3 Anatomical Orientation
Axillary line (Fig. 3.92)
The axillary line is an imaginary line for orientation on the lat-
eral aspect of the thorax and abdomen. It runs vertically from the
middle of the axilla in an inferior direction. Both G.B.-22and
SP-21are located on this line.Free end of the 11th rib (Figs 3.91, 3.92)
The free end of the 11th rib can be palpated below the costal car-
tilage, at the transitional zone from the thorax to the abdomen.
Location tip: the patient places his/her flexed elbow (90° angle)
alongside his/her thorax. The tip of the olecranon will then usu-
ally be close to the free end of the 11th rib. LIV-13is located
below its anterior lower border.2nd ribCoracoid processXiphoid
process11th ribFree end of the
11th ribFree end of the
12th ribSternocostal
angleManubriosternal
synchondrosisAxillary lineSP-214th ICS5th ICS6th ICS11th rib
LIV-13G.B.-22Fig. 3.91Fig. 3.92