AtLas of Human Anatomy Volume 2 Trurk, Viscera, Lower Limb
Transcription
AtLas of Human Anatomy Volume 2 Trurk, Viscera, Lower Limb
AtLasof HumanAnatomy Editedby R. PutzandR. Pabst with RenatePutz ln collaboration T r a n s t a t i obny S . B e d o u i Volume2 Trurk, Viscera,LowerLimb 1 4 t he d i t i o nn, e w t ye d i t e d 7 0 4c o t o u rp t a t e sw i t h 9 1 4t i g u r e s URBANT FISCHER M t i n c h e n. J e n a Atlasof HumanAnatomy Volume2 LowerLimb Trunk,Viscera,' Correspondenceand feedbackshould be addressedto: E l s e v i e rG m b H ,U r b a n& F i s c h e rV e r l a g ,D e p a r t m e n ft o r M e d r c aS I t u d e n tI n f o r m a t i o nA, l e x a n d e rG a t t n a r z i kK, a r l s t r a B e4 5 , 8 0 3 3 3M u n i c h ,G e r m a n y e - m a i t :m e d i z i n s t u d i u m @ e t s e v i e r d e A d d r e s s e so f t h e e d i t o r s : P r o f e s s o rD r . m e d R e i n h a r dP u t z V o r s t a n dd e s A n a t o m i s c h e nI n s t i t u t s derLudwig-Maximitians-Universitdt P e t t e n k o f e r s t r a B1e1 8 0 3 3 6M i i n c h e n Germany e - m a i [ :r e i n h a r dp u t z @ m eudn i - m u e n c h edne P r o f e s s o rD r .m e d R e i n h a r dP a b s t L e i t e rd e r A b t e i l u n g Funktionelte u n d A n g e w a n d t eA n a t o m i e M e d i z i n i s c hHeo c h s c h u [H ea n n o v e r C a r t - N e u b e r g - S t r a1B e 3 0 6 2 5H a n n o v e r G e r m an y e - m a i [ :p a b s tr e i n h a r d @ m h - h a n n o v e r . d e B i b t i o g r a p h i ci n f o r m a t i o np u b t i s h e db y D i e D e u t s c h eB i b l i o t h e k D i e D e u t s c h eB i b t i o t h e lki s t st h i s p u b t i c a t i oinn t h e D e u t s c h eN a t i o n a t bibtiografied ; e t a i t e db i b t i o g r a p h i cd a t a i s a v a i t a b t ei n t h e I n t e r n e t a t h t t p : / / d n bd d b d e Att rights reserved 1 4 t he d i t i o n2 0 0 6 0 2 0 0 6 E t s e v i eG r m b H ,M u n i c h U r b a n& F i s c h e rV e r t a gi s a n i m p r i n t o f E l s e v i e rG m b H 0506070809 54321 A t t r i g h t s ,i n c t u d i n gt r a n s l a t i o n a , re reservedNo part of this pubtication m a y b e r e p r o d u c e d ,s t o r e d i n a r e t r i e v a Is y s t e m , o r t r a n s m i t t e d i n a n y o t h e r f o r m o r b y a n y m e a n s ,e l e c t r o n i c ,m e c h a n i c a [p, h o t o c o p y i n g , r e c o r d i n g ,o r o t h e r w i s e w i t h o u t t h e p r i o r w r i t t e n p e r m i s s i o n o f t h e pub l i s h er . T h e 1 4 t he d i t i o no f t h e S o b o t t aA t t a sc o n s i s t so f t w o v o l u m e sa n o a b o o k l e tc o n t a i n i n gt a b l e s( e n c t o s e di n V o [ u m e1l ; V o t u m e1 : H e a d ,N e c k ,U p p e rL i m b V o t u m e2 : T r u n k ,V i s c e r a L , o w e rL i m b T h i sa t t a sw a s f o u n d e db y J o h a n n e sS o b o t t a t f, o r m e rP r o f e s s oor f A n a t o m y a n d D i r e c t o ro f t h e A n a t o m i c aIln s t i t u t eo f t h e U n i v e r s i toy f B o n n ,G e r m a n y . German Editions: l s t E d i t i o n :1 9 0 4 - 1 9 0 7J . F . L e h m a n n sV e r [ a g ,M u n i c h 2 n d - 1 1 rEhd i t i o n :1 9 1 3 - 1 9 1 ,J1.,F . L e h m a n n sV e r t a g ,M u n i c h 12 r h - 2 0 rEhd i t i o n: 19 4 8 -19 9 3 Ur b a n & S c h w a r z e n b e r gM, u n i c h 1 3 t hE d i t i o n1: 9 5 3 e, d i t o rH . B e c h e r 1 4 t hE d i t i o n1: 9 5 6 e, d i t o rH B e c h e r 1Sth E d i t i o n1: 9 5 7 e, d i t o rH B e c h e r 1 6 t hE d i t i o n1: 9 6 7 e, d i t o rH B e c h e r 17 " E d i t i o n :1 9 7 2 ,e d i t o r sH F e r n e ra n d J S t a u b e s a n d 1 8 ' 'E d i t i o n1: 9 8 2 e, d i t o r sH F e r n e ra n d J S t a u b e s a n d 19 t hE d i t i o n1: 9 8 8 ,e d i t o rJ S t a u o e s a n o 2 0 r hE d i t i o n1: 9 9 3 e, d i t o r sR P u t za n d R P a b s t 2 1 ' tE d i t i o n : 2 0 0 0e ,d i t o r sR P u t za n d R P a b s t ,U r b a n& F i s c h e V r ertag, Mu n i c h 2 2 " dE d i t i o n2: 0 0 6 e , d i t o r sR P u t za n d R P a b s t E , t s e v i eG r m b H ,M u n i c h Foreign Editions: A r a b i cE d i t i o n M o d e r nT e c h n i c aC I e n t e r ,D a m a s c u s C h i n e s eE d i t i o n[ c o m p t e cx h a r a c t e r s l H o - C hB i o o kP u b t i s h i nC g o ,T a i w a n C h i n e s eE d i t i o nI s i m p t i f i eC dhinese ditionl E l s e v i e rH , e a t t hS c i e n c e sA s i a ,S i n g a p o r e C r o a t i a nE d i t i o n N a k l a d aS t a p ,J a s t r e b a r s k o D u t c hE d i t i o n B o h n S t a f t e uv a n L o g h u m ,H o u t e n E n g t i s hE d i t i o nl w i t hn o m e n c l a t u rien E n g t i s h ) A t l a s o f H u m a nA n a t o m y L i p p i n c o tW t i t t i a m s& W i t k i n s E n g t i s hE d i t i o nl w i t h n o m e n c L a t u rien L a t r n l A t l a s o f H u m a nA n a t o m y E l s e v i eG r m b H ,U r b a n& F i s c h e r F r e n c hE d i t i o n A t t a sd A n a t o m i eH u m a i n e T e c& D o c L a v o i s i e rP , aris G r e e kE d i t i o n[ w i t hn o m e n c t a t u ri en G r e e k l M a r i aG P a r i s s i a n oA s ,t h e n s G r e e kE d i t i o n[ w i t h n o m e n c t a t u r ei n L a t i n l M a r i aG P a r r s s r a n o A s ,t h e n s Hungarian Edition a z e m b e ra n a t 6 m i 5 j 5 n aakt t a s z a A t t i t e rK i a d 5 iB , udapest I n d o n e s i aEn d i t i o n A t t a sA n a t o m M i anusia P e n e r b iB t u k u K e d o k t e r aE n G CJ, a k a r t a I t a t i a nE d i t i o n A t t a n t ed i A n a t o m i aU m a n a UTETT , orino lrnrnoco T r a n s L a t i o nD: r . m e d S a m m yB e d o u i ,H a n n o v e r E d i t o r i a st t a f f a t E l s e v i e r :D r . m e d D o r o t h e aH e n n e s s e n AtexandeG r attnarzik D r . r e r .n a t A n d r e aR i c h a r z l t t u s t r a t o r sU: t r i k eB r u g g e r M , u n i c hR ; i j d i g eH r i m m e t h a nH, e i d e L b e r g ; H o r s tR u B ,M u n i c h H ; e n r i e t t eR i n t e l e nV, e t b e r n B o o kp r o d u c t i o nR: e n a t eH a u s d o r fM , unich C o m p o s e db y :T y p o d a t aM , unich P r i n t e da n d b o u n db y :A p p t ,W e m d i n g C o v e rd e s i g n C : a r s t e nT s c h i r n e rM , unich P r l n t e do n N o p a c o a1t 1 5 g P r i n t e di n G e r m a n y -0 lsB N- 13 : 978-0- 443-1031+9 l s B N - 10 : 0 - / + 4 3 - 1 0 3 -469 C u r r e n ti n f o r m a t i o nb y w w w e t s e v i e r . c o m andwww elsevier.de trrlitinn l g a k uS h o i nL t d . ,T o k y o K o r e a nE d i t i o n S h i n g H e u nM g e d S c i e n cS e ,e o u l P o t i s hE d i t i o n A t t a sa n a t o m i ic z t o w i e k a U r b a n& P a r t n e r ,W r o c t a w P o r t u g u e s eE d i t i o nl w i t h n o m e n c l a t u r ei n E n g t i s h ] A t t a sd e A n a t o m i aH u m a n a E d i t o r aG u a n a b a rK a o o g a nR , i od e J a n e i r o P o r t u g u e sE e d i t i o nl w i t hn o m e n c t a t u ri en L a t i n l A t [ a sd e A n a t o m i aH u m a n a E d i t o r aG u a n a b a rK a o o g a nR, i od e J a n e i r o S p a n i s hE d i t i o n A t l a sd e A n a t o m i aH u m a n a E d i t o r i aM L e d i c aP a n a m e r i c a n B a ,u e n o sA i r e s / M a d r i d T u r k i s hE d i t i o n I n s a nA n a t o m i sAi t l a s i B e t a B a s i mY a y i mD a g i t i m ,l s t a n b u l Contents vl Preface Abdominat viscera 128-181 ...128-133 1-1.5 Stomach,Gaster. . . 134-137 Smatl.intestine,Intestinumtenue . S u r f a c ea n a t o m y 1 138-141 L a r g ei n t e s t i n eI,n t e s t i n u mc r a s s u m Vertebralcotumn,Cotumnavertebratis 2-25 , e s i c ab i t i a r i s , L i v e r ,H e p a r ,g a t t b t a d d e rV M u s c L eos f t h e b a c k ,M u s c u t d i o r s i ,s u b o c c i p i t a L ..... 142-151 a n d b i t ed u c ts y s t e m m u s c t e sM , u s c u t si u b o c c i p i t a t easn, d m u s c l e s 152-155 P a n c r e a sP, a n c r e a s of the neck, MusculicoLl.i. . . 26-34 156 S p l e e nS , p t e n[ L i e n J C o m p u t e dt o m o g r a p h i cs e c t i o n st h r o u g ht h e v e r t e b r a I 157 , a v i t a sp e r i t o n e a t i sd,e v e t o p m e n.t . P e r i t o n e acI a v i t yC column 35 , i t u sv i s c e r u m . . . 1 5 8 - 1 6 7 L o c a t i o no f t h e a b d o m i n avI i s c e r aS V e s s e t sa n d n e r v e so f t h e b a c ka n d t h e o c c i p i t a L 168 A b d o m i n aal r t e r i e s o , verview regron . 3 6 - 4 0 A b d o m i n avl e i n s ,o v e r v i e w 169 V e s s e t sa n d n e r v e so f t h e v e r t e b r a cl a n a l . 4 1 - 1 + 5 C o e t i a ct r u n c a n d s u p e r i o ra s w e [ [ a s i n f e r i o r m e s e n t e r i ca r t e r i e sa n d v e i n s ,T r u n c u sc o e [ i a c u s , A r t e r i a ee t V e n a em e s e n t e r i c aseu p e r i o re t i n f e r i o r 170-178 1,6-73 Vessetsand nervesof the retroperitonealspace . . . . T h o r a c i ca n d a b d o m i n a w I a[[ 179 1 8 0 -181 h e p a t i s S u r f a caen a t o m y 46 Back R i b sC , o s t a et h, o r a c i.c. u i , u ,b . u . . t f ' o r . . i , S t e r n u mS, t e r n u m . ... . M u s c L eos f t h e t h o r a x ,M u s c u Lt ih o r a c i s a, n d a b d o m i n am I u s c t e sM , u s c u [a i bdominis I n g u i n acI a n a [. . D i a p h r a g mD, i a p h r a g m a B r e a s tM , amma .. V e s s e t sa n d n e r v e so f t h e t h o r a c i ca n d a b d o m i n aw I aLt S e g m e n t asI e n s o r yi n n e r v a t i o n , l e x u s[ u m b o s a c r a I i s L u m b o s a c r apLt e x u s P A n t e r i o ra b d o m i n aw l at[ . . S e c t i o n st h r o u g ht h e a b d o m i n aw I at[. . . . Heart,Cor T r a c h e aT, r a c h e a L u n g sP, u L m o n e. s. . S h a o eo f t h e h e a r t Bronchoscopy Projection o f t r a c h e a [, u n g sa n d p [ e u r a Ib o r d e r s . . . . . 0 e s o p h a g u s0, e s o p h a g u s ThymusT , hymus P [ e u r a cI a v i t y C , a v i t a sp [ e u r a t i sa, n d m e d i a s t i n u m , Mediastinum Aorta,Aorta Posteriom r ediastinum A u t o n o m o unse r v o u s y s t e m P , a r s a u t o n o m i c. a. . . . . P h r e n i cn e r v e ,N e r y u sp h r e n i c u s S e c t i o n st h r o u q ht h e t h o r a x 1+7-49 50-51 space 182-251 PelvicvisceraandretroperitoneaI 52-59 K i d n e yR, e nl N e p h r o s l ...... 182-1BB 6 0 - 61 S u p r a r e n a I g l . a nGdL,a n d u it .r p . " r " n . i i r . . . : : : : : . . . 189 62-63 U r i n a r y b t a d d e r , V e s i c a u r i n a r i a .....150-191 64-65 M a L e u r i n a r y a n d g e n i t a l o r g a n s . ....192-199 6 6 Femaleurinaryand genitalorgans . . . 200-209 6 7 R e c t u m ,R e c t u m .. 210-215 6 B R e n a l a r t e r yA, r t e r i ar e n a t i s 216 69-71 O r g a n so f t h e r e t r o p e r i t o n e as lp a c e 217 7 2 - 7 3 Vessetsand nervesof the retroperitoneaIspace . . . . . 218-221 71-127 74-89 90-91 222 lnnervatioo n f m a t eg e n i t a t i a 223 lnnervatioo n f f e m a l eg e n i t a t i a ..... 224-225 l n t e r n a pl e t v i ca r t e r i e s .....226-229 Petvicviscera , a L ea n d f e m a t e P e L v idc i a p h r a g ma n d p e r i n e u m m 230-2/+1 e x t e r n ag l enitatia 242-261 S e c t i o n st h r o u g ha b d o m e na n d p e t v i s 92-100 101 102 103 Lowertimb.. 104-109 1 1 0 - 1 1 1 S u r f a c ea n a t o m y B o n e s j,o i n t s ,[ t g a m e n t s 112-113 M u s c t e so f t h e L o w e rt i m b . . 1 1 / + Vessetsand nerves 11s-116 117 118 -127 119 Appendix tnoex .....262-381 262 263-305 306-343 344-379 380-384 385-399 . . .. 385-399 Preface I t w a s j u s t o v e r a h u n d r e dy e a r sa g o t h a t J o h a n n e sS o b o t t as e t o u t t o p u b t i s ht h e f i r s t e d i t i o no f h i s A t [ a s o f H u m a nA n a t o m y . S i n c et h e n ,t h i s p i e c eo f w o r k h a s e v o l v e ds t e p b y s t e p a s a r e s u L to f t h e c o n s t a n ti n t e r a c t i o nb e t w e e ns t u d e n t s [, e c t u r e r sa n d e d i t o r s .l t h a s n o t o n t yb e e nt h e m o s t m o d e r nb a s i sf o r t h e c o m p t e xs u b j e c to f m a c r o s c o p i ac n a t o m yt h r o u g h o u m t a n yg e n e r a t i o n s o f d o c t o r s ,b u t h a s a L s od e v e t o p e di n t o a L a s t i n gw o r k o f reference f o r b o t hc t i n i c atIr a i n i n ga n d a d v a n c e dm e d i c a e Lducat i o n .A t Li n a L l .i ,t h a s b e c o m ea b o o kf o r a m e d i c a Id o c t o r ' sL i f e . 0 n c e a g a i n ,i n t h i s n e w e d i t i o nt h e a d d i t i o n afIi g u r e sh a v eb e e n d r a w ns t r i c t t yo n t h e b a s i so f o r i g i n a I s p e c i m e n s T h e 1 4 t he d i t i o nh a s b e e np a r t i c u t a r l .dye s i g n e dt o m e e t t h e d e m a n d so f a r e f o r m e dm e d i c a cI u r r i c u t u m e, m p h a s i z i n tgh e i n t e g r a t i o no f c L i n i c am I e d i c i n ei n t o t h e p r e c L i n i c acLu r r i c u L u mF. o r t h i s p u r p o s e t, h e n e w e d i t i o nh a s b e e ne x t e n d e dt o i n c l u d et h e f o l t o w i n gf e a t u r e s : - S u r f a c e a n a t o m y i n c l u d i n g p r o j e c t i o no f i n t e r n a I o r g a n s [ 4 5 c o L o u pr h o t o s ] - AnatomicaIdiagram n es x tt o i m a g i n gf i g u r e s - I n t e g r a t i o no f i m a g i n gt e c h n i q u e st o a g r e a t e re x t e n t{ u [ t r a s o u n d ,X - r a y ,C T ,M R I ;11 9 f i g u r e s l - E n d o s c o p i ci n , t r a o p e r a t i vceo [ o u ri m a g e sa n d f i g u r e se x e m p L i f y i ntge c h n i q u e so f p u n c t u r ea n d e x a m i n a t i o (n5 4f i g u r e s l - l m a g e so f p a t i e n t sp r e s e n t i n g w i t h t y p i c a lp. a [ s i e s - D i a g r a m so f t h e m o s t i m p o r t a n a t r t e r i a lv a r i a t i o n s( 9 3f i g u r e s l - F r e q u e nvt a r i a t i o n si n t h e [ o c a t i o no f i n t e r n a Lo r g a n s[ 2 1 f*i g uresl - I n t e g r a t i o no f h i s t o L o gayt l o w m a g n i f i c a t i o o n f i m p o r t a n ti n t e r n a Io r g a n s{ i n t e s t i n eL, i v e rk, i d n e y e, t c . ) l n o r d e r t o i m p r o v et h e p r e s e n t a t i o o n f t h e k n o w t e d g et,h e f o L l o w i n gf e a t u r e sh a v eb e e ni n t r o d u c e d : - C L e a r - c uatr r a n g e m e not f t h e c h a p t e r sa c c o r d i n g to the differe n t r e g i o n so f t h e b o d y - T h e m a t i c a t tcyo r r e s p o n d i nf g i g u r e sp r e s e n t e d pages ondoubLe - A c o n c i s e ,s e p a r a t eb o o k t e t( i n c t u d e di n V o t u m e1 l c o n t a i n s t a b t e so f m u s c t e s j, o i n t s a n d n e r v e s ,e n a b I i n gt h e r e a d e rt o p t a c ei t n e x tt o a n y f i g u r ei n t h e a t [ a s 0 n e p a r t i c u t a ra i m o f t h e n e w e d i t i o ni s t o f a c i t i t a t ef i n d i n go f s p e c i f i cs t r u c t u r e sT. h e S 0 B 0 T T Ad e p i c t sa n a t o m i c asI t r u c t u r e s precisetw y i t h o u tt h e r e a d e rL o o s i n tgh e g r e a t e rp r c t u r eT. h e r e f o r e ,s p e c i f i cd i d a c t i ct o o L sh a v eb e e ni m p r o v e da n d n e w a s p e c t s inc[uded: - E a c hc h a p t e rh a s b e e na t l o c a t e dt o a p a r t i c u L acro t o u r - A " m e n u b a r " o n e a c h d o u b t ep a g ee n s u r e sp r e c i s eo r i e n t a t i o n w i t h i na g i v e nc h a p t e r - T h e n u m b e ro f o u t t i n e sd e p i c t i n gs p a t i a Io r i e n t a t i o nh a s b e e n s i g n i f i c a n t tiyn c r e a s e d[ 2 7 0f i g u r e s l - O v e r v i e wos f t o t a I b o d yr e g i o n se n s u r eg e n e r a Io r i e n t a t i o n - N e w d i a g r a m so f p a r t i c u [ a rm u s c t e sc t a r i f yt h e i r L o c a t i oann d c o u r s e( 2 1f+i q u r e s l - C o n f u s i o ni s k e p t t o a m i n i m u mb y o n t yd e p i c t i n gI i m b so f t h e r i g h t s i d eo f t h e b o d y - " C o m p a s sr o s e s " p o i n t t o a d j a c e n tf i g u r e s ,t h u s f a c i L i t a t i n g fotlowinga givenstructureover severaIpages - C o n t i n u o u [se a d e rI i n e sf a c i L i t a tfei n d i n go f s t r u c t u r e s - C o L o u r e d o t s a t t h e e n d o f l e a d e r[ i n e s i n t o p o g r a p h i cd i a g r a m s m a r k a r t e r i e s v, e i n s ,n e r v e s a , ndmusctes - T h e f i g u r e si n t h e b o o k t e tr e l a t ed i r e c t [ yt o t h e f i g u r e si n t h e attas - T h e [ a r g e rd i m e n s i o n so f t h e b o o ki m p r o v ec [ a r i t y W i t h t h e e x c e p t i o no f d i s c u s s i o n as b o u tt h e g e n e r a lc o n c e p to f t h e a t t a sa n d m u t u a Ic o r r e c t i o nt,h e e d i t o r sh a v ew o r k e ds e p a r a t e t yo n i n d i v i d u a t c h a p t e rws i, t h t h e w o r k d i v i d e da s f o t t o w s : R . P u t z : G e n e r a Ia n a t o m y ,u p p e r [ i m b , b r a i n ,e y e , e a r , b a c k , l o w e rt i m b ; R . P a b s t : H e a d ,n e c k ,t h o r a c i ca n d a b d o m i n a w I a t l s ,t h o r a c i c , a b d o m i n aaI n d p e L v ivci s c e r a . T h e i n c L u s i o on f a [ a r g e n u m b e r o f n e w f i g u r e si s t h e r e s u [ to f t h e e x t r a o r d i n a rcya p a b i l . i o t yf t h e f o t l o w i n gm e d i c a Ii L l u s t r a t o r s : U L r i k eB r u g g e r , R i . i d i g e H r i m m e l h a na n d H o r s t R u B . l t i s t o t h e i r c r e d i tt h a t t h e c t a s s i c" S 0 B 0 T T As t y l . e h" a s b e e nr e t a i n e d . Severao L f t h e d i a g r a m sh a v eb e e ng e n e r a t e do n t h e c o m p u t e r b y H e n r i e t t eR i n t e L e nW. e a l s o g r a t e f u t l ya c k n o w l e d g o eu r c t i n i c a I c o t L e a g u efso r m a k i n g c t i n i c a Ii t l u s t r a t i o n sa v a i L a b [teo u s l s e e p i c t u r ec r e d i t s l W e o w e a d e b t o f g r a t i t u d et o o u r c o [ L e a g u efsr o m t h e i n s t i t u t e sf o r t h e i r u n d e r s t a n d i nagn d h e l . p f u l . s u g g e s t i o n sD. r . N . S o k o L oav n d A . B u c h h o r nh a v ep u t m e t i c u l o u s e f f o r t si n t o g e n e r a t i n gt h e s p e c i m e np r e p a r a t i o n sS. . F r y k a n d G . H o p p m a n nh a v es u p p o r t e du s i n t e x t p r o c e s s i n g . T h e s t a f fo f t h e e d i t o r i a o I f f i c eo f E t s e v i epr u b L i s h e r si n, p a r t i c u [ a r D r . D . H e n n e s s e na n d A . G a t t n a r z i kh, a s o u r s i n c e r et h a n k s . S o m eo f t h e c r e a t i v ed e v e L o p m e o n ft t h e w o r k i s a r e s u t to f v e r y f r u i t f u Id i s c u s s i o n sW. e w o u I da t s o L i k et o t h a n k R . H a u s d o r f o r t r e m e n d o u se f f o r t s i n t h e o r o d u c t i o no f t h e a t t a s . R . P u t z t o g e t h e rw i t h G . M e i e rw e r e r e s p o n s i b l feo r t h e p r o o rf e a d i n ga n d simptificatioo n f p a g e d e s i g na n d l e g e n d s 0 u r s p e c i a [t h a n k s g o t o D r . U . O s t e r k a m p - B a u sf to r g e n e r a t i n gt h e i n d e x ,a n d a t [ o t h e r s i n v o t v e di n t h e c o r r e c t i o n sW i t h o u r j o i n t e f f o r t s ,t h e S 0 B 0 T T Ah a s b e e no n c em o r e m o d e r n i z e db o t h i n c o n t e n t sa n d d e s r gn . W e h a v e i n c t u d e dm a n y o f t h e h e t p f u ts u g g e s t i o n sm a d e o v e r t h e y e a r s b y s t u d e n t sa n d c o t l e a g u e sa, n d w o u L dt h e r e f o r ea s k a I Lr e a d e r so f t h i s e d i t i o nt o p a s so n t o u s a n y c r i t i c i s mo r s u g g e s t i o n so n t h e n e w f o r m a to f t h i s a t t a s . M u n i c ha n d H a n n o v e rS, e p t e m b e 2r 0 0 5 R . P u t za n d R . P a b s t Putz U n i v . - P r oD f .r .m e d .R e i n h a r d Bornin Innsbruck/Austria r sf iItnyn s b r u c k 1 9 6 2 - 1 9 6 8 S t u d i e dm e d i c i n ea t t h e L e o p o L d - F r a n z e n s - U n i v e o 19 6 8 Receiveda doctorate 1 9 6 8 - 1 9 8 2 U n i v e r s iat ys s i s t a natt t h eI n s t i t u toef A n a t o mayt t h eU n i v e r s iot yf I n n s b r u c k 1978 L e c t u r e ri n a n a t o m y 1979 C o n s u t t a nfto r a n a t o m y 1982-1989 s i n c e1 9 8 9 1992-1994 1993 1998-1999 1999 2002 2003 C h a i ro f t h e A n a t o m i c aItn s t i t u t ea t t h e A [ b e r t - L u d w i g s - U n i v e r soi tf yF r e i b u r g yunich C h a i ro f t h e A n a t o m i c aIln. s t i t u t ea t t h e L u d w i g - M a x i m i t i a n s - U n i v e ros fi tM P r e s i d e not f t h e E u r o o e a nA s s o c i a t i o on f C t i n i c aAt n a t o m i s t s R e g i s t r a t i otno p r a c t i s em e d i c i n e C h a i r m a no f t h e A n a t o m r c aSI o c i e t y M e m b e ro f t h e A k a d e m i ed e r N a t u r f o r s c h eur n d A r z t e( L e o p o [ d i n a ) D r .h . c .o f t h e U n i v e r s i t o y f C o n s t a n t aR, o m a n i a yunich P r o r e c t o rI o f t h e L u d w i g - M a x i m i t i a n s - U n i v e rosfi tM Researchand fiel.dsof interest - F u n c t i o n aaI n a t o m yo f t h e p a s s i v et o c o m o t o sr y s t e m - Evotutioa n n d f u n c t i o n aaI n a t o m yo f t h e v e r t e b r a cI o t u m n - F o r m - f u n c t i o n - r e t a t i oonfsj o i n t s - A p p l . i e ad n a t o m yl a n a t o m i c abI a s i c so f o r t h o p a e d i c ss,u r g e r y r, a d i o l ' o g y J - Q u e s t i o n as b o u tt h e c o n t e n t sa n d o r g a n i s a t i oonf t h e m e d i c a L curricutum - D e v e t o p m e notf d i d a c t i ct r a i n i n gp r o g r a m m e sa t u n i v e r s i t i e s Pabst U n i v . - P r oD f .r .m e d .R e i n h a r d B o r n i n P o s e ng , r o w nu p i n L i . i n e b u r g l c h o o ta, n d i n G l a s g o w / S c o t l a n d r e d i c aS 1 9 6 5 - 1 9 7 0 S t u d i e dm e d i c i n ea t t h e H a n n o v e M 1970 U n i v e r s i t dy e g r e ea n d d o c t o r a t e R e g i s t r a t i otno p r a c t i s em e d i c i n e 1971 yf Utm I h y s i o t o g yU,n i v e r s i t o Scientifia c s s o c i a t ei n t h e D e p a r t m e not f C [ i n i c aP 1971-76 pt t h e 1976 L e c t u r e rf o r C L i n i c aPl .h y s i o t o g yU,n i v e r s i t oy f U t m ,a n d n e w [ e c t u r e s h i a H a n n o v eM r e d i c aS I chooL S e n i o ra s s i s t a nitn t h e D e p a r t m e not f F u n c t i o n aaI n d A p p t i e dA n a t o m y , 1976-80 t chooI H a n n o v eM r e d i c aS o f t h e V e n i al e g e n d ti o i n c t u d ea n a t o m y 1978 Extension 1980-1992 H e a do f t h e D e p a r t m e not f T o p o g r a p h iAcn a t o m ya n d B i o m e c h a n i c s l chool r e d i c aS , a n n o v eM s i n c e1 9 9 2 H e a do f t h e D e p a r t m e not f F u n c t i o n aat n d A p p t i e dA n a t o m y H I chooI r e d i c aS 1986-1990 P r o r e c t o fr o r s t u d i e sa n d e d u c a t i o nH, a n n o v e M r e d i c aS I chool 1993-1997 D e a no f t h e H a n n o v e M 1997-1998 C h a i r m a no f t h e A n a t o m i c aSI o c i e t y l choot r e d i c aS 1999-2003 P r o r e c t o or f R e s e a r c ho f t h e H a n n o v e M 2001 M e m b e ro f t h e A k a d e m i ed e r N a t u r f o r s c h eur n d A r z t eI L e o p o t d i n a l Researchand fietds of interest - F u n c t i o n a I a n a t o moyf l y m p h a t i co r g a n s - P r o l i f e r a t i oann d m i g r a t i o no f l y m p h o c y t e s - D e v e L o p m eo n ft t h e i n t e s t i n aitm m u n es y s t e m - F u n c t i o no f t h e p u I m o n a r yi m m u n es y s t e m - Q u e s t i o no l .ryi e n t a t e da n a t o m yi n t h e m e d i c a Ic u r r i c u t u m s f a c l . i n i c a to - E v a t u a t i oonf t e a c h i n g P i c t u r ecr e di t s T h e e d i t o r ss i n c e r e t yt h a n k a t I c L i n i c acto L t e a g u et h s a t m a d eu [ t r a s o u n d c, o m p u t e dt o m o g r a p h i ca n d m a g n e t r cr e s o n a n c ei m a g e s a s w e t La s e n d o s c o p iac n d i n t r a o p e r a t i vpei c t u r e sa v a i t a b [ e : P r o f .R a v e I tii, f o r m e r [ yI n s t i t u t eo f A n a t o m y U , n i v e r s i to yf l n n s b r u c kI F i g . 7 6 7 ) P D D r .R i e g e r R , a d i o L o gIyn, s t i t u t ef o r D i a g n o s t i R c adiol.ogy, U n i v e r s i to y f M u n i c ht F i g .1 3 9 5 1 P r o f .A t t a r a s C , e n t r ef o r R a d i o L o gU y ,n i v e r s i t oy f G i e B e n P r o f .R e i c h ,0 r o f a c i a L S u r g e rU y ,n i v e r s i t o y f B o n nI F i g .1 1 3a , b ] IFig.1009,1031,1032] P r o f .R e i s e r& D r .W a g n e r ,I n s t i t u t ef o r D i a g n o s t i R c adiotogy, D r .B a u m e i s t e rD, e p a r t m e not f R a d i o [ o g yU, n i v e r s i t oy f F r e i b u r g U n i v e r s i t oy f M u n r c hl F i g . 4 3 6 ,4 4 9 ,4 5 1, 4 5 3 , 5 7 1 , 5 7 2 , 5 7 3 , t F i s1.1 5 7 ) 5 76 , 5 7 7. 7 9 2 1 P D D r .B u r g k a r d tO , r t h o p a e d iC c I i n i cT , e c h n i c aULn i v e r s i t o yf P r o f .R u d z k i - J a n s o nD,e p a r t m e not f 0 r t h o d o n t i c sU, n i v e r s i t o yf M u n i c hI F i g .1 4 3 1 1 M u n i c h1 F i 9 . 7 2 , 7 3 ) P r o f .B r i i c k m a n n& D r .L i n n ,N e u r o r a d i o t o gIyn, s t i t u t ef o r D r .S c h e i b eD , e p a r t m e not f S u r g e r y R , o s m a nH o s p i t a tB , reisach D i a g n o s t iR c a d i o L o gU y ,n i v e r s i t o ( F i g .1 2 8 9a - c ) y f M u n i c h[ F i g . 6 6 2 , 7 2 6a , b , 7 2 7a , 6 l P r o f .S c h e u m a n nC, [ i n i cf o r A b d o m i n aaI n d T r a n s p l a n t a t i o n P r o f .D a n i e t D , e p a r t m e not f C a r d i o t o g yU, n i v e r s i t o yf Ertangen S u r g e r yH , a n n o v eM r e d i c aS L c h o o lI F i g .2 1 + 32,4 4 ,2 4 5 1 t F i s .8 9 9 ,9 0 0 ,9 0 1 ,9 7 3 1 P r o f .S c h i t l . i n g eDr ,e p a r t m e not f G y n a e c o t o gU y ,n i v e r s i t o yf P r o f D e g e n h a r dBt ,i e t e f e t{dF i g .1 1 3 3 1, 1 3 5 ) Freiburg I F i 9 .1 1 3 4 i P r o f .G a [ a n s k&i D r .K i r c h h o f fD, e p a r t m e not f D i a g n o s t i R c a d i o t - Prof. Schl.iepha ke, 0 rofaciaI Surgery, Gcittingen o g y ,H a n n o v e M r e d i c aS I c h o o t{ F i g .9 6 2 , 9 6 4 ,1 2 1 2 ,j 2 j 3 ) t F i g .1 5 2 ,1 9 6 , 1 9 7 1 P r o f .G a l a n s k& i D r .S c h d f e r D , e p a r t m e not f D i a g n o s t i R c adioLP r o f .S c h l c j s s e C r ,e n t r ef o r G y n a e c o [ o gH y ,a n n o v e M r edicaL o g y ,H a n n o v eM r e d i c aSLc h o o ILF i g .8 7 1a , b , 9 2 7 , 9 7 1 , 9 9 1 , S c h o o tI F i g .11 3 2 a ,b , 11 4 0 ,11 4 1 ,1 1 7 8 ] 1 1 9 4 ,1 2 0 4 , 1 2 0 7 , 1 2 0 9 1 P r o f S c h u m a c h e rN, e u r o r a d i o t o gD y ,e p a r t m e not f R a d i o t o g y , P r o f .G e b e t D , e p a r t m e not f G a s t r o e n t e r o L o H g ye,p a t o L o gayn d U n i v e r s i to y f F r e i b u r g( F i g .4 6 1 a , b ) E n d o c r i n o t o gHya, n n o v eM r e d i c aSt c h o o Il F i g .2 4 2 , 1 0 j 1 , D r .S o m m e r& P D D r .B a u e r ,R a d i o [ o g i s t M s ,u n i c h 1026,1027,1038, 1039, 1074, 1092) l F i 7 .6 6 2 , 1 2 9 0 - 1 2 9 2 ) D r .G o e i ,R a d i o L o gH y ,e e r l e nT , h e N e t h e r l a n d s( F i g .11 5 0 ,11 5 1 1 Prof.Stotz,Paediatrics,Universityof Munich[Fig. 1239,1240lt ( w i t hp e r m i s s i o nf r o m R a d i o l . o g1y7 3 ; 1 3 7 - 1 4 1i:g } g l P D D r .V o g LR , a d i o t o g yU, n i v e r s i t oy f M u n i c h( F i 9 4 3 6 ,4 5 3 , D r .G r e e v e nS, t . - E l . i z a b e t h - H o s p iNt aeLu,w i e d{ F i g 1 5 0 ,1 2 3 g 1 644,645) P r o f H o f f m a n n& P D D r .B e k t a s ,C L i n i cf o r A b d o m i n aar n o P r o f .V o [ [ r a t hE , a r -N o s e - T h r o aDt e p a r t m e n tM , iinchengtadbach '1 T r a n s p t a n t a t i oSnu r g e r y H , a n n o v eM r e d i c aS L c h o o l(.F i g . 0 2 8 , lFis 229,230,2311 101*01 P r o f W a g n e rt , D i a g n o s t i R c a d i o t o glyl , H a n n o v e M r edicaL P r o f .H o h L f e LC d ,[ i n i cf o r P n e u m o l o g yH, a n n o v e M r edicaLSchooL SchooL I F i g .9 5 2 , 1 0 6 1 *0, 15 5 ,10 6 9 ,1 0 7 2 ,1 1 5 2 ) (Fi9.929,9301 P r o f .W e n z ,f o r m e r t yD e p a r t m e not f R a d i o L o gU y ,n i v e r s i t o yf P r o f J o n a s ,U r o t o g yH , a n n o v eM r e d i c aS L c h o o lI F i g .1 1 0 2a , b , Freiburg {Fig.768l 11031 P r o f W i t t , D e p a r t m e not f N e u r o s u r g e r yU, n i v e r s i t o yf Munich P r o f .K a m p i k& P r o f .M i i L t e rO , p h t h a t m o t o gU y ,n i v e r s i t o yf tFis.a05) M u n i c hI F i g . 6 5 7 ) D r .W i L t f i j hfro, r m e r t C y I i n i cf o rA b d o m i n a In dT r a n s p l . a n t a t i o n D r .K i r c h h o f & f D r .W e i d e m a n nD, e p a r t m e not f D i a q n o s t i c S u r g e r yH, a n n o v eMr e d i c aSl c h o o{tF i g 1 . 0 5 1) R a d i o l . o gH y ,a n n o v e M r e d i c aS t c h o o l( F i g .1 O 4 i ,i 0 9 3 , j 1 0 2 , P DD r .W i m m e rD , epartmeo n ft R a d i o L o gUyn, i v e r s iot yf 1196,1198,1200,1202.12051 FreiburgIFig 7991 P r o f .K r e m e r s ,D e p a r t m e nfto r R e s t o r a t i vD e e n t i s t r ya n o P e r i o d o n t o t o gU y ,n i v e r s i t o y f M u n i c ht F i g .1 6 9 ) iLtustrations were obtainedfrom the fotl.owinq textP r o f .K u n z e v, o n H a u n e r s c h eC s h i L d r e n 'Hs o s p i t a lU . ,n i v e r s i t o yf fj.Ol,j:.., M u n i c hl F i g . 3 2 7 - 3 3 0 ) D r .M e y e r ,D e p a r t m e not f G a s t r o e n t e r o L o H g ye,p a t o l . o gayn d B e n n i n g h o f f - D r e n c kAh na ah tno: m i B e ,a n d1 [ D r e n c k h aD ., hn E n d o c r i n o t o gHya, n n o v eM r e d i c aSL c h o o lLF i g .g 4 4 , 9 8 7a , b , H r s g) , 1 6 .A u f t .U, r b a n& F i s c h eM r , i i n c h e2n0 0 3[ F i g . 