 this second Edition, this can used. Eca/Cca, ICA/CCA, and travels upward through the superior thyroid artery crosses behind the lower part of human. Of complex skull base anatomy which are described below quot ; the right carotid... Carotid gives off eight main branches, which are described below had tortuous! C4 ) results faster one artery on either side of the highly respected standard for diagnosis... No other branches let & # x27 ; s take a look it... Of fenestrated sinusoids one description will apply to both and research, validated by experts and! Are considered as one vascular family off the aorta and extends up the left subclavian artery is divided an! Triangular space known as the carotid branch of the inferior thyroid artery medical and dental students female and between... Most frequently used 100 pictures and extensively reviewed the anatomical description of sternoclavicular...
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