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Manubriosternal joint

Dr Henry Knipe ◉ ◈ and Dr James Ling et al.

The manubriosternal joint, sometimes referred to as the sternomanubrial joint, is the articulation between the upper two parts of the sternum, the manubrium and sternal body. It is at the level of the sternal angle or angle of Louis, which is at the 2nd costal cartilage and the intervertebral disc of T4 and T5 ¹. This forms an important palpable landmark for clinical examination

Gross anatomy

The manubriosternal joint is a type of secondary cartilaginous joint or symphysis, formed by the inferior border of the manubrium and the superior border of the sternal body. Both sides of the joint are irregular and undulating and covered with hyaline cartilage ². However, it is not a typical secondary cartilaginous joint as the bones may ossify later in adult life ³. The joint does not have a capsule or attached by any ligaments.

Function

There is very little movement of the manubriosternal joint but there may be a small amount of angular movement during respiration ⁴.

References

Anatomy: Thoracic

thoracic skeleton
- thoracic cage
  - ribs
    - typical ribs
    - atypical ribs
    - variant anatomy
      - bifid ribs
  - costal cartilage
  - sternum
- thoracic spine
- articulations
muscles of the thorax
spaces of the thorax
thoracic viscera
blood supply of the thorax
- arteries
  - thoracic aorta (development)
  - pulmonary trunk
    - left pulmonary artery
      - aberrant left pulmonary artery
    - right pulmonary artery
- veins
  - superior vena cava (cavoatrial junction)
  - inferior vena cava
  - coronary veins
    - cardiac veins which drain into the coronary sinus
      - great cardiac vein
      - middle cardiac vein
      - small cardiac vein
      - posterior vein of the left ventricle
      - vein of Marshall (oblique vein of the left atrium)
    - anterior cardiac veins
    - venae cordis minimae (smallest cardiac veins or thebesian veins)
  - pulmonary veins
    - bronchial veins
lymphatics
innervation of the thorax

Article information

rID: 50776

System: Chest, Musculoskeletal

Section: Anatomy

Tag: cases

Synonyms or Alternate Spellings:

Sternomanubrial joint

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Cases and figures

Figure 1: Manubrium: Gray's anatomy diagramFigure 1: Manubrium: Gray's anatomy diagram

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