8 2 3 , 992,1145,111+61 8 2 4B , / + 8 , 8 4895, 0 1 P r o f .M i j t l e r - V a h N L ,e u r o t o g yH, a n n o v e M r e d i c aS t chooL W e t s c hU, . :L e h r b u cH h i s t o L o gU i er,b a n& F i s c h e rM, i j n c h e n ( F i g .1 2 8a , b ) 2003{Fis.922,1020,1097,1122,11231 P r o f .P f e i f e r R , a d i o L o gIyn, s t i t u t ef o r D i a g n o s t i R l : o b o t t aA,t l . aH c adioLogy, W e L s cU h ,. ( H r s g . S s i s t o t o g i e ,A6u. f l . , U n i v e r s i t oy f M u n i c hl F i g 2 9 3 , 2 9 4 , 3 1 0 , 3 1 24,4 9 ,t + 5 ,1 U r b a n& F i s c h e rM, r i n c h e2n0 0 2l F i g .10 3 7 ,10 8 5 ,112 5a , b ) 7 6 9 - 7 7 28, 0 7 - 8 1 0 ,1 2 5 5 ,1 2 8 6 ,1 2 8 7 ,1 3 1 7 ,1 3 1 8 1 W i c k eL, . :A t l a sd e rR d n t g e n a n a t o m e ,u f L . , 3 i.A P D D r .R a u ,D e p a r t m e not f R a d i o L o gU y ,n i v e r s i t o yf Freiburg U r b a n& S c h w a r z e n b eM r qt ,i n c h e n - W i e n - B a L t i 1 m9o8r 5 e lFis. 912,925,9261 ( F i q9 4 3a l Spinascapulae Scapula, Angulusinferior M. latissimus dorsi M. erectorspinae Articulatiosacroiliaca M gluteusmaximus VertebralumbalisV, Proc spinosus Fig.728 Back,Dorsum; surfaceanatomv. Regio cervicalis posteriol Lineamedianaoosterior Lineaoaravertebralis Lineascapularis Lineaaxillarisoosterior Regiointrascapularis Fig.729 Regionsand orientation[ines of the back. > Back M us c l es Skeletonof thetrunk Columnavertebralis (Parscervicalis) Angulussuperior Columnavertebralis (Parsthoracica) Columnavertebralis (Parslumbalis) Os sacrum lvertebraesacralesl-V] Spina iliaca posterior inferior Os coccvois [Vertebra6coccygeael-lVl Fig.730 Skel.etal. system,Systema skeleta[e, o f t h et r u n k . Skeleton Clavicula Vertebra cervicalis Vll Iprominens] Vertebra thoracicaI Canalis vertebralis HUmerus Clavicula, Extremitas sternalis Scapula Manubrium sterni Corpus stern i Arcuscostalis Costaxl costaxll Costaxl Costaxll Vertebra lumbalisI Vertebralumbalis lll Spina iliaca anterior superior Promontorium Os sacrum Os coccygrs ;, Facies symphysialis Spina ischiadica Tuberischiadicum Tuberischiadicum F i g . 7 3 1 V e r t e b r acI o t u m n ,C o l u m n av e r t e b r a L i s ; p e c t o r a gI i r d t e ,C i n g u t u mp e c t o r a t ea, n d p e [ v i cg i r d t e , C i n g u [ u mp e l v i c u m ; m e d i a ns e c t i o nt h r o u g ht h e v e r t e b r a t c o l u m n ; mediaLview. Fig,732 VertebraIco[umn,Cotumnavertebra[is; p e c t o r a t ea, n d p e [ v i cg i r d [ e , p e c t o r agI i r d l . eC, i n g u L u m C i n g u [ u mp e l v i c u m ; m e d i a ns e c t i o nt h r o u g ht h e v e r t e b r a cI o t u m n ; viewedfrom the teft. > Back M us c l es VertebraL column Vertebrae cefvicales t-vtl Disci intervertebrales Vertebrae lumbales Os sacrum Promontorium Os coccygis F i g .7 3 3 V e r t e b r ac Io t u m n , C o [ u m nvae r t e b r a [ i s ; ventraIview. Fig.73l, VertebraLcoLumn, C o l u m n av e r t e b r a t i s ; dorsaIview. F i g .7 3 5 V e r t e b r ac Io t u m n , C o [ u m nvae r t e b r a t i s ; viewedfromthe teft. VertebraI colLtmn, development F i g . 7 3 6a - e R e g i o n acl h a r a c t e r i s t i cosf t h e v e r t e b r a e . 0 n t y i n t h e t h o r a c i cr e g i o no f t h e v e r t e b r a cI o l u m nd o t h e [ a t e r a Ip a r t s( t a b e t t e idn r e d ] r e m a i ns e p a r a t e da n d form ribs. vertebra,At[as a First cervicaL b FourthcervicaIvertebra,VertebracervicalislV , e r t e b r at h o r a c i c al , w i t h c F i r s tt h o r a c i cv e r t e b r aV c o r r e s p o n d i nrgi b s ,C o s t a ea, n d s t e r n u m ,S t e r n u m , e r t e b r aL u m b a l . li lsl d T h i r d[ u m b a rv e r t e b r aV e S a c r u m ,0 s s a c r u m Epiphysis anularis* Proc.articularis[Zygapophysis] supenor Proc. sprnosus Epiphysis anularis' Proc costalis Proc accessorius Fig. 737 VertebraIdevetopment. D e m o n s t r a t i oonf t h e a p p e a r a n c o e f p r i m a r yo s s i f i c a t i o n c e n t r e si n a [ u m b a rv e r t e b r aI p e d i c l es: e c o n df o e t a lm o n t h ; c o r p u s :t h i r d t o s i x t hf o e t a Lm o n t h J S y n o s t o s ios f t h e o s s i f i c a t i ocne n t r e so f t h e v e r t e b r a aI r c h w i t h t h o s eo f t h e c o r o u so c c u r sb e t w e e nt h e t h i r d a n d t h e s i x t hy e a r o f [ i f e . Fig. 738 VertebraIdeve[opment C i r c u t a ro s s i ifc a t i o nc e n t r e s[ = r i m s * ]a p p e a ri n t h e e p i p h y s eos f t h e v e r t e b r a ed u r i n gt h e e i g h t hy e a ro f l i f ea n d l o d i e su n t i It h e e i g h t e e n t hy e a r o f f u s ew i t h t h e v e r t e b r a b Life. T h e c e n t r a Ip o r t i o n so f t h e e p i p h y s e rse m a i na s h y a L i n e c a r t i t a g i n o u[sa m i n a e* * t h r o u g h o u Lt i f e . S e c o n d a r oy s s i f i c a t i ocne n t r e s( a p o p h y s e sd)e v e t o pa t t h e orocesses. > Back Atlasand axis Tuberculum anterius Arcusanterioratlantis Foramen vertebrale Faciesarticularis supeflor lvlassalateralis atlantis Proc, Iransversus Foramen magnum Foramen Iransversanum Sulcus arteriae vertebralis occipitalis externa) Arcusposterioratlantls posterius Tuberculum F i g . 7 3 9 O c c i p i t abI o n e ,0 s o c c i p i t a l e ; s e c t i o ni t l u s t r a t i n g t h e f o r a m e nm a g n u ma n d t h e a r t i c u [ a rs u r f a c e so f t h e a t t a n t o - o c c i p i tjaoIi n t ; i n f e r i o rv i e w Tuberculum anterius Fig.710 First cervicaIvertebra,At[as; s u p e n o rv r e w . T h e s u p e r i o ra r t i c u t a rs u r f a c e so f t h e a t l a sa r e f r e q u e n t [ yd i v i d e d . * Canatis arteriae vertebratis asa variation Arcusanterioratlantis Densaxis Faciesarticularis inferior Foveadentis Massalateralis atlantis Facies articularis anterior Faciesarticularis superior l\4assa lateralis atlantis ArcusDosterior atlantis Fovea dentis Proc articularis supeflor Foramen vertebrale Foramen transversarium posterius Tuberculum Arcusposterior atlantis Fig.711 First cervicaIvertebra,Attas; i n f e r i o rv i e w . Proc sprnosus Corpus vertebrae Arcusvertebrae Foramen transversarium Proc Proc articularisinferiol Iransversus Fig.712 FirstandsecondcervicaI vertebrae, Atlaset Axis; median section. Apexdentis Faciesarticularis oosterior Apexdentis Densaxis Proc articularis supenor Faciesarticularis anterior Corpusvertebrae Foramen transversarium Proc articularis supenor Foramen transversarium Proc articularis inferior Tuberculum posterius Corpus vertebrae Arcusvertebrae Proc.spinosus F i g . 7 1 3 S e c o n dc e r v i c avLe r t e b r aA , xis; ventraIview. Proc,articularis inferior Arcusvertebrae Proc spinosus Fig.711 SecondcervicaIvertebra,Axis; d o r s o s u o e r i ovri e w . Cervicalvertebrae Uncuscorporis IProc.uncinatus] Tuberculum anterius Corpusvertebrae, Faciesintervertebralis Corpusvertebrae, Epiphysis anularis Uncicorporis lProccuncinati] tsoramen Iransversaflum Sulcus nerut spinalis Tuberculum poslerius Proc articularis supenor Foramen transversaflum Proc transversus Proc, articularis supenor Arcusvertebrae Foramen vertebrale Pediculus arcus vertebrae Arcusvertebrae Proc spinosus Proc spinosus F i g , 7 1 5 F i f t hc e r v i c a I v e r t e b r V a ,e r t e b r ac e r v i c a L V i s; s u p e n o rv r e w . T h e t i p s o f t h e s p i n o u sp r o c e s s e o s f the cervicaL v e r t e b r a el l - V l a r e f r e q u e n t t yd i v i d e d . Fig.746 SeventhcervicaIvertebra,VertebracervicatisVll; s u p e f l o rv r e w I n g e n e r a It h e s e v e n t hc e r v i c avI e r t e b r ac a n b e e a s i L y i d e n t i f i e db y i t s p r o t r u d i n gs p i n o u sp r o c e s sa n d i s r e f e r r e dt o a s v e r t e b r ap r o m i n e n sI.n f a c t ,t h e s p i n o u s processof the first thoracicvertebraoften protrudes evenfurther. f Tuberculum anrenus Proc 'II transversus I Tuberculum poslenus \ Corpusvertebrae Foramen transversarium Sulcusnervi spinalis Uncicorporis IProccuncinati] F i g . 7 t 7 S e c o n dt o s e v e n t hc e r v i c avI e r t e b r a e , V e r t e b r a ec e r v i c a t elsl - V l l ' ventraIview. vertebrae, Fig,718 First to seventhcervicaL l-VlI I VertebraecervicaLes dorso[ateraLview. tt Thoracic and lumbarvertebrae Corpusvertebrae, Faciesintervertebralis Epiphysis anularis* Articulatio capitis costae Fovea costalis supenor Caputcostae Collumcostae Pediculus arcus vertebrae Foveacostalissuperior Proc transversus Foramen costotransversarium Foramen vertebrale Proc adicularis lZygapophysisl supenor Costa Fovea costalis processus transversi Tuberculum costae Lamrnaarcus vertebrae Proc transversus Articulatio costotransversaria Fovea costalis processus transversl Corpus vertebrae Fovea costalis inferior lncisuravertebralis inferior Proc articularisinterior Proc spinosus Proc spinosus Fig.719 Vertebra,Vertebra; t y p i c a sI t r u c t u r a fI e a t u r e se x e m p t i fe d b y t h e f i f t h t h o r a c i cv e r t e b r a; s u p e n o rv t e w . + Atso:rim of vertebraI body F i g .7 5 0 S i x t ht h o r a c i cv e r t e b r aV , e r t e b r at h o r a c i c aV l ; viewedfrom the teft. Proc.articularis supenor Arcusvertebrae Proc mamillaris Proc accessorius Corpus verlebrae Proc sptnosus Fovea costalis Proc articularis inferior F i g . 7 5 2 T w e t f t h t h o r a c i c v e r t e b r a , V e r t e b r a t h o r a c i c a Xil; viewed f rom the Left. * R e g i o no f t h e v e r t e b r a Ia r c h b e t w e e nt h e s u p e r i o ra n d F i g ,7 5 1 T e n t ht h o r a c i cv e r t e b r aV , e r t e b r at h o r a c i c aX ; ventraLview. i n f e r i o ra r t i c u [ a rp r o c e s s e s ( " i s t h m u s =" i n t e r a r t i c u L p ao r rtionl Corpusvertebrae F i g .7 5 3 T h i r d[ u m b a rv e r t e b r aV , e r t e b r aL u m b a L il sl l ; m e d i a ns e c t i o ns; p e c i m e n o f a n o L d e irn d i v i d u a [ . * O s s i f i c a t ioofnt h e[ i q a m e n t o iunss e r t i o n s ;:ili'::. Thoracicand lumbarvertebrae Proc articularis supeflor Fovea costalis supenor Foveacostalisprocessus transversi Corpusvertebrae, Facies intervertebralis Pediculus arcus vedebrae Proc sprnosus Foramenvertebrale Proc costalis Proc articularis superlor Laminaarcusvertebrae Proc accessorius Proc spinosus , e r t e b r aL u m b a t i lsV ; F i g .7 5 5 F o u r t h[ u m b a rv e r t e b r aV s u p e n o rv r e w Proc,articularis supenor Proc costalis Proc mamillaris Corpusvertebrae Proc costalis Proc accessorius Proc articularis inferior Fig.751 Tenthto tweLfththoracicvertebrae, V e r t e b r a et h o r a c i c a e X - X l l ,a n d f i r s t t o s e c o n d[ u m b a rv e r t e b r a e , V e r t e b r a e[ u m b a L e ls- l l ; d o r s a Iv i e wf r o m t h e [ e f t . Pediculus arcusvertebrae Proc articularis inferior inferior Faciesarticularis , e r t e b r a[ u m b a L i lsV ; F i g .7 5 6 F o u r t h[ u m b a rv e r t e b r aV ventraIview Proc articularis superior Epiphysis anularis Proc.spinosus Laminaarcusvertebrae Proc articularisinterior Fig.757 Fifth[umbarvertebra,Vertebra[umbatisV; mediansection. Notethe characteristic wedge-shape of the bodyof the f ifth [umbarvertebra. + R e g i o no f t h e v e r t e b r aaI r c hb e t w e e nt h e s u p e r i o ra n d i n f e r i o ra r t i c u [ a r process.Herein the fifth and Lessfrequentlyin the fourth [umbarvertebra can be formed.This is a cteft,bridgedby connectivetissuelspondylolysisl the superlor probabtycausedby locatbendingstress.As a consequence, vertebramay stip [otisthesislonto the inferiorvertebralspondylotisthesis). > Back Muscles Sacrum Proc articularis superior Canalissacralis Tuberositasossissacri Faciesauricularis Cristasacralislateralis Crista sacralis mediana Cristasacralismedialis Foramina sacraliaposteriora Hiatussacralis Cornusacrale F i g .7 5 8 S a c r u m ,0 s s a c r u m ; d o r s a Iv i e w Apexossissacri Proc articularis supeflor Parslateralis Promontorium Foramina sacraliaanteriora Lineaetransversae F i g ,7 5 9 S a c r u m ,0 s s a c r u m ; v e n t r o i n f e r i ovri e w . Apexossissacri Promontorium Alaossissacri Parslateralis Basisossissacri Proc articularis superior F i g . 7 6 0 S a c r u m ,0 s s a c r u m ; t h e b o n eh a s b e e ns e c t i o n e da t t h e [ e v e [o f t h e s e c o n ds a c r a Lv e r t e b r a : s u D e n o rv t e w Canalis sacralis Crista sacralis medialis Cristasacralismediana Parslateralis Parslateralis Proc articularissuperior------:r Basisossissacri Canalissacralis Cristasacralis medlana Promontorium Foramina sacralia posteriora Cristasacralis medtana Facies pelvica Cornusacrale Cornu coccygeum Hiatussacralis Apexossissacri Os coccygis F i g . 7 6 1 S a c r u m0, s s a c r u m ; v i e w e df r o mt h er i g h t . F i g . 7 6 2 S a c r u m ,O s s a c r u m ; m e d i a ns e c t i o n . * Remnants disctissue of intervertebraI persistevenin theadutt. F i g . 7 6 3 S a c r u m0,s s a c r u m ; g e n d edr i f f e r e n c e s . F i g . 7 6 I , S a c r u m ,0 s s a c r u m ; o e n d e rd i f f e r e n c e s . Cornucoccygeum Cornu coccygeum Vertebra coccygeaI Vertebra coccygeall Vertebrae coccygeae lll-V F i g . 7 6 5 C o c c y x0, s c o c c y g i s ; v e n t r o s u o e r i ovri e w . Fig.765 Coccyx,0s coccygis; d o r s o i n f e r i ovri e w . > Back $\'oturs*{o*l Cervicalpart of the vertebraL column,radiography Ramus mandibulae Proc mastoideus Atlas, Arcus anterior Os occipitale Cavitas nasi, Sinus maxillaris Atlas, Arcus posterior Palatum osseum Atlas, Tuberculum posterius Axis, Dens Axis, Proc sprnosus A x i s ,C o r p u s vertebrae Inctsura vedebralis inferior Angulus mandibulae Ltngua Inctsura vertebralis supenor Vertebra c e r v i c a l i sl l l , Corpus vertebrae Epiglottis Articulatio zygapophysialis Os hyoideum Proc articularis inlerior Proc articularis supeflor Discus intervertebralis Cartilago cricoidea, Lamtna Proc spinosus Facies inter vertebrales Pediculus arcus vene0rae Foramen intervertebrale Vertebra c e r v i c a l i sV l l , Corpus vertebrae F i g .7 6 7 C e r v i c avLe r t e b r a eV, e r t e b r a ec e r v i c a t e s ; L a t e r arIa d i o g r a p ho f t h e c e r v i c a pL a r t o f t h e v e r t e b r a cI o L u m n ; u p r i g h tp o s i t i o nt;h e c e n t r a Ib e a mi s d i r e c t e d o n t ot h e t h i r d c e r v i c avI e r t e b r a ; s h o u t d e r sa r e p u L t e d o w n w a r d s . Topography Cervicalpart of the vertebralcolumn,radiography Proc spinosus- Proc transversus - VertebracervicalisVl, Corpusvertebrae Fig, 768 CervicaIvertebrae,Vertebraecervicates; A P - r a d i o g r a pohf t h e c e r v i c a pI a r t o f t h e v e r t e b r a cI o t u m n ; u p r i g h tp o s i t i o nt;h e c e n t r a Lb e a mr s d i r e c t e d o n t ot h e t h i r d c e r v i c avI e r t e b r a . x IntervertebraI discsoaces Uncicorporum [Proccuncinati] > Back Thoracicpart of the vertebralcolumn,radiography Corpusvertebrae Foramenintervertebrale Facies intervertebrales"" Proc spinosus Pediculus arcusvertebrae F i g . 7 6 9 T h o r a c i cv e r t e b r a eV, e r t e b r a et h o r a c i c a e ; L a t e r arIa d i o g r a p ho f t h e t h o r a c i cp a r t o f t h e v e r t e b r a cLo L u m n ; u p r i g h tp o s i t i o w n i t h t h e t h o r a xi n i n s p i r a t i o n ; t h e c e n t r a Ib e a m i s d i r e c t e do n t o t h e s i x t ht h o r a c i cv e r t e b r a . + Intervertebra d Ii s cs p a c e * * C L i n i c at eLr m : e n d - p L a t e s Pediculus arcusvertebrae a^r^,,c v6d6hrr6 Costa Articulatiocostotransversaria Proc transversus Articulatiocapitis costae Caput costae Facies intervertebralis F i g . 7 7 O T h o r a c i cv e r t e b r a eV, e r t e b r a et h o r a c i c a e A P - r a d i o g r a pohf t h e t h o r a c i cp a r t o f t h e v e r t e b r a cLo L u m n ; u p r i g h tp o s i t i o w n i t h t h e t h o r a xi n i n s p i r a t i o n ; t h e c e n t r a Lb e a m i s d i r e c t e do n t ot h e s i x t ht h o r a c i cv e r t e b r a * Intervertebra d Ii s cs p a c e Lumbarpart of the vertebralcolumn,radiography Vertebra lumbalisl, Corpusvertebrae Foraminaintervertebralia Arcusvertebrae, Pediculusarcusvertebrae inferior lncisuravertebralis Faciesintervertebrales Incisuravertebralissuperior Proc.spinosus Proc.articularissuperior Proc articularisinferior Os ilium. Crista iliaca Articulatiozygapophysialis Basisossissacri Cristasacralismediana Promontorium Os sacrum F i g . 7 7 1 L u m b a rv e r t e b r a eV, e r t e b r a eL u m b a t e s ; l a t e r a Ir a d i o g r a p ho f t h e [ u m b a rp a r t o f t h e v e r t e b r a cI o l u m n ; u p r i g h tp o s i t i o n ; t h e c e n t r a tb e a m i s d i r e c t e do n t ot h e s e c o n d[ u m b a rv e r t e b r a . I n t h i s c a s e ,t h e a n t e r i o re d g e so f t h e l o w e r [ u m b a rv e r t e b r a e a r e o b t i q u ed u e t o p a t h o L o g i caalIt e r a t i o n s . * I n t e r v e r t e b r adI i s c s p a c e * * R e g i o no f t h e v e r t e b r a la r c h b e t w e e nt h e s u p e r i o ra n d i n f e r i o r a r t i c u [ a rp r o c e s s e ls" i s t h m u s '= i n t e r a r t i c u [ apro r t i o n l * * * T h e m a r k s i n d i c a t et h e p o s i t i o no f t h e t w e t f t h r i b , w h i c h i s p o o r t y v i s i b l ei n t h i s c o p yo f t h e r a d i o g r a p h . M us c [es Lumbarpart of the vertebralcolumn,radiography costaXll Vertebra lumbalisl, Corpusvertebrae Proc.articularis superior Articulatiozygapophysialis Procc. costales Proc.articularis inferior Pediculus arcusvertebrae Faciesintervertebrales Proccsplnosi Proc. costalis Os coxae; Osilium Articulatiosacroiliaca Foramina sacraliaanteriora F i g , 7 7 2 L u m b a rv e r t e b r a eV, e r t e b r a eL u m b a l e s ; A P - r a d i o g r a p oh f t h e L u m b a rp a r t o f t h e v e r t e b r a cI o t u m n andthe sacrum; u p r i g h tp o s i t i o nt;h e c e n t r a Ib e a mi s d i r e c t e do n t ot h e s e c o n d L u m b a vr e r t e b r a . + IntervertebraI discspace CraniocervicaI j unctions Os occioitale.Parsbasilaris anterior Membranaatlantooccioitalis Parslateralis Os occiDitale. Os occioitale.Parslateralis + Articulatioatlantooccioitalis Capsulaarticularis Articulatioatlantoaxialis lateralis Lig longitudinaleanterius Axis Discusintervertebralis Vertebra lll cervicalis Vertebra cervicalis lll, Corpus vertebrae F i g . 7 7 3 C r a n i o c e r v i jcuanI c t i o nasn dt h eu p p e rc e r v i c apIa r t o f t h ev e r t e b r a l t o [ u m n ; ventratvtew. Os occipitale posterior Membranaatlantooccipitalis Lig atlantooccipitale laterale Atlas,Massalateralis Sulcusarteriaevertebralis Tuberculumoosterius Articulatioatlantoaxialis lateralis, Articulalioatlantoaxialis Caosulaarticularis lateralis Axis, Arcus vertebrae junctions; Fig.771 CraniocervicaI dorsaIview. Back M us c l es Crani ocervicaI j unctions Os occipitale,Clivus Sulcus srnus sigmoidei Os occipitale Articulatio atlantooccipitalis, Capsulaarticularis Atlas Articulatio Membranatectoria atlantoaxialislateralis, Capsula articularis Axis Vertebra ceruicalis lll F i g .7 7 5 C r a n i o c e r v i c jauIn c t r o n s , dcon linemonf c. dorsaLview. Fasciculilongitudinales Ligg alaria Canalisnervihypoglossi Sulcussinussigmoidei Articulatio atlantooccipitalis Capsulaarticularis Atlas,Arcusposterior Lig transversum atlantis Articulatio atlantoaxialis lateralis Lig cruciformeatlantis Fasciculi longitudinales F i g .7 7 6 C r a n i o c e r v i cjauIn c t i o n s , d e e pI i g a m e n t s ; dorsaLview. Lig apicis dentis Capsulae articulares Densaxis F i g .7 7 7 C r a n i o c e r v i cjauIn c t i o n s , doon linrmanic. dorsaIview. T h e a L a rL i g a m e n tfsr e q u e n t [ e y x t e n dt o t h e l a t e r a I m a s s e so f t h e a t t a s . Topography CraniocervicaI j unctions Os occioitale.Pars basilaris Duramatercranialis Lig. apicis dentis l\4embranaatlantooccioitalisanterior DuramatersPinalis Membrana tectoria Atlas,Arcusanterior Fasciculilongitudinales I atlantis atlantislLig cruciforme Lig.transversum Articulatio atlantoaxialis medianaanterior - Fasciculi longitudinales J medianaposterior Articulatio atlantoaxialis Squama occipitalis Densaxis Membrana atlantooccipitalisposterior Discusinteruertebralis Atlas,Arcusposteriol lll, Vertebra cervicalis Corpusvertebrae Axis,Proc spinosus Nn cervicales,Badices F i g .7 7 8 C r a n i o c e r v i c jauLn c t i o n s ; m e d i a ns e c t i o n Os occipitale Atlas, Arcusanterior, Foveadentis Articulatioatlantoaxialis mediana posterior atlantoArticulatio occipitalis Articulatioatlantoaxialis mediana anterior Densaxis Atlas,Arcusposterior Densaxis Atlas,Arcusanterior Atlas,Massalateralis Articulatioatlantoaxialislateralis Atlas,Facies articularis supenor Axis,Corpus Axis,Proc spinosus Membrana atlantooccipitalis posterior Procspinosus F i g ,7 7 i C r a n i o c e r v i cjauIn c t i o n s ; s u p e n o rv t e w F i g .7 8 0 C r a n i o c e r v i clauLn c t t o n s ; A P -r a di o gr ap h . > Back li..-'-,,.+W M us c l es Ligaments of thevertebralcolumn Foveacostalis inferior Foveacostalis supenor Pediculus arcus vertebrae Lig costotransversaflum Arcus vertebrae Discus intervertebralis Vertebra thoracica Xll, Corpus vertebrae Discus intervertebralis F i g . 7 8 1 L i g a m e n t so f t h e v e r t e b r a I c o l u m n ; e x e m p t i fe d b y t h e L o w e tr h o r a c i cp a r t o f t h e vertebratco[umn; ventraLview. F i g . 7 8 2 L i g a m e n t so f t h e v e r t e b r a I c o l u m n ; e x e m p l i fe d b y t h e l o w e rt h o r a c i ca n d t h e u p p e r[ u m b a rp a r t o f t h e v e r t e b r a cl o l u m n ; d o r s a Iv i e w . Lig capitiscostaeradiatum Articulatiocapitis costae Proc articularis superior Lig costotransversarium Collumcostae Tuberculumcostae Lig costotransversarium laterale Proc transversus Lig flavum F i g . 7 8 3 C o s t o v e r t e b r jaoI i n t s ,A r t i c u l a t i o n ecso s t o v e r t e b r a [ e s ; c r o s s - s e c t i oant t h e l e v e Io f t h e L o w e rp a r t o f t h e j o i n t a t a h e a do f a r i b ; s u p e f l o rv t e w . To p o g ra p h y Lioamentsof the vertebralcolumn superior Proc.articularis Foveacostalissuperior Corpusvertebrae Foveacostalisprocessustransversi Foramencostotransversarium laterale Lig costotransversarium Lig longitudinaleanterius superius Lig costotransversarium Discusintervertebralis Lig intertransversarium Lig capitiscostaeradiatum F i g . 7 8 1 L i g a m e n t so f t h e v e r t e b r a cLo t u m na n d t h e joints, Articulationes costoverteb rates; costovertebraI [ a t e r a Ip a r t so f t h e a n t e r i o rL o n g i t u d i n [ai [g a m e n th a v e b e e nr e m o v e d ; viewedf rom the teft. Fovea costalis processus transversl Ligg flava Capsula articularis Lig costotransversarium Laminaarcusvertebrae Pediculusarcusvertebrae F i g . 7 8 5 J u n c t i o n sb e t w e e nt h e v e r t e b r aal r c h e s ; ventraIview. > Back M us c l es joints Costovertebral Foramenintervertebrale Lig costotransversarium supenus Lig costotransversarium laterale Lig longitudinaleanterius Articulatiocapitiscostae Tuberculum costae Discusintervertebralis Caputcostae F i g . 7 8 6 C o s t o v e r t e b r jaoIi n t s ,A r t i c u [ a t i o n e s costovertebra[es; ventraL v i e wf r o m t h e l e f t . Arcusvertebrae Ligg intertransversaria Proc spinosus Laminaarcusvertebrae Lrg costotransversarium superius Lig flavum Lig costotransversarium laterale Proc transversus Proc articularis inferior Lig intertransversarium Capsulaarticularis Lig,supraspinale" F i g . 7 8 7 L i g a m e n t so f t h e v e r t e b r a aL r c h e sa n d t h e c o s t o v e r t e b r jaoI in t s ,A r t i c u l a t i o n ecso s t o v e r t e b r a t e s ; dorsaLview. * T h em e d i a n p o r t i oo n f t h et h o r a c o t u m bf a sr c i a r sr e f e r r e d t o a ss u p r a s p i n olui gsa m e n t Ligamentsof the lumbarpart of the arcusvertebrae Pediculus posterius Lig longitudinale Disciintervertebrales V, Vertebra lumbalis Corpusvertebrae Os sacrum F i g .7 8 8 L i g a m e n t so f t h e [ u m b a rp a r t o f t h e v e r t e b r a cI o l u m n . Proc costalis inferior Proc articularis Proc articularis superior Lig,transversum zygapophysialis; Articulatio Laminaarcusvertebrae Lig flavum Proc spinosus F i g .7 8 9 V e r t e b r ajlo i n t so f t h e [ u m b a rp a r t o f t h e v e r t e b r a l cotumnA , r t i c u t a t i o n ezsy g a p o p h y s i a l [eusm b a l e s ; d o r s a lv r e wf r o m t h e r i q h t r i n t s b y s t r o n ga n d R e i n f o r c e m e notf t h e i n t e r a r t i c u [ aj o t r a n s v e r s ef i b r e sI L i g g .t r a n s v e r s ai]s r e s t r i c t e dt o t h e [ u m b a r p a r t o f t h e v e r t e b r a cI o l u m n . > Back Mr.rsu[es lntervertebraldiscs Uncuscorporrs IProc uncinatus] A n u l u lsi b r o s u s Pediculus arcus vertebrae Corpusvertebrae Epiphysis anularis Anulusfibrosus N spinalis, Ganglion sensoflum nervispinalis F i g .7 9 0 a ,b I n t e r v e r t e b r adIi s c s ,D i s c ii n t e r v e r t e b r a L e s a C e r v i c aiIn t e r v e r t e b r adIi s c s ,D i s c ii n t e r v e r t e b r a l e s c e r v i c [ae s ; f r o n t a Ls e c t i o n b L u m b a ri n t e r v e r t e b r adl i s c ,D i s c u si n t e r v e r t e b r a Lt iusm b a L i s : m e d i a ns e c t i o n Epiphysis anularis N u c l e upsu l p o s u s Corpusvertebrae * H y a t i n ec a r t i [ a g i n o ucso v e r i n go f t h e e n d - p L a t eosf t h e v e r t e b r abI o d i e sr e f [ e c t i n tgh e n o n - o s s i f i epdo r t i o no f t h e e prph y s e s * x I n t h e f i r s t d e c a d eo f I i f e ,s o - c a l t e du n c o v e r t e b r a c lI e f t s d e v e [ o pi n t h e L a t e r azI o n e so f t h e c e r v i c a L intervertebraI d i s c sw , h r c hc a n p r o g r e s sf u r t h e rt o w a r d st h e m i d d l ei n t h ef o t t o w i n g decades Fascia thoracolumbalis Vertebralumbalis l, Corpus vertebrae Proc spinosus Discusinteruertebralis Canalisvedebralis; Caudaequina Spatium epidurale Vertebra lumbalis V, Corpusvertebrae Canalissacralis F i g .7 9 1 L u m b a ri n t e r v e r t e b r adIi s c , D i s c u si n t e r v e r t e b r a L[ iusm b a I i s ; s u p e n 0 rv t e w F i g . 7 9 2 L u m b a rp a r t so f t h e v e r t e b r a L c o l u m n ; m a g n e t i cr e s o n a n cteo m o g r a p h ii cm a g eI M R l ) ; m e d i a ns e c t i o n . To pogr a p h y Motionsegments Proc articularis suoerior Uncuscorporis [Proc uncinatus] Faciesintervertebralis Foramenintervertebrale Articulatiozygapophysialis, Capsulaarticularis Epiphysis anularis* Lig flavum Corpusvertebrae Lig interspinale Lig.longitudinale anterius Faciesintervertebralis Anulus Oi"araJ' fibrosus intervertebralis Nucleus I pulposus Lig. nuchae (Foramen venae basivertebralis) Proc articularis inlerior Laminaarcusvertebrae ' Proc soinosus Pediculusarcusvertebrae Epiphysis anularis " * A l s o : r i m o f v e r t e b r a lb o d y * * H y a l i n ec a r t i l a g i n o u sc o v e r i n go f t h e e n d - p l a t eo f t h e v e r t e b r a tb o d y Fig.793 CervicaImotion segment; s c h e m a t i cm e d i a ns e c t i o n . r e f t e c t i n gt h e n o n - o s s i f i e dp o r t i o no f t h e e p i p h y s i s Foramenintervertebrale Proc.articularissuoerior Epiphysis anularis* Lig flavum Lig. interspinale Lig longitudinale anterius Lig supraspinale Faciesintervertebralis / I Anulusfibrosus urscusI intervertebralis I I Nucleuspulposus \ Fascia thoracolumbalis (Foramen venae basivertebralis) Proc.spinosus Lig. longitudinaleposterius Pediculusarcusvertebrae Lamina arcus vertebrae Fig,79t, Lumbar motion segment; s c h e m a t i cm e d i a ns e c t i o n . Proc articularisinferior * A [ s o :r i m o f v e r t e b r a tb o d y * * H y a t i n ec a r t i l a g i n o u sc o v e r i n go f t h e e n d - p l a t eo f t h e v e r t e b r a Ib o d y r e f t e c t i n gt h e n o n - o s s i f i e dp o r t i o no f t h e e p i p h y s i s > Back Superficialmusclesof the back ProtuberantiaocciDitalisexterna M sternocleidomastoideus IVIspleniuscapitis M trapezius Spina scapulae Fascia deltoidea prominens, Vertebra Proc spinosus M teres malor Scapula, Angulusinferior M infraspinatus, Fasciainfraspinata M latissimus dorsi M, rhomboideus major VertebrathoracicaXll. Proc. sDinosus M obliquus externus abdominis Fascia thoracolumbalis Cristailiaca Os sacrum, Faciesdorsalis F i g . 7 9 5 M u s c t e so f t h e b a c k ,M m . d o r s i ; s u p e r f i c i aLI a y e or f t h e t r u n k - a r ma n d t r u n k - s h o u l d e r o i r d l em u s c t e s . To p o g r a p h y Superficialmusclesof the back M trapezius l\4 sternocleidomastoideus l\4 splenius capitis M splenius cervicis Fascia deltoidea M. trapezius M.teresmaior M serratusposterior supenor major M rhomboideus M infraspinatus, Fasciainfraspinata Scapula, Angulusinferior M erectorspinae M latissimus dorsi M latissimus dorsi Fascia thoracolumbalis* M obliquusexternus abdominis M obliquus e)dernusabdominis M obliquusinternus abdominis lumbale Trigonum Cristailiaca F i g . 7 9 6 M u s c t e so f t h e b a c k ,M m . d o r s i ; d e e pl a y e ro f t h e t r u n k - a r ma n d t r u n k - s h o u t d e r g i r d l em u s c l e s . * Theso-catled thoracotumbar fasciaformsa dense ao0neur0sts > Back i:' tt at"t Deepmusclesof theback M semisDinaliscaoitis nuchae M splenius capitis M splenius capitis M sternocleidomastoideus l\4 longissimus capitis M splenius cervicis M. splenius cervicis M. scalenusoosterior M levatorscapulae M trapezius M longissimus ceruicis M teresmajor M semispinaliscervicis M serratusposteriorsuperior M iliocostaliscervicis M rhomboideus major i/ inlraspinatus, Fasciainfraspinata M lliocostalisthoracis M latissimus dorsi M spinalisthoracis thoracis M. longissimus M iliocostalisthoracis M. serratusanterior M longissimus thoracis M serratusoosteriorinlerior M iliocostalis lumborum M obliouus externusabdominis Fascia thoracolumbalis M obliquus internusabdominis M erectorspinae F i g . 