Costal cartilage | |
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Details | |
Identifiers | |
Latin | cartilagines costales |
Greek | costo condrio |
MeSH | D066186 |
TA98 | A02.3.01.005 |
TA2 | 1140, 1139 |
FMA | 7591 |
Anatomical terminology |
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.
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. [2]
Like the ribs, the costal cartilages vary in their length, breadth, and direction. They increase in length from the first to the seventh, then gradually decrease to the twelfth.
Their breadth, as well as that of the intervals between them, diminishes from the first to the last. They are broad at their attachments to the ribs, and taper toward their sternal extremities, excepting the first two, which are of the same breadth throughout, and the sixth, seventh, and eighth, which are enlarged where their margins are in contact.
They also vary in direction: the first descends a little to the sternum, the second is horizontal, the third ascends slightly, while the others are angular, following the course of the ribs for a short distance, and then ascending to the sternum or preceding cartilage.
Each costal cartilage presents two surfaces, two borders, and two extremities.
The anterior surface is convex, and looks forward and upward: that of the first gives attachment to the costoclavicular ligament and the subclavius muscle; those of the first six or seven at their sternal ends, to the pectoralis major. The others are covered by, and give partial attachment to, some of the flat muscles of the abdomen.
The posterior surface is concave, and directed backward and downward; that of the first gives attachment to the sternothyroideus, those of the third to the sixth inclusive to the transversus thoracis muscle, and the six or seven inferior ones to the transversus abdominis muscle and the diaphragm.
Of the two borders the superior is concave, the inferior convex; they afford attachment to the internal intercostals: the upper border of the sixth gives attachment also to the pectoralis major.
The inferior borders of the sixth, seventh, eighth, and ninth cartilages present heel-like projections at the points of greatest convexity. These projections carry smooth oblong facets which articulate with facets on slight projections from the upper borders of the seventh, eighth, ninth, and tenth cartilages, respectively.
The interchondral articulations are the joints formed between the costal cartilages of the ribs. The contiguous borders of the sixth, seventh, and eighth, and sometimes those of the ninth and tenth, costal cartilages articulate with each other by small, smooth, oblong facets. Each articulation is enclosed in a thin articular capsule, lined by synovial membrane and strengthened laterally and medially by ligamentous fibers (interchondral ligaments) which pass from one cartilage to the other. Sometimes the fifth costal cartilages, more rarely the ninth and tenth, articulate by their lower borders with the adjoining cartilages by small oval facets; more frequently the connection is by a few ligamentous fibers.
The lateral end of each cartilage is continuous with the osseous tissue of the rib to which it belongs.
The medial end of the first is continuous with the sternum; the medial ends of the six succeeding ones are rounded and are received into shallow concavities on the lateral margins of the sternum.
The medial ends of the eighth, ninth, and tenth costal cartilages are pointed, and are connected each with the cartilage immediately above.
Those of the eleventh and twelfth are pointed and free.
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] Such injuries often go unnoticed during x-ray scans, but can be diagnosed with CT scans. [6] Surgery is typically used to fix the costal cartilage back onto either the rib or sternum. [6]
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. [7]
In vertebrate anatomy, ribs are the long curved bones which form the rib cage, part of the axial skeleton. In most tetrapods, ribs surround the thoracic cavity, enabling the lungs to expand and thus facilitate breathing by expanding the thoracic cavity. They serve to protect the lungs, heart, and other vital organs of the thorax. In some animals, especially snakes, ribs may provide support and protection for the entire body.
In anatomy, the atlas (C1) is the most superior (first) cervical vertebra of the spine and is located in the neck.
The rib cage or thoracic cage is an endoskeletal enclosure in the thorax of most vertebrates that comprises the ribs, vertebral column and sternum, which protect the vital organs of the thoracic cavity, such as the heart, lungs and great vessels and support the shoulder girdle to form the core part of the axial skeleton.
The clavicle, collarbone, or keybone is a slender, S-shaped long bone approximately 6 inches (15 cm) long that serves as a strut between the shoulder blade and the sternum (breastbone). There are two clavicles, one on each side of the body. The clavicle is the only long bone in the body that lies horizontally. Together with the shoulder blade, it makes up the shoulder girdle. It is a palpable bone and, in people who have less fat in this region, the location of the bone is clearly visible. It receives its name from Latin clavicula 'little key' because the bone rotates along its axis like a key when the shoulder is abducted. The clavicle is the most commonly fractured bone. It can easily be fractured by impacts to the shoulder from the force of falling on outstretched arms or by a direct hit.
