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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]
Each muscle begins posteriorly at the tubercles of the ribs and extends anteriorly to the costochondral junction, the junction between the costal cartilage and the sternal end of the rib. The muscle between the costal cartilages is replaced by a membranous layer called the external intercostal membrane.
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 ]
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 costal margin is the medial margin formed by the cartilages of the seventh to tenth ribs. It attaches to the body and xiphoid process of the sternum. [2] The thoracic diaphragm attaches to the costal margin. [3] The costal angle is the angle between the left and right costal margins where they join the sternum. [2]
The lateral borders are each marked above by a depression for the first costal cartilage, and below by a small facet, which, with a similar facet on the upper angle of the body, forms a notch for the reception of the costal cartilage of the second rib. Between the depression for the first costal cartilage and the demi-facet for the second is a ...
The posterior lamina of the tendon receives the attachment of the greater part of the sternal portion and the deep fibers, i.e., those from the costal cartilages. These deep fibers, particularly those from the lower costal cartilages, ascend the humerus insertion higher, turning backward successively behind the superficial and upper ones, so ...
The sternal angle marks the point at which the costal cartilage of either second rib articulates with the sternum. During physical examinations, the readily palpated sternal angle is thus used as a landmark to identify the 2nd rib, and by extension, by counting, also the remaining ribs.