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spine and forms part of the boundary of the thoracic inlet (the first thoracic vertebra and the manubrium sternae form the remainder of the boundary) - the tubercle articulates with the transverse process of T1 - the subpleural membrane is a tough sheet of fibrous tissue which spreads over the cervical pleura and attaches to the transverse process of C7.
W= insertion of scalenus medius X= subclavian groove (for artery and lower trunk brachial plexus) Y= scalene tubercle (insertion for scalenus anterior)