rickets there is the prominent "pigeon" breast and the rosary, that is, a bead at the juncture of each rib with the costal cartilage, while in emphysema the chest is enlarged in all directions and barrel-shaped. In severe cases of lateral curvature it is distorted but may be improved by exercises.
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.
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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
