Sternal Angle
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Sternal Angle
The sternal angle (also known as the angle of Louis, angle of Ludovic or manubriosternal junction) is the synarthrotic joint formed by the articulation of the manubrium and the body of the sternum. The sternal angle is a palpable clinical landmark in surface anatomy. Anatomy The sternal angle, which varies around 162 degrees in males, marks the approximate level of the 2nd pair of costal cartilages, which attach to the second ribs, and the level of the intervertebral disc between T4 and T5. In clinical applications, the sternal angle can be palpated at the T4 vertebral level. The sternal angle is used in the definition of the thoracic plane. This marks the level of a number of other anatomical structures: The angle also marks a number of other features: :* Carina of the trachea is deep to the sternal angle :* :*Passage of the thoracic duct from right to left behind esophagus :* :* Ligamentum arteriosum :* :* Loop of left recurrent laryngeal nerve around aortic arch The ang ...
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Costal Cartilage
The costal cartilages are bars of hyaline cartilage 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. Differences from Ribs 1-12 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. 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 enlarge ...
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Synarthrosis
A synarthrosis is a type of joint which allows no movement under normal conditions. Sutures and gomphoses are both synarthroses. Joints which allow more movement are called amphiarthroses or diarthroses. Syndesmoses joints are considered to be amphiarthrotic, because they allow a small amount of movement. Types They can be categorised by how the bones are joined together: *''Gomphosis'' is the type of joint in which a conical peg fits into a socket, for example, the socket of a tooth. Normally, there is very little movement of the teeth in the mandible or maxilla. *''Synostosis'' is where two bones that are initially separated eventually fuse, essentially becoming one bone. In humans, as in other animals, the plates of the cranium fuse with dense fibrous connective tissue as a child approaches adulthood.Principles of Anatomy & Physiology, 12th Edition, Tortora & Derrickson, Pub: Wiley & Sons Children whose cranial plates fuse too early may suffer deformities and brain damage as t ...
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Manubrium
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 the Ancient Greek στέρνον (stérnon), meaning "chest". Structure The sternum is a narrow, flat bone, forming the middle portion of the front of the chest. The top of the sternum supports the clavicles (collarbones) and its edges join with the costal cartilages of the first two pairs of ribs. The inner surface of the sternum is also the attachment of the sternopericardial ligaments. Its top is also connected to the sternocleidomastoid muscle. The sternum consists of three main parts, listed from the top: * Manubrium * Body (gladiolus) * X ...
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Human Sternum
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 the Ancient Greek στέρνον (stérnon), meaning "chest". Structure The sternum is a narrow, flat bone, forming the middle portion of the front of the chest. The top of the sternum supports the clavicles (collarbones) and its edges join with the costal cartilages of the first two pairs of ribs. The inner surface of the sternum is also the attachment of the sternopericardial ligaments. Its top is also connected to the sternocleidomastoid muscle. The sternum consists of three main parts, listed from the top: * Manubrium * Body (gladiolus) * X ...
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Surface Anatomy
Surface anatomy (also called superficial anatomy and visual anatomy) is the study of the external features of the body of an animal.Seeley (2003) chap.1 p.2 In birds this is termed ''topography''. Surface anatomy deals with anatomical features that can be studied by sight, without dissection. As such, it is a branch of gross anatomy, along with endoscopic and radiological anatomy.Standring (2008) ''Introduction'', ''Anatomical nomenclature'', p.2 Surface anatomy is a descriptive science. In particular, in the case of human surface anatomy, these are the form and proportions of the human body and the surface landmarks which correspond to deeper structures hidden from view, both in static pose and in motion. In addition, the science of surface anatomy includes the theories and systems of body proportions and related artistic canons. The study of surface anatomy is the basis for depicting the human body in classical art. Some pseudo-sciences such as physiognomy, phrenology and pa ...
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Intervertebral Disc
An intervertebral disc (or intervertebral fibrocartilage) lies between adjacent vertebrae in the vertebral column. Each disc forms a fibrocartilaginous joint (a symphysis), to allow slight movement of the vertebrae, to act as a ligament to hold the vertebrae together, and to function as a shock absorber for the spine. Structure Intervertebral discs consist of an outer fibrous ring, the anulus fibrosus disci intervertebralis, which surrounds an inner gel-like center, the nucleus pulposus. The ''anulus fibrosus'' consists of several layers (laminae) of fibrocartilage made up of both type I and type II collagen. Type I is concentrated toward the edge of the ring, where it provides greater strength. The stiff laminae can withstand compressive forces. The fibrous intervertebral disc contains the ''nucleus pulposus'' and this helps to distribute pressure evenly across the disc. This prevents the development of stress concentrations which could cause damage to the underlying vertebrae ...
