Table of Contents

 

 

 

 

Preface

vii

 

Acknowledgments

ix

 

Credits

xxi

 

Introduction to Clinical Anatomy

1

 

Approaches to Studying Anatomy

2

 

Anatomicomedical Terminology

3

 

Anatomical Position

3

 

Anatomical Planes

3

 

Terms of Relationship and Comparison

4

 

Terms of Laterality

5

 

Terms of Movement

5

 

Anatomical Variations

7

 

Integumentary System

7

 

Skeletal System

9

 

Bones

11

 

Joints

14

 

Muscular System

17

 

Skeletal Muscles

17

 

Cardiac Striated Muscle

20

 

Smooth Muscle

20

 

Cardiovascular System

23

 

Arteries

23

 

Veins

25

 

Capoid

28

 

Lymphoid System

28

 

Nervous System

31

 

Central Nervous System

31

 

Peripheral Nervous System

31

 

Somatic Nervous System

34

 

Structure and Components of a Typical Spinal Nerve

34

 

Autonomic Nervous System

36

 

Sympathetic Visceral Motor Innervation

38

 

Parasympathetic Visceral Motor Innervation

42

 

Visceral Afferent Sensation

42

 

Imaging of Body Systems

42

 

Conventional Radiography

42

 

Computerized Tomography

44

 

Ultrasonography

44

 

Magnetic Resonance Imaging

44

 

Positron Emission Tomography

46

1

Thorax

47

 

Thoracic Wall

48

 

Skeleton of Thoracic Wall

48

 

Thoracic Apertures

48

 

Joints of Thoracic Wall

51

 

Movements of Thoracic Wall

51

 

Breasts

53

 

Muscles of Thoracic Wall

60

 

Nerves of Thoracic Wall

6]

 

Vasculature of Thoracic Wall

62

 

Surface Anatomy of Thoracic Wall

65

 

Thoracic Cavity and Viscera

68

 

Endothoracic Fascia

68

 

Pleurae and Lungs

68

 

Surface Anatomy of Pleurae and Lungs

70

 

Mediastinum

80

 

Anterior Mediastinum

80

 

Middle Mediastinum

80

 

Heart and Great Vessels

84

 

Surface Anatomy of Heart

92

 

Superior Mediastinum

102

 

Posterior Mediastinum

108

 

Medical Imaging of Thorax

114

2

Abdomen

116

 

Abdominal Cavity

117

 

Anterolateral Abdominal Wall

117

 

Fascia of Anterolateral Abdominal Wall

118

 

Muscles of Anterolateral Abdominal Wall

119

 

Internal Surface of Anterolateral Abdominal Wall

121

 

Surface Anatomy of Anterolateral Abdominal Wall

124

 

Nerves of Anterolateral Abdominal Wall

125

 

Vessels of Anterolateral Abdominal Wall

126

 

Inguinal Region

127

 

Peritoneum and Peritoneal Cavity

135

 

Peritoneal Vessels and Nerves

136

 

Peritoneal Formations

136

 

Subdivisions of Peritoneal Cavity

138

 

Abdominal Viscera

140

 

Esophagus

143

 

Stomach

143

 

Small Intestine

146

 

Surface Anatomy of Stomach

148

 

Large Intestine

154

 

Surface Anatomy of Spleen and Panereas

161

 

Spleen

161

 

Pancreas

162

 

Liver

165

 

Surface Anatomy of Liver

167

 

Biliary Ducts and Gallbladder

171

 

Hepatic Portal Vein and Portal-Systemic Anastomoses

173

 

Kidneys, Ureters, and Suprarenal Glands

174

 

Summary of Innervation of Abdominal Viscera

180

 

Surface Anatomy of Kidneys and Ureters

180

 

Diaphragm

185

 

Diaphragmatic Apertures

189

 

Vasculature and Nerves of Diaphragm

189

 

Posterior Abdominal Wall

192

 

Fascia of Posterior Abdominal Wall

192

 

Muscles of Posterior Abdominal Wall

193

 

Nerves of Posterior Abdominal Wall

193

 

Vasculature of Posterior Abdominal Wall

195

 

Lymphaties of Posterior Abdominal Wall

196

 

Medical Imaging of Abdomen

199

3

Pelvis and Perineum

204

 

Pelvis

205

 

Pelvic Girdle

205

 

Joints and Ligaments of Pelvic Girdle

209

 

Peritoneum and Peritoneal Cavity of Pelvis

211

 

Walls and Floor of Pelvic Cavity

211

 

Pelvic Fascia

215

 

Pelvic Nerves

217

 

Pelvic Arteries and Veins

220

 

Lymph Nodes of Pelvis

223

 

Pelvic Viscera

223

 

Urinary Organs

223

 