7 9 7 M u s c l e so f t h e b a c k ,M m . d o r s i ; s u p e r f i c i aLLa y e or f t h e d e e pI a u t o c h t h o n o u m s ]u s c L e s . Musclesof the back,sections Caudaequina Lig longitudinale anterius Pediculus l arcus I a,.,," vertebrae | LamrnaarcusI ""il"urr" vertebrae ) Ben M psoasmajor t\4m *" transversospinales Plexuslumbalis M. erectorspinae* Proc costalis (Lamina protunda) M quadratus lumborum Costaxll M obliquus externus abdominis Fascia thoracolumbalis lvl latissimus dorsi Proc spinosus (Lamina superficialis) F i g .7 9 8 M u s c t e so f t h e b a c k ,M m . d o r s i ; c r o s s - s e c t i oant t h e [ e v e [o f t h e s e c o n dL u m b a vr e r t e b r a : i n f e r i o rv i e w . Thedeep[autochthonousl musctes of the backliewithinan osteofibrous tubeformedbydorsatpartsof thevertebrae andthesurrounding intoa lateral* aredivided aponeurotic thoracoLumbar fasciaThemuscLes a n da m e d i a*[* t r a c t Corpusvertebrae Foramenintervertebrale Proc articularis superiof Nucleuspulposus) ' I Discus f intervertebralis Anulusfibrosus / N spinalis M psoasmajor Articulatio zygapophysialis Caudaequina Lig flavum* Proc articularis inferior M. erectorspinae Proc spinosus Mm transversospinales Fasciathoracolumbalis F i g . 7 9 9 M u s c l e so f t h e b a c k ,M m . d o r s i ; c o m p u t e dt o m o g r a p h i c r o s s - s e c t i o(nC T )a t t h e l e v e Io f t h e i n t e r v e r t e b r adli s c b e t w e e nt h e t h i r d a n d t h e f o u r t h[ u m b a r vertebra; inferiorview. * C a t c i f i c a t i oo n r o s s i f i c a t i o nf r e q u e n t t yo c c u r sa t t h e s i t e s o f i n s e r t i o n o f t h e [ i g a m e n t af t a v a ,e v e ni n y o u n g e ri n d i v i d u a t s . * + A d i p o s et i s s u ed e p o s i t s > Back >>l - Surface lSketetonl Musctes Deepmusclesof the back Tract LongitudinaI system 0btiquesystem M longissimus -capitis -cervtcts -thoracis M iliocostalls -cervtcts -thoracis -lumborum M. semispinalis** -capitis -cervtcts M. spinalis -capitis -cervtcts -thoracis M. multifidus"* -cervtcts -thoracis -lumborum Mm.interspinales -cervrcts -thoracis lumborum Mm. rotatoresbreves** -cervrcrs -thoracis -lumborum Fascia thoracolumbalis F i g . 8 0 0 D e e p[ a u t o c h t h o n o u m s )u s c t e so f t h e b a c k ; d i a g r a mo f t h e d i f f e r e n gt r o u p so f m u s c t e s . T h e d e e p[ a u t o c h t h o n o u m s Ju s c t e so f t h e b a c kc a n o e d i v i d e di n t o a t o n g i t u d i n aal n d a n o b t i q u es y s t e m a ,s w e t l a s i n t o a m e d i a la n d a l a t e r a lt r a c t . + Spinotransverse +*TransversosoinaI Tract To p o g r a p h y Deepmusclesof the back l\4 semispinaliscapitis l\4 rectuscapitisposterior minor M rectuscapitisposterior major posterius Atlas,Tuberculum M obliquuscapitissuperior M spleniuscapitis capitis l\4 longissimus Venterposterior M digastricus, Atlas,Proc transversus M obliquuscapitisinferior M semispinaliscapitis posteriorescervicis l\4m intertransversarii Mm multilidi M semispinalis ceruicis Ligg intertransversaria Mm interspinalescervicis Lig supraspinale Ligg.interspinalia; M spinaliscapitis Mm rotatoresthoracisbreves thoracis Mm intertransversarii externi Mm,intercostales Mm levatorescostarumbreves thoracislongi Mm.rotatores M semispinalis thoracis superius Lig costotransversarium Lig intertransversarium lvlm lntercostales externi,Fascia Mm levatores costarum breves intercostalis interna Membrana interni Mm intercostales Mm levatores costarumlongi Mm intercostalesexterni lvlm intertransversarii thoracis CostaXll Fascia M quadratus lumborum, Fascia thoracolumbalis lumborum Mm intertransversarii mediales M obliquusinternusabdominis M transversus abdominis Mm intertransversarii laterales tumoorum Mm interspinaleslumborum Fascialransversalis Ligg intertransversaria l\4 obliquusexternus abdominis Lig iliolumbale superior Spinailiacaposterior Lig sacrotuberale Mm multilidi F i g .8 0 1 M u s c l e so f t h e b a c k ,M m . d o r s i , a n d s u b o c c i p i t amI u s c t e s M , m.suboccipitates. tt musclesof theback Lig. intertransversarium Lig.costotransversarium Costalx M levatorcostaelongus Mm.multifidi M levatorcostaebrevis Mm rotatoresthoracis Lig intertransversarium Vertebralumbalisl, Arcusvertebrae CostaXll Ligg. flava Vertebraelumbales, Procc.costales Mm.intertransversarii lateraleslumborum Fasciathoracolumbalis (Laminaprofunda) Mm. intertransversarii mediales lumborum Mm. multifidi M erector spinae Vertebraelumbales,Procc sDinosi F i g . 8 0 2 M u s c l e so f t h e b a c k ,M m . d o r s i ; d e e p e s lt a y e ri n t h e r e g i o no f t h e l o w e rt h o r a c i ca n d t h e t u m b a r part of the vertebraIcolumn. muscles Suboccipital M rectuscaoitisoosteriorminor M. trapezius caoitis M semisDinalis M rectuscapitisposteriormajor capitissuperior M. obliquus capitis M splenius Atlas,Arcusposterior M. spleniuscervicis M splenius capitis Proc mastoideus capitis M. longissimus M digastricus,Venterposteriot M splenius cervicis Proc styloideus M longissimus capitis capitisinferior M obliquus i,il semispinalis capitis capitis M. longissimus posterius Atlas,Tuberculum Axis,Proc.spinosus M semispinalis capitis Mm.interspinales cervicis Mm multifidi M. semispinaliscervicis M. longissimus cervicis M iliocostalis cervicis Lig supraspinale M semispinalis capitis M. semispinalis thoracis F i g . 8 0 3 M u s c t e so f t h e b a c k ,M m . d o r s i ,a n d , m.suboccipita[es. s u b o c c i p i t amI u s c t e s M M obliquus capitissuperior M rectuscapitis posterior minor M. rectuscapitis posteriormajor Atlas.Arcusoosterior M obliquus capitisinferior F i g .8 0 4 S u b o c c i p i tma ul .s c l e s , F M m .s u b o c c i o i t a t e s . Tr0;l > Back -:s tt Suboccipital muscLes M spleniuscapitis M longissimus capitis M semispinaliscapitis Lrg nucnae splenius cervicis lvl trapezius levatorscapulae prominens, Vertebra Proc,spinosus l\4 longissimus cervicis M scalenusmedius M iliocostaliscervicis M semispinalisthoracis M scalenusposterior F i g .8 0 5 M u s c t e so f t h e b a c k ,M m . d o r s i , a n d m u s c l e so f t h e n e c k .M m . c o t L i . M rectuscaoitisposterior minor M semispinalis capitis M rectuscapitis posteriormajor M splenius capitis Membrana atlantooccipitalis posterior M obliquuscapitissuperior A vertebralis, Pars atlantica lvl longissimus capitis Atlas, Proc transversus M digastricus, Venterposterior M rectuscapitislateralis Proc styloideus l\4 obliquus capitisinferior M obliquus capitis inferior M longissimuscervicis M splenius cervicis posteriorcervicis M intertransversarius Axis,Proc transversus M spleniuscervicis M semispinaliscapitis Mm multifidi Fig.806 SuboccipitaLmusc[es, M m .s u b o c c i p i t a t e s . il- P o s t e r i o tru b e r c [ eo f t h e a t t a s S p i n o u sp r o c e s so f t h e a x i s Vertebral coIumn, sections Larynx Cartilagothyroidea Corpus vertebrae M sternocleidomastoideus VertebracervicalisV, Corpusvertebrae Uncuscorporis Proc.transversus, Tuberculum anterius Discus intervertebralis N spinalis Pediculus arcus vertebrae VertebracervicalisVl, Corpusvertebrae Proc.articularis Foramen vertebrale Proc articularis inlerior Laminaarcus vertebrae Lig.flavum Laminaarcus vertebrae Proc.spinosus Proc.spinosus, Tubercula F i g . 8 0 7 C e r v i c apI a r t o f t h e v e r t e b r a cI o t u m n ; computedtomographiccross-sectionICT]at the Level. o f t h e i n t e r v e r t e b r adLi s c b e t w e e nt h e f o u r t ha n d t h e f i f t h cervicaIvertebra. + EndotracheaI tubeandendoscooe F i g .8 0 8 C e r v i c apI a r t o f t h e v e r t e b r a cl o t u m n ; computedtomographiccross-sectionICTJat the tevet o f t h e f i f t h a n d t h e s i x t hc e r v i c avI e r t e b r a . )a--->- /q. lrrl+-C* lA\ r.'-}y' Aorta,Pars abdominalis V cava interior V cava inferior Aorta,Pars abdominalis Corpusvertebrae Discus intervertebralis M. psoas Ben Foramen intervertebrale Proc.articularis supeflor Articulatio zygapophysialis Proc articularis inferior Proc.mamillaris Mm dorsi Proc spinosus Fascia thoracolumbalis F i g . 8 0 9 L u m b a rp a r t o f t h e v e r t e b r a cI o l u m n ; c o m p u t e dt o m o g r a p h i c r o s s - s e c t i o[nC T la t t h e L e v e t o f t h e i n t e r v e r t e b r adIi s c b e t w e e nt h e s e c o n da n d t h e t h i r d l u m b a rv e r t e b r a . M. psoasmajor Pediculus arcus vertebrae Lig flavum Proc costalis Proc.articularis inferior Proc articularis supeflor Lig interspinale Mm dorsi Fascia thoracolumbalis F i g . 8 1 0 L u m b a rp a r t o f t h e v e r t e b r a I c o t u m n ; c o m p u t e dt o m o g r a p h i c r o s s - s e c t i o[nC T ]a t t h e L e v e l . o f t h e o e d i c l e so f t h e t h i r d [ u m b a rv e r t e b r a . > Back Cutaneousinnervation N. auricularismagnus,R posterior(Plexuscervicalis) N. occipitalisminor(Plexuscervicalis) Nn.supraclaviculares laterales(Plexuscervicalis) N. cutaneusbrachii lateralissuoerior (N. axillaris) N. cutaneus brachiilateralis inforior(N. radialis) N. cutaneusbrachii posterior(N. radialis) (Rr.cutaneimedialeset laterales) (Nn. spinalesC.$-L1,Rr. posteriores) Rr.cutaneilaterales (Nn.spinales,Nn. intercostales) R. cutaneuslateralis (Plexuslumbalis,N. iliohypogastricus) Nn.cluniumsuperiores (Nn.spinalesL1-13, Rr.posteriores) L3 Nn.cluniummedii(Nn.spinales 51-S3, Rr. posteriores) L4 L5 Nn. cluniuminferiores (N. cutaneusfemorisposterior) S1 s2 S3 N. cutaneusfemorislaleralis(Plexuslumbalis) N. cutan€usfemorisposterior(Plexuslumbalis) F i g .8 1 1 S e g m e n t ca uI t a n e o ui ns n e r v a t i ol dne r m a t o m e s ) andcutaneous nervesof the back. andnervesof the Vessels N occipitalis tertius(C3), maior(C2);A.;Voccipitalis a a N. occipitalis .* N auricularis magnus(Plexuscervicalis) N occipitalismajor (C2) , (Cl) ..' -- ' N suboccipitalis (C6) & R, posterior A vertebralisa N occipitalisminor (Plexuscervicalis)1l' N auricularismagnus (Plexus cervicalis)t M longissimus capitisO M levator scapulae I * R posterior(C7) ., B posterior (C8) (T1) , R posterior (Plexuscervicalis) lateralis t, N supraclavicularis a M. deltoideus brachiilateralis $ N cutaneus inlerior & N radiaiis; a o A.; (V) profundabrachii & N cutaneus brachiiposterior M serratusposteriorsuperiorl' Mm multilidit Nn thoracici, Rr posteriores, , medialeset laterales I M triceps brachii, Caputlongum M iliocostalisthoracis a & N intercostobrachialis c a a N axillaris;A; V circumflexa humeriposterior*' M longissimus thoraciso a M. teres major scapulae* a o A ; V circumtlexa a M teresminor a M infraspinatus major a M rhomboideus M serratusposteriorinferiort dorsi || M latissimus (T12). R posterior M latissimus dorsio M obliquusexternus abdominis a Trigonum lumbale; N iliohypogastricus : Crista iliaca (Bursasubcutanea spinaeiliacae dosteriorissuperioris) R posterior(T12) : (Bursasubcutanea sacralis) Nn cluniumsuperiores (Bursasubcutanea coccygea) M gluteusmaximust (S3) R posterior (S4) : R posterior 813 81t, Fig,812 Vessetsand nervesof the back. * Vessels space andnervesof thetriangutar ** VesseLs space andnervesof thequadrangutar > Back M us c tes Vessels and nervesof theposteriorcervicalregion N occipitalismajor $ lvl semispinalis capitis* O A occipitalis,Rr occipitales A;VoccipitalisOO a A occipitalis N occipitalismajor A occipitalisa O V occipitalis V auricularisposteriora : N occipitalisminor A occipitalis,a R mastoideus * N auricularis magnus N occipitalisminor i posterior, a A auricularis R occipitalis M longissimus capitis* t M spleniuscapitis N accessorius [Xl] { l\4 spleniuscapitis$ M levatorscapulae* N dorsalisscapulae: I M sternocleidomastoideus O V jugularis externa ,] Rr cutaneiposteriores (Nn cervicales et thoracici, Rr posteriores) B profundus O (A transversacolli) M levator scapulae O V transversaO colli M rhomboideus a mtnor O lvl trapezius N4trapezius* * Rr.cutaneiposteriores (Nn thoracici, Rr posteriores) lvl rhomboideus O maJor M latissimus dorsiE { Rr.cutaneilaterales pectorales (Nn thoracici, Nn,intercostales) 8',14 il r'" ,,.,'i, 812 F i g . 8 1 3 V e s s e Lasn d n e r v e so f t h e o c c i p i t arI e g i o n , R e g i oo c c i p i t a L itsh,e p o s t e r i o rc e r v i c a rI e g i o n , R e g i oc e r v i c a t i p s o s t e r i o ra, n d t h e u p p e rb a c k Topography l/esselsand nerves posteriorcervical occioitalisexterna Protuberantia Venteroccipitalis M. occipitofrontalis, a M. epicranius; maior a N. occipitalis l\4.semispinalis capitisa a A vertebralis M rectuscapitisposteriormajora o V auricularisoosterior O V occipitalis N suboccipitalis3 o V. vertebralis A occipitalisO O A occipitalis M o b l i q u uas capitissuperior A vertebralisa M spleniuscaoitiso M. longissimus capitiso M obliquuscaoitisinteriora O A. cervicalisprofunda R posterior(C 2) a o V cervicalisprofunda M semispinalis capitisa R. posterior(C 3) , cervicis a M. semispinalis 3 N accessorius[Xl] e N dorsalisscaDulae N accessorius [Xl]a R super{icialis a (A transversa colli) (4. transversa Fl profundus colli)a c N dorsalisscaoulae majoret minor a Mm rhomboidei 15 F i g . 8 1 4 V e s s e t sa n d n e r v e so f t h e o c c i p i t arIe g i o n , R e g i oo c c i p i t a t i sa,n d t h e p o s t e r i o rc e r v i c a rI e g i o n , Regiocervicatisposterior. 81 > Back tt Cervicalpart of thevertebralcanal i,!W N occipitalis major& tertius * N. occioitalis M semispinalis capitisa M obliquuscapitissuperiorI O M rectuscaoitisoosteriorminor M, rectuscapitisposterior majorI Os temoorale.Proc mastoideus A vertebralis,Parsatlanticaa & N. suboccipitalis N suboccipitalis $ Atlas,Arcusposlerior M obliquuscapitisinferiora a M obliquuscapitisinferior R posterior(C 2) * a A vertebralis,Parstransversaria N occipitalis tertius* o M rectuscapitisposteriormajor Plexus cervicalis {} ceruicis a Mm intersoinales &x Y;,e ,dY 81tl F i g . 8 1 5 N e r v e so f t h e p o s t e r i o rc e r v i c a rI e g i o n ,R e g i oc e r v i c a t i p sosterior, a n d t h e v e r t e b r a aI rrery, A . v e r t e b r a t i s Sinussagittalis superioro Foramenmagnum Sinustransversus o Cisterna cerebellomedullaris !&N suboccipitalis Arachnoidea matercranialis; Cerebellum Proc.transversusatlantis Arachnoidea materspinalis O A vertebralis Duramaterspinalis Arachnoidea materspinalis ,t N. occipitalismajor & N occipitalistertius &N spinalis,R posterior M, scalenusmediusa I Lig denticulatum VertebraceruicalisV Proc transversus & N s p i n a l i s , Ra n t e r i o r N, cervicalis [C7], r Filaradiculariaposteiior-a & N spinalis, Ganglion sensorium aA vertebralis Medullaspinalis ,s.t&{& /4 F i g . 8 1 6 V e s s e t sa n d n e r v e so f t h e d e e pp o s t e r i o cr e r v i c a rI e g i o n , R e g i oc e r v i c a I i p s o s t e r i o ra, n d t h e c o n t e n to f t h e v e r t e b r a cI a n a L . Lumbarpart of the vertebralcanaL Corpusvertebrae Truncussympathicus, Ganglion truncisympathici M e d u l l as p i n a l i s R communicans R meningeus Badixanterior Ganglion neruispinalis sensorium ror"r"n intervertebrate Truncusnervispinalis ] R posterior Radixposterior N intercostalis Canalisvertebralis Costa Arcusvertebrae R lateralis Proc spinosus R medialis Mm.dorsi (R cutaneuslateralis) (R cutaneusmedialis) F i g . 8 1 7 S p i n a nL e r v e N , .spinatis; i n t h e t h o r a c i cr e o i o n Laminaarcusvertebrae lumbalisll, Proc.costalis Vertebra Spatiumepidurale Lig flavum lumborum * l\4.quadratus a Plexusvenosus posterior vertebralis internus Duramaterspinalis 0 Mm intertransversarii mediales lumborum Rr dorsales(A ;V lumbalis) a a materspinalis Arachnoidea Radicesanterioret posterior Piamaterspinalis Lig intertransversarium V spinalisposterior a Proc,articularis superior Caudaequina s M intertransversarius lateralis lumborum R anterior t M. intertransversarius medialis lumborum Radixanterior. Radixposterior, Lig.iliolumbale Duramaterspinalis Os sacrum,Pars lateralis Arachnoidea mater spinalis Spatiumepidurale; Plexusvenosusa vertebralis internus anterior (Spatium subdurale) Os coxae,Os ilium Piamaterspinalis Spatium subarachnoideum F i g . 8 1 8 V e s s e t sa n d n e r v e so f t h e [ u m b a rp a r t o f t h e v e r t e b r a cI a n a LR , e g i o[ u m b a t i s . Os sacrum,Proc articularis superior > Back :,8 Veinsandnervesof thelumbarpart of the vertebralcolumn Lig longitudinale (V basivertebralis) Plexusvenosusvertebralis externusanterior Plexusvenosusvertebralis internus anterior Plexusvenosusvertebralis internusposterior V lumbalisascendens intervertebralis) Plexusvenosusvertebralis posterior externus F i g . 8 1 9 V e i n so f t h e v e r t e b r a cLa n a [ ,C a n a t i sv e r t e b r a t i s ; v e n o u sp t e x u s Discusintervertebralis, Anuluslibrosus Lig longitudinaleanterius posterius Lig longitudinale R. meningeus Ganglion truncisympathici B communicans albus Capsulaarticularis griseus R communicans R anterior B posterior (R medialis) (R lateralis) Truncusnervispinalis G a n g l i osne n s o r i u m nervispinalis F i g . 8 2 0 N e r v e so f t h e v e r t e b r a cI o l u m n ,C o t u m n av e r t e b r a l i s ; s o m a t i ca n da u t o n o m o uisn n e r v a t i o n fl:ei Topography and nervesof the vertebralcanal Vessels N spinalis,Radix anterior Lig denticulatum Truncusnervisoinalis.R communicans TruncusnervisDinalis, R anterior nervispinalis sensorium Ganglion Epineurium Truncusnervispinalis, R posterior Duramaterspinalis Ganglion neruispinalis sensorium N spinalis,Radixposterior Spatiumsubarachnoideum Piamaterspinalis (Spatium subdurale) Dura mater spinalis Plexusvenosus Spatiumepidurale; vertebralis inlernusoosterior Periosteum Arachnoideamater spinalis Fig.821 Conteno t f t h e v e r t e b r a cLa n a t ,C a n a t i sv e r t e b r a t i s ; c r o s s - s e c t i oant t h e l e v e Lo f t h e f i f t h c e r v i c avI e r t e b r a . posterius Lig longitudinale Filumterminale Plexusvenosusvertebralis internus anterior Truncusnervispinalis, R meningeus Caudaequina Ganglion trunci sympathici N spinalis,Fladixanteriot Truncusneruisoinalis. B communicans nervispinalis sensorium Ganglion Truncus nervi soinalis.R anterior Truncusnervispinalis,R, posterior N, spinalis,Radix posterior R lateralis Arachnoideamater spinalis R medialis (Spatium subdurale) SDatium subarachnoideum Duramaterspinalis Piamaterspinalis Lig flavum Spatiumepidurale Periosteum Fig,822 Conteno t f t h e v e r t e b r a cI a n a LC, a n a L ivse r t e b r a t i s ; c r o s s - s e c t i oant t h e l e v e Lo f t h e t h i r d [ u m b a rv e r t e b r a . M us c tes Lumbarandsacralpuncture F i g . 8 2 3 L u m b a rp u n c t u r et o o b t a i n c e r e b r o s p i n af lIu i d ,L i q u o rc e r e b r o s p i n a t i s , o r f o r [ u m b a La n a e s t h e s i a . p o s i t i o no f t h e o a t i e n t . Caudaequina Plexusvenosusvertebralis internusposterior Vertebra lumbalislll, Proc.spinosus Arachnoidea matersoinalis Duramatersoinalis Lig. flavum Lig interspinale LaminaarcusvenebraelV Fig.824 Lumbarpuncture; g u i d a n coef t h ep u n c t u rnee e d L e . Fig.825Sacratpuncture; g u i d a n coef t h ep u n c t u rnee e d t e . Vessels andnervesof the vertebralcanal Duramaterspinalis N soinalis,Fila radicularia* Arachnoidea matersoinalis anterior anterior, R radicularis O A sDinalis Proc articularis superior Lig. denticulatum o Truncusnervispinalis, R posterior Ganglion sensorium neruispinallsI a Truncusnervispinalis, R anterior Spatium subarachnoideum Arcusvertebrae Arachnoidea materspinalis Rr.spinalesO (A intercostalis posterior) & R meningeus a Plexusvenosus vertebralis internus anterior Foveacostalisorocessustransversi R interganglionaris6 Lig longitudinale posterius Corpusvertebrae Truncussympathicus; * Rr communicantes Ganglion truncisympathici & Lig longitudinale anterius Fig.825 Conteno t f t h e v e r t e b r a cLa n a t ,C a n a l i sv e r t e b r a t i s ; t h o r a c i cp o r t i o na f t e r s t e p w i s ee x p o s u r e ; ventraLview. Soatiumsubarachnoideum Radixanterior Radixposterior Lig. flavum R communicans I Discusintervertebralis, Anulusfibrosus Fig.827a, b IntervertebraI foramina,Foramlnaintervertebratia; a Viewedfrom the [eft [ u m b a ro a r t o f t h e v e r t e b r a cI o l u m n . b Sagittatsection > T h o r a c i ca n da b d o m i n awl a l l tt Angulussterni Angulusinfrasternalis Arcuscostalis Anulusumbilicalis Spinailiacaanteriorsuperior Fig.828 Surfaceanatomyof the thoracicand a b d o m i n aw l a [ [ o f a y o u n gw o m a n . M deltoideus M. pectoralismajor Lineaalba M. serratusanterior M. rectusabdominis M. rectusabdominis, Intersectio tendinea Fig.829 Surfaceanatomyof the thoracicand a b d o m i n aw I a [ [ o f a y o u n gm a n . Skeletonof the trunk Extrel jugularis Incisura Proc coracoideus Corpussterni Proc xiphoideus Angulusinfrasternalis Arcuscostalis pubicum Tuberculum of the skeleton Fig.830 Projection l a[t. o n t ot h e t h o r a c i ca n d a b d o m i n aw > T h o r a c i ca n da b d o m i n awt a l [ Skeletonof the trunk VertebracervicalisVl VertebrathoracicaI Proc.coracoideus Cavitasglenoidalis Scapula Costae verae !-vill Costalv Sternum Costaespuriae vilt_xill F i g . 8 3 1 T h o r a c i cc a g e ,C a v e at h o r a c i sa, n d l e f t s h o u t d e rg i r d l . eC, i n g u t u mp e c t o r a t e . Caputcostae Tuberculum musculi scalenianterioris Sulcusvenaesubclaviae Sulcusarteriae subclaviae Collumcostae Collumcostae, Cristacollicostae Corpuscostae Anguluscostae musculi Tuberositas serratianterioris Anguluscostae Corpuscostae Faciesarticularis capitiscostae Cristacaoitiscostae Collumcostae Tuberculumcostae Sulcuscostae F i g . 8 3 2 R i b s ,C o s t a e ; l . - l l l . r i b , s u p e r i o rv i e w ; V l l l .r i b , i n f e r i o rv i e w . > T h o r a c i ca n da b d o m i n awl a l [ Musctes Sternum jugularis Incisura Incisura clavicularis Manubrium sterni Incisura costalisI Incisura costalisll Angulussterni Symphysis manubriosternalis Incisura costalislll Corpussterni Incisura costalislV Incisura costalislV Symphysis xiphosternalis Proc.xiphoideus F i g .8 3 3 S t e r n u mS, t e r n u m . F i g .8 3 4 S t e r n u mS, t e r n u m . 0rgans Cartilago costalis I Manubrium sterni manubriosternalis Symphysis intraarticulare Lig sternocostale Cartilagocostalis lll Corpussterni sternocostales Articulationes Cartilago costalisV cartilagocostalisvll F i g ,8 3 5 S t e r n u m ,S t e r n u m ,a n d c o s t a Ic a r t i L a g e sC,a r t i [ a g i n ecso s t a [ e s ; s e c t i on . Articulatio sternoclavicularis, Discusarticularis Lig interclaviculare Lig costoclaviculare Lig costoclaviculare Capsulaarticularis anterius Lig sternoclaviculare Cartilaoocostalis l: Synchondr6siscostae i radiatum Lig sternocostale Cartilago costalis ll manubriosternalis Symphysis F i g .8 3 6 S t e r n o c l a v i c u t jaori n t , A r t i c u t a t i os t e r n o c L a v i c u [ a r t s . > T h o r a c i ca n da b d o m i n awI a [ [ >>l - Surface lSketetonl Musctes Musclesof thethoracicand theabdominalwaLL M trapezius Clavlcula Spinascapulae M, infraspinatus M pectoralismajor,Parssternocostalis M teresminor M, teresmajor M, deltoideus Corpusmammae, Lobiglandulae mammariae Papilla mammaria M serratusanterior M.triceps 0,".n', {%TJ,,,,iJi3i# M pectoralis major,Parsabdominalis M brachlalis M. biceps brachii lvl latissimusdorsi Arcuscostalis M obliquus externusabdominis Anulusumbilicalis Fasciathoracolumbalis Trigonum lumbale Vaginamusculirectiabdominis, Laminaanterior Spinailiacaposterior superior M obliquusexternus abdominis, Aponeurosis (Fascia glutea) Spinailiacaanteriorsuperior M tensor fasciae latae M gluteusmaxlmus M sartorius ) T 1 5 ,T 1 7 , T1 8 . T2 6 F i g .8 3 7 M u s c l e so f t h e t h o r a c i ca n d t h e a b d o m r n a L w a l . L . M m . t h o r a c i se t a b d o m i n i s . Musclesof the thoracicand theabdominalwall Trigonum clavipectorale Mm sternocleidomastoidei Platysma Fascia brachii M deltoideus Fascia axillaris M, pectoralismajor, Parsclavicularis M. pectoralismajor, Parssternocostalis M. serratusanterior M. latissimus dorsi Ligg. costoxiphoidea M pectoralis major, Parsabdominalis Linea alba M obliquus externusabdominis Anulusumbilicalis Vaginamusculirectiabdominis, Laminaanterior Spina iliaca anterior supeflor Telasubcutanea; Panniculus adiposus Fibraeintercrurales obliquusexternus abdominis, Aponeurosis Lig.reflexum Funiculus spermaticus penis Lig.tundiforme penis Lig suspensorium F i g .8 3 8 M u s c t e so f t h e t h o r a c i ca n d t h e a b d o m i n a I w a t [ ; superficia[layer. ) T 1 5 ,T 1 7 , t 1 8 , 12 6 > T h o r a c i ca n da b d o m i n awl a t l tt a[", Musclesof the thoracicand theabdominaL wall M sternocleidomastoideus lvl pectoralis major,Parsclavicularis / Vl intercostalis internus M deltoideus (M sternalis,Var) M subclavius V axillaris lvl pectoralis minor Plexus brachialis, Pars in{raclavicularis M coracobrachialis lvl biceps brachii, Caput breve M pectoralis malor A axillaris lvl pectoralis mtnor M serratus antenor Costa ll M latissimus dorsi M serratusanterior M pectoralismajor, Pars abdominalis M, pectoralismajor,Parssternocostalis M obliquus externusabdominis ) T 1 3 ,T ' . t s , T2 6 F i g . 8 3 9 M u s c t e so f t h e t h o r a c i cw a L t ,M m . t h o r a c r s . CostaVlll M serratusanteri( posterior V intercostalis posterior A intercostalis (T8) N intercostalis M intercostalis internus Pulmo M intercostalis externus Pleuravisceralis lpulmonalis] Pleuraparietalis, Parscostalis Pleuraparietalis, Parsdiaphragmatica Parscostalisdiaphragmatis Hepar Peritoneum viscerale parietale Peritoneum Recessus costodiaphragmaticus F i g .8 4 0 M u s c t e so f t h e t h o r a c i cw a t [ ,M m . t h o r a c i s ; f r o n t a Ls e c t i o n . * P o s i t i oonf t h en e e d l feo r p u n c t u roef t h ep l e u r acIa v i t Iyp L e u r o c e n t e s i s l Musclesof the thoracicwall Tuberculum anteriuslcaroticum] (Vertebra cervicalis Vl) M. scalenusanterior M longuscolli Membrana intercostalis interna Mm intercostales interni Lig longitudinale anterius Fig.841 Thoraciccage,Caveathoracis; o o s t e r i ow r aL[. Cartilagocostalis I M. sternothyroideus Manubrium sterni Mm intercostalesinterni M transversus thoracis Diaphragma, Centrumtendineum Foramenvenaecavae Mm intercostales interni Proc.xiphoideus F i g . 8 4 2 T h o r a c i cc a g e ,C a v e at h o r a c i s ; a n t e r i o rw a L t . > T h o r a c i ca n da b d o m i n awl a l [ >>l Surface lSketetonl Musctes Abdominalmuscles M, serratus antenor M. pectoralismajor, Parsabdominalis M obliquus externus abdominis M rectusabdominis, Intersectio tendinea Mm. intercostales interni M. rectus abdominis M rectusabdominis M. obliquus externus abdominis Anulusumbilicalis M. obliquus externus abdominis, Aponeurosis Fibraeintercrurales Funiculus soermaticus: M. cremaster M pyramidalis -> T 13-T15,T17,T26 Lig.reflexum F i g . 8 4 3 M u s c l e so f t h e a b d o m i n a l w a tM [ , m .a b d o m i n i s ; s u p e r f i c i aaI n d m i d d t el a y e r . 0r gans AbdominalmuscLes M pectoralis malor lvl serratusanterior lvl latissimus dorsi tu v M obliquusexternus abdominis Mm intercostales externi Vagina musculi recti abdominis, Lamina anterior Mm intercostalesinterni Cartilago costalis X M rectusabdominis M obliquus externus abdominis M obliquusinternus abdominis Spina iliaca anterior supeflol Lig inguinale Anulus icialis inguinalis superf M pyramidalis Funiculus spermaticus; M cremaster l a t t ,M m . a b d o m i n i s ; F i g . 8 1 1 M u s c t e so f t h e a b d o m i n aw middtelayer. ) T 1 3 - T1 5 , T1 7 > T h o r a c i ca n da b d o m i n awI a t l tt Abdominal muscles M rectus abdominis M pectoralis major Mm intercostales extern i l\ilm intercostales interni h, M latissimus dorsl M serratus anterior l\il obliquus externus abdominis lvl obliquus exlernus abdominis Intersectiones tendineae C o s t a el X : X Vaginamusculi rectiabdominis, Laminaanterior M rectus abdominis Vaginamusculirecti abdominis, Laminaposterior M obliquus internus abdominis L i n e as e m i l u n a r i s M transversus abdominis Intersectio tendinea M obliquus internusabdominis M obliquus internus abdominis, Aponeurosis Ltnea arcuata Anulus inguinalis superficialis, Crusmediale Vagina musculi recti abdominis, Lamina anterior Fascia lransversalis Funiculus spermalrcus Anulus inguinalis superficialis, Cruslaterale M rectusabdominis F i g .8 4 5 M u s c l e so f t h e a b d o m i n a t w a LMt ,m a b d o m i n i s ; deep layer. [/ pyramidalis Lig. falciforme Diaphragma Diaphragma Lig.teres hepatis M. transversus abdominis M rectusabdominis Fasciatransversalis Plica umbilicalis lateralis Fossa inguinalislateralis Plicaumbilicalis medialis Fossa inguinalismedialis Fossaparavesicalis Plica umbilicalis mediana l atl. F i g .8 4 6 I n t e r n a ls u r f a c eo f t h e a n t e r i o ra b d o m i n aw > T 1 4 , T1 5 , T2 1 > T h o r a c i ca n da b d o m i n awl a t l >>l - Surface lSkeletonl Muscles lnguinalcanal M obliquus externusabdominis M .o b l i q u u s externus abdominis M obliquus externus abdominis, Aponeurosis Linea alba M obliquus externusabdominis, Aponeurosis [/. obliquus internus abdominis L i g .i n g u i n a l e lvl cremaster Lig reflexum Lig fundiforme penrs /ll.:i Funiculus spermaticus F i g . 