The humerus is a long bone in the arm that runs from the shoulder to the elbow. It connects the scapula and the two bones of the lower arm, the radius and ulna, and consists of three sections. The humeral upper extremity consists of a rounded head, a narrow neck, and two short processes. The body is cylindrical in its upper portion, and more prismatic below. The lower extremity consists of 2 epicondyles, 2 processes, and 3 fossae. As well as its true anatomical neck, the constriction below the greater and lesser tubercles of the humerus is referred to as its surgical neck due to its tendency to fracture, thus often becoming the focus of surgeons.
In the human body, the cuboid bone is one of the seven tarsal bones of the foot.
The tibia, also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates ; it connects the knee with the ankle. The tibia is found on the medial side of the leg next to the fibula and closer to the median plane. The tibia is connected to the fibula by the interosseous membrane of leg, forming a type of fibrous joint called a syndesmosis with very little movement. The tibia is named for the flute tibia. It is the second largest bone in the human body, after the femur. The leg bones are the strongest long bones as they support the rest of the body.
The thorax or chest is a part of the anatomy of mammals and other tetrapod animals located between the neck and the abdomen.
The fibula or calf bone is a leg bone on the lateral side of the tibia, to which it is connected above and below. It is the smaller of the two bones and, in proportion to its length, the most slender of all the long bones. Its upper extremity is small, placed toward the back of the head of the tibia, below the knee joint and excluded from the formation of this joint. Its lower extremity inclines a little forward, so as to be on a plane anterior to that of the upper end; it projects below the tibia and forms the lateral part of the ankle joint.
The radius or radial bone is one of the two large bones of the forearm, the other being the ulna. It extends from the lateral side of the elbow to the thumb side of the wrist and runs parallel to the ulna. The ulna is longer than the radius, but the radius is thicker. The radius is a long bone, prism-shaped and slightly curved longitudinally.
In vertebrates, thoracic vertebrae compose the middle segment of the vertebral column, between the cervical vertebrae and the lumbar vertebrae. In humans, there are twelve thoracic vertebrae of intermediate size between the cervical and lumbar vertebrae; they increase in size going towards the lumbar vertebrae. They are distinguished by the presence of facets on the sides of the bodies for articulation with the heads of the ribs, as well as facets on the transverse processes of all, except the eleventh and twelfth, for articulation with the tubercles of the ribs. By convention, the human thoracic vertebrae are numbered T1–T12, with the first one (T1) located closest to the skull and the others going down the spine toward the lumbar region.
The transverse abdominal muscle (TVA), also known as the transverse abdominis, transversalis muscle and transversus abdominis muscle, is a muscle layer of the anterior and lateral abdominal wall, deep to the internal oblique muscle. It is thought by most fitness instructors to be a significant component of the core.
The transversus thoracis muscle, also known as triangularis sterni, lies internal to the thoracic cage, anteriorly. It is usually a thin plane of muscular and tendinous fibers, however on athletic individuals it can be a thick 'slab of meat', situated upon the inner surface of the front wall of the chest. It is in the same layer as the subcostal muscles and the innermost intercostal muscles.
The talus, talus bone, astragalus, or ankle bone is one of the group of foot bones known as the tarsus. The tarsus forms the lower part of the ankle joint. It transmits the entire weight of the body from the lower legs to the foot.
The sternohyoid muscle is a bilaterally paired, long, thin, narrow strap muscle of the anterior neck. It is one of the infrahyoid muscles. It is innervated by the ansa cervicalis. It acts to depress the hyoid bone.
The external intercostal muscles or external intercostals are eleven in number on both sides.
The internal intercostal muscles are a group of skeletal muscles located between the ribs. They are eleven in number on either side. They commence anteriorly at the sternum, in the intercostal spaces between the cartilages of the true ribs, and at the anterior extremities of the cartilages of the false ribs, and extend backward as far as the angles of the ribs, hence they are continued to the vertebral column by thin aponeuroses, the posterior intercostal membranes. They pull the sternum and ribs upward and inward.
The shoulder girdle or pectoral girdle is the set of bones in the appendicular skeleton which connects to the arm on each side. In humans, it consists of the clavicle and scapula; in those species with three bones in the shoulder, it consists of the clavicle, scapula, and coracoid. Some mammalian species have only the scapula.
The sternum or breastbone is a long flat bone located in the central part of the chest. It connects to the ribs via cartilage and forms the front of the rib cage, thus helping to protect the heart, lungs, and major blood vessels from injury. Shaped roughly like a necktie, it is one of the largest and longest flat bones of the body. Its three regions are the manubrium, the body, and the xiphoid process. The word sternum originates from Ancient Greek στέρνον (stérnon) 'chest'.
Each vertebra is an irregular bone with a complex structure composed of bone and some hyaline cartilage, that make up the vertebral column or spine, of vertebrates. The proportions of the vertebrae differ according to their spinal segment and the particular species.
This article incorporates text in the public domain from page 127 of the 20th edition of Gray's Anatomy (1918)