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 rib
Coracoid process
Xiphoid
process
11th rib
Free end of the
11th rib
Free end of the
12th rib
Sternocostal
angle
Manubriosternal
synchondrosis
Axillary line
SP-21
4th ICS
5th ICS
6th ICS
11th rib
LIV-13
G.B.-22
Fig. 3.91
Fig. 3.92