Suprasternal notch

The suprasternal notch, also known as the fossa jugularis sternalis, or jugular notch, Plender gap or “neck dent” is a large, visible dip in between the neck in humans, between the clavicles, and above the manubrium of the sternum.

Suprasternal notch
Suprasternal notch (indicated by yellow circle)
The position of the suprasternal notch seen here, labelled as "jugular notch".
Details
LocationBottom of the neck; above the manubrium of the sternum, and between the two clavicles.
Identifiers
LatinIncisura jugularis sternalis,
fossa jugularis sterni
TA98A02.3.03.004
TA21132
FMA7542
Anatomical terms of bone

Structure

The suprasternal notch is a visible dip in between the neck, between the clavicles, and above the manubrium of the sternum. It is at the level of the T2 and T3 vertebrae.[1] The trachea lies just behind it, rising about 5 cm above it in adults.[2]

Clinical significance

Intrathoracic pressure is measured by using a transducer held in such a way over the body that an actuator engages the soft tissue that is located above the suprasternal notch. Arcot J. Chandrasekhar, MD of Loyola University, Chicago, is the author of an evaluative test for the aorta using the suprasternal notch.[3] The test can help recognize the following conditions:

To carry out this test it is necessary to place an index finger or middle finger on the notch and palpate it. A prominent pulse may be indicative of an uncoiled aorta, arch aneurysm, or a tortuous blood vessel.

References
  1. Fessler, Richard G.; Kim, Daniel H. (2012-01-01), Quiñones-Hinojosa, Alfredo (ed.), "Chapter 191 - Surgical Approaches to the Cervicothoracic Junction", Schmidek and Sweet Operative Neurosurgical Techniques (Sixth Edition), Philadelphia: W.B. Saunders, pp. 2177–2191, ISBN 978-1-4160-6839-6, retrieved 2021-01-06
  2. Colson, Y. L.; Paul, S. (2006-01-01), Laurent, Geoffrey J.; Shapiro, Steven D. (eds.), "TRACHEOSTOMY", Encyclopedia of Respiratory Medicine, Oxford: Academic Press, pp. 239–242, ISBN 978-0-12-370879-3, retrieved 2021-01-06
  3. MedEd at Loyola MEDICINE/PULMONAR/PD/pstep37a.htm - Evaluative tests using the suprasternal notch
  • The Suprasternal Notch site with (humorous) suggestions on suppressing suprasternal notch fetishism.
  • IMDb ucipital mapilary quote in Hitchcock's Suspicion.
  • IMDb ucipital mapilary movie connection in Dracula: Dead and Loving It.
  • IMDb suprasternal notch quote in The English Patient
  • blog entry on Ucipital Mapilary citing film dialogue.
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