Male Internal Genital Organs

233

 

Female Internal Genital Organs

236

 

Rectum

245

 

Perineum

250

 

Fascias and Pouches of Urogenital Triangle

253

 

Features of Anal Triangle

257

 

Male Perineum

261

 

Female Perineum

268

 

Medical Imaging of Pelvis and Perineum

271

4

Back

274

 

Vertebral Column

275

 

Curvatures of Vertebral Column

276

 

Surface Anatomy of Curvatures of Vertebral Column

276

 

Structure and Function of Vertebrae

277

 

Regional Characteristics of Vertebrae

278

 

Surface Anatomy of Vertebral Column

288

 

Joints of Vertebral Column

288

 

Movements of Vertebral Column

292

 

Vasculature of Vertebral Column

294

 

Innervation of Vertebral Column

294

 

Spinal Cord and Meninges

296

 

Structure of Spinal Nerves

297

 

Spinal Meninges and Cerebrospinal Fluid

297

 

Vasculature of Spinal Cord and Spinal Nerve Roots

301

 

Muscles of Back

301

 

Extrinsic Back Muscles

303

 

Intrinsic Back Muscles

303

 

Surface Anatomy of Hack Muscles

304

 

Suboccipital and Deep Neck Muscles

311

 

Medical Imaging of Back

314

5

Lower Limb

316

 

Bones of Lower Limb

318

 

Hip Bone

318

 

Femur

318

 

Patella

322

 

Tibia

322

 

Fibula

322

 

Tarsus, Metatarsus, and Phalanges

323

 

Surface Anatomy of Lower Limb Hones

327

 

Fascia, Vessels, and Cutaneous Nerves of Lower Limb

329

 

Subcutaneous Tissue and Fascia

329

 

Venous Drainage of Lower Limb

331

 

Lymphatic Drainage of Lower Limb

332

 

Cutaneous Innervation of Lower Limb

333

 

Thigh and Gluteal Region

336

 

Anterior Thigh Muscles

336

 

Medial Thigh Muscles

337

 

Neurovascular Structures and Relationships in Anteromedial Thigh

341

 

Femoral Triangle and Adductor Canal

341

 

Femoral Nerve

342

 

Femoral Sheath

342

 

Femoral Artery

343

 

Femoral Vein

346

 

Obturator Artery and Nerve

346

 

Gluteal Region and Posterior Thigh

346

 

Gluteal Muscles

347

 

Gluteal Bursae

348

 

Posterior Thigh Muscles

349

 

Nerves of Gluteal Region and Posterior Thigh

349

 

Vasculature of Gluteal and Posterior Thigh Regions

352

 

Popliteal Fossa

356

 

Fascia of Popliteal Fossa

356

 

Vessels in Popliteal Fossa

356

 

Nerves in Popliteal Fossu

357

 

Leg

357

 

Anterior Compartment of Leg

357

 

Lateral Compartment of Leg

360

 

Posterior Compartment of Leg

363

 

Foot

371

 

Deep Fascia of Foot

371

 

Muscles of Foot

372

 

Nerves of Foot

376

 

Arteries of Foot

376

 

Venous Drainage of Foot

377

 

Lymphatic Drainage of Foot

377

 

Walking: The Gait Cycle

377

 

Joints of Lower Limb

379

 

Hip Joint

379

 

Knee joint

385

 

Tibiofibular joints

389

 

Ankle Joint

395

 

Joints of Foot

398

 

Arches of Foot

400

 

Medical Imaging of Lower Limb

403

6

Upper Limb

405

 

Bones of Upper Limb

406

 

Clavicle

407

 

Scapula

407

 

Humerus

410

 

Ulna and Radius

410

 

Bones of Hand

411

 

Surface Anatomy of Tipper Limb Bones

415

 

Superficial Structures of Upper Limb

417

 

Fascia of Upper Limb

417

 

Cutaneous Nerves of Upper Limb

419

 

Venous Drainage of Upper Limb

421

 

Lymphatic Drainage of Upper Limb

422

 

Anterior Axioappendicular Muscles

422

 

Posterior Axioappendicular and Scapulohumeral Muscles

423

 

Superficial Posterior Axioappendicular Muclses

424

 

Deep Posterior Axioappendicular Muscles

424

 

Scapulohumeral Muscles

427

 

Surface Anatomy of pectoral and Scapular Region (Anterior and Posterior Axioappendicular and Scapulohumeral Muscles)

428

 

Axilla

427

 

Axillary Artery and Vein

429

 

Axillary Lymph Nodes

432

 

Brachial Plexus

433

 

Arm

436

 

Muscles of Arm

440

 

Arteries and Veins of Arm

443

 

Nerves of Arm

443

 

