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Sternal angle

The sternal angle is the palpable ridge where the manubrium meets the body of the sternum. In Anatomy and Physiology I, it is a landmark for counting ribs and finding thoracic structures.

Last updated July 2026•Fiveable Content Team

What is the sternal angle?

The sternal angle is the raised ridge at the junction of the manubrium and the body of the sternum. In Anatomy and Physiology I, you usually hear it called a landmark first, because it is easy to feel on the front of the chest and easy to use when mapping other thoracic structures.

If you place your fingers at the top of the sternum and slide downward, you can feel a slight change in angle where the manubrium meets the longer body of the sternum. That point is the sternal angle, also known as the angle of Louis. It is not just a surface bump. It marks a structural transition in the sternum and gives you a reliable reference point on the thoracic cage.

One of the most practical uses of the sternal angle is rib counting. The second rib attaches near this level, so anatomists and clinicians use the sternal angle to find the second intercostal space and then count ribs and intercostal spaces from there. That matters because the lower ribs can be harder to identify by touch, especially in a fast lab check or physical exam.

The sternal angle also lines up with several internal features in the thorax. It sits roughly at the level where the aortic arch begins and ends, where the trachea divides into the main bronchi, and where the arch of the azygos vein empties into the superior vena cava. You do not need to memorize every structure as if it were a random list, but it helps to know that this spot is a major horizontal landmark through the chest.

Its shape can vary a little from person to person. A more angled or sunken chest wall can make the landmark less obvious, which is why palpation skills matter. In lab, you are not just naming the bone. You are using the sternal angle to orient yourself in the thoracic cage and connect the surface anatomy to what is happening deeper in the chest.

Why the sternal angle matters in Anatomy and Physiology I

The sternal angle matters because Anatomy and Physiology I is not just about naming bones, it is about using body landmarks to locate other structures. Once you know where the sternal angle is, you can build a map of the thorax instead of memorizing each rib, vessel, and airway separately.

That makes it useful for the thoracic cage topic, especially when you are comparing the sternum, ribs, costal cartilages, and vertebral structures. If you can find the sternal angle, you can locate the second rib, identify intercostal spaces more confidently, and place major chest structures in the correct level of the body.

It also gives you a bridge between surface anatomy and internal anatomy. A structure you can feel on the chest wall lines up with deeper features like the aortic arch and tracheal bifurcation, which is exactly the kind of relationship A&P asks you to trace. That skill shows up in labeling diagrams, explaining exam findings, and connecting bones to the cardiovascular and respiratory systems.

This term is also a good example of how anatomy uses landmarks to reduce confusion. Instead of thinking of the thorax as a pile of unrelated parts, you use one stable point to organize the whole region. That is the kind of thinking that makes the chest easier to study, sketch, and identify under pressure.

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How the sternal angle connects across the course

Manubrium

The sternal angle is formed at the joint between the manubrium and the body of the sternum. If you know the manubrium well, the angle makes more sense because it sits right at the spot where the broader upper sternum meets the longer lower portion. That junction is what creates the noticeable ridge you can palpate.

Sternum

The sternal angle is one feature of the sternum, not a separate bone. In Anatomy and Physiology I, the sternum is usually broken into the manubrium, body, and xiphoid process, and the sternal angle helps you orient those parts in order. It is a useful midpoint between the upper and lower sternum.

Thoracic Cage

The sternal angle is a landmark within the thoracic cage, so it helps you place the ribs and sternum in a bigger framework. When you are studying the chest wall, this point gives you a starting line for rib counting and for connecting surface anatomy to structures inside the thorax.

Costal Cartilage

The second rib and nearby costal cartilages are often located by using the sternal angle first. Since the ribs attach to the sternum through costal cartilages, this landmark helps you move from the bone of the sternum to the flexible cartilaginous connections that shape the front of the rib cage.

Is the sternal angle on the Anatomy and Physiology I exam?

A lab practical may show you a torso model, a cadaver image, or a chest diagram and ask you to identify the sternal angle or use it to count ribs. A multiple-choice question may describe a landmark at the manubriosternal junction and ask which rib level it matches. You might also need it in a short answer about surface anatomy, where you trace how the landmark lines up with the second intercostal space or major thoracic structures. If your instructor uses clinical scenarios, the sternal angle can appear as the point used to orient chest exam findings or explain why a structure is being located at a certain level in the thorax.

The sternal angle vs clavicular notch

The clavicular notch is the indentation on the manubrium where the clavicles articulate, while the sternal angle is the ridge where the manubrium meets the body of the sternum. They are both on the upper sternum, but they are not the same landmark. If you are counting ribs or finding the second intercostal space, you want the sternal angle, not the clavicular notch.

Key things to remember about the sternal angle

  • The sternal angle is the palpable ridge where the manubrium meets the body of the sternum.

  • In Anatomy and Physiology I, it is one of the most useful landmarks for orienting yourself on the thoracic cage.

  • You can use it to find the second rib and the second intercostal space for rib counting.

  • It lines up with major internal thoracic structures, so it connects surface anatomy to deeper anatomy.

  • If a chest landmark question feels confusing, check whether the prompt is asking for the clavicular notch, the manubrium, or the sternal angle.

Frequently asked questions about the sternal angle

What is the sternal angle in Anatomy and Physiology I?

It is the ridge on the sternum where the manubrium meets the body of the sternum. In A&P, you use it as a landmark on the thoracic cage, especially for rib counting and locating structures in the chest.

Why is the sternal angle called the angle of Louis?

Angle of Louis is another name for the sternal angle. Many anatomy classes use both names, so it helps to recognize that they refer to the same landmark on the anterior thoracic wall.

How do you find the second rib using the sternal angle?

Start at the sternal angle, then move laterally to the second rib or second costal cartilage at that level. This is a common anatomy lab skill because lower ribs are harder to count without a fixed reference point.

Is the sternal angle the same as the clavicular notch?

No. The clavicular notch is where the clavicle meets the manubrium, while the sternal angle is the junction between the manubrium and the body of the sternum. They are close together, but they mark different spots and are used for different identification tasks.