Xiphisternal joint

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Xiphisternal Joint

Diagram of the xiphisternal joint and surrounding structures.

The xiphisternal joint is a cartilaginous joint located at the inferior end of the sternum, where the xiphoid process meets the body of the sternum. This joint is a synchondrosis, meaning it is primarily composed of hyaline cartilage and allows for limited movement.

Anatomy

The xiphisternal joint is situated at the level of the T9 vertebra in the thoracic spine. It marks the inferior boundary of the thoracic cavity and is an important anatomical landmark for various medical procedures. The joint is formed by the articulation between the xiphoid process and the sternal body, which are both parts of the sternum.

Structure

The xiphisternal joint is a primary cartilaginous joint, also known as a synchondrosis. It is composed of hyaline cartilage, which allows for slight flexibility and movement. Over time, this joint may ossify, particularly in older adults, leading to a more rigid connection between the xiphoid process and the sternal body.

Function

The primary function of the xiphisternal joint is to provide a flexible connection between the xiphoid process and the body of the sternum. This flexibility is important for the expansion and contraction of the thoracic cavity during respiration.

Clinical Significance

The xiphisternal joint is an important landmark in clinical practice. It is used as a reference point for various medical procedures, such as cardiopulmonary resuscitation (CPR) and thoracentesis. During CPR, the xiphisternal joint helps in locating the correct hand position for chest compressions.

In some individuals, the xiphisternal joint may become ossified, which can be detected through imaging techniques such as X-ray or CT scan. This ossification is generally asymptomatic but can occasionally cause discomfort or pain.

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Contributors: Prab R. Tumpati, MD