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The costal cartilages, also known as rib cartilage, are bars of hyaline cartilage [1] that serve to prolong the ribs forward and contribute to the elasticity of the walls of the thorax. Costal cartilage is only found at the anterior ends of the ribs, providing medial extension.
Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
The sternocostal joints, also known as sternochondral joints or costosternal articulations, are synovial plane joints of the costal cartilages of the true ribs with the sternum. [1] The only exception is the first rib, which has a synchondrosis joint since the cartilage is directly united with the sternum. [1]
The sternum is a long, flat bone that forms the front of the rib cage. The cartilages of the top seven ribs (the true ribs) join with the sternum at the sternocostal joints. The costal cartilage of the second rib articulates with the sternum at the sternal angle making it easy to locate. [9]
The cartilages of the top five ribs join with the sternum at the sternocostal joints. The right and left clavicular notches articulate with the right and left clavicles, respectively. The costal cartilage of the second rib articulates with the sternum at the sternal angle making it easy to locate. [3]
Joints between costal cartilages of the sixth and ninth rib are plane synovial joints. Articulation between costal cartilage of the ninth rib and tenth rib is fibrous. [1] The lateral end of each costal cartilage is received into a depression in the sternal end of the rib, and the two are held together by the periosteum.
A cutout of the thoracic wall showing the three layers of intercostal muscle - from the left wall. The muscles extend from the tubercles of the ribs behind, to the cartilages of the ribs in front, where they end in thin membranes, the external intercostal membranes, which are continued forward to the sternum.
The bony skeletal part of the thoracic wall is the rib cage, and the rest is made up of muscle, skin, and fasciae.. The chest wall has 10 layers, namely (from superficial to deep) skin (epidermis and dermis), superficial fascia, deep fascia and the invested extrinsic muscles (from the upper limbs), intrinsic muscles associated with the ribs (three layers of intercostal muscles), endothoracic ...