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Page Title: Appendicular Skeleton
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Figure 3-16.—Vertebral column.
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Figure 3-19.—Shoulder girdle and arm bone.

Figure 3-18.—Thorax, anterior view. to  facilitate  movement  of  one  vertebra  over the fusion of five false vertebrae. It articulates on another. There are seven cervical vertebrae in the neck. The  first  is  called  the  ATLAS  and  resembles  a bony ring. It supports the head. The second is the highly  specialized  AXIS.  It  has  a  bony  prominence that  fits  into  the  ring  of  the  atlas,  thus  permit- ting the head to rotate from side to side. The atlas and  the  axis  are  the  only  named  vertebrae,  all others  are  numbered.  Each  cervical  vertebrae  has a transverse foramen to allow passage of nerves, the vertebral artery, and a vein. The seventh cer- vical  vertebra  has  an  especially  prominent  projec- tion that can easily be felt at the nape of the neck. This  makes  it  possible  for  physicians  to  count  and identify  the  vertebrae  above  and  below  it. There are 12 vertebrae in the thoracic region. These articulate with the posterior portion of the 12 ribs to form the posterior wall of the thoracic, or  chest,  cage. There are five lumbar vertebrae, which are the largest  segments  of  the  vertebral  column. The   SACRUM   is   the   triangular   bone   im- mediately below the lumbar vertebrae, formed by each   side   with   the   hip   bone   and   with   the COCCYX   to   form   the   posterior   wall   of   the PELVIS. THORAX.—  It  is  a  cone-shaped  bony  cage, about as wide as it is deep (fig. 3-18). It is formed by 12 ribs on each side, which articulate posteri- orly with the thoracic vertebrae. The first seven pairs of ribs are attached to the sternum by car- tilage and are called true ribs. The eighth, ninth, and tenth ribs are united by their cartilages to the cartilage  of  the  seventh  rib  and  are  called  false ribs.  The  STERNUM  is  an  elongated  flat  bone, forming  the  middle  portion  of  the  upper  half  of the  chest  wall  in  front.  The  xiphoid  process, located  at  the  inferior  aspect  of  the  sternum, serves as a landmark in the administration of car- diopulmonary   resuscitation. Appendicular Skeleton UPPER  EXTREMITY.—  The  upper  extremity consists  of  the  bones  of  the  shoulder,  the  arm, 3-9

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