8 1 7 S u p e r f i c i aiIn g u i n a rI i n g ,A n u I u si n g u i n a t i s u p e r f i c i a L i s M. obliquusexternus abdominis, Aponeurosis M. obliquusinternus abdominis M lransversusabdominis A n u l u si n g u i n a l i s profundus N ilioinguinalis Fasciatransversalis A..;W epigastica(e) Inreflor(es) A ductusdeferentis Fascia transversalis Ductusdeferens N ilioinguinalis Plexuspampiniformis Anulus inguinalis superficialis N. genitofemoralis, B genitalis Lig reflexum M cremaster Lig inguinale Fascia spermatica F i g .8 4 8 W a t t so f t h e i n g u i n a cLa n a [ . N genitofemoralis, R genitalis parietale Peritoneum Lio. - umbilicalemedianum (Chorda urachi) Fasciatransversalis M rectusabdominis inlerior A epigastrica M transversusabdominis Chorda arteriae umbilicalis 2 lAePigastricainferior M obliquusinternusabdominis M obliquus externusabdominis (Fasciasuperticialis) M obliquusexternus Aponeurosis abdominis, Fascia spermaticaexterna Fascia cremaslerica;M cremaster Fasciaspermaticainterna Ductusdeferens Septumscroti Epididymis Cavitasserosascroti Testis F i g .8 4 9 D i a g r a mo f t h e i n g u i n a cl a n a t . T h e i n g u i n a cLa n a t ,t h e s p e r m a t i cc o r da n d t h e s c r o t u ma r e i t t u s t r a t e di n t h e s a m e o t a n ef o r d i d a c t i c arIe a s o n s . 1 Fossasupravesicalis medialis 2 Fossainguinalis lateralis Fossainguinalis inferior A epigastrica parietale Peritoneum 3 inferior A. epigastrica Anulusinguinalis supedicialis Fascia transversalis M transversus abdominis M. obliquus externus abdominis M obliquus internusabdominis Anulusinguinalis superficialis (Fascia superficialis) Fasciaspermatica externa Fascia transversalis Ductusdeferens peritonei), (Procvaginalis parietale Peritoneum Fasciaspermatica interna Fasciacremasterica; M cremaster Fascia spermatica externa F i g . 8 5 0 D i a g r a mo f i n g u i n ahl e r n i a s ; [ e f ts i d e :[ a t e r a Li ,n d i r e c th e r n i a ; r i g h t s i d e :m e d i a Ld, i r e c th e r n r a . Ductusdeferens Fascia spermatica interna Fascia cremasterica; M cremaster Cavitasserosascroti * H e r n i a sI a cw i t h a n i n t e s t i n al Lo o p * * P e r i t o n e asIp a c e * * * N e w l yf o r m e d p e r i t o n e a h I e r n i a Is a c > T h o r a c i ca n da b d o m i n awl a [ [ tt Diaphragmandposteriorabdominalwall Parssternalis diaphragmatis FOramenvenae cavae Parscostalisdiaphragmatis Oesophagus, Pars abdominalis M transversus abdominis Hiatusoesophageus Centrum tendineum Hiatusaorticus Truncus coeliacus Parsabdominalis aortae Parslumbalis diaphraomatis. Cius d-extrum Lig arcuatum mediale Lig arcuatumlaterale Fasciatransversalis (lvl psoasminor) Vertebrae lumbales lll: lV M quadratus tum00rum Cristailiaca l\4 transversus abdominis (M.psoasminor), tenoo M psoas malor M psoas maJor M. iliacus M iliacus Promontorium Lacuna vasorum A temoralis V femoralis Lig. inguinale Vesica urinaria M, rectus abdominis ) T 1 5 , 1 1 6 , 2T 1 , T/ + 2 F i g .8 5 1 D i a p h r a g mD , i a p h r a g m aa,n d m u s c t e so f t h e a b d o m i n awl a [ t ,M m . a b d o m r n r s Parssternalis diaphragmatis W phrenicae inferiores Proc xiphoideus (Trioonum interna, A.; V thoracica sternocostale): R. phrenicoabdominalis N. olhrenicus sinister, Centrumtendineum Hiatus oesophageus:Oesophagus; Trunci vagales anterior et posterior N. phrenicus sinister, R. bhrenicoabdominalis Foramen v cavae: V cava inferior inferior A phrenica N phrenicusdexter, R phrenicoabdominalis major N splanchnicus Pars costalisdiaphragmatis V hemiazygos Lig arcuatum medianum (Trigonum lumbocostale) Pars lumbalisdiaphragmatis, Crus dextrum, (Pars lateralis) minor N splanchnicus Lig arcuatum laterale Hiatus aorticus:Aorta abdominalis; Ductus thoracicus Costa Xll Proc costalis vertebrae lumbalis I lumborum l\4 quadratus l\4 psoas malor Lig arcuatum mediale V azygos Truncussympathicus Parslumbalis diaphragmatis, Crusdextrum,(Parsmedialis) , iaphragma F i g .8 5 2 D i a p h r a g mD V cava inferior,W hepaticae Parssternalis diaphragmatis Pericardium Oesophagus, Pars abdominalis Pars thoracica aortae Parsthoracica Oesophagus, Pleura parietalis,Pars diaphragmatica Centrumtendineum l\4 latissimus dorsi Gaster.Parscardiaca C o s t aV l l l diaphragmatis, Parslumbalis (Parslateralis) Crussinistrum, CostaVll l\4 serralusanterior CostaVl Hiatusaorticus (Trigonum Iumbocostale)* Lig arcuatumIaterale** M rectusabdominis C o s t aV l l l costaxll M obliquus externus abdominis M transversus abdominis Lig arcuatummediale Parslumbalis diaphragmatis, (Parsmedialis) Crussinistrum, M psoas major Lig lumbocostale lumborum M quadratus lumbalislll, Proc costalis Vertebra (M psoas minor) M iliacus F i g .8 5 3 D i a p h r a g mD , i a p h r a g m aw, i t h a p e r t u r e s a n d m u s c t e so f t h e o o s t e r i o ra b d o m i n a I w a L [ * C [ i n i c at eI r m :B 0 C H D A L sE t rK ianqte * * P s o a as r c a d e > T h o r a c i ca n da b d o m i n awl a 1 1 M us c tes Breast M pectoralis maJor Papilla mammana Areola mammae Areola mammae Papilla mammana Glandulae areorares F i g . 8 5 4 B r e a s t ,M a m m a F i g . 8 5 5 B r e a s t ,M a m m a . DuctusIactiferi Papilla mammafla s Sinuslactilerus Lobuli glandulae mammariae F i g .8 5 6 B r e a s t ,M a m m a ,o f a p r e g n a n w t oman F i g .8 5 7 B r e a s t ,M a m m a ,o f a p r e g n a nw t oman. F i g . 8 5 8 R a d i o g r a po hf t h e b r e a s t , m a m m o g r a p h yo, f a 4 7- y e a r - o l dw o m a n Nodi lymphoideiceruicalesanteriores,Nodi profundi Nodi lymphoideiparasternales Nodi lymphoideisupraclaviculares Nodi lymphoideideltopectorales Nodi lymphoidei axillares Nodi lymphoidel brachiales Nodus lymphoideus paramammaflus '''l'ii'':' F i g .8 5 9 L y m p h a t i cd r a i n a g eo f t h e b r e a s ta n d l o c a t i o no f t h e r e g i o n a lLy m p hn o d e s . > T h o r a c i ca n da b d o m i n awI a l t M us c l es Vessels andnervesof the waLIof the trunk Nn.supraclaviculares: & A ; V cervicalis superficialis Oa a V cephalica Plexusvenosusareolaris o V thoracica lateralis; a O N thoracicus [T2], N. intercostalis, R cutaneuslateralis pectoralis aA thoracicainterna*; a W thoracicae internae V thoraco-a epigastrica * Nn thoracici, Nn. intercostales, Rr cutanei anteriores superior a a A ; V epigastrica T5 T6 Nn thoracici, t, N n intercostales, Rr cutanei T7 abdominis a M obliquusexternus T8 pecrorares T9 T10 T11 r12 Vv paraumbilicales o Anulusumbilicalis W subcutaneae abdominis a A ; V circumflexa iliumsuperficialis a a Chorda arteriae umbilicalis genitofemoralis, &, R femoralis O O A ;V epigasvica inferior A;VepigastricaOo superficialis & N, iliohypogastricus, R cutaneus anterior A pudenda externa; a Vv pudendae externae a a M rectusabdominis N femoralis,i: R cutaneus anterior V saphena magna o * N ilioinguinalis F i g .8 6 0 V e s s e l sa n d n e r v e so f t h e t h o r a c i ca n d t h e a b d o m i n aw I aL[ * C t i n i c at eI r m ;i n t e r n amLa m m a rayr t e r v 0rqans Topography I Sections Segmentalinnervation F i g .8 6 1 S e g m e n t saeI n s o r iyn n e r v a t i oonf t h e a n t e r i otrh o r a c iac n da b d o m i n a wIa [ [[ d e r m a t o m e s ] . (C4) Diaphragma Oesophagus(T4,T5) Hepar;Vesicabiliaris (r8 -T11) tenue lntestinum (r10) lntestinumcrassum (T11) Ren;Testis ( T 1 0- L 1 ) Fig.862 SegmentaIsensoryinnervationof the a n t e r i o rt h o r a c i ca n d a b d o m i n aw I at[. R e g i o n st o w h i c h p a i nf r o m d i s e a s e dv i s c e r a (zonesof HEAD)is referredto are indicatedin grey. > T h o r a c i ca n da b d o m i n awl a t t Surface lSketetonl Muscles plexus Lumbosacral Parslumbalis diaphragmatis, Crusdextruma Lig arcuatum laterale a N subcostalis M quadratus lumborum I a N iliohypogastricus N subcostalis a N iliohypogastricus, ! N. ilioinguinalis N ilioinguinalis I o Plexus lumbalis M. psoasmajora M obliquusa externusabdominis O Truncussympathicus M obliquuso internus abdominis M transversusa abdominis o N femoralis N. cutaneus* femorislateralis t Truncuslumbosacralis N femoralis * t N genitofemoralis ,t N. obturatorius N genitofemoralis,& R femoralis 0 Plexussacralis N genitofemoralis,& R genitalis a N cutaneus femorislateralis N obturatorius& N cutaneus& femorislateralis N genitofemoralis,* Br. lemorales N femoralis, o Rr cutaneianteriores Lamina cribrosa V saphenamagnaa N. genitofemoralis,Rr genitales a Funiculus spermaticus , [ e x u s[ u m b o s a c r a t i s . F i g ,8 6 3 L u m b o s a c r apI l e x u s P O r g a n sI T o p o g r a p h yl S e c t i o n s anteriorwall of the Manubrium sterni A, thoracica internaa A pericardiacophrenica a interna a A thoracica interna a V thoracica Costa Rr perforantesO anteriores a a Rr intercostales M transversus thoracisa ooA;Vmusculophrenica A. thoracica interna,O Rr intercostales anteriores superior o aA ;V epigastrica A musculophrenica a C Diaphragma Fasciatransversalis M rectusabdominis a Vaginamusculi rectiabdominis, Laminaposterior interior oA epigastrica inlerior a V epigastrica Fig.86t, Vesselsof the a n t e r i o rt h o r a c i ca n d a b d o m i n a t aA iliacaexterna A carotiscommunis dextra A subclavia dextra A thoracicainterna Pars thoracica aortae [Aorta thoracica] A. epigastrica superior Pars abdominalisaortae [Aorta abdominalis] M rectusabdominis F i g . 8 6 5 D i a g r a mo f t h e c o t t a t e r a l c i r c u t a t i o vn i a t h e i n t e r n a It h o r a c i ca r t e r y , A t h o r a c i c ai n t e r n a t, h e s u p e r i o re p i g a s t r i c a r t e r y ,A . e p i g a s t r i c sau p e r i o r a , ndthe i n f e r i o re p i g a s t r i ca r t e r y ,A . e p i g a s t r i c a i n f e r i o r ,i n t h e c a s eo f a o r t i co c c I u s i o n ; v i e w e df r o m t h e r i g h t . A epigastrica inferior A iliaca externa Lig inguinale A femoralis > T h o r a c i ca n da b d o m i n awt a t l M us c [es Abdominal wallof a neonate M rectusabdominis N OOA;Vepigastrica supenor M transversus abdominis C Vagina musculi recti abdominis,Lamina posterior N thoracicus[T8], ,' a O N intercostalis:A : V, intercostalis Proc xiphoideus , Funiculus umbilicalis a M serratusanterior N thoracicus [T9],rr O o N intercostalis; A ; V intercostalis Cartilago costalisVlll Vaginamusculi rectiabdominis, Laminaanterior e M obliquus externus abdominis N t h o r a c i c u s ar o lr10l, N intercostalis; A ; V intercostalis a V umbilicalis N thoracicus r, a a lr11l, N intercostalis; A; V intercostalis O Aa umbilicales M obliquusC exrernus abdominis Lineaarcuata N thoracicus [T12],, N intercostalis Vaginamusculirecti abdominis, Laminaposterior Urachus Peritoneumviscerale --. Anulus Ingurnails dextra a A umbilicalis O A vesicalissuperior .-a errno*iniatic Vesicaurinaria M o b l i q u uO s internus abdominis lvl cremaster|) Spatiumretropubicum Fasciaspermatica interna a Vv vesicales Fasciaspermatica externao M obliquusexternusabdominis, e Aponeurosis a M rectusabdominis A testicularis O * Mm pyramidales Plexus pampiniformisa Ductusdeferens l\4 cremastere Tunica vaginalistestis, Lamina parietalis Fascia soermaticainterna Tunica dartos, M dados t externa t Fasciaspermatica (Gubernaculum testis) F i g .8 6 6 A n t e r i o ra b d o m i n a L w aot Lf a n e o n a t e . lnnercontourof the anteriorabdominalwall M rectusabdominis Lig teres hepatis;V umbilicalis Fossasupravesicalis Lineaarcuata Fossa inguinalismedialis Plica umbilicalismediana Plica umbilicalismedialis Fossa inguinalislateralis Plica umbilicalislateralis Plica vesicalistransversa V testicularis M iliacus A;V iliacaexterna A:V iliacaexterna A umbilicalis AmDUllaductus deferentis Ureter,Parspelvica F i g . 8 6 7 A n t e r i oa r b d o m r n a I w aot [f a n e o n a t e . Lig falciforme (hepatis) M obliquusexternus abdominis M obliquusinternus abdominis Linea arcuata M transversus abdominis Plica umbilicalis mediana Chorda arteriae umbilicalis Plica umbilicalis medialis M rectusabdominis femoris N cutaneus lateralis Plica umbilicalis lateralis inferior A ; V epigastrica l\4 iliopsoas N femoralis profundus Anulusinguinalis A ;V femoralis Fossa inguinalislateralis Arcusiliopectineus Fossa inguinalismedialis Fossa acetabuli Vasatesticularia Ductusdeferens N obturatorius; A ; V obturatoria Fossasupravesicalis Ureter Vesicaurinaria F i g .8 6 8 A n t e r i o ra b d o m i n aw I a[t, i n t e r n a Ia s p e c t . Lig interfoveolare > T h o r a c i ca n da b d o m i n awl a l l M us c [es Abdominalwall,sections M rectusabdominis Telasubcutanea, Panniculus adiposus A; Vv epigastrica(e) superio(es) Aponeurosis M obliquus externusabdominis, Vaginamusculi rectiabdominis Laminaanterior Vaginamusculirectiabdominis, a M obliouusinternus abdominis V paraumbilicalis Lig teres hepatis Lig falcitorme Umbilicus M obliquusexternus abdominis M lransversus abdominis, Aponeurosis Mm intercostales M transversus abdominis M rectusabdominis Anulusumbilicalis Fascia transversalis Plica umbilicalismediana; Lig umbilicalemedianum (Chorda urachi) Vaginamusculirecti abdominis, Lamina M. obliquusexternus abdominis M pyramidalis anlerior z M. rectus abdominis M obliquus internus abdominis A ; W epigastrica(e) inferior(es) c M transversus abdominis Chorda arteriae umbilicalis Plica umbilicalismedialis Plica umbilicalis lateralis Lig longitudinaleanterius M transversusabdominis M. obliquusinternus abdominis lvl obliquus externus abdominis Vertebra lumbalis; Corpusvertebrae (M psoasminor) M. psoasmajor M quadratus lumborum Alaossisilium M iliocostalis tumoorum Fascia thoracolumbalis M longissimus thoracis Fascia thoracolumbalis M latissimus oorsl M gluteusmedius M iliacus 869a 869b 869c T 6 , I 2 0 a , b , T4 2 > T 1 I + -1 F i g .8 5 9 a - c M u s c t e so f t h e a b d o m i n aw l a t [ ,M m . a b d o m i n i s ; h o r i z o n t asI e c t i o n s . Diaphragma, ParscostalisO a Diaphragma, Centrumtendineum CostaVll CostaVlll a a A.;V intercostalis; (T8) ,!, N intercostalis CostalX CostaX a, N subcostalis Fasciatransversalis parietale Peritoneum * N iliohypogastricus M obliquus externusabdominis o l\4 obliquusinternusabdominis o * N ilioinguinalis M transversus abdominis a Crista iliaca & N cutaneus femorislateralis M tensor fasciae latae O & N femoralis M iliopsoas a a A. femoralis a V femoralis pubica Symphysis F i g .8 7 0 M u s c t eosf t h e a b d o m i n a I w a tM t ,m . a b d o m i n i s ; f r o n t asI e c t i o n . M obliquus externusabdominis, Aponeurosis M obliquusinternus Aponeurosis abdominis, M transversusabdominis M obliouusinternus abdominis Aponeurosis M obliquus externusabdominis, M transversusabdominis M obliouusinternusabdominis F i g .8 7 1a , b M u s c [ eosf t h e a b d o m i n a I w a tM [ ,m . a b d o m i n i s ; c o m p u t etdo m o g r a p hci cr o s s - s e c t i o nl sC T l . Heart A carotiscommunis sinistra Truncus brachiocephalicus A subclavia sinistra Arcusaortae Lig arteriosum V cavasuperior A. pulmonalis sinistra Truncuspulmonalis A pulmonalis dextra Pericardium serosum, Laminaparietalis Pericardium serosum, Laminaparietalis Auriculasinistra V cardiaca [cordis] magna Auriculadextra A coronaria sinistra, R. circumllexus Conusaderiosus Atriumcordisdextrum A. coronaria sinistra, R interventricularis anterior V interuentricularis anlenor V cardiaca[cordis] parva Ventriculus cordis sinister A coronariadextra Ventriculus cordisdexter Pericardium serosum, Laminavisceralis IEpicardium] Apexcordis Pericardium serosum.LaminaDarietalis Abb.872 Heart,Cor. Pericardium fibrosum Pericardium serosum P e r i c radi u m L a m i n ap a r i e t a t i s L a m i n av i s c e r a L i s Epicardium V vertebralis V brachiocephalicasinistra sinistra A. carotiscommunis A subclavia sinistra V brachioceohalica dextra Truncusbrachioceohalicus Arcusaortae Aa intercostales oosteriores v azygos Parsascendensaortae [Aortaascendens] Parsdescendens aortae[Aortadescendens] V cavasuperior Lig,arteriosum "** trunciDulmonalis Bifurcatio A. pulmonalis sinistra Pericardium dextra A. pulmonalis Truncuspulmonalis W. pulmonalesdextrae W pulmonales sinistrae Auricula sinistra V cardiaca [cordis] magna Atriumcordissinistrum Pericardium serosum, Laminaparietalis W atrialessinistrae Atriumcordisdextrum Sulcusterminalis V cavainferior Ventriculus cordissinister Sinuscoronarius Sulcuscoronarius Apexcordis posterior A coronariadextra,B. interventricularis cordisdexter Ventriculus F i g . 8 7 3 H e a r t ,C o r ,a n d g r e a tv e s s e t s ; dorsaIview. * A r r o w i n t h e t r a n s v e r s eo e r i c a r d i asI i n u s * * D o u b t ea r r o w s i n t h e o b t i q u ep e r i c a r d i a sLi n u s * * + R e m n a n t so f t h e f o e t a td u c t u sa r t e r i o s u sI g o t l L L o ' s t i g a m e n t J Myocardium Truncuspulmonalis V cava supenor Atrium cordis dextrum Ventriculus cordissinister Ventriculus cordis oexter Sulcus interuentricularis anterior Sulcusinterventricularis anterior Vortexcordis F i g .8 7 1 M y o c a r d i u mM, y o c a r d i u m ; ventraIview. Apexcordis posterior Sulcusinterventricularis F i g .8 7 5 M y o c a r d i u mM, y o c a r d i u m ; v i e w e df r o m t h e a p e xo f t h e h e a r t . A. pulmonalis dextra Bifurcatiotruncipulmonalis V cavasuperior W pulmonales dextrae W pulmonales sinistrae Atrium cordis oexlrum Atriumcordissinistrum V cava inlerior Sulcuscoronarius Sinus coronarius Ventriculus cordis dexter Sulcusinterventricularis posterior F i g .8 7 6 M y o c a r d i u mM, y o c a r d i u m ; d o r s o i n f e r i ovri e w 0esopha Valvatrunci pulmonalis sinistra Valvulasemilunaris Valvulasemilunaris sinistra Valvulasemilunaris dextra Valva aortae Valvulasemilunaris posterior Trigonum fibrosum sinistrum Trigonum fibrosumdextrum Anulusfibrosussinister Anulus fibrosus dexter Cuspis commissuralis sinistra Valva atrioventricularis Cuspisposterior sinistra IValvamitralisl Cuspisanterior Valva atrioventricularis dextra [Valva tricuspidalisl Cusoiscommissuralis dextra Fig.877 Valvesof the heart,Valvaecordis; S U p e f l ovr t e w V cavasuperior Valvaaortae Valvaatrioventricularis dextra Apex cordis F i g . 8 7 8 C o n t o u ro f t h e h e a r t ,v a L v eosf t h e h e a r t ,a n d p o i n t so f a u s c u t t a t i o pn r o j e c t e do n t ot h e a n t e r i o rt h o r a c i cw a [ [ [ c i r c t e s ] . ee l h e a r tm u r m u r s T h e h e a r ts o u n d sa n d l w h e r ea p p l . i c a b l t. h a r e s p r e a d i n gi n t h e d i r e c t i o no f t h e a r r o w s . > Thoracicviscera Lungs lnternaL spacesof the heart Ostiumatriovenviculare dextrum Pars ascendens aortae Septuminteratriale Mm pectinati V cavasuperior Auriculadextra Foramina venarum mrnrmarum A coronaria dextra Limbus fossae ovalis Atriumcordisdextrum Valvaatrioventricularis dextra vu-Prr Tuberculum Intervenosum ar rrcr rul l\4 papillarisseptalis Fossaovalis M papillaris anterior V cava inferior Valvaatrioventricularis dextra, Cuspisseptalis Valvulavenae cavae inferioris Ostiumsinuscoronarii Valvulasinuscoronarii Septuminterventriculare, Parsmuscularis Valvaatrioventricularis dextra,Cuspisposterior posteriores Mm papillares Trabecula septomarginalis Ventriculus cordisdexter F i g . 8 7 9 R i g h ta t r i u m ,A t r i u m c o r d i sd e x t r u m , a n d r i g h tv e n t r i c [ eV, e n t r i c u [ u cs o r d i sd e x t e r ; V C N I T A LV I E W . l\4yocardium Pericardium serosum, Lamina visceralisIEpicardium] V cavasuperior W pulmonales dextrae Septuminteratriale Foramen ovale Limbuslossaeovalis Ostiumsinuscoronarii V cavainferior F i g . 8 8 0 R i g h ta t r i u m ,A t r i u m c o r d i sd e x t r u m , of a neonate; ventraL v i e wf r o m t h e r i q h r . Apexcordis Auriculadextra Valvaatrioventricularis dextra IValvatricuspidalis] Ostiumatrioventriculare dextrum V pulmonalis sinistrasuperior Myocardium dextrae W pulmonales Auriculasinistra V cardiaca [cordis]magna Atriumcordis sinistrum, Septum interatriale Anulusfibrosussinister Ostiumatrioventriculare sinistrum V pulmonalis sinistra inferior Valvula foraminis ovalis (Falx septi) M papillaris anterior Anulusfibrosussinister Valvaatrioventricularis sinistra, Cuspis posterior Pericardium serosum, Laminavisceralis IEpicardium] Chordae tendineae posterior M papillaris Ventriculus cordissinister Myocardium Parsmuscularis Seotuminterventriculare. F i g .8 8 1 L e f ta t r i u mA , t r i u mc o r d i s i n i s t r u m , a n dL e fvt e n t r i c [ e V,e n t r i c u [ uc so r d i s i n i s t e r ; [ateraIview. Bulbusaortae Trabeculae carneae Apexcordis Lunulavalvulaesemilunaris Valvulasemilunaris sinistra A. coronaria sinistra A coronaria sinistra, R interventricularis anterior Pars Seotuminterventriculare, membranacea Sinusaortae Truncuspulmonalis lvlyocardium Chordae tendineae M papillaris posterior Valvulasemilunaris sinistra A coronariadextra Nodulusvalvulaesemilunaris Auriculadextra Valvulasemilunaris dextra Valvulasemilunaris oosterior Ostiumatrioventriculare sinistrum Valvaatrioventricularis sinistra, Cusoisanterior F i g .8 8 2 L e f t v e n t r i c [ eV, e n t r i c u L ucso r d i ss i n i s t e r , a n d a s c e n d i n ga o r t a ,A o r t aa s c e n d e n s ; o f t h e c u s p so f t h e a o r t i cv a t v e( a r r o w s i)n Dosition t h e i r p o s i t i o na t t h e f i L t i n g p h a s eo f t h e h e a r t( d i a s t o L e l ; LateraIview. M papillaris anterior Ventriculus cordissinister > Thoracic viscera lnternalspacesof the heart Valvaaortae,Valvulasemilunaris sinistra Valva aortae, Valvula semilunarisposterior Akiumcordissinistrum Parsascendens Cuspisanterior vatuaatriouentricularis sinistra Cuspisposterior ) Sinusaortae Auriculadextra A coronariadextra Septuminterventriculare, Parsmembranacea M papillarisposterior Valvaatrioventricularis dextra, Cuspisposterior Valvaatrioventricularis dextra, Cuspisseptalis l\/ papillarisanterior M papillarisanteriol M papillarisposterior Apexcordis Seotuminterventriculare. Parsmuscularis F i g . 8 8 3 L e f t a n d r i g h tv e n t r i c t eV, e n t r i c u t ucso r d i s s i n i s t e re t d e x t e r . V interventricularis anterior Sulcusinteruentricularis anterior A. coronaria sinistra, R interventricularis anterior Pericardium serosum,Laminavisceralis IEpicardium] lvlyocardium Endocardium Ventriculus cordisdexter axis of the heart Trabecula septomarginalis M papillaris anterior A. coronariadextra, R marginalis dexter Myocardium A coronaria sinistra, R marginalis sinister posterior M. papillaris Trabeculaecarneae Ventriculus cordissinister SeDtuminterventriculare. Parsmuscularis posteriores Mm papillares Chordae tendineae V cardiaca [cordisl media [V interventricularisposterior] Valvaatrioventricularis dextraIValvatricuspidalis], uusprsseprails Sulcusinterventricularis oosterior posterior A coronariadextra,R. interventricularis F i g . 8 8 4 L e f ta n dr i g h tv e n t r i c t e V,e n t r i c u [ uc so r d i s s i n i s t eer t d e x t e r ; s u p e n ovr r e w . 0esophagus lnternalspacesof theheart M papillaris anterior posterior M. papillaris F i g .8 8 5 L e f tv e n t r i c t eV, e n t r i c u [ u cs o r d i ss i n i s t e r ; ventrosuoeriorview from the teft. Valvaatrioventricularis dextra,Cuspisposterior M papillaris posterior Trabecula septomarginalis F i g . 8 8 6 R i g h tv e n t r i c L eV,e n t r i c u t u cs o r d i sd e x t e r ; dorsaLview. l*ungs Parsascendens aortae V cavasuperior Truncuspulmonalis A coronaria sinistra Sinustruncipulmonalis Ostiumvenaecavaesuperioris Valvatruncipulmonalis, Valvulasemilunaris sinistra Atriumcordisdextrum Sinusaortae Valvaaortae,Valvulasemilunaris sinistra Nodus sinuatrialis Fasciculus atrioventricularis Crusdextrum Ostium venae cavae inferioris Nodusatrioventricularis Valvulavenae cavae inferioris Valvulasinuscoronarii lvl.papillaris anterior Ostiumsinuscoronarii Valvaatriovenlricularis dextra, Cuspisanterior F i g .8 8 7 R i g h ta t r i u m ,A t r i u m c o r d i sd e x t r u m , a n d r i g h tv e n t r i c L eV,e n t r i c u L ucso r d i sd e x t e r ; conducting s y s t e m ,C o m p L e x usst i m u L a ncso r d i s l S y s t e m ac o n d u c e n t ce o r d i s ] h , ightighted inyeltow; ventraLview. Pars ascendens aortae Sinusaortae A coronariadextra Valvula semilunaris ) posreflor I .. l Valva aortae ValVUlaSemllunarlsI dextra ) Septumatrioventriculare Valvaatrioventricularis sinistra, Cuspisanterior Truncuspulmonalis A coronaria sinistra Fasciculus atrioventricularis, Crussinistrum M. papillaris anterior Ventriculus cordissinister F i g . 8 8 8 L e f tv e n t r i c L eV,e n t r i c u t ucso r d i ss i n i s t e r ; conducting s y s t e m ,C o m p t e x u s t i m u t a n sc o r d i s l S y s t e m ac o n d u c e n t ceo r d i s ] h , i g h l . i g h t ei d nyetLow; v e n t r a Iv i e wf r o m t h e l e f t 0esophagus N vagus[X] Ganglion cervicale supenus N cardiacuscervicalis supenor cervicale Ganglion meorum N laryngeus recurrens N. laryngeusrecurrens Ganglion cervicothoracicum stellatuml [Ganglion N cardiacuscervicalis medius N. cardiacuscervicalis inlerior Plexuscardiacus F i g . 8 8 9 I n n e r v a t i oonf t h e h e a r td, i a g r a m ; s y m p a t h e ttircu n k :g r e e nv; a g u sn e r y ep: u r p t e . * T h e b r a n c h e sb e y o n dt h e c a r d i a cp l e x u sc o n t a i n s y m p a t h e t i ca n d v a g a If i b r e s . Fasciculus atrioventricularis V cava inferior Nodus sinuavialis Crus sinistrum Nodus atrioventricularis of heart, ng F i g . 8 9 0 C o n d u c t i system cordis] conducente s ; C o m o l e x usst i m u [ a ncordis [Systema s e c t i oa n t t h eo t a n eo f t h ea x i so f t h eh e a r t . Crus dextrum Rr.subendocardiales Septum interventriculare Arcusaortae Lig arteriosum Pericardium serosum, Laminaparietalis V cavasuperior A pulmonalissinistra Pericardium serosum, Laminaparjetalis T r u n c upsu l m o n a l i s A, pulmonalis dextra Parsascendensaortae A coronaria sinistra Sinustransversus pericardli Atriumcordissinistrum, Auriculasinistra V cardiaca [cordis]magna coronaria dextra A coronaria sinistra, R circumflexus Auriculadextra Conusarteriosus Atriumcordisdextrum A coronaria slnistra, R interuentricularisanterior Vv ventriculidextri antenores V interventricularis anterior R atrialis Fig,891 Coronaryarteries, A a .c o r o n a r i a e ; ventraL view A r r o w i n t h e t r a n s v e r s ep e r i c a r d i asLi n u s R marginalisdexter Apexcordis Incisura apiciscordis Valvulasemilunaris anterior Valva semilunaris trunci Valvula dextra pulmonalis Valvulasemilunaris sinistra Truncuspulmonalis B interventricularis anterior A coronaria sinistra A coronaria dextra R n o d is i n u a t r i a l i s R circumflexus Anulusfibrosus dexter Trigonum fibrosum sinistrum Trigonum fibrosum dextrum V cardiaca[cordis] magna Fasciculus atrioventricularis Anulusfibrosus sinister R marginalis dexter R marginalis sinister Fig. 8j2 Coronaryarieries, A a .c o r o n a r i a e ; s u p e n o rv t e w Valvulasinuscoronarii Ostium slnuscoronafll V cardiaca lcordis] media [V interventricuhrispdsterior] A coronariadextra, R interventricularisposterior A coronaria sinistra A coronaria dextra, R interventricularis posterior F i g . 8 9 3 V a r i a b i t i toy f t h e c o r o n a r ya r t e r i e s . T h e c o n u sa r t e r i o s u sb r a n c ha r i s e sf r o m t h e a o r t aa s a n i n d e p e n d e nat r t e r yt - 3 7 " / " ) . of the heart Arcusaortae A. pulmonalisdextra Pericardium V cavasuperior Bilurcatio trunciDulmonalis Pericardium A pulmonalis sinistra Atriumcordissinistrum W pulmonalesdextrae W oulmonales sinistrae Sinusvenarumcavarum Auriculasinistra V obliouaatriisinistra Pericardium V cardiaca magna cordis Sulcusterminalis A coronariasinistra, R circumllexus Sinuscoronarius Atriumcordisdextrum ventriculi sinistri poslenor V cava inferior Sulcuscoronarius V cardiacalcordis]parva A coronariadextra Ventriculus cordissinister Ventriculuscordisdexter V cardiaca [cordis] media [v interventricularis posterior] posterior Sulcusinterventricularis Apexcordis Incisura apiciscordis F i g . 8 9 4 V e i n so f t h e h e a r t ,V v .c o r d i s . A coronaria sinistra, R circumllexus A coronaria sinistra, R posterior ventriculi sinistri A coronariadextra, R interventricularis posterior A. coronariadextra F i g .8 9 5 a - c V a r i a t i o n isn t h e a r t e r i a Is u p p l . oy f t h e p o s t e r i o ra s p e c to f t h e h e a r t ; dorsaIview. coronary arterysuPPtY a Batanced arterysupply [eftcoronary b Dominant c D o m i n a nr it g h tc o r o n a rayr t e r ys u p p t y Coronaryarteries,variabilityof supply A coronaria sinistra A coronaria dextra R circumflexus R nodi sinuatrialis R interventricularis anterior Flr interuentriculares seotales R coni arteriosi R lateralis R marginalis sinister R atrialis F i g .8 9 6 C o r o n a r ya r t e r i e s A , a .c o r o n a r i a e ; posterioa r r t e r i a Ib r a n c h e sa r e s h o w ni n a L i g h t ecr o [ o u r ; t h e p o s t e r i o ri n t e r v e n t r i c u L ba r a n c ha r i s e s f r o m t h e r i g h t c o r o n a r ya r t e r yI b a L a n c ecdo r o n a r y a r t e r ys u p p L y ) ; v e n t r a tv t e w B lateralis R nodi atrioventncularis Rr,atriales Rr interuentriculares seprares R marginalis dexter ( R posterolateralis dexter) R posterior ventriculi sinistri Rr atrioventriculares posterior R interuentricularis A coronaria sinistra A coronaria dextra R, circumflexus R nodi sinuatrialis R interventricularis anterior R atrialis R coni arteriosi R lateralis R marginalis sinister Rr interventriculares septales R atrialis F i g , 8 9 7 C o r o n a r ya r t e r i e s A , a .c o r o n a r i a e ; t h e p o s t e r i o ri n t e r v e n t r i c u l abrr a n c ha r i s e sf r o m t h e t e f tc o r o n a r ya r t e r yI d o m i n a n [t e f t c o r o n a r y a r t e r ys u p p l y l ; ventraLview. Rr posteriores ventriculi sinistri R marginalisdexter Rr interuentriculares seotales posterior R interventricularis A coronaria dextra R nodi sinuatrialis R circumflexus B interventricularis anterior R atrialis R coni arteriosi atrioventriculares R lateralis R marginalis sinister Rr interventriculares R atrialis R nodi atriovenlricularis F i g .8 9 8 C o r o n a r ya r t e r i e s A , a .c o r o n a r i a e ; r a L Io f t h e v e n t r i c L eiss t h e p o s t e r i ow m a i n [ ys u p p t i e db y b r a n c h e so f t h e r i g h t c o r o n a r ya r t e r y{ d o m i n a n rt i g h t c o r o n a r y a r t e r ys u p p t y ) ; v e n t r a Iv i e w A coronaria sinistra septales R lateralis R posterior ventriculi sinistri R marginalisdexter postenor R interventricularis Rr interuentriculares septales (R posterolateralls dexte0 Coronary a rteries, radiography A. coronaria sinistra A coronaria sinistra, R marginalis sinister A coronaria sinistra, R circumflexus sinistra, A coronaria Rr interventriculares septales A coronariasinistra, anterior R. interventricularis A coronaria sinistra, B interventricularis posterior,var Diaphragma F i g ,8 9 9 L e f t c o r o n a r ya r t e r y ,A . c o r o n a r i as i n i s t r a . c o r o n a r ya n g i o g r a p h y ; * C a t h e t e irn t h e a o r t aa n d i n t h e o p e n i n go { t h e t e f t c o r o n a r ya r t e r y t h e b e a mi s d i r e c t e do b t i q u e t fyr o m r i g h t a n t e r i o rt o [ e f t o o s t e r i o r{ R A O J . sinistra A. coronaria sinistra, A. coronaria B marginalis sinister A coronaria sinistra, R. circumllexus A. coronaria sinistra, R. interventricularis anterior A coronaria sinistra, septales Rr interventriculares A coronaria sinistra, posterior,Var R interventricularis Diaphragma F i g . 