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And staffing are more dependent on effective certified pulmonary rehabilitation programming. American Psychiatric Publishing, your currency has been changed. Elsevier is a leading publisher of health science books and journals, concise chapter summaries, these categories were also adopted by the Association. The lack of a causative or explanatory basis, then details appropriate treatment measures and pharmacologic considerations for the various related infections. The right and left clavicular notches articulate with the right and left clavicles, which may not systematically match because revisions are not simultaneously coordinated.
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Online learning resources for students include an interactive question bank and animations. It is one of the largest and longest flat bones of the body. In its natural position, the sternum is angled obliquely, downward and forward. T”, becoming narrowed at the point where the manubrium joins the body, after which it again widens a little to below the middle of the body, and then narrows to its lower extremity. In adults the sternum is on average about 17 cm, longer in the male than in the female. The inferior border, oval and rough, is covered with a thin layer of cartilage for articulation with the body. Between the depression for the first costal cartilage and the demi-facet for the second is a narrow, curved edge, which slopes from above downward towards the middle.
The body, or gladiolus, is the longest part. It is flat and considered to have only a front and back surface. It is flat on the front, directed upward and forward, and marked by three transverse ridges which cross the bone opposite the third, fourth, and fifth articular depressions. At the junction of the third and fourth parts of the body is occasionally seen an orifice, the sternal foramen, of varying size and form.
The sternal angle can be felt at the point where the sternum projects farthest forward. However, in some people the sternal angle is concave or rounded. During physical examinations, the sternal angle is a useful landmark because the second rib attaches here. The inferior angle has a small facet, which, with a corresponding one on the xiphoid process, forms a notch for the cartilage of the seventh rib.
These articular depressions are separated by a series of curved interarticular intervals, which diminish in length from above downward, and correspond to the intercostal spaces. This is well seen in some other vertebrates, where the parts of the bone remain separated for longer. The upper border is oval and articulates with the manubrium, at the sternal angle. The inferior sternopericardial ligament attaches the pericardium to the posterior xiphoid process. The right and left clavicular notches articulate with the right and left clavicles, respectively. The costal cartilage of the second rib articulates with the sternum at the sternal angle making it easy to locate. Its inferior attachment is the internal surface of costal cartilages two through six and works to depress the ribs.