Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
=The Sternum.=--The sternum or breast-bone is a long narrow bone and
has three parts, the _manubrium_ or handle above, the _gladiolus_ or
sword, and the _ensiform cartilage_ at the lower end. On either side
are notches for the costal cartilages; for the first seven ribs as
well as the clavicle articulate with it. Except for some muscles along
the edges it lies directly under the skin and the ridge between the
manubrium and the gladiolus can be felt in the living, a fact which
assists in determining the position of the different ribs in cases of
fracture, as the second rib articulates at this point.
[Illustration: FIG. 37.--A and B, typical ribs; C, first rib; D,
twelfth rib. 1, head; 2, neck; 3, tuberosity; 4, grooved edge; 5,
shaft; 6, oval depression for costa cartilage.]
=The Ribs.=--The ribs are twenty-four in number, twelve on each
side, of which the upper seven, which articulate with the sternum
by individual cartilages, are called _true ribs_, the other five
_false ribs_. Of the false ribs the upper three articulate indirectly
with the sternum through the seventh cartilage, with which their
cartilages unite, while the other two have their anterior extremities
free and are called _floating ribs_. All the ribs slope down toward
the front and are by nature more freely movable in women than in
men. Most of the ribs have a head divided by a little ridge into two
facets for articulation with the dorsal vertebræ, a flattened neck,
a tuberosity at the base of the neck with a facet for articulation
with the transverse process of the vertebra below, an angle, and a
shaft, which is externally convex and is grooved on its lower edge
for the intercostal vessels and nerve. The first and second, eleventh
and twelfth ribs, however, are somewhat peculiar, the first two being
shorter, flatter and rather broader than the rest and the first having
only one facet on the head, while the last two have only one facet on
the head and no neck or tuberosity.
The _costal cartilages_ serve to prolong the ribs and greatly increase
the elasticity of the chest wall. They grow longer down to the seventh
and then decrease again in length.
The ribs, except the first and second, which are protected by the
clavicle, are frequently _broken_. Such a break causes pain in
breathing and sometimes the end of a rib pierces the lung tissue
and swelling all over the body results, due to the presence of air.
_Caries_ or death of the rib is also frequent. _Fracture of the
sternum_ occurs occasionally, generally from direct force, as from a
blow with the knee in foot-ball, and there may be dislocation between
the manubrium and gladiolus.
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