Cubital Fossa

446

 

Forearm

446

 

Muscles of Forearm

446

 

Surface Anatomy of Arm and Cubital Fossa

447

 

Nerves of Forearm

456

 

Arteries and Veins of Forearm

456

 

Hand

461

 

Fascia of Palm

461

 

Muscles of Hand

462

 

Flexor Tendons of Extrinsic Muscles

466

 

Arteries and Veins of Hand

466

 

Nerves of Hand

468

 

Surface Anatomy of Forearm and Hand

473

 

Joints of Upper Limb

475

 

Sternoclavicular Joint

475

 

Acromioclavicular Joint

476

 

Glenohumeral Joint

476

 

Elbow Joint

482

 

Proximal Radio-Ulnar Joint

483

 

Distal Radio-Ulnar Joint

485

 

Joints of Hand

488

 

Medical Imaging of Upper Limb

492

7

Head

495

 

Cranium

49B

 

Facial Aspect of Cranium

496

 

Lateral Aspect of Cranium

496

 

Occipital Aspect of Cranium

498

 

Superior Aspect of Cranium

498

 

External Surface of Cranial Base

499

 

Internal Surface of Cranial Base

502

 

Scalp

502

 

Cranial Meninges

503

 

Dura Mater

504

 

Arachnoid Mater and Pi a Mater

509

 

Meningeal Spaces

511

 

Brain

512

 

Parts of Brain

512

 

Ventricular System of Brain

512

 

Vasculature of Brain

517

 

Face

519

 

Muscles of Face

519

 

Nerves of Face

519

 

Superficial Vasculature of Face and Scalp

522

 

Parotid Gland

526

 

Orbits

529

 

Eyelids and Lacrimal Apparatus

530

 

Eyeball

533

 

Extra-Ocular Muscles of Orbit

540

 

Nerves of Orbit

544

 

Vasculature of Orbit

545

 

Temporal Region

549

 

Temporal Fossa

549

 

Infratemporal Fossa

550

 

Temporomandibular Joint

555

 

Oral Region

557

 

Oral Cavity

557

 

Oral Vestibule

557

 

Teeth and Gingivae

558

 

Palate

560

 

Tongue

563

 

Salivary Glands

567

 

Pterygopalatine Fossa

570

 

Nose

573

 

External Nose

573

 

Nasal Cavities

573

 

Paranasal Sinuses

574

 

Ear

578

 

External Ear

578

 

Middle Ear

580

 

Internal Ear

583

 

Medical Imaging of Head

589

8

Neck

593

 

Fascia of Neck

594

 

Cervical Subcutaneous Tissue and Platysma

594

 

Deep Cervical Fascia

594

 

Superficial Structures of Neck: Cervical Regions

596

 

Sternocleidomastoid Region

596

 

Posterior Cervical Region

598

 

Lateral Cervical Region

598

 

Anterior Cervical Region

604

 

Surface Anatomy of Cervical Regions and Triangles of Neck

611

 

Deep Structures of Neck

613

 

Pre Vertebral Muscles

613

 

Root of Neck

613

 

Viscera of Neck

619

 

Endocrine Layer of Cervical Viscera

619

 

Respiratory Layer of Cervical Viscera

623

 

Surface Anatomy of Laryux

624

 

Alimentary Layer of Cervical Viscera

631

 

Lymphatics in Neck

638

 

Medical Imaging of Neck

641

9

Review of Cranial Nerves

643

 

Overview of Cranial Nerves

644

 

Olfactory Nerve (CN I)

650

 

Optic Nerve (CN II)

652

 

Oculomotor Nerve (CN III)

654

 

Trochlear Nerve (CN IV)

655

 

Abducent Nerve (CN VI)

656

 

Trigeminal Nerve (CN V)

659

 

Facial Nerve (CN VII)

660

 

Somatic (Branchial) Molor

660

 

Visceral (Parasympathetic) Motor

660

 

Somatic (General) Sensory

660

 

Special Sensory (Taste)

660

 

Vestibulocochlear Nerve (CN VIII)

663

 

Clossophaiyngeal Nerve (CN IX)

664

 

Somatic (Branchial) Motor

664

 

Visceral (Parasympathetic) Motor

664

 

Somatic (General) Sensory

664

 

Special Sensory (Taste)

665

 

Visceral Sensor

665

 

Vagus Nerve (CN X)

665

 

Somatic (Branchial) Motor

666

 

Visceral (Parasympathetic) Motor

666

 

Somatic (General) Sensory

668

 

Special Sensory (Taste)

668

 

Visceral Sensory

669

 

Spinal Accessory Nerve (CN XI)

669

 

Hypoglossal Nerve (CN XII)

671

 

References and Suggested Readings

673

 

Index

675