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introductionstatpearls· Introduction· item NBK459336

The angle of Louis is the eponymous name given to the sternal angle or the manubriosternal joint (see Image. Sternum). The angle of Louis is an important anatomical landmark, serving as a crucial reference point in clinical examinations and medical procedures. For example, clinicians use the sternal angle to guide stethoscope placement when auscultating heart and lung sounds. Radiologists also use this site as a reference point for assessing the positions of various thoracic structures in imaging studies. The joint is slightly flexible in younger individuals due to inadequate development. Complete fusion of the angle of Louis generally occurs at approximately 30 years of age. Anomalies of the manubriosternal junction pose challenges in the clinical examination, radiological diagnosis, and therapy of thoracic conditions.