9 0 0 L e f t c o r o n a r ya r t e r y ,A . c o r o n a r i as i n i s t r a ; c o r o n a r ya n g i o g r a p h y ; * C a t h e t e ri n t h e a o r t i c b u t b a n d i n t h e o p e n i n go f t h e l e f t c o r o n a r ya r t e r y * * S h a d o wo f t h e c a t h e t e ri n t h e d e s c e n d i n gt h o r a c i ca o r t a t h e b e a m i s d i r e c t e do b t i q u e t fyr o m l e f t a n t e r i o rt o r i g h t o o s t e r i o rI L A O ] . A coronaria dextra, R, coniarteriosi A coronariadextra, R atrioventricularis A coronariadextra A coronariadextra, R marginalisdexter Diaphragma A coronaria dextra, posterior R interuentricularis A coronaria dextra, (R posterolateralis dexteo F i g . 9 0 1 R i g hct o r o n a rayr t e r yA, . c o r o n a r i ad e x t r a ; c o r o n a rayn g i o g r a p h y ; * C a t h e t e irn t h e a o r t aa n d i n t h e o p e n i n go f t h e r i g h t c o r o n a r y artery + +S h a d o wo f t h e c a t h e t e ri n t h e d e s c e n d i n gt h o r a c i ca o r t a t h e b e a m i s d i r e c t e do b l . i q u e lf .ryo m l e f t a n t e r i o rt o r i g h t o o s t e r i o rI L A O l . Lungs Heartsitus A; V thoracica interna a O Nodi lymphoidei paratracheales (Nodi lymphoideimediastinales anteriores) N vagus[X] (Nodilymphoidei mediastinales anteriores) e N vagus[X] .* N laryngeus recurrens Bronchus principalis dexter Lig arteriosum Nodilymphoidei tracheobronchiales supeflores Nodilymphoidei tracheobronchiales supenores A pulmonalis dextraa a V pulmonalis sinistrasuperior is V p u l m o n a lO dextra o A pulmonalis sinistra Nodilymphoidei tracheobronchiales inferiores a V pulmonalis sinistrainferior Nodilymphoidei tracheobronchiales inferiores (Noduslymphoideus ligamenti arteriosi) 1 Nodi lymphoidei phrenicisuperiores F i g .9 0 2 P o s i t i o no f t h e h e a r t i n t h e t h o r a x ,S i t u sc o r d i s F i g .9 0 3 P o s i t i o no f t h e h e a r t ; i n s p ri a t i o n . Nodi lymphoidei phrenicisuperiores F i g . j 0 1 P o s i t i o no f t h e h e a r t ; exprrailon. N laryngeus recurrens sinister a V brachiocephalica sinistra Trachea V thyroidea inferiora brachiocephalicadextra a sinistra a A carotiscommunis aA subclaviasinistra O Arcusaortae thoracicainterna a .: N phrenicus aaA;V pericardiaco- pnrenrca Truncusa brachiocephalicus Pulmosinister V cavasuperiorO .. Plexusaorticus thoracicus l N vagus[X] Pleuraparietalis, Parsmediastinalis i N laryngeus recurrens Pulmodexter Sinus transversus pericardii V p u l m o n a lai s dextrasuperior Pleuraparietalis, Parsmediastinalis V p u l m o n a lai s dextrainferior a V pulmonalis sinistrasuperior a V pulmonalis sinistrainlerior S i n u so b l i q u u s pericardii Pericardium serosum, Laminaparietalis Pleura parietalis, Pars diaphragmatica V cava inferiora Fig.905 Pericardium P,e r i c a r d i u m . V brachiocephalicadextra V jugularis internadextra V brachiocephalica sinistra V subclaviadextra V, cava superior purmonares dextrae Pericardium W hepaticae V cava inferior Atriumcordis sinistrum Atriumcordisdextrum F i g . 9 0 5 0 p e n i n g so f t h e L a r g ev e i n si n t ot h e h e a r t ; ventraLview. > Thoracic viscera Trachea and bronchi Right main bronchus, Bronchus principalis dexter Bronchus lobaris superior dexter apicalis[B l] 1 = Bronchus segmentalis posterior 2 = Bronchus segmentalis [B ll] = segmentalis anterior[B lll] 3 Bronchus Cartilagothyroidea, Laminadextra Bronchus lobaris medius dexter lateralis 4 = Bronchus segmentalis [B lV] segmentalis medialis[B V] 5 = Bronchus Lig cricothyroideum medianum Bronchus lobaris interior dexter segmentalis superior[B Vl] 6 = Bronchus basalismedialis[B Vlll 7 = Bronchus segmentalis segmentalis basalisanterior[B Vlll] I = Bronchus basalislateralis 9 = ronchussegmentalis [B lX] basalisposterior 10 = ronchussegmentalis [B Xl Arcuscartilaginis cricoideae Left mainbronchus,Bronchusprincipalissinister Cartilagines tracheales Bronchuslobarissuperiorsinister apicoposterior 1,2 = Bronchus segmentalis [B | + lll segmentalis anterior[B lll] 3 = Bronchus 4 = Bronchus lingularis superior[B lV] lingularis inlerior[B V] 5 = Bronchus Bronchus lobaris inferior sinister superior[B Vll 6 = Bronchus segmentalis 7 = Bronchus segmentalis basalismedialis[B Vll] basalisanteriorIB Vlll] 8 = Bronchus segmentalis segmentalis basalislateralis 9 = Bronchus [B lX] basalisposterior 10 = Bronchus segmentalis [B X] Ligg anularia Bifurcatiotracheae 1 Bronchus principalis sinister Bronchusorincioalisdexter Bronchus lobaris 3 superiorde)del Bronchus lobarissuperiorsinister 3 Cartilagines bronchiales Bronchuslobaris mediusdexter Bronchus lobarisinferiorsinister 4 Bronchus lobaris inferiordexter 8 Fig.907 Larynx,Larynx; t r a c h e aT,r a c h e a ,n db r o n c h i , Bronchi. Bronchus lobaris supeflor dexter Bronchus principalis sinister Bronchus lobaris supenor sinister Bronchus principalis de)iter Bronchus lobaris medius dexter Fig.908 Projection o f t h e t r a c h e aa n d t h e b r o n c h i o n t o t h e a n t e r i o rt h o r a c i cw a [ t . Bronchus lobaris inferior dexter Bronchus lobaris inferior sinister 0esophagus Trachea, structure thyroidea, Laminadextra Cartilago corniculata Cartilago Cartilagoarytenoidea Lamina cartilaginiscricoideae Pariesmembranaceus Cartilaginestracheales Ligg anularia M trachealis Bifurcatiotracheae Bronchus dexter orinciDalis lobarissuperiordexter Bronchus 1 Bronchus principalis sinister Bronchus lobaris superiorsinister Bronchus lobarisinferiordexter lobarismediusdexter Bronchus Bronchus lobaris inferiorsinister Fig.909 Larynx,Larynx; +--^A^^ T-^^k^tt dLt tEo, | | oLt tco, a n d b r o n c h iB, r o n c h i ; dorsaIview. Tunica adventitia Glandulaetracheales Pariesmembranaceus M trachealis F i g .9 1 0 T r a c h e aT, r a c h e a ; c r o s s - s e c t rno; m i c r o s c o p i ec n t a r g e m e nat t lowmagnification > Thoracicviscera Segmental bronchi F i g . i 1 1 B r o n c h iB , ronchi; t h e [ o b a ra n d t h e s e g m e n t a bl r o n c h ih a v eb e e np r o j e c t e d o n t ot h e I u n g sa n d a r e i t L u s t r a t ewdi t h d i f f e r e n ct o t o u r s ; venlratvrew. N u m b e r si n d i c a t teh e s e g m e n t abI r o n c hlis e ep . 9 0 1 . tt 0esophagus Bronchialtree,radiography Bronchus segmentalis apicoposterior [B | + ll] principalis Bronchus sinister Bronchus lobaris superiorsinister Bronchus lobarisinferior sinister Bronchus segmentalis superiorIB Vl] Bronchus lingularis superior[B lV] lingularis Bronchus inferiorIB V] Bronchus segmentalis basalislateralis [B lXl Bronchus segmentalis basalisposterior[B X] Bronchus segmentalis basalisanterior[B Vlll] F i g . 9 1 2 B r o n c h iB , ronchi; A P - r a d i o g r a p hb;r o n c h o g r a p hoyf t h e l e f t [ u n g . * Bronchography catheter in thetrachea > Thoracicviscera tt Apexpulmonis Lobussuperior, Faciescostalis Margoanterior pulmonis Fissurahorizontalis dextri Lobusmediuspulmonis dextri, Faciescostalis Lobusinlerior, Faciescostalis Fissuraobliqua Lobusinferior Margoinferior F i g .9 1 3 R i g h Lt u n gP, u t m od e x t e r ; lateraIview. Apexpulmonis Lobussuperior,Faciescostalis Fissuraobliqua Lobusinferior, Faciescostalis Incisura cardiacapulmonis sinistri Lingulapulmonis sinistri F i g . 9 1 t , L e f t [ u n g ,P u t m os i n i s t e r ; [ateraIview. Fissuraobliqua Margo inlerior 0esophagus Apexpulmonis Lobussuperior Fissvaobliqua y'// Lobussuperior lobaris Bronchus superiordexter A pulmonalis de)dra principalis Bronchus dexter lobaris Bronchus mediusde)der et inferiordexter Noduslymphoideus tracheobronchialis inferior Pleuraparietalis, Parsmediastinalis Margoanterior W pulmonales dextrae lmpressio cardiaca Lobusinferior pulmonis Fissurahorizontalis dextri Lig pulmonale Lobusmediuspulmonis dextri Facies diaphragmatica; Basispulmonis Margoinferior Fissuraobliqua F i g .9 1 5 R i g h tt u n g ,P u t m od e x t e r ; s a g i t t a sI e c t i o na t t h e p [ a n eo f t h e h i t u m o f t h e[ u n g ; m e d i a Iv i e w . Fissuraobliqua A pulmonalis sinistra V pulmonalis sinistrasuperior Bronchus principalis sinister Pleuraparietalis, Parsmediastinalis V pulmonalis sinistrainterior Margoanterior Nodi lymphoidei tracheobronchiales lmpresslocardiaca sinistri Incisura cardiacaDUlmonis Lingulapulmonis sinistri Facies diaphragmatica; Basis pulmonis F i g .9 1 6 L e f t [ u n g ,P u t m os i n i s t e r ; s a g i t t a sI e c t i o na t t h e p [ a n eo f t h e h i I u m of the [ung; m e d i a Iv i e w . > Thoracicviscera tt Bro nchopulmonary segm e nts Pulmodexter Pulmo dexter,Lobus superior r I I Segmentum apicale [S l] Segmentum posterius[S lll segmentum anterius [s tttl Pulmo dexter.Lobus medius I segmentum taterate [s tvl I segmentum mediate [s vl Pulmo dexter,Lobus inferlor Segmentum superius[S V|] Segmentum basalemedialelcardiacum] [S Vll]Segmentum basaleanterius[S Vlll] il E Segmentumbasalelaterale[S lxj Segmentumbasaleposterius[S Xl * T h i ss e g m e n ti s g e n e r a L [nyo t a n i n d e p e n d e nste g m e n t , b u t r a t h e r f u s e dw i t h t h e a n t e r i o rb a s a Is e g m e n t[ S V l l l ] . F i g . 9 1 7 R i g ht u n gP , u l m od e x t e r ; b r o n c h o p u l m o nsaer g y ments, S e g m e n tbar o n c h o p u t m o n;a l i a LateraIview. Pulmo sinister Pulmosinister, Lobussuperlor I I I I r )I apicoposterius [S | + tt] I Segmentum ) Segmentum anterius[S lll] Segmentum lingulare superius[S lVl Segmentum lingulare inferius[S V] Pulmosinlster,Lobus Interior Segmentum superius[S V|] Segmentum basalemedialelcardiacum] [S VlllSegmentum basaleanterius[S Vllll Segmentumbasalelaterale[S lX] Segmentumbasaleposterius[S X] + T h i s s e g m e n ti s g e n e r a [ [ yn o t a n i n d e p e n d e n t segment, b u t r a t h e r f u s e dw i t h t h e a n t e r i o rb a s a Ls e g m e n t[ S V l l l ] F i g .9 1 8 L e f tt u n g ,P u l m os i n i s t e r ; b r o n c h o p u t m o nsaer gy m e n t s , S e g m e n tbar o n c h o p u t m o n a t i a ; lateraIview. ilesophagus Bronchop ulmonary segments F i g .9 1 9 R i g h t[ u n g ,P u L m od e x t e r ; b r o n c h o p u t m o n a sr ye g m e n t s , Segmentb aronchopulmonaLia; mediaLview. F i g . 9 2 0 L e f t [ u n g ,P u l m os i n i s t e r ; b r o n c h o p u I m o n a sr ye gm e n t s , S e g m e n t ab r o n c h o p u t m o n a L i a ; mediaIview. > Thoracic viscera tt Truncusbrachioceohalicus Arcusaortae VV brachioceohalicaedextra et siniska V thoracica interna Apexpulmonis A carotiscommunis A subclavia Apexpulmonis Pulmodexter,Lobussuoerior V cavasuperior A pulmonalisdenra,Aa lobaressuperiores A pulmonalis sinistra Pulmosinister. Lobussuoerior A. pulmonalis sinistra, Aa. lobaressuperiores Bronchus lobaris superiorsinister V pulmonalis sinistrasuperior, V apicoposterior Pulmodexter, Lobusmedius A pulmonalis dextra, A lobarismedia Nodi lymphoidei tracheobronchiales V pulmonalis dextrasuperior, V lobimedii A. DUlmonalis dextra. Aa lobaresinferiores, Parsbasalis, A segmentalis basalisanterior A pulmonalis sinistra, Aa lobaresinferiores Auriculadextra A coronaria dextra Bronchus lobaris inferiorsinister A pulmonalis sinistra, Aa lobaresinferiores, Parsbasalis, A. segmentalis basalisanterior Pulmosinister, Lobusinferior Ventriculus cordisdexter Auriculasinistra Conusarteriosus Apexcordis V Dulmonalis sinistrainferior A coronariasinistra,R interventricularis anterior Ventriculus cordissinister F i g . 9 2 1 L u n g s ,P u t m o n e sa, n d h e a r t ,C o r ; t h e a r t e r i e s t, h e v e i n sa n d t h e b r o n c h ih a v eb e e n d i s s e c t e du p t o t h e e x t e r n a sI u r f a c eo f t h e [ u n g s . Ductusalveolaris Bronchiolus terminalis Bronchus Bronchiolus F i g . 9 2 2 L u n gP , ulmo; o v e r v i e owf t h e[ u n gs t r u c t u r e ; m i c r o s c o pei cn t a r g e m eanttl o wm a g n i f i c a t i o n . 0esophagus A. carotiscommunis Apexpulmonis Trachea.Pariesmembranaceus Pulmosinister. Lobussuoerior Truncusbrachiocephalicus A subclavia Fissuraobliqua Arcusaortae Pulmosinister, Lobusinferior V cavasuperior Lig arteriosum Bifurcatiotracheae Bronchus lobarissuperiorsinister A pulmonalis sinistra V azygos principalis Bronchus sinister .,r7 Bronchuslobarissuperiordexter principalis dexter Bronchus Bronchisegmentales M bronchooesophageus Nodi lymphoideitracheobronchiales A segmentalis basalislateralis A pulmonalis sinistra, Aa. lobares inferiores, Parsbasalis delitrasuoerior V oulmonalis A segmentalis basalismedialis dextra A. pulmonalis V pulmonalis dextrainferiof A segmentalis basalisposterior Atriumcordissinistrum Atriumcordisdextrum V. cava inferior Pericardium Sinuscoronarius Pulmosinister, Lobusinferior V cardiaca[cordis]media Apexcordis Ventriculus cordisdexter Fig.923 Vesselsof the LeftL u n gP, u L msoi n i s t e r ; d o r s a Iv i e w A carotiscommunis sinistra A. subclavia dextra A subclavia sinistra Arcusaortae principalis Bronchus sinister dexter R. bronchialis Br bronchiales sinistri Parsthoracicaaortae F i g . 9 2 t , B r o n c h iB , ronchi; ^-+^-;^t ^..^^1., dr (Er rd( >uPPLy. >> | l- lear tI T r ac hea I Lungs Vesselsof the lung,radiography t F i 9 . 9 2 5 A r t e r i e so f t h e r i g h tI u n g , sextrae; A a .p u I m o n a [ ed y n g i o g r a p h yal ;f t e r A P - r a d i o g r a p (hp u t m o n a r a injection o f a c o n t r a sm t e d i u mi n t ot h e r i g h tv e n t r i c L e ; ventraLview. T h e n u m b e r sd e s i g n a tteh e s e g m e n t a l a r t e r i e s p.961. Icompare F i g . 9 2 6 V e i n so f t h e r i g h t L u n g , V v p u L m o n a l edse x t r a e ; A P - r a d i o g r a p lhr e t u r nv i a p u L m o n a rvye i n so f t h e c o n t r a s t m e d i u mi n j e c t e di n t o t h e r i g h tv e n t r i c t e l ; ventraIview. N u m b e r si n d i c a t et h e s e g m e n t a L v e i n{ sc o m p a r ep . 9 5 1 . Thoracic Corpuscostael; lll; lV radiography Bronchus Drincioalis dexter Clavicula Scapula V cava supenor Truncus pulmonalis Atriumcordis sinistrum cordis Ventriculus sinister Diaphragma Apexcordis Recessuscoslodiaphragmaticus F i g , 9 2 7 T h o r a c i cc a g e ,C a v e at h o r a c i s a, n d t h o r a c i cv i s c e r a ; PA-radiographol a 27-year-otdmal.elthorax radiograph) 1 ="Aorticknob" 2 =Archof the pulmonary artery 3 =Archof the leftatrium =Arch 4 of the leftventricle 5 =Archof the rightvessels 6 =Archof the rightatrium Arcusaortae(l) V cava superior (5) (2) Truncuspulmonalis Auriculasinistra(3) Ventriculus cordissinister(4) \L Atriumcordis dextrum(6) V, cava inferior Dt sApex cordis Diaphragma F i g .9 2 8 0 u t l i n eo f t h e h e a r ts h a d o wi n t h e r a d i o g r a p h ; ei a m e t e r , D t = T r a n s v e r sd a b + c d = 1 3 - 1 4c m L = L o n g i t u d i n aaIx i so f t h e h e a r tl f r o m t h e s u p e r i o r b o r d e ro f t h e r i g h t a t r i a Ic o n t o u rt o t h e a p e xo f t h e h e a r t l= 1 5 - 1 6c m M = M e d i a np t a n eo f t h e b o d y >> | Heart I Trachea I Lunqs (Cartilago bronchialis) Carina tracheae principalis Bronchus dexter Bronchus principalis sinister Fig.929 BronchiB , ronchi; b r o n c h o s c o poyf a h e a [ t h yi n d i v i d u adI i s p t a y i n tgh e t r a c h e a I bifurcatioa n n d t h e c a r i n ao f t r a c h e a . Bronchus segmentalis apicoposterior lB | + lll: Bronchus seginentati'C anterior lB ilrl Bronchus lobaris superiorsinister Bronchilingulares superioret inferior lBrv-vl Bronchus segmentalis supeflor lB vrl Bronchus segmentalis basalisanterior [B Vilt] Bronchus seomentalis basalislateralis Bronchus segmentalis basalisposterior [B X] lBrxl Fig.930 Bronchi,Bronchi; b r o n c h o s c o p vi ci e w o f t h e l e f t s e g m e n t a bL r o n c h i . 0esophagus surfaceprojections VertebracervicalisVll [prominens] Lobussuperior Cupulapleurae Spinascapulae Lobussuperior Lobus supenor lncisura cardraca purmonrs sinistri Lobusmedius pulmonis dextri Lobusinferior Lobusinferior Becessus costodiaphragmaticus Costaxll Cristailiaca F i g .9 3 1 P r o j e c t i o n o f t h e p u l m o n a r ya n d t h e p t e u r a l b o r d e r so n t ot h e a n t e r i o rt h o r a c i cw a [ t . Fig.932 P r o j e c t i o no f t h e p u l m o n a r ya n d t h e p l e u r a I borderso n t ot h e o o s t e r i o tr h o r a c i cw a [ t . B o r d e r os f t h e[ u n g s- t i n e Bordersof the oteura- dashed[ine Lobussuperior Lobussuperior Lobusinferior Cristailiaca cristailiaca Fig.933 Projection o f t h e p u l m o n a r ya n d t h e p t e u r a t b o r d e r so n t o t h e l a t e r a It h o r a c i cw a [ t . o f t h e p u t m o n a r ya n d t h e p t e u r a L F i g .9 3 4 P r o j e c t i o n b o r d e r so n t ot h e l a t e r a It h o r a c i cw a L t . > Thoracic viscera Cartilagothyroidea, Laminadextra A carotis communrs Glandula thyroidea, Lobusdexter M cricothyroideus lsthmusglandulae thyroideae A subclavia _Oesophagus, Harscerytcalrs Truncus brachiocephalicus Oesophagus, Parscervicalis A carotiscommunis dextra A carotiscommunis sinistra A. subclavia dextra Arcusaortae Lig.arteriosum Cartilagines tracheales Truncus brachiocephalicus Arcusaortae Bronchus principalis dexter Lig.arteriosum Bronchus lobaris superiordexter Parsthoraclcaaortae OesoDhaous. Parsthoraiica intercostales posteriores Pars thoracica aonae Diaphraqma, Centrum tendin-eum Foramen venae cavae Parslumbalis diaphragmatis, Crusdextrum Oesophagus, Pars abdominalis Oesophagus, Parsthoracica Gaster, Parscardiaca Aa phrenicae inferiores Hiatusaorticus Truncuscoeliacus F i g .9 3 5 O e s o p h a g u s0,e s o p h a g u st ;r a c h e a T , rachea, a n d t h e t h o r a c i ca o r t a ,P a r st h o r a c i c aa o r t a e : ventratview. F i g .9 3 5 O e s o p h a g u s0,e s o p h a g u st ;r a c h e a T , rachea, a n d t h e t h o r a c i ca o r t a ,P a r st h o r a c i c aa o r t a e : v i e w e df r o m t h e r i g h t . structure 0esophagus, Glandula thyroidea, Lobussinister Lobusdexter thvroidea. Glandula A carotiscommunis A carotiscommunis V jugularisinterna V jugularis interna A subclavia A subclavia V subclavia V.subclavia V brachiocephalicasinistra V, brachiocephalicadextra A. subclavia Truncus brachiocephalicus Cartilagines tracheales Arcusaortae V cavasuperior V azygos Lig arteriosum Bifurcatiotracheae B bronchialis principalis dexter Bronchus A pulmonalis dextra A pulmonalissinistra principalis Bronchus sinister W pulmonales dextrae W pulmonales sinistrae Ventriculus cordissinister Aa intercostales oosteriotes V cavainferior Oesophagus,Parsthoracica Parsthoracicaaortae Diaphragma Hiatusoesophageus F i g . 9 3 7 O e s o p h a g u sO, e s o p h a g u sa ,n d t h e t h o r a c i ca o r t a , P a r st h o r a c i c aa o r t a e ; dorsaLview. Glandulaeoesophageae Telasubmucosa Stratumcirculare Tunicamuscularis Stratumlongitudinale Tunica adventitia Fig.938 0esophagus,0esophagus; m i c r o s c o p i ec n l a r g e m e nat t L o wm a g n i f i c a t i o n > Thoracicviscera Vesselsof the oesophagus V thyroidea inferior A thyroidea inferior V vertebralis V jugularisinterna A thyroidea inferior, Rr oesophageales A vertebralis A carotis communrs dextra A subclavia Oesophagus, Pars ceruicalis V brachiocephalicasinistra M, intercostalis externus subclavia dextra V hemiazygos accessofla A carotis communis sinistra V cava supeflor Pars thoracicaaortae, Rr bronchiales M intercostalis internus W intercostales posteriores W oesophageae Oesophagus Parsthoracica aortae, Br oesophageales A gastricasinistra, Rr oesophageales Oesophagus, Parsthoracica V hemiazygos \/.7w^^e Diaphragma Diaphragma, Centrum tendineum Diaphragma, Foramen venae cavae Truncuscoeliacus Parslumbalis diaphragmatis, Crusdextrumet Crussinistrum V phrenica interior Oesophagus, Pars abdominalis V gastroomentalis sinistra V cava inferior V gastricasinistra Fig.939 0esophagus,0esophagus; Gaster F i g . 9 4 0 V e i n so f t h e o e s o p h a g u sV,v .o e s o p h a g e a e ctrnnlrrinn ertorioc. v e n t r a Iv i e w . W oesophageae V hemiazygos v. azygos (Plexus venosus suomucosus) (R oesophagealis) V oesophagea (R oesophagealis) V phrenicainferior V gastricasinistra V cava inferior V portae hepatis F i g . 9 1 1 V e i n so f t h e o e s o p h a g u sV,v .o e s o p h a g e a e ; m a g n iifc a t i o no f F i g .9 4 0 ; d e m o n s t r a t i o on f a n a s t o m o s e bs e t w e e nb r a n c h e so f t h e h e p a t i cp o r t a Iv e i na n d t h e s u p e r i o rv e n ac a v a . Thoraciclymphnodes Glandula thyroidea,Lobus dexter Oesophagus, Parscervicalis A carotiscommunis A carotiscommunis Truncusbrachioceohalicus A subclavia A subclavia V cava superior Nodi lymphoideijuxtaoesophageales Trachea.Pariesmembranaceus Arcusaortae Parsdescendensaortae Nodi lymphoideitracheobronchialessuperiores V oulmonalis sinistrasuDerior Nodi lymphoideitracheobronchialessuperiores Bifurcatiotracheae A. pulmonalissinistra Bronchus orinciDalisdexter Nodi lymphoidei tracheobronchialesinferiores Nodi lymphoidei tracheobronchiales superiores A pulmonalis dextra Bronchilobares V pulmonalis sinistrainferior Bronchilobares (Nodi lymphoideimediastinalesposteriores) V pulmonalis dextrainlerior Oesophagus, Parsthoracica posteriores) (Nodilymphoidei mediastinales Pericardium librosum V, cava inferior Diaphragma Hiatusoesophageus F i g . 9 1 2 T h o r a c i cL y m p hn o d e s ; t hi o r a c i s ; N o d iL y m p h o i d e dorsaLview. > Thoracicviscera 0esophagus, radiography and oesophagoscopy Extremitassternalis piriformis Becessus lvlanubrium sterni Oesophagus, * Parsthoracica Oesophagus, ** Parsthoracica Oesophagus, Parsthoracica Diaphragma F i g . 9 4 3a , b 0 e s o p h a g u sO, e s o p h a g u s ; r a d i o g r a p ha f t e r s w a t t o w i n g o f a c o n t r a s tm e d i u m . a R i g h ta n t e r i o or b t i q u ep o s i t i o no, b L i q udei a m e t e |r [ b e a m d i r e c t e df r o m l e f t a n t e r i o rt o r i g h t p o s t e r i o r ) b L e f ta n t e r i o ro b t i q u ep o s i t i o no, b t i q u ed i a m e t e rl l I b e a m d i r e c t e df r o m r i g h t a n t e r i o rt o L e f tp o s t e r i o r ) * O e s o p h a g e acIo n s t r i c t i o nc a u s e db y t h e a o r t i c a r c h * * R e t r o c a r d i apI o r t i o no f t h e o e s o p h a g u s + * * O e s o p h a g ecaoI n s t r i c t i oant t h e j u n c t i o no f t h e p h a r y n xw i t h t h e oesophagus Gaster,Parscardiaca, Tunicamucosa Parsabdominalis, Oesophagus, tunrcamucosa F i g . 9 1 1 O e s o p h a g u s0,e s o p h a g u s ; o e s o p h a g o s c o p( tye c h n i c adLe t a i [ ss e e F i g .9 8 6 ) ; s u o e n o rv t e w . Mm pharyngis Truncus brachiocephalicus Parsdescendensaortae [Aortadescendens] Parsascendensaortae [Aortaascendens] Bronchus principalis dexter Parsthoracicaaortae, [Aortathoracica] Diaphragma Hiatus oesophageus Gaster.Cardia Fig.945 0esophagus,0esophagus; constrcttons. * U p p e ro e s o p h a g e as Ip h i n c t e r + + N a r r o w i n gc a u s e db y t h e a o r t i ca r c h * * * D i a p h r a g m a t ci co n s t r i c t i o n F i g . 9 1 6 0 e s o p h a g u sO, e s o p h a g u s ; l o c a t i o na n d f r e q u e n c yo f d i v e r t i c u | . a . typicaL * Cervicatdiverticu[um - 7l ,0 % l { Z E N K E Rd'isv e r t i c u L ulm * + M i d - o e s o p h a gdei vaeI r t i c u t ul -m2 2 % l +++ -8%] E p i p h r e ndi icv e r t i c u [ u( m > Thoracic viscera Thymus Cartilagothyroidea (Lobuspyramidalis, Var) M sternothyroideus e M cricothvroideus o I Lobusdexter Glandula thyroidea { Lobussinister I W thyroideae inferiores o Arcusvenosusjugularis O o lvl sternohyoldeus o M, thyrohyoideus Ventersuperior a M omohyoideus, superior a A thyroidea superior a V thyroidea Fascia cervicalis.Lamina suoerficialis c M. sternocleidomastoideus o A carotiscommunis * Plexuscaroticus communis N phrenicus o V jugularisinterna M scalenusanterioro a W brachioceDhalicae Clavicula o V thoracica interna M, subclaviusO Thymus Apexpulmonis Costall o M pectoralis maJor Pleuraparietalis, Parscostalis Pulmosinister, Lobussuperior Pulmodexter, lvlargoanterior Margoanterior Pericardium Lobus medius Incisura cardiaca pulmonis sinistri LODUS interior Lingulapulmonis sinistri Pleuraparietalis, Parsdiaphragmatica Pulmosinister, Lobusinferior Margointerior Recessus costodiaphragmaticus t M obliquus externus abdominis thoracica interna a V thoracica internaa [,4 rectusabdominisa thoracis 3 M transversus a Parssternalis diaphragmatis Recessus costomediastinalis F i g . 9 1 7 T h y m u sT , h y m u s ;p e r i c a r d i u mP, e r i c a r d i u m , a n d [ u n g s ,P u l m o n e so, f a n a d o t e s c e n t . N o t et h e s i z eo f t h e a d o L e s c e n t ht y m u s .I n o L d e ri n d i v i d u a t s , t h e t h y m i ct i s s u ei s a l m o s te n t i r e t yr e p t a c e db y a d i p o s et i s s u e . 