Sternum Flashcards

1
Q

What does the sternum do?

A

anchors the anterior ends of paired ribs 1-7 via costal cartilage and protects the cardiovascular organs

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2
Q

What are the 3 parts the sternum is composed of?

A

manubrium, mesosternum/body and xiphoid process

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3
Q

What is the sternum formed of?

A

Sternebrae (which can fuse with age and aid in estimating age)

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4
Q

State the shape of the anterior and posterior surfaces?

A

Anterior surface is convex and posterior surface is concave

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5
Q

Where does the sternum articulate and with what?

A

Articulates with clavicle at clavicular notch and with rib cartilage at costal notches

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6
Q

What is the name of the indentation on the superior surface of the manubrium? (Hint: ends in notch)

A

Jugular notch

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7
Q

What ridges run across the body of the sternum?

A

Transverse ridges

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8
Q

What is the name of the indentation on the sides of the manubrium?

A

Costal notches

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9
Q

What 2 muscles come from the manubrium?

A

Sternocleidomastoid and sternohyoid muscles

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10
Q

Where does the sternocleidomastoid muscle run from and to?

A

From the manubrium and clavicle to the mastoid process on the temporal bone

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11
Q

What movement/action does sternocleidomastoid produce?

A

Head rotation and flexion

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12
Q

Where does the sternohyoid muscle run from and to?

A

From posterior manubrium to the hyoid

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13
Q

What movement/action does sternohyoid produce?

A

depresses hyoid

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14
Q

What muscle comes from the manubrium AND the body/mesosternum?

A

Pectoralis major muscle

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15
Q

Where does pectoralis major run from and to?

A

From manubrium, mesosternum and clavicle sideways to proximal humerus

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16
Q

What movement/action does pectoralis major produce?

A

Adduction, medial rotation and flexion of arm

17
Q

What percentage of individuals have a sternal foramen?

A

5-10%

18
Q

Name the two kinds of synostosis related to the sternum

A

Matrical and sclerotic

19
Q

Describe the 2 kinds of synostosis related to the sternum

A

Matrical is due to developmental anomaly resulting in the absence of fibrocartilaginous barrier between elements
Scelortic is due to age-related degeneration of the fibrocartilaginous pad in the joint

20
Q

What percentage of adults have at least one foramen in the xiphoid process?

A

~30%

21
Q

Describe pectus excavatum

A

failure of fusion of the sternal plates (associated with other connective tissue disorders including Marfan’s) and can cause compression of thoracic viscera

22
Q

Is pectus excavatum more common in males or females?

A

Males (M3:F1)

23
Q

Describe pectus carinatum

A

caused by overgrowth of costal cartilages which force sternal plates into a bowed arrangement and can cause difficulty in breathing