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In old age, the costal cartilages are prone to superficial ossification, particularly in women with age of 50 years and over. [3] In costochondritis and Tietze syndrome, inflammation of the costal cartilage occurs. [4] This is a common cause of chest pain. [5] Severe trauma may lead to fracture of the costal cartilage. [6]
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.
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.
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]
Rib resection differentiates from costal cartilage removal as it removes a small bone portion of the affected rib(s). [1] Laparoscopic costal cartilage removal is a minimally invasive, intra-abdominal approach to treating the condition. The affected cartilage is excised from the sternocostal junction to the costochondral junction. [17]
Costal may refer to: an adjective related to the rib (Latin: costa) in anatomy Costal cartilage, a type of cartilage forming bars which serve to prolong the ribs forward; Costal margin, the medial margin formed by the false ribs; Costal surface (disambiguation) Costal groove, a groove between the ridge of the internal surface of the rib
The costal cartilage of the second rib articulates with the sternum at the sternal angle making it easy to locate. [9] The manubrium is the wider, superior portion of the sternum. The top of the manubrium has a shallow, U-shaped border called the jugular (suprasternal) notch.
The costal margin may be used for tissue harvesting of cartilage for use elsewhere in the body, such as to treat microtia. [4] Different abdominal organs may be palpated just below the costal margin, such as the liver on the right side of the body. [5] Pain across the costal margin is most commonly caused by costochondritis. [6]