The costal margin, also known as the costal arch,[1] is the lower edge of the chest (thorax) formed by the bottom edge of the rib cage.

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Costal margin
Thumb
Anterior surface of sternum and costal cartilages. (The costal margin forms a large upside-down V on the inferior border.)
Details
Identifiers
Latinarcus costalis
TA98A02.3.04.006
TA21101
FMA7569
Anatomical terminology
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Structure

The costal margin is the medial margin formed by the cartilages of the seventh to tenth ribs. It attaches to the body and xiphoid process of the sternum.[2]

The thoracic diaphragm attaches to the costal margin.[3]

The costal angle is the angle between the left and right costal margins where they join the sternum.[2]

Function

The costal margins somewhat protect the higher abdominal organs, such as the liver.[4][5]

Clinical significance

The costal margin may be used for tissue harvesting of cartilage for use elsewhere in the body, such as to treat microtia.[4]

Different abdominal organs may be palpated just below the costal margin, such as the liver on the right side of the body.[5]

Pain across the costal margin is most commonly caused by costochondritis.[6]

The costal paradox, also known as Hoover's sign and the costal margin paradox, is a sign where the costal angle decreases upon inspiration rather than increasing, indicating chronic obstructive pulmonary disease.[2]

References

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