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Thoracic Vertebra
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 and they are intermediate in size between the cervical and lumbar vertebrae; they increase in size going towards the lumbar vertebrae, with the lower ones being much larger than the upper. 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. General characteristics These are the general characteristics of the second through eighth thoracic vertebrae. The first and ninth through twelfth vertebrae contain certain ...
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Thoracic Plane
The mediastinum (from ) is the central compartment of the thoracic cavity. Surrounded by loose connective tissue, it is an undelineated region that contains a group of structures within the thorax, namely the heart and its vessels, the esophagus, the trachea, the phrenic and cardiac nerves, the thoracic duct, the thymus and the lymph nodes of the central chest. Anatomy The mediastinum lies within the thorax and is enclosed on the right and left by pleurae. It is surrounded by the chest wall in front, the lungs to the sides and the spine at the back. It extends from the sternum in front to the vertebral column behind. It contains all the organs of the thorax except the lungs. It is continuous with the loose connective tissue of the neck. The mediastinum can be divided into an upper (or superior) and lower (or inferior) part: * The superior mediastinum starts at the superior thoracic aperture and ends at the thoracic plane. * The inferior mediastinum from this level to the ...
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Symphysis
A symphysis (, pl. symphyses) is a fibrocartilaginous fusion between two bones. It is a type of cartilaginous joint, specifically a secondary cartilaginous joint. # A symphysis is an amphiarthrosis, a slightly movable joint. # A growing together of parts or structures. Unlike synchondroses, symphyses are permanent. Examples The more prominent symphyses are: * the pubic symphysis * sacrococcygeal symphysis * intervertebral disc between two vertebrae * in the sternum, between the manubrium and body Body may refer to: In science * Physical body, an object in physics that represents a large amount, has mass or takes up space * Body (biology), the physical material of an organism * Body plan, the physical features shared by a group of anima ... * mandibular symphysis, in the jaw Symphysis disorders Pubic symphysis diastasis Pubic symphysis diastasis, is an extremely rare complication that occurs in women who are giving birth. Separation of the two pubic bones during deli ...
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Antoine Louis
Antoine Louis (; 13 February 1723, Metz – 20 May 1792) was an 18th-century French surgeon and physiologist. He was originally trained in medicine by his father, a sergeant major at a local military hospital. As a young man he moved to Paris, where he served as ''gagnant-maîtrise'' at the Salpêtrière. In 1750 he was appointed professor of physiology, a position he held for 40 years. In 1764 he was appointed lifetime secretary to the Académie Royale de Chirurgie. Louis published numerous articles on surgery, including several biographies of surgeons who died in his lifetime. He also published the surgical aphorisms of Dutch physician Herman Boerhaave (1668–1738). Louis is credited with designing a prototype of the guillotine. For a period of time after its invention, the guillotine was called a ''louisette''. However, it was later named after French physician Joseph Ignace Guillotin (1738–1814), whose advocacy of a more humane method of capital punishment prompted the ...
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Wilhelm Friedrich Von Ludwig
Wilhelm Frederick von Ludwig (16 September 1790 – 14 December 1865) was a German physician known for his 1836 publication on the condition now known as Ludwig's angina. Early life Ludwig was born in Uhlbach (near Stuttgart) in the state of Württemberg. His father was a clergyman and served as his childhood teacher. At the age of 10, he was sent to attend the Latin school at Markgröningen. Ludwig showed promise in medicine at an early age, and at 14, he went to Neuenburg to continue his classical studies while beginning to study medicine under a surgeon.There are several places called Neuenburg, and it is uncertain which one this was. '' ADB'' suggests either Neuenburg am Rhein or Neuenbürg. Ludwig received a certificate of proficiency in 1807, whereupon he went on to study surgery, medicine, and obstetrics at the University of Tübingen. His performance was so exemplary that he was awarded a gold medal by King Frederick I in 1809—before graduating—for the advancement of s ...
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Pierre Charles Alexandre Louis
Pierre-Charles-Alexandre Louis (14 April 178722 August 1872) was a French physician, clinician and pathology, pathologist known for his studies on tuberculosis, typhoid fever, and pneumonia, but Louis's greatest contribution to medicine was the development of the "numerical method", forerunner to epidemiology and the modern clinical trial, paving the path for evidence-based medicine. Biography Louis was born in Ay, Marne, Ay, Champagne (wine region), Champagne, the son of a wine merchant. He grew up during the French Revolution and initially thought to study law, later switching to medicine, graduating in 1813. His initial studies were in Reims, but he completed them in Paris. Louis married late in life, having a single son (Armand) who died of tuberculosis while still a boy in 1854, and Louis retired from medical practice the same year. The American politician Charles Sumner, who visited Louis and observed him teaching at the Hôtel-Dieu de Paris, described him as "a tall man, ...
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