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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 ]
Costal cartilage may be harvested for reparative use elsewhere in the body. [ 1 ] [ 7 ] Whilst this is typically conducted using a general anaesthetic , IV sedation can also be used. [ 7 ] The procedure presents a minor risk of pleural tear .
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 costochondral joints are the joints between the ribs and costal cartilage in the front of the rib cage. 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.
On the trunk of the body, the chest is referred to as the thoracic area. The shoulder in general is the acromial, while the curve of the shoulder is the deltoid. The back as a general area is the dorsum or dorsal area, and the lower back as the lumbus or lumbar region.
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 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.
In reference to the muscles of the thoracic wall, the intercostal nerves and vessels run posterior to the internal intercostal muscles: therefore, they are generally covered on the inside by the parietal pleura, except when they are covered by the innermost intercostal muscles, innermost intercostal membrane, subcostal muscles or the transversus thoracis muscle.