By K. Booth, T. Wyman

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It is often called the breastplate. The sternum joins with the clavicles and most ribs. All 12 pairs of ribs are attached posteriorly to thoracic vertebrae. Most ribs are also attached to structures anteriorly. Based on what ribs attach to anteriorly, they can be classified as follows: ɀ ɀ ɀ True. The first seven pairs of ribs are true ribs. They attach directly to the sternum through pieces of cartilage called costal cartilages. False. Rib pairs 8, 9 and 10 are called false ribs. They attach to the costal cartilage of rib pair number 7.

The bones of the lower limb, or leg, include the femur, the patella, the tibia, and the fibula. The femur is the thighbone and the largest bone in the body. It joins with the hipbone, the tibia, and the patella (kneecap). The tibia is the Ilium Sacrum Pubis Symphysis pubis Obturator foramen Ischium Femur B A Figure 3-9. (a) Pelvic girdle. (b) Radiograph of the pelvic girdle. qxd 12/11/06 4:03 PM Page 40 medial bone of the lower leg. It is commonly called the shinbone. It joins with the femur, the fibula, and the anklebones.

Bone pain, deformed bones, and fractures are common symptoms. Patients may experience headaches and hearing loss if the disease affects skull bones. ɀ Treatment. Treatments include surgery to remodel bones, hip replacements, medications to prevent bone weakening, and physical therapy. Scoliosis is an abnormal curvature of the spine. ɀ Causes. This disorder can develop prenatally when vertebrae do not fuse together. It can also result from diseases that cause weakness of the muscles that hold vertebrae together.

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