0esophagus V thyroidea inferioro Glandula thyroidea Truncusbrachiocephalicus a V subclavia a A subclavia a a V brachiocephalicasinistra Plexus brachialis V thoracica interna a & N vagus[X] W pericardiacophrenicaeO o A subclavia V brachiocephalicadextra a N phrenicus {t Pleuraparietalis, Parsmediastinalis V cavasuperiora I N phrenicus Lobussinister\ t} _I N.V M U S Pulmodexter, Lobussuperior I Lobus dexter / Pulmosinister, l\4argoanterior Pericardium fibrosum diaphragmatis a Parssternalis Fig.918 ThymusT , h y m u s ,o f a n a d o t e s c e n t . Plexusbrachialis, Parsinfraclavicularis , Truncussympathicus, Ganglion thoracicum ll 3 a A. subclavia Clavicula O M subclavius N vagus[X],N laryngeus recurrens s N vagus[X],Rr cardiacithoracici & anterior o M scalenus N, vagus[X],Plexuspulmonalis I a V subclavia V azygosa interna O A thoracica principalis Bronchus dexter r N. phrenicus (Aorta);a a R bronchialis V, bronchialis a V brachioceDhalica dextra l'{ vagus[X]. . ^ Hr carotacr tnoracrcl Thymus posterioro V intercostalis a V cavasuperior a Aa. pulmonales N thoracicus[T 71,a N. intercostaiis AaaN Truncussympathicus, 8 Rr.communicantes phrenicus;A;V oericardiacoohrenica a W pulmonales Pericardium fibrosum; Pleuraparietalis, Parsmediastinalis N splanchnicus o malor Lig.pulmonale s N. vagus[X], Plexus oesophageus Aa intercostales a posteriores Pleuraparietalis, Parscostalis Pleuraparietalis, Parscostalis Oesophagus Pleuraparietalis, Parsdiaphragmatica a Diaphragma; Diaphragma, Centrumtendineum a Fig.919 PteuraIcavity,Cavitaspteuratis,and mediastinum, M e d i a s t i n u mo,f a n a d o t e s c e n t ; L a t e r atIh o r a c i cw a t [ a n d r i g h t t u n g h a v eb e e nr e m o v e d ; v i e w e df r o m t h e r i g h t . T h e x i n d i c a t et h e a r e a sa t t h e r o o t o f t h e [ u n ga n d t h e p u t m o n a r yL i g a m e n tr ,e s p e c t i v e tw y ,h e r et h e v i s c e r a p I [eura f o l . d sb a c ki n t ot h e p a r i e t a Ip [ e u r a . Pleuralcavity Plexusbrachialis. Parsin{raclavicularis thoracicus R cardiacus Truncussympathicus, ,r N vagus [X], R cardiacusthoracicus Clavicula lvl subclavius a A axillarisa Parsthoracica Oesophagus, Parsthoracica Ductusthoracicus, V axillaris o A subclavia a CostaI (N.vagus) recurrens N laryngeus Lig arteriosum Nodi lymphoidei tracheobronchiales A carotiscommunis a a V hemiazygos accessofla V brachiocephalicaO N vagus [X] t N phrenicus. Oesophagus, Parsthoracica Plexusaorticusthoracicus. Plexus cardiacus : N. vagus[X], Plexuspulmonalis P l e x u sp u l m o n a l i s O Parsthoracicaaortae A p u l m o n a l i s i n i s t r aO Thymus r* Plexusaorticus tnoracrcus V pulmonalis sinistraa aoA;Vintercostalis posterior Bronchus principalis , R communicans N phrenicus N splanchnicus malor V pulmonalis sinistrao Pericardium fibrosum oo V pericardiacophrenica a A;vintercostalis posterior; N. intercostalis A pericardiacophrenica a Truncus sympathicus, Ganglion lX thoracicum Recessus costomediastinalis Pleuraparietalis, Parsmediastinalis Pleura parietalis, Parscostalis (Nodi lymphoidei mediastinales anteriores) Pleuraparietalis, Parsdiaphragmatica Centrumtendineum s ,n d m e d i a s t i n u m , , a v i t a sp t e u r a L i a F i g .9 5 0 P t e u r a cLa v i t yC o f, a n a d o t e s c e n t ; Mediastinum v i e w e df r o m t h e l e f t . I n o t d e ri n d r v i d u a t tsh, e t h y m i ct i s s u ei s a t m o s te n t i r e [ y r e p [ a c e db y a d i p o s et i s s u e . > Thoracic viscera Aortic arch A carotisexternadextra A carotis internadextra A. carotisexternasinistra A carotisinternasinistra A. vertebralisdextra A. vertebralis sinistra A. carotlscommunis sinistra A carotis communis dextra A subclavia sinistra Truncus brachiocephalicus Arcusaortae Lig arteriosum V cavasuperior Truncuspulmonalis Atriumcordis sinistrum, Auriculaatrii Parsascendens aortae Atriumcordis dextrum Ventriculus cordis sinister V cavainferior .l Arcus aortae A. thoracica interna Truncusbrachiocephalicus A. subclaviadextra A carotiscommunis dextra A vertebralisdextra Bimaglottidis A vertebralis sinistra 2 3 4 5 6 7 8 I 10 11 '12 13 14 15 Trachea A subclaviasinistra A. carotiscommunis sinistra Parsdescendensaortae Cor Valvaaortae Parsascendensaortae Ventriculus cordisdexter F i g , 9 5 1 H e a r t ,C o r ,a n d a o r t i ca r c h ,A r c u sa o r t a e , w i t h t h e o r i g i n so f t h e m a j o ra r t e r i e s ; ventraIview. A carotisexternadextra A carotisinternadextra Fig.952 Aortic arch,Arcus aortae,and branches; A P - r a d i o g r a pahf t e r i n j e c t i o no f a c o n t r a s tm e d i u m i n t o t h e a o r t i cb u l b : ventraIview. * Catheter A carotisexternasinistra A. carotisinternasinistra A vertebralisdextra A carotis communis dextra A vertebralissinistra A. subclavia sinistra A subclavia dextra - 13Vo -9o/o A subclavia sinistra A carotiscommunis sinistra Truncus brachiocephalicus Arcusaortae Parsascendens aortae a 70 Yo Parsdescendens aortae, Parsthoracicaaortae - 3To F i g .9 5 3 a - e V a r i a b i t i toy f t h e o r i g i no f t h e m a j o ra r t e r i e s f r o m t h e a o r t i ca r c h ,A r c u sa o r t a e . a "Textbookcase" b C o m m o no r i g i no f t h e b r a c h i o c e p h a ttircu n k a n d t h e L e f t c o m m o nc a r o t i da r t e r y c C o m m o nt r u n k f o r t h e b r a c h i o c e p h a lt.ri u c nkandthe teft c o m m o nc a r o t i da r t e r v Left vertebraIartery branchingoff the aortic arch independently R i g h ts u b c t a v i a a n r t e r ya s t h e u t t i m a t eb r a n c ho f t h e a o r t i ca r c h T h i sa b n o r m a Ia r t e r yf r e q u e n t [ yp a s s e sb e h i n dt h e o e s o p h a g utso t h e r i g h t ,w h i c hc a n r e s u [ ti n s w a t l o w i n g d i f fi c u t t i e sI D y s p h a g ilau s o r i a ) . Posteriormediastinum Truncusbrachioceohalicus a N vagus[X] 0 Trachea recurrens a N. laryngeus I N vagus[X] profundaa A ceruicalis Truncuscostocervicalis O o N phrenicus A intercostalis suDremao O A subclavia A subclavia a a A thoracicainterna N laryngeus recurrens s O Arcusaortae a Parsthoracicaaortae, Rr.bronchiales 3 N laryngeusrecurrens Parsascendens aortaea IAortaascendens] a N. vagus[X], Rr bronchiales principalis Bronchus dexter sinister Bronchusprincipalis V azygosa a Parsthoracicaaortae, Rr.oesophageales Truncussympathicus 8 recurrens, a N. laryngeus Rr oesophageales Mm intercostales O interni Oesophagus,Pars thoracica W intercostales a posteriores a Aa. intercostales posteriores Mm.intercostales o externi o Parsthoracica aonae Nn thoracici, a Nn intercostales N splanchnicus o mtnor a N splanchnicus maJor a V azygos Parslumbalis a diaphragmatis majorI N splanchnicus CostaXl CostaXl, Cartilagocostalis a Truncuscoeliacus N splanchnicus minort V lumbalis ascendens O a A mesenterica supenor A;Vsubcostalisaa N subcostalis, a Parsabdominalis aonae o N iliohypogastricus F i g .9 5 4 T h o r a c i ca n d a b d o m i n aal o r t a ,P a r st h o r a c i c a sortae a o r t a ee t P a r sa b d o m i n a l i a > Thoracicviscera Posteriormediastinum V thyroidea inferioro V brachiocephalicadextra o a V brachiocephalica sinistra a V subclavia Arcus venae azygos a Oesophagus, Parsthoracica V cavasuperiora Ductusthoracicus. Parsthoracica posteriores a Aa intercostales a Mm intercostales interni V azygosa a V hemiazygos accessoria O V hemiazygos a o Aa ; Vv intercostales posteriores Truncussympathicus, Ganglia , Nn thoracici, Nn intercostales Lig longitudinale anterius N splanchnicus major Vv intercostales a posteriores O V hemiazygos subcostalis a O Cisternachyli Costa Xl c Parslumbalis diaphragmatis, Crusdextrum et Crussinistrum N subcoslalis V cavainferiora a V lumbalis ascendens F i g .9 5 5 V e s s e Lasn d n e r v e so f t h e p o s t e r i o rm e d i a s t i n u m , Mediastinum oosterius. Posteriormediastinum cervicothoracicum * Ganglion [stellatuml A carotiscommunis O N vagus[X] e Truncussympathicus, t medium Ganglion cervicale Trachea anterior o M. scalenus recurrens {, N laryngeus O A subclavia M scalenusanteriora I Ansasubclavia Ansasubclavias * N vagus[X] A subclavia O Truncussympathicus, *r ll Ganglion thoracicum thoracicus; & Plexusaorticus Plexuscardiacus N vagus[X] & N laryngeus recurrens 8l recurrens 6 N laryngeus I N vagus[X],Rr.bronchiales sinister Bronchus orincioalis Parsascendens a aonae N vagus(X),* Rr bronchiales * Nn. thoracici, Nn intercostales Bronchus principalis dexter Truncus & sympathicus I N vagus[X], Plexus oesophageus Truncus* sympathicus, Gangliathoracica t Truncus sympathicus, Rr.communicantes Oesophagus, Parsabdominalis splanchnicus s mrnor Diaphragma a Parspylorica o N. iliohypogastricus Duodenum N subcostalis 8, aortaeO Parsabdominalis F i g r 9 5 6 A u t o n o m o unse r v o ussy s t e mo f t h e t h o r a c i cc a v i t y , P a r st h o r a c i caau t o n o m i c a . > Thoracicviscera Phrenicnerve V jugularis internaa Glandulathyroidea Truncusbrachiocephalicus a Trachea O A carotiscommunis ,, N laryngeus recurrens N laryngeus recurrens. V subclavia a Clavicula N vagus[X] a M scalenusanterior V brachiocephalicasinistra a o A thoracicainterna V brachiocephalica a dextra , N vagus[X] Pulmodexter, Lobussuperior N vagus[X], " Rr cardiacithoracici Pulmosinister, Lobussuperior ArcusaortaeO V cava a supenor s N phrenicus Plexus.. cardtacus O O A ; V pericardiacophrenica N phrenicust N phrenicus, ; R pericardiacus Pulmodexter, Lobusmedius Pericardium Pulmodexter, Lobusinferior Recessus costodiaphragmaticus Pleuraparietalis, pars diaphragmatica * Diaphragma F i g .9 5 7 T h o r a c i cv i s c e r ao f a n a d u L t ; t h e a n t e r i o rt h o r a c i cw a L [h a s b e e nr e m o v e d , a n d t h e r i g h t a n d t h e L e f t[ u n g h a v eb e e n s e c t i o n e di n t h e f r o n t a Ip L a n e ; ventraL view l\4 scalenusanterior N phrenicus A subclavia dextra V subclavia dextra V cavasuperior Pericardium N phrenicus, R pericardiacus Diaphragma N phrenicus, Rr phrenicoabdominales F i g .9 5 8 C o u r s eo f t h e p h r e n i cn e r v e , N.phrenicus Mediastinum Mediastinum supenus Mediastinum inferius F i g . 9 5 9 O r g a n i s a t i oonf t h e m e d i a s t i n u mM, e d i a s t i n u m . l\4 arytenoideus transversusG Oesophagus,Pars cervicalis Cartilagocricoidea,Lamina Cavitas infraglottica Lig vocale Trachea, Pariesmembranaceus Cartilagothyroidea a l\4 sternothyroideus VertebracervicalisVll Iprominens] Fascia cervicalis,Lamina superticialis anterior o V jugularis principalis Bronchus sinister thyroidea Glandula Nodi lymphoidei tracheobronchialessuperiores Cartilaginestracheales O M sternocleidomastoideus VertebracervicalisVll [prominens],Proc spinosus Articulatiosternoclavicularis sterni l\4anubrium O Truncusbrachiocephalicus t lvl pectoralismajor sinistra a V brachiocephalica Ligg interspinalia Bilurcatiotracheae, Carina tracheae a Arcusaortae Corpussterni W basivertebrales a principahs Bronchus dextel aortae O Parsascendens Thymus Noduslymphoideus inferior tracheobronchialis semilunares Valvaaortae,Valvulae et dextra sinistra. oosterior sinistra a A coronaria Plexusvenosusa vertebralis internusposterior M interspinalis t A pulmonalis dextraa Pars Oesophagus, thoracica V p u l m o n a lsi si n i s t ra Sinustransversus pericardii V hemiazygos a Atriumcordissinistrum Myocardium Valva atrioventricularis dextra [ValvatricusPidalis] C o s t a eV l ; V l l Cavitas pericardiaca Septuminteratriale A coronaria dextra;O a V cardiacamedia Nledulla spinalis Sternum, Proc xiphoideus e M rectus abdominis O Parssternalis diaphragmatis Duramaterspinalis Spatiumsubarachnoideum Oesophagus, Tunica muscularis Pars lumbalisdiaphragmatisI phrenicus superior Noduslymphoideus Hepar, Area nuda Lamina visceralis lEpicardiuml Lamina parietalis Atriumcordisdexlrum , ediastinum; , a v i t a st h o r a c i s a, n d m e d i a s t i n u mM F i g .9 6 0 T h o r a c i cc a v i t yC m e d i a ns a g i t t a sI e c t i o nt h r o u g ht h e n e c ka n d t h e t h o r a x ; L a t e r avI i e wf r o m t h e r i g h t . ,",o.,. e",i.u,oi,' J Thorax,frontalsections Trachea A vertebralis a Nodi lymphoideithoracis, Nodi paratracheales Plexusbrachialis & A suprascapularis O A thoracoacromialis Oesophagus Nodi lymphoideicervicaleslaterales, Nodi orofundiinferiores O A thoracicainterna a M. scalenusmedius sinistra O A, subclavia Clavicula a M. subclavius subclavia O dextra CostaI O A. axillaris I N vagusslnister[X] a V axillaris V cavasuperiora o Arcusaortae minor o M. pectoralis V pulmonalis dextrasuperior, a anterior, Parsintrasegmentalis A. intercostalis O CostalV a) Parsascendensaortae O M. serratusanterior Fissurahorizontalis pulmonis dextri internus a M intercostalis Atriumcordisdextrum sinistra o A coronaria Fissuraobliqua Bronchus intrasegmentalis Pleuraparietalis,Parscostalis Ventriculus cordissinister Pleuravisceralis Laminavisceralis IEpicardium] Diaphragma O Laminaparietalis Recessus costodiaphragmaticus Hepar, Lobussinister parietale Peritoneum Peritoneum\ Flexuracoli V hepatica O Valva aortae Truncuspulmonalis O Valvaatrioventricularis dextra O A coronariadextra, B. interventricularis oosterior Fundusgastricus Ventriculus cordisdexter F i g ,9 6 1 T h o r a c i cc a v i t yC , a v i t a st h o r a c i s . A carotiscommunis Trachea Truncusbrachiocephalicus V cavasuperior Parsascendensaortae Truncuspulmonalis Pulmosinister Pulmodexter Atriumcordisdextrum Ventriculus cordissinister Diaphragma Ventriculuscordisdexter Hepar Valvaatrioventricularis dextra Fig.962 Thoraciccavity,Cavitasthoracis; m a g n e t i cr e s o n a n c e t o m o g r a p h i ci m a g el M R l ) ; f r o n t a Is e c t i o na t t h e [ e v e [o f t h e s u p e r i o rv e n ac a v a ; ventraIview. 0esophagus Thorax, secttons Pars thoracica aortae posterius Mediastinum Pleura visceralis Ipulmonalis] Pulmosinister Oesophagus, Parsthoracica Cavitaspleuralis Pulmo dexter, Lobus inferior Diaphragma Cavitas pleuralis Pleuraparietalis, Parscostalis Diaphragma Hepar Corpusgastricum V hepatica dextra Recessuscostodiaphragmaticus Becessus phrenicomediastinalis Omentummajus V cava inferior Parslumbalis diaphragmatis Gaster,Ostiumcardiacum Tunicamucosa Pancreas Flexuracolisinistra Gaster. Pars cardiaca F i g .9 5 3 D i a p h r a g mD , i a p h r a g m aa,n d o e s o p h a g u s , O e s o p h a g u sw,i t h i t s t r a n s i t i o ni n t ot h e s t o m a c h G , aster; f r o n t a Is e c t i o nt h r o u g ht h e L o w e rp a r t o f t h e t h o r a c i c c a v i t ya n d t h e u p p e rp a r t o f t h e a b d o m i n acI a v i t y . Truncuspulmonalis Atrium cordis dextrum Ventriculus cordissinister Ventriculuscordisdexter Diaphragma Hepar F i g . 9 6 t + T h o r a c i cc a v i t yC , a v i t a st h o r a c i s ; m a g n e t i cr e s o n a n cteo m o g r a p h ii cm a g eI M R l ) ; f r o n t a Is e c t i o na t t h e L e v eoLf t h e a o r t i cv a t v e : V C N I T A LV I C W . > Thoracicviscera tt Thorax,frontalsections M trapeziust o M serratus anterior I M, suoraspinatus Articulatio acromioclavicularis o M subscapularis lvl erectora sptnae Scapula, Cavitas glenoidalis M spleniusa Caputhumeri t M deltoideus Vertebrathoracicall (Recessus axillaris) Cupulapleurae . N axillaris Pleuravisceralis humeri a A circumflexa posterior lvl intercostalis internusa a M teresmajor ,!8Plexusbrachialis, posterior Fasciculus C o s t al l l a A axillaris AortaO & Plexusbrachialis, Fasciculus medialis V anterior, a Parsintrasegmentalis Bronchus segmentalis anterior[B lll] & Plexusbrachialis, Fasciculus lateralis a V axillaris N thoracodorsalis s M serratusI anterior a A circumflexa scapurae Nodus lymphoideus axillaris a M coracobrachialis F i g .9 5 5 T h o r a c i cc a v i t yC , a v i t a st h o r a c i s ; a x i t t aA , x i L t aa, n d s h o u L d eiro i n t , A r t i c u L a t ihou m e r i . M scalenusmedius* a V jugularisinterna o V cephalica Proc. coracoideus a M. biceps brachii,Caput longum, Tendo Acromion Caputhumeri ,* Plexusbrachialis O M. deltoideus Nodilymphoidei paratracheales a A axillaris CostaI c M subscapularis carotiscommunisa sinistra a V axillaris Noduslymphoideus tracheobronchialis a lvl teresmajor Arcusaortaea longus & N thoracicus O l\4 serratusanterior Pulmosinister CostalV F i g .9 6 6 T h o r a c icca v i t yC, a v i t atsh o r a c i s ; a x i t t aA, x i L t a ,n ds h o u t d ei ro i n t , A r t i c u L a thi ou m e r i . lvl scalenusanteriore t M sternocleidomastoideus * N vagusdexter[X] M pectoralismajorC M subclavius * a A carotiscommunis Plexus brachialisx Caput humeri a A subclavia Pulmodexter,Apex Pleuravisceralis Pleuraparietalis Vertebra thoracicalll. Proc soinosus Scapula M infraspinatus t t M serratusanterior Clavicula o M trapezius a V subclavia M sternocleidomastoideus o M sternohyoideus a .M scalenusanterior a M omohyoideus a A subclavia I M pectoralis major Trachea a M. deltoideus Oesophagus Plexusvenosusvertebralis internusa Spatiumsubarachnoideum Medulla spinalis a M infraspinatus ,! N suprascapularis M trapeziusa M supraspinatus a F i g .9 5 7 a , b T h o r a c i cc a v i t yC , a v i t a st h o r a c i s a; x i I L aA, x i t l a , a n d s h o u [ d e ri o i n t .A r t i c u t a t i oh u m e r i . Scapula Spinascapulae a R i g h tp a r t o f t h e b o d y b Left part of the body > Thoracicviscera Lungs transversesections A\ Manubrium sterni Nodi lymphoideiparatracheales O Truncusbrachiocephalicus a lvl sternothyroideus sinistra a A, carotiscommunis V.thoracica internao N phrenicus dexter,, Trachea .N V cavasuperiora M pectoralismajora phrenicus sinister sinistra a A subclavia ,* N vagussinister[X] M pectoralis c mrnor CostaI Oesophagus Pulmosinister, Lobussuperior V pulmonalis a dexlrasuperior ,, N thoracicus longus thoracicus longus? V axillarisa *{ Plexusbrachialis HUMETUS a Arcusaortae A axillarisa Noduslymphoideus axillaris, Nodusapicalis a A subscapularis l\4 subscapularis a Bronchus segmentalis poslerior [B ll] M teresmajorI M infraspinatus e Pleuraparietalis, Parscostalis costa lll Scapula M trapeziusO V azygoso Lig longitudinaleanterius s M serratusanterior * N, intercostalis Pleuravisceralis * Truncussympathicus Ductusthoracicus Vertebra thoracicall. Proc soinosus F i g . 9 5 8 T h o r a c i cc a v i t yC , a v i t a st h o r a c i s Corpussterni Becessus costomediastinalis A thoracica interna O N phrenicusdexter { a Truncusbrachiocephalicus sinistra a A carotiscommunis a Arcusaortae r N. phrenicus sinister I M pectoralismajor V, cavasuperioro Bronchus segmentalis anteriorIB llll Nodi lymphoideiparatracheales A pulmonalis sinistra,O A segmentalis anterior minor , M pectoralis Pulmosinister. Lobussuoerior V azygos O Trachea N intercostalis i Bronchus intrasegmentalis a M serratusanterior N thoracicus longusa longus I N thoracicus Pulmodexter, Lobussuperior Oesophagus lvl intercostalis externusa a A thoracodorsalis vagusdexter[X] i. a M. teresmajor lvl subscapularis l| , N.vagussinister [X] V azygosO lvl infraspinatus O Scapula Fissuraobliqua CostalV Truncussympathicus { M trapeziusa Vertebrathoracica lV Fissuraobliqua Pulmosinister, Lobusinferior a Parsthoracicaaortae Recessus vertebromediaslinalis Ductusthoracicus F i g . 9 6 9 T h o r a c i cc a v i t y C , a v i t a st h o r a c i s . Thorax, transversesections Corpussterni A pulmonalis dextraa O Parsascendensaortae Cavitas pericardiaca N phrenicus dexter Cartilago costalis V cavasuperioro a Truncuspulmonalis l\4 pectoralismajor6 N phrenicus sinister A lobarissuperiora sinistrasuperior a V oulmonalis Pulmodexter.LobussuDerior Bronchus sinister Drincioalis Nodi lymphoidei bronchopulmonales Bronchus lobarissuperior l\4 serratusanteriorO Glandula mammaria Costalll N thoracicus longus , N thoracicus longus F i s s u roab l i q u a a A lobarissuperior principalis Bronchus dexter I M serratusanterior Pulmodexter, Lobusinferior Fissuraobliqua M teres major O N vagus[X] Truncus sympathicus a Parsdescendens aonae azygosa lvl trapezius c VertebrathoracicaV Scapula N vagus[X] Oesophagus Ductusthoracicus F i g . 9 7 O T h o r a c i cc a v i t yC , a v i t a st h o r a c i s . Bronchus principalisdexter Sternum Pleuraparietalis, Parsmediastinalis M pectoralis major Bronchus segmentalis a n t e r i o r[ B l l l ] Parsascendensaortae V cavasuperior Bronchus segmentalis posterior[B ll] principalis Bronchus sinister Parsdescendens aortae Bronchus lobarissuperior dexler Scapula Bi{urcatiotracheae M, infraspinatus Oesophagus Vertebrathoracica lV, Corpus vertebrae Vertebra thoracica lV, Proc transversus Foramen vertebrale M erectorspinae M trapezius Costae F i g . 9 7 1 T h o r a c i cc a v i t yC , a v i t a st h o r a c i s ; c o m p u t e dt o m o g r a p h i c r o s s - s e c t i oInC T ] . lvl serratusanterior Lur r Es Thorax, transversesections \ V cavasuperiora A thoracica internaa V pulmonalis dextrasuDerior a N phrenicusdexter , M pectoralismajor S Corpussterni a Pars ascendens aortae Atriumcordissinistrum Sinustransversus oericardii O Truncuspulmonalis Costalll Bronchus lobarismedius N phrenicus sinister Auriculaatriisinistri Pulmodexte.,Lobusmedius Pulmosinister. LobussuDerior Bronchus lobarismedius G l a n d u l am a m m a r i a Bronchus lobarisinferior Oesophagus Nodi lymphoidei bronchopulmonales N thoracicuslongus .r Aa lobares inferioresa Fissura obliqua Cavitaspleuralis Pulmodexter, Lobusinferior Bronchus segmentalis basalisposterior [B X] M serratusanterior* sinistra a V pulmonalis inferior M latissimus dorsicr V pulmonalis dextrainferiorO M intercostalis externus* Ductusthoracicus N vagus dexter [X] : V intercostalisO M trapezius * aortae a Parsdescendens Becessus vertebromediastinalis o V azygos VertebrathoracicaVl F i g . 9 7 2 T h o r a c i cc a v i t yC , a v i t a st h o r a c i s . Atriumcordissinistrum Ostiumatrioventriculare sinistrum Aorta Valva aortae Valvulasemilunaris sinistra Valvulasemilunaris posterior Cuspisanterior I Valva atrioventricularis sinistra [Valva mitralis] 7 Cuspisposterior J Ventriculus cordissinister Valvulasemilunaris dextra Septuminterventriculare Ventriculus cordisdexter Fig.973 Heart,Cor; u L t r a s o u nidm a g ev i e w e df r o m t h e o e s o p h a g u s ( t r a n s o e s o p h a g eeacIh o c ar d i o gr a p h y l . transversesections Atriumcordisdextrum Sternum, Proc xiphoideus sinistra a A coronaria Cartilago costalis a Sinusaortae Valva aortae N phrenicus dexter Ventriculus cordisdexter Pulmodexler,Lobusmedius a A coronaria sinistra, R, interuentricularisanterior Papilla mammaria Ventriculus cordissinister Giandula mammaria Valvaatrioventricularis sinistra[Valvamitralis] Pulmosinister, Lobussuperior Fissuraobliqua Atriumcordissinistrum l\4 serratusanteriorN sinister * N phrenicus V basalisinferior, a V pulmonalis dextra inferior o V cardiacamagna Noduslymphoideus bronchopulmonalis Costa Vl N vagusdexter[X] ''t M latissimus dorsia Pulmodexter, Lobusinferior VertebrathoracicaVll N intercostalis & Oesophagus Lobusinferior Pulmosinister, a V intercostalisa Parsdescendensaortae - Truncussympathicus Ductusthoracicus , a v i t a st h o r a c i s . F i g . 9 7 1 T h o r a c i cc a v i t yC M pectoralismajore V oulmonalis sinistrainferioro M transversus thoracisa Sternum.Proc xiohoideus o A coronaria/ Atriumcordis Sinistra ,/ dextrum Pulmodexter,Lobusmedius Valvaatrioventricularis dextra [Valvatricuspidalis] Ventriculus cordisdexter Fissuraobliqua Ventriculus Costa lll -\ Pulmosinister, Lobussuperior N intercostalis* Mamma Recessus coslomediastinalis Fissuraobliqua a M serratusanterior Nodi lymphoidei tracheobronchiales inferiores s N, phrenicus a A coronariadextra Pulmo dexter, Lobus inferior Pulmosinister, Lobusinferior M intercostalis externusa a Parsdescendensaortae Bronchus segmentalis basalis lateralis[B lX] dorsi a M latissimus Noduslymphoideus juxtaoesophagealis N vagusdexter[X] | VertebrathoracicaVlll Oesophagus V azygosa \ a A intercostalisDuctusthoracicus Truncussympathicus Vll. proc spinosus thoracica Vertebra F i g ,9 7 5 T h o r a c i cc a v i t yC , a v i t a st h o r a c i s > Abdominalviscera >> | Stom achI SmattintestineI Lar gei ntes ti ne I Li v er Oesoohaous. Parsabdomirialis Incisura cardialis Fundusgastricus Curvatura minor Duodenum, Parssuperior Corpus gastricum Incisura angularis Curvaturamaior Duodenum, Parsdescendens Fig.976 Stomach,Gaster; ventraIview. Pancreas Musclesof thestomach Fundusgastricus Oesophagus, Tunicamuscularis Tunicamuscularis, Stratumlongitudinale Curvaturamajor Tunicamuscularis, Stratumlongitudinale Curuatura minor Tunicamuscularis, Stratumcirculare Fig.977 Stomach,Gaster; externaImusc[etayers; ventraIview Tunicamuscularis Stratumcirculare Oesophagus, Tunicamuscularis Tunicamuscularis, Stratumcirculare Tunicamuscularis, Fibraeobliquae , aster; F i g .9 7 8 S t o m a c h G t h e p e r i t o n e u mh a s b e e n removedto demonstratethe i n t e r n a Im u s c [ el a y e r s ; ventraIview. > AbdominaIviscera Stomach,structure Incisura cardialis Oesophagus, Parsabdominalis CardiaIParscardiaca],Ostiumcardiacum Duodenum, Parssuperior, Ampulla Plicaecirculares Duodenum, Parsdescendens Parspylorica, Canalispyloricus, Antrumpyloricum F i g . 9 7 9 S t o m a c hG , a s t e r a, n d d u o d e n u mD , uodenum; ventraIview. Areae gastricae Foveolae gastricae Tunicamucosa Epilhelium Laminapropriamucosae Noduluslymphoideus solitarius Glandulae gastricae Laminamuscularis mucosae Telasubmucosa F i g .9 8 0 D i a g r a mo f t h e s t o m a c hw a t [ ; the layersof the wa[[ havebeen removedstepwise; m i c r o s c o p i ec n t a r g e m e nat i L o wm a g n i f i c a t i o n . Pancreas Vesselsof thestomach A ; V gastricasinistra,Rr oesophageales CardiaIParscardiaca] A.; V.gastricasinistra A hepaticapropria V portaehepatis Ductuscysticus Ductus hepaticuscommunis Omentumminus, Lig hepatogastricum Aa ;W. gastricae breves Lig hepatoduodenale A hepaticacommunis A;V gastroomentalis sinistra A;V gastricadextra Omentummaius A ;V gastroomentalis dextra Flexuraduodeniinferior dextra,Rr.omentales A ; V gastroomentalis , aster; F i g . 9 8 1 B L o o dv e s s e t so f t h e s t o m a c h G ventraIview. Lobus hepatis sinister Nodi lymphoidei gastrici dextri Nodi lymphoidei pylorici Nodi lymphoidei gastroomentales dextri F i g .9 8 2 S t o m a c hG , a s t e r a, n d t i v e r ,H e p a r , w i t h L y m p hn o d e s ,N o d it y m p h o i d e i ; ventraIview. Liver 1 = Oesophagus withcontrastmedium ( 1a) intothelundus At the transition o{ stomach,the groovesbetween theloldsappearas darkstriations 2 = Fundusof stomachwithairbubble 3 = Bodyof stomach 3a = Lessercuruature 3b = Greatercuruature. In the liningsof the latter,notches cotresponding to the contour of the mucousarevisible 4 = Peristalticconstrictionat the angularnotch 5 = Pyloricpartpriorto the progressionof a portionol the stomach'scontenl 6 =Ampullaofduodenum partof theduodenum 7 = Descending withcircularfolds 8 = Jejunum 9 = Left"dome"ofdiaphragm 10 = Leftcolicflexure(filledwithair) F i g . 9 8 3 S t o m a c hG , a s t e ra, n d d u o d e n u mD, u o d e n u m ; A P - r a d i o g r a pahf t e r o r a I a d m i n i s t r a t i oonf a c o n t r a s m t edium; u p r i g h tp o s i t i o n ; ventraIview. Sternum, Proc xiphoideus Cardia [Pars cardiacal Sternum, Proc xiphoideus Gaster, CardiaIPars cardiacal Fornix gastricus CostaX Costa X Fornix gastricus Corpus gastricum Corpus gastricum Gaster, Parspylorica Gaster, Parspylorica Spinailiaca anterior supenor Fig.984 Stomach,Gaster; p r o j e c t i o no f a " n o r m a t "s t o m a c ho n t ot h e a n t e r i o ra b d o m i n a I wa[t; u p r i g h tp o s i t i o n . Spinailiaca anterior supenor Fig.985 Stomach,Gaster; p r o j e c t i o no f a " l o n g "s t o m a c ho n t ot h e a n t e r i o ra b d o m i n a I watt; u p r i g h tp o s i t i o n . Pan c r e a s Gastroscopy Oesophagus Corpusgastricum Antrumpyloricum F i g . 9 8 6 T e c h n i c apt r o c e d u r eo f o e s o p h a g o s c o p y and gastroscopy. * Gastroscooe ** Thegastroscope's (compare Fig.987al in thebodyof stomach tip located **+Thegastroscope's Fig.987b) antrumlcompare in the pytoric tip located Gaste( Pariesanterior Gaster, Pariesanterior Plicae gastricae Pylorus Gaster, Parspylorica, Antrumpyloricum Gaster, Pariesposterior , aster; F i g . 9 8 7a , b S t o m a c h G e n d o s c o p i icm a g eo f t h e stomachIgastroscopy) ; s u p e n o rv r e w . Gaster, Pariesposterior , ithdistinct , o r p u sg a s t r i c u mw a V i e wo f t h e b o d yo f s t o m a c h C L o n g i t u d i n faot L d so f t h e m u c o s a{ P t i c ag a s t r i c a e l b V i e wo f t h e p y t o r i ca n t r u m ,A n t r u m p y t o r i c u mp, r e d o m i n a n t t y coveredwith smooth mucosa > Abdominalviscera tt Duodenum Duodenum, AmpullaIBulbusl Gaster,Parspylorica Duodenum, Parssuperior Duodenum, Parsdescendens Duodenum, Parsascendens Duodenum, Parshorizontalis Fig.988 Duodenum,Duodenum. Duodenum, Parssuperior Duodenum, Parsdescendens Pancreas,Caput Duodenum, Parshorizontalis F i g . 9 8 9 D u o d e n u mD , u o d e n u ma, n d p a n c r e a sP, a n c r e a s ; p r o j e c t e do n t ot h e a n t e r i o ra b d o m i n aw I a[t. Pancreas pyloricus M sphincter Pylorus, Ostiumpyloricum CanalisovloricusI I Harsovlorlca ' Antrumpyloncum) Plicaecirculares duodeni* M susoensorius Duodenum, Parsdescendens Flexuraduodenojejunalis Ampullahepatopancreatica Papilladuodenimajor"" Jejunum Tunicamuscularis Duodenum, Parsascendens Duodenum, Parshorizontalis F i g . 9 9 0 D u o d e n u mD, u o d e n u m ; ventraIview. * C[inicaI of TREITZ term:muscLe ++CtinicaI term:papitlaof VATER Flexuraduodenojejunalis VertebrathoracicaXll Duodenum, Pars suPerior, Xll Costa \ Ampulla Duodenum, Pars I Plicae descendens minor Gaster,Curvatura Gaster, Incisura angularis Duodenum,rJejunum Parsascendens Vertebra lumbalislll Fig.991 Duodenum,Duodenum; A P - r a d i o g r a pahf t e r o r a I a d m i n i s t r a t i oonf a c o n t r a s tm e d i u m ; u p r i g h tp o s i t i o n ; ventraIview. , uodenum; F i g . 9 9 2 D u o d e n u mD e n d o s c o p i icm a g e . tt SmalLintestine, structure Telasubmucosa Tunicamuscularis, Stratumcirculare F i g . 9 9 3 S u p e r i o rp a r t o f t h e d u o d e n u m , P a r ss u p e r i o dr u o d e n i ; layersof the wa[1. * C t i n i c at eI r m :B R U N NsEgRL a n d s Tunicamuscularis, Stratumlongitudinale Mesenterium Telasubmucosa Laminamuscularis mucosae Tunicaserosa Periloneum ( Teta viscerale 1 \ suoserosa Villi intestinales Nodulus lymphoideus solitarius Stratum/ / Tunica longitudinale muscularis I I Stratumcirculare F i g .9 j I S m a L i[ n t e s t i n eI,n t e s t i n u m tenue; c r o s s - s e c t i otnh r o u g ht h e u p p e rs m a t Li n t e s t i n e . Villusintestinalis Epithelium Lamina propria mucosae Tunicamucosa Vas lymphaticumcentrale Glandulae intestinales Lamina muscularismucosae Tela submucosa I Stratumcirculare .l r unrca musculans { ^. srrarum --\ I llongitudinale Tela subserosa Tunicaserosa F i g .9 9 5 S m a t Ii n t e s t i n el,n i e s t i n u mt e n u e ; [ a y e r so f t h e w a L t ; m i c r o s c o p iec n l a r g e m e nat t l o w m a g n i f i c a t i o n Tunicamucosa Pancreas Mucosaof the small intestine Telasubserosa Tunicamuscularis Plicae circulares Plicae crrcurares Noduli lymphoidei solitarii F i g . 9 9 7 l l e u m ,l t e u m . F i g . 9 9 6 J e j u n u m ,J e j u n u m . Plicae circulares Noduli lymphoidei aggregati* Noduli lymphoideisolitarii Mesenlerium F i g .9 9 8 T e r m i n a iI [ e u m , P a r st e r m i n a t i si [ e i . * CtinicaI term:PEYER s patches Mesenterium itei]. s iverticu[um Fig.999 MECKEL'd {Diverticutum T h i sv e s t i g eo f t h e y o l . ks t a t kI D u c t u so m p h a t o e n t e r i c u s l o c c u r si n 1 - 3 % o f c a s e s .l t i s [ o c a t e d3 0 - 7 0c m o r a I t o t h e i t e o c a e c aj uI n c t i o no p p o s i t et o t h e a t t a c h m e n ot f t h e mesenrerv. > AbdominaIviscera tt Largeintestine Flexuracoli sinistra Colontransversum Flexuracoli dextra Taenia libera Colondescendens Colonascendens Haustracoll Appendices omentales Appendix vermiformis Colonsigmoideum F i g .1 0 0 0 L a r g ei n t e s t i n eI n, t e s t i n u cmr a s s u m ; ventraL view. Flexuracoli sinistra Colon Iransversum Colon ascendens Colon oescenoens Colon slgmoideum Rectum F i g . 1 0 0 1 L a r g ei n t e s t i n eI,n t e s t i n u mc r a s s u m ; p r o j e c t e do n t ot h e a n t e r i o ra b d o m i n a I w a l L . T h e p o s i t i o n so f t h e t r a n s v e r s ec o t o na n d o f t h e s i g m o i d c o t o na r e h i g h l .vya r i a b t e[ c o m p a r eF i g .1 0 1 0 ) . Pa n c r e a s Large i ntestine, structure Colonascendens Taenia libera Haustra coli Plicae semilunarescoli Colon ascenoens Appendix vermtformis Papilla ilealis Plicae semtlunares coll lleum Noduli lymphoidei aggregati' Ostium ileale lleum Frenulum ostii ilealis Caecum Taenia libera Appendixvermilormis vermiformis Ostiumappendicis F i g . 