Arcus Costalis
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The costal margin, also known as the costal arch, is the lower edge of the chest (thorax) formed by the bottom edge of the rib cage.


Structure

The costal margin is the medial margin formed by the cartilages of the seventh to tenth ribs. It attaches to the
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 ...
and xiphoid process of the sternum. The
thoracic diaphragm The thoracic diaphragm, or simply the diaphragm ( grc, διάφραγμα, diáphragma, partition), is a sheet of internal Skeletal striated muscle, skeletal muscle in humans and other mammals that extends across the bottom of the thoracic cavit ...
attaches to the costal margin. The costal angle is the
angle In Euclidean geometry, an angle is the figure formed by two Ray (geometry), rays, called the ''Side (plane geometry), sides'' of the angle, sharing a common endpoint, called the ''vertex (geometry), vertex'' of the angle. Angles formed by two ...
between the left and right costal margins where they join the sternum.


Function

The costal margins somewhat protect the higher
abdominal organs The abdomen (colloquially called the belly, tummy, midriff, tucky or stomach) is the part of the body between the thorax (chest) and pelvis, in humans and in other vertebrates. The abdomen is the front part of the abdominal segment of the torso ...
, such as the
liver The liver is a major Organ (anatomy), organ only found in vertebrates which performs many essential biological functions such as detoxification of the organism, and the Protein biosynthesis, synthesis of proteins and biochemicals necessary for ...
.


Clinical significance

The costal margin may be used for tissue harvesting of cartilage for use elsewhere in the body, such as to treat
microtia Microtia is a congenital deformity where the auricle (external ear) is underdeveloped. A completely undeveloped pinna is referred to as anotia. Because microtia and anotia have the same origin, it can be referred to as microtia-anotia. Microtia ...
. Different
abdominal organs The abdomen (colloquially called the belly, tummy, midriff, tucky or stomach) is the part of the body between the thorax (chest) and pelvis, in humans and in other vertebrates. The abdomen is the front part of the abdominal segment of the torso ...
may be palpated just below the costal margin, such as the
liver The liver is a major Organ (anatomy), organ only found in vertebrates which performs many essential biological functions such as detoxification of the organism, and the Protein biosynthesis, synthesis of proteins and biochemicals necessary for ...
on the right side of the body. Pain across the costal margin is most commonly caused by costochondritis. The costal paradox, also known as Hoover's sign and the costal margin paradox, is a sign where the costal angle decreases upon
inspiration Inspiration, inspire, or inspired often refers to: * Artistic inspiration, sudden creativity in artistic production * Biblical inspiration, the doctrine in Judeo-Christian theology concerned with the divine origin of the Bible * Creative inspirat ...
rather than increasing, indicating
chronic obstructive pulmonary disease Chronic obstructive pulmonary disease (COPD) is a type of progressive lung disease characterized by long-term respiratory symptoms and airflow limitation. The main symptoms include shortness of breath and a cough, which may or may not produce ...
.


References


External links

* —"Bony landmarks of the abdomen" * {{Authority control Bones of the thorax de:Arcus costalis