Costotransverse articulations
Costotransverse articulation. Seen from above.
Section of the costotransverse joints from the third to the ninth inclusive. Constrast the concave facets on the upper with the flattened facets on the lower transverse processes.
Latin	articulatio costotransversaria
Gray's	subject #76 300

The facet of the tubercle of the rib forms an articulation with the adjacent transverse process of a thoracic vertebra. This is a plane type synovial joint called the costotransverse joint.

This articulation is present in all but the eleventh and twelfth ribs. Ribs 1 to 10 have two joints in close proximity posteriorly; the costovertebral joints and the costotranseverse joints. This arrangement restrains the motion of the ribs allowing them to work in a parallel fashion during breathing. If a typical rib had only one joint posteriorly the resultant swivel action would allow a rib to be non-parallel with respect to the neighboring ribs making for a very inefficient respiratory mechanism. The ventral rami innervate the costotransverse joints. Therefore, therapeutic medial branch blocks are ineffectual.

The ligaments of the joint are:

• Articular capsule
• Posterior costotransverse
• Anterior costotransverse
• Ligament of the neck of the rib
• Ligament of the tubercle of the rib

[edit] External links

• 53805114 at GPnotebook

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained within it may be outdated.

v • d • e Joints and ligaments of torso (TA A03.02-04, GA 3.299) Vertebral column Syndesmosis articulations of vertebral bodies: anterior longitudinal ligament · posterior longitudinal ligament articulations of vertebral arches: ligamenta flava · supraspinous ligament (nuchal ligament) · interspinal ligament · intertransverse ligament Synchondrosis intervertebral disc (annulus fibrosus, nucleus pulposus) Synovial joint Atlanto-axial (lat + med) capsule · atlantoaxial ligaments (anterior, posterior) · Cruciate ligament of atlas (Transverse ligament of atlas) Alar ligament · Apical ligament of dens · Tectorial membrane of atlanto-axial joint Zygapophysial no ligaments Lumbosacral iliolumbar ligament Sacrococcygeal anterior sacrococcygeal ligament · posterior sacrococcygeal ligament Thorax Costovertebral articulation of head of rib: radiate ligament · interarticular ligament costotransverse: Lumbocostal ligament Sternocostal interarticular sternocostal ligament · radiate sternocostal ligaments · costoxiphoid ligaments Interchondral no ligaments Costochondral no ligaments Pelvis Syndesmoses of pelvic girdle Obturator membrane · Obturator canal Pubic symphysis superior pubic ligament · inferior pubic ligament Sacroiliac anterior sacroiliac ligament · posterior sacroiliac ligament · interosseous sacroiliac ligament ligaments connecting the sacrum and ischium: sacrotuberous ligament · sacrospinous ligament Greater sciatic foramen · Lesser sciatic foramen

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