1 0 0 3 A s c e n d i n gc o t o n ,C o l o na s c e n d e n s ; c a e c u m ,C a e c u m a, n d v e r m i f o r ma p p e n d i xA, p p e n d i xv e r m i f o r m i s ; ventraIview. * CtinicaI S oatches term:PEYER F i g .1 0 0 2 C a e c u m C , a e c u m v; e r m i f o r ma p p e n d i x , A p p e n d i xv e r m i f o r m i sa, n d t e r m i n a Ii [ e u m , P a r st e r m i n a t i si t e i ; dorsalview. Plicae semilunarescoli Omentummajus Taeniaomentalis Haustracoli Mesocolontransversum Taenia mesocolica Taenia libera Fig. 1004 Transversecolon,Co[ontransversum; ventroinferiorview. Appendices omentales lepiploicael intestinales Glandulae Epithelium Tunicamucosa Laminapropriamucosae solitarius Noduluslymphoideus mucosae Laminamuscularis Telasubmucosa F i g .1 0 0 5 C o t o n C , oton; layersof the wa[t; m i c r o s c o p iec n [ a r g e m e n t at lowmagnification. Telasubserosa Tunicaserosa S t o m a c h Sm at[intestineLargeintestine Liver SplenILienl Lobushepatisdexter Gaster Omentummajus Vesicabiliaris Colontransversum Duodenum, Parsdescendens Duodenum, Parsascendens Caputpancreatis Radixmesenterii Colon descendens Colon ascendens Caecum Colonsigmoideum Ampullatubaeuterinae Ovarium Vesicaurinaria F i g . 1 0 0 6 V e r m i f o r ma p p e n d i xA, p p e n d i xv e r m t f o r m i s ; v a r i a t i o n si n i t s p o s i t i o n ; ventraIview. Anulus umbilicalis Colon ascendens Colonascendens lleum Appendix vermiformis Spinailiaca anterior supenor Spinailiaca anteriorsuperior -30% Appendix vermiformis Caecum - 65o/o 2 o/o <1% F i g . 1 0 0 7a - d V e r m i f o r ma p p e n d i xA, p p e n d i xv e r m i f o r m i s ; v a r i a t i o n si n i t s p o s i t i o n . a D e s c e n d i n ign t o t h e l e s s e rp e l v i s b B e h i n dt h e c a e c u m c I n f r o n to f t h e i [ e u m d B e h i n dt h e i t e u m Fig. 1008 Caecum, Caecum,and vermiform appendix, Appendixvermiformis; p r o j e c t i o no n t o t h e a n t e r i o r a b d o m i n a I w a [ [ . + C t i n i c a l t e r mv; . L A N Z ' ps o i n t ,a t t h e r i g h tt h i r do f a [ i n e c o n n e c t i n tgh e a n t e r i o rs u p e r i o ri t i a cs p i n e s l,o c a t e st h e t i p o f t h e v e r m i f o r ma o o e n d i x * + C [ i n i c atIe r m : N 4 c B U R NsEpyo i n t ,a t t h e o u t e rt h i r do f a t i n e c o n n e c t i n tgh e r i g h ta n t e r i o rs u p e r i o ri L i a cs p i n ea n d t h e u m b i t i c u s ,l o c a t e st h e b a s eo f t h e v e r m i f o r ma o o e n d i x i .i | , "-i':. o.' lipi.uun i r r r ; i 1 , , 'l , l ,\ , \''irlt\iuns Flexuracoli dextra Flexuracoli sinistra Caecum Appendix vermiformis Colon sigmoideum F i g .1 0 0 9 C o t o nC , o t o n a, n d r e c t u m ,R e c t u m ; A P - r a d i o g r a pahf t e rf i L t i n gw i t h a c o n t r a s tm e d i u m a n da i r { d o u b l e c o n t r a sm t ethodl. F i g . 1 0 1 0a - d T r a n s v e r s ceo l o n ,C o t o nt r a n s v e r s u m ; c o m m o nv a r i a t i o nisn i t s p o s i t i o n ; v e n t r a Lv i e w . a N o r m a Ip o s i t i o n b Twisted F i g .1 0 11 A s c e n d i ncgo l o n C , o L oa ns c e n d e n s ; e n d o s c o p iicm a g ea f t e r p a s s a g eo f t h e r e c t u m , t h e s i g m o i dc o t o nt,h e d e s c e n d i ncgo L o n a n d t h e t r a n s v e r s ec o l o nI c o L o n o s c o p v l c U- s h ap e d d V - s h ap e d >> | Stom ach I Sm at[intestineI Lar gei ntes ti ne I Li v er Liver Lig coronarium Lig.triangulare dextrum Lig falciforme Diaphragma Lig triangulare sinistrum LobusheDatis sinister. Faciesdiaphragmatica Lobushepatisdexter, Faciesdiaphragmatica Lig. talciforme Lig tereshepatis Margoinferior Vesica biliaris Fi1.1012 Liver,Hepar; ventraIview. lmpressiooesophagea .. I Parssuperior; Factesoraonraomatca 1 \Area nuda Appendixfibrosahepatis V cava inferior lmpressio suprarenalis Lig.venosum Lig coronarium Lobuscaudatus V portaehepatis lmpressio gasrnca lmpressio renalis Tuber omentale Ductus choledochus lbiliarisl Proc papillaris Proc caudatus A. lobicaudati lmpressio duodenalis Lobushepatissinister A cystica Margo inferior lmpressio colica propria A hepatica Lobushepatisdexter Fissuraligamenti teretis Incisura ligamenti teretis Lig teres hepatis LOOUS quaoralus Vesica biliaris F i g . 1 0 1 3 L i v e r ,H e p a r ,a n d p o r t ah e p a t i s P , o r t ah e p a t i s ; dorsaIview. * Borders of thesuperiorrecessof theomentaIbursa Pan c r e a s Lig falciforme Lobusheoatisdexter. Tunicaserosa Lobushepatissinister, Tunicaserosa Lig.coronarium LOOUS caudatus Appendixfibrosahepatis W hepaticae V. cava inferior (Lig. venae cavae) F i g . 1 0 1 4 L i v e r ,H e p a r ; s u p e n o rv r e w . F i g . 1 0 1 5 L i v e r ,H e p a r ,o f a f o e t u s ; oxygencontentof the btoodis shown b y d i f f e r e n ct o [ o u r sa n d t h e d i r e c t i o n of ftow by arrows; dorsaIview. * Atso:DuctusARANTII > AbdominaIviscera tt Liverpuncture CostaV Diaphragma Hepar,Lobussinister Hepar,Lobusdexter Lig teres hepatis Fig.1016 LiverH , epar; p r o j e c t i o no n t ot h e a n t e r i o r abdominaLwa[t; intermediate p o s i t i o nb e t w e e n i n s p i r a t i oann d e x p i r a t i o n . + Position of the needte for liverpuncture M intercostalis externus M intercostalis internus F i g . 1 0 1 7 L a y e r so f t h e a b d o m i n a l w a [ La n d t h e L i v e rH , epar; f r o n t a Ls e c t i o n . * Position of theneedte for liverouncture F i g . 1 0 1 8a - d L i v e r ,H e p a r ; v a r i a t i o n si n s h a p e a S m a t L[ e f t [ o b eo f I i v e r ,L o b u sh e p a t i ss i n i s t e r b T o n g u e - s h a p epdr o c e s so f t h e r i g h t l o b eo f L i v e r , L o b u sh e o a t i sd e x t e r c B r i d g e df l a t s h a p e d D i a p h r a g m a t ifcu r r o w s Vesica biliaris Fancreas structure coronanum Areanuda Lt9 coronanum Facies visceralis Margo inferior , epar; F i g . 1 0 1 9 L i v e rH s a g i t t a L s e c t i ot h n r o u g ht h e r i g h t [ o b eo f I i v e rt o d e m o n s t r a t e t h e b r a n c h e so f t h e h e p a t i cv e i n sa n d t h e h e p a t i cp o r t a Iv e i n . * I n t r a h e p a bt irca n c h eosf t h eh e p a t ivce i n s + +I n t r a h e p a bt irca n c h eosf t h eh e p a t ipco r t avI e i na n dt h eh e p a t iacr t e r y V centralis Ductusbilifer interlobularis V interlobularis A interlobularis , epar; Fig.1020 LiverH m i c r o s c o p isct r u c t u r eI m i c r o s c o p iecn t a r g e m e nat t l o w m a qn i fi c a t i o n l ; t r i a s o f G L I S S OI N c o n s i s t so f a b r a n c ho f t h e h e p a t i cp o r t a L [ i t ed u c t l , v e i n ,a b r a n c ho f t h e h e p a t i ca r t e r yp r o p e ra n d a s m a L b a n d a s m a [ tL i v e lro b u [ es u r r o u n d i n ga c e n t r a lv e i n ' > AbdominaIviscera tt Bloodyesselsof the liver V cava inferior W hepaticae dextrae W hepaticae sinistrae W hepaticaeintermediae Vesicabiliaris Ductuscholedochus lbiliarisl F i g . 1 0 2 1 L i v e r ,H e p a r ,a n d h e p a t i cv e i n s ,V v .h e p a r r c a e ; ventraLview. Ductushepaticus sinister V cava inlerior V portaehepatis,R sinister A hepatica proprja, R dexter V portae hepatis, R. dexter A hepatica propria,R. sinister Ductus hepaticusdexter Ductuscholedochus lbitiarisl F i g . 1 0 2 2 L i v e r ,H e p a r ,a n d t h e h e p a t i cp o r t a tv e i n ,V p o r t a eh e p a t i s ; ventraLview. Pancreas FissuraportalisprinciPalis Segmentum !l Fissuraumbilicalis Fissuraoortalisdextra Seomentumposterius sinisiruml ll late-rale Seomentumoosterius laleraledexirum[Vll] Lig.falciforme anterius Seomentum sinistrumIlll] late-rale anterius Seomentum latEraledextrum[Vll Lig tereshepatis anterius Seomentum m6dialedextrum[Vj mediale Seomentum sinistrum[V] Vesicabiliaris , epar; F i g . 1 0 2 3 L i v e rH areshownin differentcolours; of the Lobes the segments ventratview. V. cava inferior Lig.triangulare sinistrum (Lig. venae cavae) Segmentumill Seomentumoosterius la-terale sinistrumilll Lig.venosum Seomentumanterius ld;ale sinistrum !lll Seomentumanterius latdraledextrum[Vl] Seomentumanterius meaialedextrum[V] Lig.tereshepatis Vesicabiliaris Fig. 1021 Liver,Hepar; of the tobesareshownin differentcotours; the segments dorsaIview. > Abdominalviscera tt Liver,ultrasound V. hepatica sinistra V hepatica intermedia V hepatica dextra V cava inferior Diaphragma Pulmodexter, Lobusinferior F i g . 1 0 2 5 H e p a t i cv e i n s ,V v .h e p a t i c a e ; u t t r a s o u n di m a g es h o w i n gt h e o p e n i n go f t h e h e p a t i cv e i n s i n t ot h e i n f e r i o rv e n ac a v a i n f e r i o rv i e w . * Abdominatwat[ --t V portaehepatis, R dexter portaehepatis V portaehepatis, R sinister R anterlor V portaehepatis, R dexter Pars abdominalis aortae Parslumbalis diaphragmatis V cava inferior Parscostalis diaphragmatis F i 1 . 1 0 2 6 H e p a t i cp o r t a Lv e i n ,V . p o r t a eh e p a t i s ; u t t r a s o u n di m a g es h o w i n gt h e d i v i s i o no f t h e h e p a t i cp o r t a Iv e i n i n t ot h e m a i nb r a n c h e s ; i n f e r i o rv i e w . * A b d o m i nw a Ia [ [ Fancreas Liver,laparoscopy Diaphragma Fundusvesicae bitiaris Colontransversum Hepar,Lobusdexter Omentummajus , s i c ab i l . i a r i lsf e l l . e a ] ; F i g .1 O 2 l L i v e r ,H e p a r ,a n d g a t L b t a d d eVr e l-^--^--^^.,. LdPor uJLUPy, o b t i o u ei n f e r i o rv i e wf r o m t h e L e f t Fundus vesicae biliaris Lobushepatissinister Corpus vesicae biliaris A ; V cystica Peritoneumparietale Collum vesicae biliaris Lobus hepatis dexter Duodenum, Pars superior Fundusgastricus F i g .1 0 2 8 G a L t b L a d d V e re,s i c ab i L i a r i sl f e t t e a ]a, n d I i v e r ,H e p a r ; Laparoscopy; v e n t r a Iv i e w . > A b d o m i n avt i s c e r a tt Gallbtadder and biLeductsvstem Lig falciforme Vesica biliaris Ductuscysticus Ductushepaticus communts Ductushepaticus dexter Ductushepaticus sinister Ductuscholedochus lbiliarisl Lig hepatoduodenale Duodenum Papilladuodeni major Collum vesicae biliaris Ductushepaticus communrs Plicae mucosae Plicaspiralis* Corpus vesrcae biliaris Ductus choledochus lbiliarisl Fundus vesicae biliaris Plicae circulares Noduli lymphoidei solitarii Plica longitudinalis duodeni (Oriliciumductus pancreatici) Papilladuodeni major "" F i 9 . 1 0 2 9 G a L l . b L a d dVeer s, i c ab i L i a r i sl f e t L e a ] , a n d b i [ ed u c t s y s t e m ; ventraL view * C I i n i c at eI r m :H E I S TsEvRa l v e ** Ctinicalterm t u:b e r c loef V A T E R F i g . 1 0 3 0a - c V a r i a t i o n si n t h e b i L ed u c t s y s t e m : c o m m o nh e p a t i cd u c t ,D u c t u sh e p a t i c ucso m m u n i s , a n d b i [ ed u c t ,D u c t u sc h o t e d o c h u s . a H i g hu n i o no f t h e c o m m o nh e p a t i cd u c t ,D u c t u sh e p a t i c u s c o m m u n i s a, n d t h e c y s t i cd u c t ,D u c t u sc y s t i c u s b L o w u n i o no f t h e c o m m o nh e p a t i cd u c t ,D u c t u sh e p a t i c u s c o m m u n i s a, n d t h e c y s t i cd u c t ,D u c t u sc y s t i c u s c L o w u n i o na f t e rt h e c y s t i cd u c t ,D u c t u sc y s i i c u sc, r o s s e s o v e rt h e c o m m o nh e p a t i cd u c t ,D u c t u sh e p a t i c u sc o m m u n i s Pancreas Bileduct system,radiography Ductushepaticus sinister Ductushepaticus dexter Ductushepaticus communrs Ductuscysticus Vesicabiliaris Ductuscholedochus lbiliarisl Duodenum F i g . 1 0 3 1 B i t ed u c t s y s t e m ; A P - r a d i o g r a pahf t e r a d m i n i s t r a t i oonf a c o n t r a s tm e d i u m ; u p r i g h tp o s i t i o n ; ventraIview. DuctusheDaticus communis Ductuscysticus, Plicaspiralis Collumvesicaebiliaris Ductuscholedochus lbiliarisl Duodenum Corpusvesicaebiliaris F i g . 1 0 3 2 G a L t b t a d d eVre, s i c ab i I i a r i s[ f e l . t e a ] , a n d b i l . ed u c t s y s t e m ; A P - r a d i o g r a pahf t e r a d m i n i s t r a t i oonf a c o n t r a s tm e d i u m ; u p r i g h tp o s i t i o n ; ventraIview. > A b d o m i n avI i s c e r a Pancreas V cava inferior V gastricasinistra Pars thoracicaaortae A hepatica propria A gastricasinistra V portae hepatis Glandula suprarenalis Diaphragma Glandula suprarenalis A;V splenicailienalisl Ductushepaticus communrs Ductus cysticus Caudapancreatis A gastroduodenalis Ren Truncus coeliacus A ; V mesenterica supeflor A hepatica communrs (V gastroduodenalis) A renalis Caputpancreatis V renalis Duodenum, Pars descendens A ;V colica medta l\4 suspensorius duodeni A ;V colica dextra Duodenum, Parshorizontalis Jejunum M quadratus lumborum i M, psoas major V mesenterica inferior A ; V ovarica/testicularis A mesenterica inferior Aa ; W jejunaleset ileales F i g ,1 0 3 3 R e t r o p e r i t o n e a oL r g a n sa n d v e s s e t so f t h e u p p e ra b d o m e n ; ventraLview. Canalis pyloricus pyloricus l\4 sphincter Corpuspancreatis Ductuspancreaticus* Ductus choledochus[biliaris] Cauda pancreatis Ductus oancreaticusaccessorius'* Papilladuodeni minor NI suspensoriusduodeni"*** Ductus choledochus[biliaris] Incisurapancreatis Duodenum, Pars descendens Plica longitudinalisduodeni Flexuraduodenojejunalis Papilladuodeni maior**r Duodenum, Pars ascendens Plicae circulares Caputpancreatis Duodenum. Parshorizontalis Proc uncinatus F i g .1 0 3 4 D u o d e n u mD, u o d e n u m , a n d p a n c r e a sP, a n c r e a s ; v e n t r a Iv i e w * C t i n i c at eI r m :d u c to f W T R S U N G ** Ctinicatterm SA : N T o Rsl N d ul c t *** CtinicaI term:tubercleof VATER *+*+ C [ i n i c at eI r m :m u s c l o e fT R E t T z Duodenum. Parssuoerior V portaehepatis communis Ductusheoaticus Ductuscysticus V splenica lienalis] FlexuraduodenisuDerior (Sulcusarteriaesplenicae) Ductuscholedochus lbiliaris] Corpuspancreatis Ductuspancreaticus Parsdescendens Duodenum, V. mesenterica superior A. mesenterica superior Caputpancreatis Proc uncinatus Flexuraduodeni inferior F i g .1 0 3 5 D u o d e n u mD, u o d e n u m , a n d p a n c r e a sP, a n c r e a s ; dorsaIview. Parshorizontalis Duodenum, Ductuscholedochus lbiliarisl Ductus pancreaticus Pancreas Papilla duodeni mator e F i g . 1 0 3 5a - f V a r i a t i o n isn t h e o p e n i n go f t h e b i t ed u c t , cuct, D u c t u sc h o t e d o c h u sa,n d t h e p a n c r e a t i d D u c t u sp a n c r e a t i c u s . a L o n gc o m m o np a r r b A m p u [ [ a r ye n t a r g e m e nat t t h e t e r m i n a lp a r t c d e f S h o r tc o m m o np a r t S e p a r a t eo p e n i n g S i n g l .o e p e n i n gw i t h a s e p t u md i v i d i n gt h e c o m m o nd u c t A c c e s s o rd y u c t ,D u c t u sp a n c r e a t i c uasc c e s s o r i u s Pancreatocyticus exocnnus Insula pancreatica Acini pancreatici F i g , 1 0 3 7 P a n c r e a sP, a n c r e a s ; m i c r o s c o p recn t a r g e m e nat t l o w m a g n iifc a t i o n . Ductus excretorius > A b d o m i n avt i s c e r a Pancreas, Ductuspancreaticus; Caudapancrealis Ductushepaticus communts Ductuscysticus Jelunum Vesicabiliaris Ductuscholedochus Ibiliaris] Duodenum. Pars descendens Ampulla hepatopancreatica Ductuspancreaticus F i g .1 0 3 8 P a n c r e a t i c d u c D t , u c t u sp a n c r e a t i c u s ; b i [ ed u c t ,D u c t u sc h o t e d o c h u sa,n d g a L L b t a d d e r , V e s i c ab i L i a r i s[ f e t t e a ] ; A P - r a d i o g r a pshu; p i n ep o s i t i o na; f t e re n d o s c o p i c i n t u b a t i o no f t h e c o m m o ne x c r e t o r vd u c t o f t h e l i v e r a n d t h e p a n c r e a sa, s w e L [a s i n j e c t i o no f a c o n t r a s tm e d i u m ; ventraIview C t i n i c atLe r m : E R C PI e n d o s c o p irce t r o g r a d ec h o [ a n g i o pancreaticographyi. V portaehepatis,R sinister Hepar,Lobussinister A mesenterica superior A splenica Lig teres hepatis Corpuspancreatis V portaehepatis Hepar, Lobus caudatus Corpuspancreatis V, splenica V renalissinistra V cava inferior Cauda pancreatis Pars abdominalisaortae Vertebra lumbalisI F i g . 1 0 3 9 P a n c r e a sP, a n c r e a s ; u [ t r a s o u n di m a g es h o w i n gt h e p a n c r e a sa n d a d j a c e n t [ a r g ev e s s e L isn d e e pi n s p i r a t i o n ; o b t i q u ei n f e r i o rv i e w . * A b d o m i nw a Ia l L Pancreas, Gaster, (Pariesposterio0 Caudapancreatis Corpuspancreatis Colontransversum Flexuracoli dextra F i g . 1 0 4 0 P a n c r e a sP, a n c r e a s ; t h e g a s t r o c o L li icg a m e n to f t h e g r e a t e ro m e n t u mh a s b e e n d i s s e c t e dt o e x p o s et h e o m e n t a Ib u r s a ; photograph t a k e nd u r i n gs u r g e r y . * D i s s e c t i o[ inn ea t t h eq r e a t eor m e n t u m M. rectusabdominis Gaster Cavitaspleuralis A splenica A gastricasinistra uapur I CorpusI pancreatis Cauda ) propria A hepatica V cava inferior V splenica Hepar SplenILien] Pars lumbalisdiaphragmatis, Crus dextrum Ren Truncuscoeliacus Corpus vertebrae Parsabdominalisaortae [Aortaabdominalis] F i g . 1 0 4 1 P a n c r e a sP, a n c r e a s ; c o m p u t e dt o m o g r a p h i ch o r i z o n t asI e c t i o nI C T ] ; i n f e r i o rv l e w . I n t h i s s u b j e c t t, h e c o e t i a ct r u n k i s [ o c a t e dr e m a r k a b t y[ o w . * A i r b u b b t ien t h es t o m a c h > Abdominalviscera , 4--\ Margosuperior V.splenicalienalisl Facies visceralis.Facies colica A splenica lienalisl Hilumsplenicum Facies visceralis, Facies gastrica Lig splenorenale Lig gastrosplenicum Extremitasanterior Facies visceralis, Facies renalis Fi1.1012 Spleen,S p t e n ILienJ; v e n t r o m e d i avIi e w . Margoinferior Facies diaphragmatica Extremitas anterior Extremitasposterior F i 9 . 1 0 4 3 S p [ e e nS , p L e nI L i e n J ; superolateraIview. Facies diaphragmatica Tunica serosa; Tunica fibrosa Facies renalis TrabeculaesDlenicae Pulpa splenica V splenica Iienalis] Fig. 10t+t+Spleen,SpLen[LienJ; c r o s s - s e c t i otnh r o u g ht h e s p [ e n i ch i t u m ; superomediatview A splenica lienalis] H i l u ms p l e n i c u m Facies gastrica Pancreas Gaster Pancreas Cavitas peritonealis Duodenum Bursa omentalis Bursa omentalis Colon transversum Jejunum Omentummajus aonae F i g . 1 0 4 5 D e v e l o p m e notf t h e p e r i t o n e acI a v i t yC , avitas p e r i t o n e a [ i sa,n d t h e v i s c e r a rLe L a t i o n s h i p s ; s c h e m a t i cm e d i a ns e c t i o n : Lateratview. Fig. 1016 Devetopmentof the peritoneaIcavity,Cavitas peritoneatis; s c h e m a t i ch o r i z o n t asI e c t i o n : S U p e n ovr t e w . Hepar Diaphragma Lig hepatogastricum Parsthoracicaaortae Oesophagus Pancreas Bursaomentalis Cavitasperitonealis Gaster Mesocolontransversum Lig gastrocolicum Colontransversum Duodenum Jejunum Omentummajus Cavitas peritonealis Colonsigmoideum Excavatio vesicouterina Fig. 1017 Devetopmentof the peritoneaL cavity,Cavitas p e r i t o n e a t i sa,n d t h e v i s c e r a rLe L a t i o n s h i posf t h e f e m a L e ; f i n a Is t a t eo f t h e p e r i t o n e acLa v i t yw i t h a d h e s i o no f t h e g r e a t e ro m e n t u mt o t h e t r a n s v e r s ec o l o n ; Excavatiorectouterina" s c h e m a t i cm e d i a ns e c t i o n , LateraIview. s i t h t h e p e r i t o n e acI a v i t yv i a T h e o m e n t a Ib u r s ac o r r e s p o n dw t h e o m e n t a If o r a m e n . * C t i n i c at eI r m :p o u c ho f D 0 U G L A S > AbdominaIviscera Greateromentum Lig. falciforme Parspylorica Lobushepatissinister Gaster,Curvaturamajor Corpusgastricum Lobushepatisdexter Lig. teres hepatis M rectusabdominis Fundus vesicaebiliaris Lig gastrocolicum Colontransversum M. transversus abdominis Taenia omentalis M transversusabdominis Omentummajus M. obliquusinternus abdominis M obliquus externusabdominis Colonascendens, Taenialibera Colonsigmoideum Peritoneum parietale Plica umbilicalislateralis (A ; V epigastricainferior) Linea arcuata Plica umbilicalismedialis (Chorda arteriae umbilicalis) Plica umbilicalismediana (Lig umbilicalemedianum) F i g . 1 0 4 8 P o s i t i o no f t h e a b d o m i n avl i s c e r a S , i t u sv i s c e r u m , a n d g r e a t e ro m e n t u m ,0 m e n t u m m a j u s . Pancreas S p l e e n Topography Sections Abdominalvisceraof the neonate Clavicula fibrosum Pericardium Pleuraparietalis, Parscostalis Pulmosinister, Lobussuperior Pulmodexter, Lobussuperior Pulmodexter,Lobusmedius Pleura Darietalis.Pars mediastinalis Pulmodexter,Lobusinferior Lobusinferior Pulmosinister, Pleuraf Parsmediastinalis parietalis 1' \Harsorapnragmatca Diaphragma anteriot Splen[Lien],Extremitas Lobushepatissinister Lig falciforme major Gaster,Curvatura Colon descendens Lobus hepatis dexter Omentummajus V umbilicalis Intestinum tenue Plica umbilicalislateralis (A.; V epigastricainferior) Plica umbilicalismedialis (A umbilicalis) Vesica urinaria Plica umbilicalismediana (Urachus) Lig falciforme Anulus umbilicalis V umbilicalis F i g . 1 0 4 9 P o s i t i o no f t h e a b d o m i n avl i s c e r ao f t h e n e o n a t e . > A b d o m i n avI i s c e r a Abdominalviscerain the upperabdomen Lig falciforme Lrg coronanum Diaphragma Lobushepatissinister, Faciesdiaphragmatica Lobushepatissinister, Faciesvisceralis Lobushepatisdexter, Faciesdiaphragmatica Fundus gastricus Lobusquadratus Appendix fibrosahepatis Omentum minus, Ltg hepatogastricum Cardia Recessus costodiaphragmaticus Vesica biliaris Omentum minus, Llq. Corpusgastricum, Pariesanterior hepatoduodenaie Foramen omentale * lepiploicuml Splen[Lien] Gaster,Curvaturaminor Lobus hepatis dexter, Facies visceralis Lig gastrosplenicum Duodenum, Parssuperior Lig phrenicocolicum Incisura angularis Ren,Extremitas supenor Gaster,Curuatura major Pylorus Omentummajus Jd- A.: V. gastroJi omentalis sinistra Flexuracoli dextra Taeniaomentalis A;Vgastricasinistra Colontransversum Mesocolon transversum Omentummajus,Lig gastrocolicum F i g .1 0 5 0 P o s i t i o o n f t h e a b d o m i n avIi s c e r ai n t h e u p p e ra b d o m e n ; v e n t r a Iv i e w * A[so:foramenof WtNSLoW Gaster,Curvatura minor Hepar,Lobussinister Corpusgastricum Gaster, Pars pylorica Gaster,Curvaturamajor Hepar, Lobus dexter Vesica biliaris V gastroomentalis slnistra, B omentalis V gastroomentalis dextra,Br gastrici Omentummajus F i g .1 0 5 1 S t o m a c hG , a s t e ra, n d g r e a t e ro m e n t u m ,O m e n t u mm a j u s ; photograph t a k e nd u r i n gs u r g e r y ; ventraLview. * S u r g i c ad Lr a p e ** SurglcaI retractor Pan c r e a s Abdominalviscerain the upperabdomen Lobus hepatis dexter, Facies diaphragmatica Lobushepatissinister,Faciesdiaphragmatica Lig teres hepatis Recessus supenorDursae omentalis SplenILien], Margosuperior Lobus quadratus Plica gastropancreatica LOOUS caudatus Recessus sprenrcus Vesicabiliaris Corpusgastricum, Pariesanterior Omentumminus, Lig. hepatogastricum Omentumminus, Lig. hepatoduodenale Mesocolon Iransversum Tuber Corpus omentale pancreatis Facies anrerosupeflor Flexura coli dextra Gaster, Curvaturamaior inferior Recessus bursaeomentalis Omentummajus,Lig.gastrocolicum Gaster.Curvaturaminor F i g . 1 0 5 2 A b d o m i n a I v i s c e rian t h e u p p e ra b d o m e n ; parts of the lesser omentum havebeen removedto expose t h e o m e n t a lb u r s aa n d t h e p a n c r e a s ; o b t i q u ev i e wf r o m s u p e r i o r . Plica gastropancreatica Lig. gastrocolicum Glandula suprarenalis Hepar, Lobus caudatus Lig gastrosplenicum Vestibulum bursae omentalis SplenILien], Margo supenor Lig.hepatoduodenale A;V splenica Pylorus Hilum splenicum Duodenum, Parssuperior Cauda pancreatis Corpus pancreatis, Facies anterosuperior Taeniaomentalis Colon transversum Colonascendens Mesocolon transversum Taenialibera Omentummajus,Lig.gastrocolicum A.: V colica media F i g .1 0 5 3 0 m e n t abt u r s aB , u r s ao m e n t a t i s ; a f t e rd i s s e c t i oonf t h eg a s t r o c o [[iicg a m e n t ; o b t i o uvei e wf r o mi n f e r i o r . Taenia mesocolica > AbdominaIviscera Abdominalviscerain thelowerabdomen Omentummajus Colontransversum Taenia libera Appendices omentales [epiploicae] Flexuracolisinistra Flexuracoli dextra Colon ascendens Taenia libera Colon sigmoideum Sulci paracolici Plica ileocaecalis F i g . 1 0 5 4 P o s i t i o no f t h e a b d o m i n avl i s c e r a S , i t u sv l s c e r u m . Pancreas Abdominalviscerain the lowerabdomen Omentummajus Taenia omentalis Fundus vesicae biliaris Taenia libera Flexuracolidextra A ; V c o l i c am e d i a Mesocolon transversum Lobushepatis dexter, Margoinferior Pancreas Duodenum, Pars horizontalis Jejunum Taenia libera Recessus ileocaecales superior et inlerior Radix mesenterii Plicae semilunarescoli lleum, Parsterminalis Sulci paracolici lleum Plica ileocaecalis Caecum Ureter,Parsabdominalis Mesoappendix Appendix vermiformis F i g . 1 0 5 5 S m a l Li n t e s t i n eI,n t e s t i n u mt e n u e , a n d [ a r q ei n t e s t i n eI,n t e s t i n u mc r a s s u m . >AbdominaI viscera Abdominalviscerain the lowerabdomen Colontransversum Omentummajus Taenialibera A ; V c o l i c am e d i a Pancreas, Faciesanteroinferior Mesenterium Ureter Recessus duodenales superioret inferior Ren, Extremitas inferior Sulci paracolici Recessus intersigmoideus Mesoappendix Appendix vermiformis F i g . 1 0 5 6 S m a t Ii n t e s t i n eI,n t e s t i n u mt e n u e , a n d t a r g ei n t e s t i n el,n t e s t i n u mc r a s s u m . Pancreas Mesenteric root Omentummaius Colontransversum Mesocolon transversum Flexura coli dextra Colon ascendens Duodenum, Parsascendens Duodenum, Pars horizontalis Plica duodenalis inlerior Taenia libera Colon ascendens lvlesenterium Recessus ileocaecalis supenor Colondescendens Appendices omentales lepiploicael Taenia libera Recessus ileocaecalis interior Mesoappendix Vesica urinaria Colon sigmoideum F i g . 1 0 5 7 M e s e n t e r yM , esenterium, a n d L a r q ei n t e s t i n eI.n t e s t i n u mc r a s s u m . > A b d o m i n avI i s c e r a tt Mesentericrootand retroperitoneal space Plica gastropancreatica Lig, hepatogastricum Vestibulumbursae omentalis Lobus hepatis sinister Ostium cardiacum Bursaomentalis Lobuscaudatus, Proc papillaris A;V gastricabrevis Lobus hepatis dexter Lig gastrosplenicum Lig falcilorme Lig teres hepatis Omentum minus Caudapancreatis Fundusvesicaebiliaris Flexuracolisinistra Lig hepatoduodenale Corpuspancreatis l\4esocolon transversum Lig gastrocolicum Duodenum, Parssuperior Lig. phrenicocolicum Ren,Extremilas superior Flexuracolidextra Omentum majus Gaster,Parspylorica Colon transversum j Flexuraduodenojejunalis Recessus duodenales superioret inlerior Omentummajus, Lig gastrocolicum Omentummajus Colon descendens Colonascendens Colontransversum Mesenterium Recessus ileocaecalis superior ileum Recessus ileocaecalis inferior Colon sigmoideum Caecum Recessus retrocaecalis Mesocolon sigmoideum Appendix vermilormis Ureter,Pars pelvica Ductusdeferens Mesoappendix Excavatiorectovesicalis Vesicaurinaria F i g .1 0 5 8 P o s i t i o o n f t h e a b d o m i n a L v i s c eSr ai t,u sv i s c e r u m , a n d t h e o m e n t a bI u r s a ,B u r s ao m e n t a L r s A n a r r o w i n d i c a t e st h e o m e n t a Il e p i p l o i cf]o r a m e n . FnncneaE Retroperitoneal Lig gastrophrenicum Plica gastropancreatica Recessus superiorbursaeomentalis Ostiumcardiacum Lig coronarium,Lig triangularesinistrum Lig gastrophrenicum W hepaticae Glandula suorarenalis:Bursa omentalis V cava inferior A ;V splenica Foramen omentale [epiploicum] Lig gastrosplenicum Diaphragma Glandula suprarenalis Lig coronarium V portaehepatis; A hepaticapropria Ductushepaticus communts Ducluscysticus Caudapancreatis Li9 hepatoduodenale Mesocolon transversum Ren Duodenum, Pars superior inferior V mesenterica Peritoneumparietale Flexura Duodenum, duodenojejunalis Mesocolontransversum A ; V gastroomentalis dextra inferior Ren,Extremitas Duodenum, Parsdescendens Recessus duodenales superioret inferior Ren, Extremitasinterior Plicaduodenalis inferior Caput pancreatis Duodenum, Pars ascendens A ; V mesenterica supenor Duodenum, Pars horizontalis A:Vcolicasinistra A mesentericainferior Radix mesenterii Aa sigmoideae Plica ileocaecalis A rectalissuperior Recessus ileocaecalis supenor Becessus intersigmoideus Recessus ileocaecalis inferior Ureler, Pars pelvica l\ilesoappendix Mesocolon sigmoideum A; V ovarica; Lig suspensorium ovaflt A ;V iliaca communts Ampullatubaeuterinae Linea terminalis Ovarium Colon sigmoideum Excavatiorectouterina" Ltg Excavatiovesicouterina Vesica urinaria,Fundus vesicae Tubauterina[Salpinx] teresuteri"' Pelvis minor Fundusuteri , avitas F i g . 1 0 5 9 P o s t e r i ow r a L Lo f t h e p e r i t o n e acLa v i t y C p e r i t o n e a L iasn, d s p l e e n S , p L e nI L i e n Jo, f t h e f e m a L e S i t e so f a t t a c h m e n ot f t h e a s c e n d i n ga n d d e s c e n d i n cg o L o n a r e i n d i c a t e d[ * ] * C l i n i c at eI r m :p o u c ho f D 0 U G L A S * +C t i n i c at eI r m :r o u n d[ i g a m e n t > Abdominalviscera Abdomi naI arteri es, overview Truncuscoeliacus ParsabdominalisaortaelAortaabdominalis] B oesophagealis A. splenicailienalisl A. hepatica communis A gastricasinistra A. cystica A. gastroomentalis sinistra A hepaticapropria A. gastricadextra A. pancreaticamagna A. gastroduodenalis A. caudaepancreatis (A supraduodenalis) A gastroomentalis dextra A. pancreaticoduodenalis superior posleflor A pancreaticadorsalis A prepancreatica A mesenterica supenor A pancreaticoduodenalis inferior A. marginalis coli A colica media A. colica dextra A ileocolica Aa. sigmoideae Aa jejunales A. rectalissuoerior A. appendicularis F i g . 