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AAAC01  21/5/05  10:38 AM  Page 6
             1 The thoracic wall I

                                                                    Thoracic outlet (inlet)
                                                                    First rib
                                                                    Clavicle
                                                                    Suprasternal notch
                                                                    Manubrium
                                          5                         Third rib

                                        2
                                1
                                                                    Body of sternum

                                                                    Intercostal
                                                                    space
                                          4
                                                                    Xiphisternum   Scalenus
                                                                                   anterior

                                                                                   Brachial                  Cervical
                                                                    Costal cartilage  plexus                 rib

                                                                    Costal margin
                           3
                                                                                   Subclavian
                              1 Costochondral joint                 Floating ribs  artery
                              2 Sternocostal joint                                 Fig.1.3
                              3 Interchondral joint                                Bilateral cervical ribs.
                              4 Xiphisternal joint
                              5 Manubriosternal joint                              On the right side the brachial plexus
                                 (angle of Louis)                                  is shown arching over the rib and
                                                                                   stretching its lowest trunk
                    Fig.1.1
                    The thoracic cage. The outlet (inlet)
                    of the thorax is outlined
                                                                                    Transverse process with
                                                                                    facet for rib tubercle

                                                                                        Demifacet for head of rib
                                  Head
                                      Neck                        Costovertebral          T5
                                                                  joint
                                                                                          T6
                     Facet for                    Tubercle
                     vertebral body                               Costotransverse
                                                                  joint
                                                                                                 Sternocostal
                                                                                                 joint
                                                                                        6th
                                Shaft                   Angle
                                                                                        rib

                                                                                                 Costochondral
                                         Subcostal groove                                        joint
                    Fig.1.2                                                   Fig.1.4
                    A typical rib                                             Joints of the thoracic cage


                6 Thorax
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