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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 ]
Anatomy of the costal cartilage. Costochondritis typically presents unilaterally (one side), which is typically the left side. [4] It affects primarily the 2nd to 5th ribs at the sternocostal and costochondral joints. [1] The most commonly reported symptom of costochondritis is chest pain that is often exacerbated by movement and deep breathing.
The first seven pairs are connected with the sternum; the next three are each articulated with the lower border of the cartilage of the preceding rib; the last two have pointed extremities, which end in the wall of the abdomen.
They are hyaline cartilaginous joints (i.e. synchondrosis or primary cartilagenous joint). Each rib has a depression shaped like a cup that the costal cartilage articulates with. There is normally no movement at these joints. Joints between costal cartilages of the sixth and ninth rib are plane synovial joints.
The articulations of the heads of the ribs (or costocentral articulations) constitute a series of gliding or arthrodial joints, and are formed by the articulation of the heads of the typical ribs with the costal facets on the contiguous margins of the bodies of the thoracic vertebrae and with the intervertebral discs between them; the first, eleventh and twelfth ribs each articulate with a ...
The costoxiphoid ligaments (chondroxiphoid ligaments) are inconstant strand-like fibrous bands that connect the anterior and posterior surfaces of the seventh costal cartilage, and sometimes those of the sixth, to the front and back of the xiphoid process the sternum.
The intraarticular sternocostal ligament is a horizontal fibrocartilaginous plate in the center of the second sternocostal joint. It connects the tip of the costal cartilage to the fibrous junction between the manubrium and the body of the sternum , dividing the joint into two parts.
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