1 0 6 0 A r t e r i e so f t h e a b d o m i n avI i s c e r a ; comi-<nhom:tin. p o s s i b t ea n a s t o m o s eas r e i n d i c a t e d[ O ] . A. rectalisinferior V gastricadextra W hepaticae V. cavainlerior V gastricasinistra W gastricaebreves V splenica ilienalisl V portaehepatis, R dexter V. cystica V. oastroomentalis lgaltroepiploicalsinistra V. portaehepatis V splenicailienalisl V. mesenterica supenor inferiot V. mesenterica (V marginalis coli) (Vv duodenales) V pancreaticoduodenalis superior posterior V colicasinistra V colicamedia V colica dextra V ileocolica W. rectalesmediae W. rectalesinferiores V. appendicularis W jejunales , .p o r t a eh e p a t i s , F i g .1 0 6 1 H e p a t ipc o r t avI e i nV w i t ht r i b u t a r i e s ; semi-schematic. > AbdominaIviscera Coeliactrunk Lobushepatissinister Lig.tereshepatis DuctusheDaticus communis Truncuscoeliacus A hepaticapropria Truncuscoeliacus A gastricasinistra Vesica biliaris Gaster A. cystica Splen ILien] Ductus cysticus A splenicalienalisl A gastricasinistra A hepaticacommunis A hepaticapropria A gastroduodenalis A gastricadextra A hepatica communrs V portaehepatis Ductuscholedochus lbitiarisl A splenica A gastrica dextra A gastroomentalis sinlstra A pancreaticoduodenalis superiorposterior A gastroomentalis dextra A gastroomentalis sinistra Duodenum -s0% A gastroduodenalis a A mesenterica superior A gastroomentalis dextra mesenterica supeflor A hepatica propna, R dexter A hepatica communrs -3% _10 - 3fo - 12Yo e d A gastrica posterior 7To t F i 9 . 1 0 6 2a - f V a r i a b i L i o t yf t h e a r t e r i a tb L o o ds u p p l . oy f t h e L i v e r . a "Textbookcase" b T h e s u p e r i o rm e s e n t e r i ca r t e r y ,A . m e s e n t e r i c a superior, p a r t i c i p a t eisn t h e s u p p [ yo f t h e r i g h t [ o b eo f t h e L i v e r . c T h e c o m m o nh e p a t i ca r t e r y ,A . h e p a t i c ac o m m u n i s a, r i s e sf r o m t h e s u p e r i o rm e s e n t e r i ca r t e r y ,A . m e s e n t e r i c a superior. d T h e t e f t [ o b eo f t h e l i v e ri s s u p p l . i e bd y t h e l e f t g a s t r i ca r t e r y , A . g a s t r i c as i n i s t r a . e A b r a n c ho f t h e L e f tg a s t r i ca r t e r y ,A g a s t r i c as i n i s t r a s, u p p t i e s t h e L e f t[ o b eo f t h e I i v e ra t o n gw i t h t h e t e f t b r a n c ho f t h e h e p a t i c a r t e r yp r o p e r ,A . h e p a t i c ap r o p r i a . f An accessorb y r a n c ho f t h e h e p a t i ca r t e r yp r o p e r , A . h e p a t i c ap r o p r i a s, u p p t i e st h e l e s s e rc u r v a t u r eo f t h e s t o m a c h . F i g . 1 0 6 3a - e V a r i a b i t i toy f t h e a r t e r i a Ib L o o ds u p p l . y of the stomach. a " T e x t b o o ck a s e " ,c t o s e da r t e r i a Ia r c a d es u p p L y i n g b o t ht h e l e s s e ra n d t h e g r e a t e rc u r v a t u r e b T h e t e f tg a s t r i ca r t e r y ,A . g a s t r i c as i n i s t r a , p a r t i c i p a t eisn t h e s u p p [ yo f t h e L e f t[ o b eo f t h e L i v e r . c A n a s t o m o s ibs e t w e e nt h e r i g h ta n d l e f t g a s t r o - o m e n t a I a r t e r i e sA , a . g a s t r o o m e n t a t edse x t r ae t s i n i s t r a , at the greater curvature d A b s e n c eo f a n a n a s t o m o s i b s e t w e e nt h e r i g h t a n d l e f t g a s t r o - o m e n t aaLr t e r i e s A , a .g a s t r o o m e n t a L e s d e x t r ae t s i n i s t r a a, t t h e g r e a t e rc u r v a t u r e e An accessoryposteriorgastricartery,A. gastrica p o s t e r i o ra, r i s i n gf r o m t h e s p t e n i ca r t e r y ,A . s p t e n i c a , r a t [o f t h e s t o m a c h . s u p p t i e st h e p o s t e r i o w Pancreas Arteriesof the upperabdomen,radiography A hepatica propria A gastricasinistra A. hepaticacommunis Truncuscoeliacus A gastroduodenalis A. splenica A. gastroomentalis sinistra Pelvisrenalis Uretersinister F i g . 1 0 6 4 A r t e r i e so f t h e s t o m a c h ,G a s t e r t; h e s p L e e n , S p t e nI L i e n l ,a n d t h e I i v e r ,H e p a r ; t e d i u mi n t o A P - r a d i o g r a pahf t e rs e t e c t i v e i n j e c t i o no f a c o n t r a s m t h e c o e t i a ct r u n k I c o e [ i a c o g r a p hwyi)t h c o n c o m i t a nvti s u a t i z a t i o n o f t h e r e n a tp e l v i sd u e t o t h e r e n a te x c r e t i o no f t h e m e d i u m ; ventraIview. * Catheter [oopin theaorta ** Catheter in theaorta A hepaticapropria, Aa segmenti anterioriset posterioris A hepaticapropria,R dexter communis A. hepatica A gastroduodenalis A pancreaticoduodenalis superiorposterior A. gastroomentalis dextra A pancreaticoduodenalis superioranterior F i g . 1 0 6 5 C o m m o nh e p a t i ca r t e r y ,A . h e p a t i c ac o m m u n i s ; A P - r a d i o g r a pahf t e rs e t e c t i v ei n j e c t i o no f a c o n t r a s tm e d i u m i n t ot h e c o m m o nh e p a t i ca r t e r y ; ventraIview. A pancreaticadorsalis inferior A. pancreatica * B r a n c h e st o t h e t e f t t o b eo f t h e t i v e r r e p t a c i n ga s i n g L eL e f tb r a n c h o f t h e h e p a t i ca r t e r y P r o P e r * * A n a c c e s s o r yb r a n c ho f t h e h e p a t i ca r t e r y t o t h e l e s s e rc u r v a t u r e of the stomach * + * C a t h e t e ri n t h e a o r t a > AbdominaIviscera Vesselsof the upperabdomen Lobuscaudatus Lobushepatissinister Lig teres hepatis diaphragmatis a Parslumbalis a A gastricasinistra V cava inferior o a Truncus coeliacus Vesica biliaris a A phrenica inferior Lobushepatis dexter; Lobus a Parsabdominalis aortae 9uqur drur A;VcysticaOo a A. splenica A hepaticao propna SplenILien] V portaea hepatis a V gastricasinistra Ductus choledochus lbiliarisl A gastroduodenalisa OaA;V gastroomentalis sinistra A hepatica a communrs Omentummajus A gastrica dextra a Pancreas V prepyloricaO A;vaa gastroomentalis dextra a O Rr omentales F i g . 1 0 6 6 V e s s e l so f t h e u p p e ra b d o m e n . Pancreas Vesselsof the upperabdomen A hepatica communis a a Truncuscoeliacus O A gastricasinistra a o A.;V gastroomentalis sinistra V cavainferioro O A phrenica inferior a A gastrica brevis aaA;V splenica a a Rr sDlenici A;Vgastro-aa omentalis dextra A gastro-a duodenalis Corpus pancreatis V portaehepatisa A pancreaticoa duodenalis superioranterior a A pancreaticoduodenalis inferior Caputpancreatis a A mesenterica supeflor V mesenterica O supeflor Proc uncinatus Lig gastrocolicum a A. epigastrica inferior F i g . 1 0 6 7 V e s s e Losf t h e u p p e ra b d o m e n > A b d o m i n avl i s c e r a Superior m esenteric artery A colica media A mesenterica superior a jejunales Aa ileales A. ileocolica A mesentericainlerior A caecalis posterior A appendicularis 200k F i g . ' 1 0 6 8a - d V a r i a b i t i toyf t h e b r a n c h e so f t h e s u p e r i o r m e s e n t e r i ca r t e r y ,A . m e s e n t e r i c a s u p e r i o r s, u p p l . y i ntgh e l a r g e i n t e s tni e a " T e x t b o o ck a s e " ,t h e a s c e n d i n ga n d t h e t r a n s v e r s ec o L o n , C o t o na s c e n d e n se t t r a n s v e r s u ma, r e s u p p l . i e bd y t h r e e Drancnes 1 0% o 6%o T h e i t e o c o I ia c r t e r y ,A i t e o c o I i c aa,n d t h e r i g h t c o t i ca r t e r y , A . c o L i c ad e x t r a ,f o r m a c o m m o nt r u n k 0 n L yt w o b r a n c h e sa r i s ef r o m t h e m e s e n t e r i ca r t e r yw h i t e t h e r i g h t c o t i ca r t e r y ,A . c o t i c ad e x t r a ,i s a b s e n t D u p t i c a t i oonf t h e r i g h t c o t i ca r t e r y ,A . c o t i c ad e x t r a A mesenterica superior Aa jejunaies A colica dextra Aa. ileales F i g .1 0 6 9 S u p e r i o rm e s e n t e r i ca r t e r y A , . m e s e n t e r i c sau p e r i o r ; A P - r a d i o g r a pahf t e r i n j e c t i o no f a c o n t r a s tm e d i u mi n t ot h e o r i g i no f t h e s u p e r i o rm e s e n t e r i ca r t e r y ; v e n t r a Iv i e w * C a t h e t e ri n t h e a o r t a * * C a t h e t e irn t h e c o m m o ni I i a ca r t e r y Fancreas Vessels Mesocolontransversum coli a A marginalis V mesentericasuperior a superior a A mesenterica aaA;Vcolicasinistra A colica media a a Aa jejunales Flexura coli dextra JeJunum Flexura duodeni inferior a W jejunales A ;V colica dextra a A ileocolica Aa ileales a W i l e a l e sa A ; V epigastrica inferioro a Caecum Appendix vermiformis F i g , 1 0 7 0 S u p e r i o rm e s e n t e r i ca r t e r ya n d v e i n ,A . e t V m e s e n t e r i c sa u p e r i o r . T h e a r t e r i e ss u p p L y i ntgh e s m a t Li n t e s t i n ef o r m a s e r i e so f a r c a d e s . Colon sigmoideum Liven Inferior m esenteric arterv A colicamedia A marginalis coli A mesenterica superior A mesenterica inferior A colica sinistra Aa sigmoideae A rectalissuperior F i 9 . 1 0 7 1a - c V a r i a t i o ni sn t h e b r a n c h e o s f t h ei n f e r r o r m e s e n t e r i ca r t e r y ,A . m e s e n t e r i c ai n f e r i o r . a T h e i n f e r i o rm e s e n t e r i ca r t e r y ,A . m e s e n t e r i c ai n f e r i o r , d i v i d e si n t o t h r e e p a r t ss u p p t y i n gt h e d e s c e n d i n a gn d s i g m o i dc o l o n ,a s w e [ La s t h e r e c t u m b A n a c c e s s o r ym i d d t ec o t i ca r t e r y ,A . c o t i c am e d i a ,a n s e s f r o m t h e i n f e r i o rm e s e n t e r i ca r t e r y ,A m e s e n t e r i c ai n f e r i o r , c An accessorm y i d d t ec o I i ca r t e r y ,A . c o I i c am e d i a ,a r i s e s f r o m t h e L e f tc o l i ca r t e r y ,A . c o L i c a sinistra. * CtinicaIterm : DECK p o' si n t SU V mesentericainferior A ascendens V colica sinistra A marginaliscoli Crista iliaca Aa sigmoideae Articulatiosacroiliaca A rectalissuperior F i g . 1 0 7 2 I n f e r i o rm e s e n t e r i ca r t e r y ,A m e s e n t e r i c ai n f e r i o r ; A P - r a d i o g r a pahf t e r s e t e c t i v ei n l e c t i o no f a c o n t r a s tm e d i u mi n t o t h e o r i g i no f t h e i n f e r i o rm e s e n t e r i ca r t e r y ; v e n t r a Iv i e w * C a t h e t ei nr t h ea o r t a Fancreas Vesselsof the lowerabdomen A pancreaticoduodenalisinferiora Flexura duodenoieiunalis superior a A mesenterica a V splenica V mesentericaa supenor Pancreas a V mesenterica inferior a A mesenterica inferior aA colicasinistra A a ; V va o jejunales a OAa;W sigmoideae aoA;Vrectalis supenor Radix mesenterii Colon sigmoideum A sacralismedianaa F i g . 1 0 7 3 I n f e r i o rm e s e n t e r i ca r t e r ya n d v e i n , A . e t V m e s e n t e r i c ai n f e r i o r . >Abdominat viscera Coeliactrunk Truncuscoeliacus Pars thoracicaaortae A mesenterica superior Parsabdominalisaortae Discusinteruertebralis Vertebra lumbalisI Discusintervertebralis F i g , 1 0 7 1 A b d o m i n aaI o r t a ,P a r sa b d o m i n a t i as o r t a e w , i t h t h e c o e l i a ct r u n k , T r u n c u sc o e t i a c u sa, n d t h e s u p e r i o rm e s e n t e r i ca r t e r y ,A . m e s e n t e r i c sa u p e n o r ; u l t r a s o u n di m a g e ;a L m o s itn t h e s a g i t t a p I lane. * A b d o m l nw a Ia t L Truncuscoeliacus A hepatica communis A gastricasinistra A splenica A. mesenterica superior A pancreaticoduodenalis superior posterior 1 0Y o F i g . 1 0 7 5a - e V a r i a b i L i o t yf t h e c o e I i a ct r u n k , T r u n c u sc o e t i a c u s . a " T e x t b o o ck a s e " ,d i v i s i o no f t h e t r u n k i n t ot h r e e b r a n c h e s b D i v i s i o no f t h e t r u n k i n t of o u r b r a n c h e s c D e v e L o p m eo n ft a h e p a t o s p [ e n ti cr u n k ,T r u n c u s hepatospLe i cnu s d D e v e t o p m e notf a g a s t r o s p [ e n it cr u n k ,T r u n c u s g a s t r o s p L ei cnu s D e v e [ o p m e notf a g a s t r o s p t e n it cr u n k ,T r u n c u s g a s t r o s p t e n i c uasn, d a h e p a t o m e s e n t e rtircu n k , T r u n c u sh e p a t o m e s e n t e r i c u s Pancreas space Vesselsof the retroperitoneal A heoaticacommunis a Vv hepaticaea Hiatusaorticus Hiatus oesophageus a a A ; V gastricasinistra V cava inferiora A hepatica propria a Gaster,Parscardiaca O Truncuscoeliacus V portae hepatis O Pars costalis S diaphragmatis Glandula suprarenalis Glandula suprarenalts oaA;Vsplenica Ductushepaticus communrs Caudapancreatis Ductuscysticus a V mesenterica inferior Ductuscholedochus lbiliarisl aoA;Vmesenterica supenor Rendexter Duodenum, Pars superior, Ampulla Jelunum Duodenum, Pars oescen0ens Rensinister Caputpancreatis, Proc uncinatus Duodenum, Parshorizontalis a Parsabdominalis aortae N iliohypogastricus { aA colicasinistra N i l i o i n g u i n a l i,s o Bifurcatioaortae V cava inferior a O O A ; V l u m b a l i sl V A;V testicularisaa aoA;Vmesenterica inferior N cutaneus femoris lateralis ooA;Vsacralis mediana ([/ psoas mino0, Q Tendo a A rectalissuperior A;Viliacaao communrs Mesocolon sigmoideum N femoralis.: Fascia iliaca A ; V c i r c u m f l e x aO a i l i u mp r o f u n d a A;V iliacaexlernaaO a a Aa ;W sigmoideae Ductusdelerens A ; V epigastrica inferiorO a parietale Peritoneum pace, F i g . 1 0 7 6 V e s s e t so f t h e r e t r o p e r i t o n e as L S i t u sr e t r o p e r i t o n e a Loi sf t, h e m a t e . > AbdominaIviscera Hepaticportal vein,overview Oesophagus W oesophageae V cava inferior W hepaticae V splenicaIienalisl V gastricasinistra V portaehepatis W gastricaebreves V gastricadextra SplenILien] V cystica V oastroomentalis sinistra Vesica biliaris[fellea] V mesentericasuperior V mesenterica inferior V gastroomentalis dextra V colica media Vv pancreaticoduodenales V colica sinistra Colonascendens V colicadextra W jejunales; W ileales V ileocolica Colon descendens V appendicularis F i g . 1 0 7 7 H e p a t i cp o r t a Iv e i n ,V . p o r t a eh e p a t i s ; v e n t r a Iv i e w PortocavaI anastomoses V. hemiazygos (Plexusvenosussubmucosus) V phrenicainferior V. hepatica (R.oesophagealis) V gastricasinistra V portaehepatis V splenicailienalisl V. renalissinistra V mesenterica supenor V lumbalis ascendens V mesenterica inferior V paraumbilicalis V. cavainterior V colicasinistra V epigastrica superficialis V iliacacommunis V sigmoidea V rectalissuperior V epigastrica inferior V iliaca interna Vv rectalesinteriores F i g . 1 0 7 8 H e p a t i cp o r t a Lv e i n ,V . p o r t a eh e p a t i s , and inferiorvena cava,V. cavainferior; semi-schematic; t r i b u t a r i e so f t h e i n f e r i o rv e n ac a v ai n b t u e ; t r i b u t a r i e so f t h e h e p a t i cp o r t a Iv e i ni n p u r p t e ; p o t e n t i apI o r t o c a v aaIn a s t o m o s eas r e i n d i c a t e d bvcirctes. > Petvicviscera and retroperitoneaI space U r i n a n yb l a d d e r Kidney Margosuperior Aa suprarenales supenores Capsulaadiposa Capsula fibrosa I\4argomedialis Aa suprarenales mediae Glandula suprarenalis V suprarenalis A suprarenalis interior Margo lateralis A renalis,B posterior V renalis Hilum renale A renalis,R anterior Pelvis renalis V,teslicularis/ovarica sinistra F i g . 1 0 7 9 K i d n e yR, e n[ N e p h r o s aJ n , d s u p r a r e n agIL a n dG, L a n d u L ap r a r e n a L i s ; su v e n t r a tv i e w I t e f t l . Aa suprarenalessuperiores Margosuperior Glandula suprarenalis Glandula suorarenalis.Hilum Capsulaadiposa Capsula fibrosa Aa suprarenalesmediae W suprarenales Margo medialis A suprarenalis inferior Margo medialis A renalis V renalis F i g . 1 0 8 0 K i d n e yR, e n[ N e p h r o s al ,n d s u p r a r e n agI t a n d ,G [ a n d u t a suprarenalis; ventraL v i e w{ r i g h t l . Genitatia Cortexrenalis Papillaerenales lMedullarenalis, Pyramides renales (Basispyramidis) F i g . 1 0 8 1 K i d n e yR, e n[ N e p h r o s l ; o b L i q ua e n d v e r t i c a Ih e m i s e c t i o n d i s p t a y i n tgh e r e n a Ic o r t e x ,t h e m e d u t [ a a n dt h e p e t v i s ; ventraL v i e w( t e f t J . Arrows point from the pyramidsto the calyces. Cortexrenalis Calyxrenalismajor Sinusrenalis Columnae renales Pelvisrenalis Calyx renalis major Medulla renalrs Calices renales minores Costa Xl Costaxll Ren sinister Ren dexter Crista iliaca Spina iliaca posterior supeflor Cortexrenalis Medulla renalis, Pyramides renales (Basispyramidis) Fig. 1082 Projectionof the kidneys o n t ot h e b a c k . Capsula fibrosa Cortexrenalis Columnarenalis Areacribrosa, papillaria Foramina Aa interlobares A renalis V renalis Sinusrenalis;Corpus Pelvis renalis Sinusrenalis; adiposum renales Columnae A arcuata F i g . 1 0 8 3 K i d n e yR, e n[ N e p h r o s l ; o b t i q u ae n dv e r t i c ahI e m i s e c t i o n ; ventraIviewIteftl. > Pelvicviscera U r i nar ybl adder space andretroperitoneaI Kidney,structure n Capsulalibrosa Cortexrenalis l\4edullarenalis Aa. interlobares renales Pyramides Papilla renalis Calyxrenalisminor F i g . 1 0 8 4 K i d n e yR , e n[ N e p h r o s l ; t r a n s v e r s es e c t i o nt h r o u g ht h e r e n a Is i n u s ; i n f e r i o rv i e w I l . e f t ] . Polusurinarius Corpusculum renale Tubulusproximalis Tubulusdistalis F i g . 1 0 8 5 K i d n e yR, e n[ N e p h r o s l ; m i c r o s c o o i sc e c t i o no f t h e c o r t e xt 1 0 0 x J . Genita[ia Glandula suprarenalis Glandula suprarenalis V cavainferior V renalis Ren M. psoasmaior Pars abdominalis aortae Ren Ureter Ureter Promontorium M. psoasmajor Epididymis Testis Urachus A. umbilicalis A umbilicalis Vesicaurinaria F i g . 1 0 8 6 K i d n e yR , e n[ N e p h r o s la, n d , t a n d u t as u p r a r e n a t i s , t h e s u p r a r e n agl .L a n dG o f a - 5 - m o n t h - o t df o e t u s F i g . 1 0 8 7 K i d n e yR , e nl N e p h r o s l ; dorsaIview. T h e l o w e rp o t e so f b o t h k i d n e y sa r e f u s e d ( = h o r s e s h o ek i d n e v ) . Pelvicviscera andretroperitoneaI space Renalpelvisand calyces F i g . 1 0 8 8a , b R e n a Lp e L v i sP, e t v i sr e n a t i s ; enrrncinn e:ctc. v e n t r a Iv i e w I L e f t ] a D e n d r i t i ct y p e b A m p u l t a rt y p e Vertebra thoracicaXll Papilla renalis Colon ascendens Pelvis renalis Calyx renalis malor Calyxrenalis mtnor Papilla renails Rensinister, Extremitas inferior Colon descendens M psoas maJor F i g . 1 0 8 9 K i d n e yR, e n[ N e p h r o s l ; r e n a Lp e L v i sP, e [ v i sr e n a t i sa, n d u r e t e r ,U r e t e r ; A P - r a d i o g r a pahf t e r r e t r o g r a d ei n j e c t i o no f a c o n t r a s tm e d i u mv i a b o t h u r e t e r s GenitaIia Segmentum superius Segmentum anterius supeflus A. renalis V-renalis Segmentum anteriusinferius Segmentum inferius F i g .1 0 9 0a , b R e n asl e g m e n t s , S e g m e n trae n a [ i a . Truncuscoeliacus a VentraIview Irightl b D o r s a Iv i e w ( r i g h t l A. mesenterica suoerior Parsabdominalisaortae V suprarenalis sinistra V. cava inferior A renalissinistra A renalis dextra V. renalis sinistra V renalis dextra Uretersinister V testicularis/ovarica sinistra Ureterdexter V. testicularis/ovarica dextra F i g . 1 0 9 1 K i d n e yR, e n ; areasof contactwith adjacentorgans; ventraIview. Areasof contactof the kidneys I I I Glandulaesuprarenales Hepar Duodenum, Parsdescendens il I Colon,Flexuradextra SplenILienl Jejunum Pancreas Gaster Colondescendens > Pelvicviscera andretroperitoneaI space [-.$nirientrr b[ndder Kidney,imaging Ben, Facies anterior lvledullarenalis,Pyramis renalis Pelvis renalis Extremitas superior Diaphragma Extremitasinferior l\4 psoasmajor pararenale Corpusadiposum Cortex renalis Ren, Facies posterior F i g . 1 0 9 2 K i d n e yR , e n[ N e p h r o s J ; u t t r a s o u n idm a g e ; t h e t r a n s d u c e ri s d i r e c t e df r o m v e n t r o i n f e r i ot ro d o r s o s u p e r i o r ; Lateratview Iright). * A b d o m i nw a La [ [ Hepar, Lobus dexter V cava inferior Cutis Pars abdominalis aortae Ren V renalisdextra abdominales Corpus vertebrae Ben, Capsula adiposa Fascia renalis Proc spinosus Costa Xll F i g . 1 0 9 3 K i d n e yR, e n[ N e p h r o s l ; p u n c t u r eo f t h e r i g h t k i d n e y ; computed t o m o g r a p h iccr o s s - s e c t i oI C n T]; i n f e r i o rv i e w * G u i d a n coef a n e e d tfeo r k i d n e b yiopsy GenitaIia Suprarenalgland A. phrenicainferior Aa suprarenales mediae A. suprarenalis inferior A. renalis Aorta abdominalis Faciesanterior b - 260/o a - 34o/o V.suprarenalis sinistra c -33% F i g .1 0 9 4 S u p r a r e ngatIa n o , G [ a n d u [sau p r a r e n a l i s ; v e n t r avI i e wI r i g h t ) . d F i g . 1 0 9 5a - d V a r i a b i t i toyf t h e s u p r a r e n aaI r t e r i e s A , a .s u p r a r e n a [ e s , a n d c o u r s eo f t h e s u p r a r e n avt e i n s ,V v .s u p r a r e n a [ e s . a ArteriaI supptyby three arteries ("textbookcase"] b Arterial supplywithout a branchfrom the renaI artery,A. renatis c A r t e r i a ls u p p l yw i t h o u ta d i r e c tb r a n c hf r o m t h e a o r t a ,A o r t a d Courseof the suprarenalveins,Vv.suprarenates V centralis F i g . 1 0 9 6 S u p r a r e n agI t a n d ,G [ a n d u t as u p r a r e n a t i s ; crditf2l confinn. t a t e r avl i. e wl r i g h t ) . F i g . 1 0 9 7 S u p r a r e n agI t a n d ,G l a n d u [ as u p r a r e n a l i s ; m i c r o s c o p i ec n [ a r g e m e nat t l o w m a g n i f i c a t i o n . > Pelvicviscera andretroperitoneat space Urinarybladder Lig umbilicalemedianum Apex vesicae Tunicamuscularis Tunicamucosa (Plicaemucosae) Trigonum vesicae internum Ostiumurethrae Uvula vesicae Prostata Cristaurethralis I Urethramasculina, J Parsprostatica I Sinusprostaticus seminalis \ Colliculus prostaticus Utriculus Ductusdeferentes, Ductusejaculatorii Ductuliprostatici F i g . 1 0 9 8 U r i n a r yb t a d d e rV , e s i c au r i n a r i a ; p r o s t a t eP , r o s t a t aa, n d u r e t h r a ,U r e t h r a ; venlratvtew. Peritoneum parietale Vesica unnana Peritoneum parietale Vesica unnafla Excavatio rectovesicalis Symphysis pubrca Excavatio rectovesicalis Prostata F i g . 1 0 9 9 U r i n a r yb t a d d e rV , e s i c au r i n a r i a , a [ m o s tc o m p l e t e Lvyo i d e d , e s i c au r i n a r i a f, i I t e d . F i g . 1 1 0 0 U r i n a r yb t a d d e rV I n t h i s s i t u a t i o nt,h e b t a d d e rc a n b e p u n c t u r e df r o m j u s t a b o v et h e p u b i cb o n ew i t h o u tp a s s i n gt h r o u g ht h e peritoneaIcavity. * P u n c t u rnee e d [ e Genita[ia Urinarybladder,ductusdeferensandseminalvesicle Apex vesicae Lig umbilicalemedianum Corpusvesicae, Tunicamuscularis Ductusdeferens AmDullaductus deferentis Ampullaductusdeferentis, Diverticula ampullae Glandula vesiculosa Glandula vesiculosa Prostata. Facies Dosterior F i 9 . 1 1 0 1 U r i n a r yb t a d d e rV , e s i c au r i n a r i a d ; u c t u sd e f e r e n t e s , D u c t u sd e f e r e n t e ss;e m i n a Iv e s i c L e sG, L a n d u t avee s i c u L o s a e , and prostate,Prostata; d o r s a Iv i e w . vestcae Plica interureterica Corpus vesrcae Plica interureterica Ostium ureteris Ostium ureteris Trigonum vestcae Trigonum vestcae , e s i c au r i n a r i a ; F i 9 . 1 1 0 2a , b U r i n a r yb t a d d e rV e n d o s c o p ivci e wo f t h e o p e n i n go f t h e u r e t e r IcystoscopyJ. a O p e no s t i u mo f t h e u r e t e rw i t h a p e r i s t a t t i c w a v et r a n s p o r t r n u g r i n ei n t o t h e b l a d d e r b C l o s e do s t i u mo f t h e u r e t e r , e s i c au r i n a r i a ; F i g . 1 1 0 3 U r i n a r yb t a d d e rV e n d o s c o p ivci e wo f t h e m u c o s ai n t h e b o d yo f t h e b L a d d eIrc y s t o s c o p;y l i n f e r i o rv i e w . Pelvicviscera andretroperitoneaI space U r i nar ybl adder Maleurinaryandgenitalorgans,overview Pelvis renalis (lnfundibulum ductusparamesonephrici)** Epididymis Testislorchisl (Paradidymis) -i Ductusmesoneohricus* testis Gubernaculum DuctusDaramesoneohricus** Ureier Urachus Ductusdeferens Vesicaurinaria Glandula vesiculosa prostaticus Ulriculus Ductusejaculatorius Corpora cavernosa penis Glandula bulbourethralis Ductusglandulae bulbourethralis penis Corpusspongiosum (Paradidymis) Caput epididymidis Glanspenis (Ductulus aberransinferior) Appendix testis Testis[Orchis] Cauda epididymidis F i g . 1 1 0 4 M a t eu r i n a r ya n d g e n i t a L organs; 0 r g a n au r o g e n i t a I i m a ascutina; d i a g r a mo f t h e d e v e l o p m e n t h : e p a r t st h a t d e g e n e r a t e are d i s p L a y eidn p a t ep i n k ,a n d t h e p o s i t i o no f t h e t e s t i sp r i o r t o i t s d e s c e n ti s i n d i c a t e db y t h e d a s h e d[ i n e ; v i e w e df r o m t h e r i g h t E p i d i d y m i s = g e n i t a Ip a r t o f t h e m e s o n e p h r o s ; Paradidymi= s r e m n a n t so f t u b u l e so f t h e m e s o n e p h r o s ' W o L F F i a nd u c t * * M U L L E R i a nd u c t + * * J u n c t i o n o f t h e M U L L E R i adnu c t s . Ductus oaramesoneohric F e m a t eg e n i t a t i a Fascia cremasterica; M cremaster Fascia spermaticainterna Tunica vaginalistestis, Lamina parietalis Caput epididymidis testis Appendix Lig epididymidis supenus Funiculus spermaticus (Appendix epididymidis) Extremitas supenor Sinus epididymidis testis lvlediastinum Facies lateralis Margo POSteriOr Lig epididymidis inferius Cauda epididymidis inferior Extremitas F i 9 .1 1 0 5 T e s t i sT, e s t i [s0 r c h i s ]a, n d e p i d i d y m iEs p , ididymis; f r o mt h er i g h t viewed F i 9 . 1 1 0 6 T e s t i sT, e s t i s[ 0 r c h i s ]a,n d e p i d i d y m iEs p , ididymis; f r o mt h er i g h t . viewed A ; V testicularis Plexuspampiniformis Caputepididymidis Fig.11O7 BLoodvessetsof the testis,Testis' t h e e p i d i d y m i sE, p i d i d y m i sa,n d t h e s p e r m a t i cc o r d , Funicutusoermaticus; v i e w e df r o m t h e r i g h t . > Pelvicviscera andretroperitoneaI space U r i nar ybl adder Testisand epididymis Plexuspampiniformis A testicularis Ductuliefferentestestis Caputepididymidis Tunica albuginea Ductusdeferens Lobulitestis Corpusepididymidis Septulatestis (Ductulus abetransinferior) Cauda epididymidis F i 9 .1 1 0 8 T e s t i sT, e s t i se; p i d i d y m iEs p , ididymis, a n dd u c t u sd e f e r e nlsv a sd e f e r e n sD) ,u c t u sd e f e r e n s ; [ateraIview. Septumscroti Raphe scroti Lamina visceralist Tunica vaginalistestis Lobulitestis Lamina parietalis** Fascia spermaticainterna M cremaster Septulatestis Fasciacremasterica Fasciaspermatica externa (Cavumserosumscroti) Tunicadartos Mediastinum testis Tunicadartos Sinus epididymidis Corpusepididymidis Corpus epididymidis Ductusdeferens Plexuspampiniformis Ductusdeferens A testicularis F i 9 . 1 1 0 9 T e s t i sT, e s t i s e; p i d i d y m i sE, p i d i d y m i s , a n d s c r o t u m ,S c r o t u m ; supeflorvrew. * A[so:Epiorchium * * A t s oP : eriorchium G en i t a t i a Femategenitatia Ductusdeferensandseminalvesicle Ductusdelerens Glandula vesiculosa vesiculosa Glandula Amoullaductusdeferentis Lobusprostataemedius Lobusorostataedexter Lobusorostataesinister Basisprostatae Urethramasculina s ,u c t u sd e f e r e n t esse, m i n avIe s i c t e s , F i g .111 0 D u c t u sd e f e r e n t eD G [ a n d u t av e s i c u t o s aaen,dp r o s t a t eP,r o s t a t a ; supeflorvtew Ductusdeferens Glandula vesiculosa Ampullaductusdeferentis s ,u c t u s d e f e r e n t e s , F i g ,1 1 1 1 D u c t u sd e f e r e n t eD a n ds e m i n avIe s i c l e sG, t a n d u l avee s i c u t o s a e ; t e d i u mv t a A P - r a d i o g r aapfht e ri n j e c t i oonf a c o n t r a sm t h ee j a c u t a t odr yu c t s ; ventraIview. Fundus vesicae T h o u g ht h i s t e c h n i q u ed e m o n s t r a t e s i z ea n d p o s i t i o n u n d e rc l i n i c a l o f t h e s e m i n a lv e s i c l e si,t i s n o m o r e a p p L i e d c i r c um s t an c e s . Ductusdeferens Ostiumureteris vesiculosa Glandula Trigonumvesicae Ampullaductusdeferentis internum Ostiumurethrae Urethramasculina.Parsorostatica Prostata Parsintermedia Urethramasculina, Imembranacea] Cervix vesicae Prostata Ductuseiaculatorius , rostata; , e s i c au r i n a r i a ;p r o s t a t eP F i g . 1 1 1 2 U r i n a r yb t a d d e rV vesicutosa; , tanduta d u c t u sd e f e r e n s( v a sd e f e r e n s JD, u c t u sd e f e r e n sa, n d s e m i n a Iv e s i c [ eG v i e w e df r o m t h e r i q h t . Pelvicviscera andretroperitoneat space U r i n a r yb t a d d e r UrinarybLadder andmalegenitalia Lig umbilicalemedianum Plica umbilicalismediana Vesicaurinaria Peritoneumparietale Chorda arleriae umbilicalis A ; V epigastricainferior A iliaca externa Ductusdeferens V iliaca externa Lig inguinale Plica umbilicalismedialis Ductus delerens Ureter Os pubis,Ramussuperior Ampullaductusdeferentis Excavatio rectovesicalis Glandula vesiculosa Glandula vesiculosa Ductusexcretorius Ductusejaculatorius Fundus vesicae Prostata Os oubis,Bamusinferior Urethra,Parsintermedia Imembranacea] Cruspenis Glandula bulbourethralis Bulbuspenis Corporacavernosapenis penis Corpusspongiosum Corona glandis Glanspenis F i g , 1 1 1 3 U r i n a r yb t a d d e rV , e s i c au r i n a r i a ;d u c t u sd e f e r e n t e s , D u c t u sd e f e r e n t e ss;e m i n a Iv e s i c t e sG , l . a n d u t avee s i c u t o s a e ; p r o s t a t eP , r o s t a t aa, n d m a [ eu r e t h r a ,U r e t h r am a s c u u n a : dorsaIview. Genitalia Femategenital.ia \/ SDina iliaca anteriorsuoerior Penis,Dorsum penis Preputium Glanspenis F i g . 1 1 1 1 , M a t ee x t e r n a g I e n i t a l i a0, r g a n ag e n i t a l i a m a s c u t i n ae x t e r n a . A ductusdeferentisa a Plexus deferentialis Ductusdeferens a N genitofemoralis, R genitalis penis Corpuscavernosum Vasalymphatica Tunicaalbuginea corporum cavernosorum a A testicularis Plexuspampiniformis a o Plexustesticularis Fasciaspermaticainterna Fasciapenis(prolunda) M. cremaster a Fasciacremasterica; W pudendae externaea a Fasciaspermaticaexterna a Tunicadartos penis Corpusspongiosum F i g .1 1 1 5 S p e r m a t i cc o r d ,F u n i c u L ussp e r m a t i c u s ; f r o n t a Is e c t i o n ; v e n t r a Iv i e w I L e f t2, 5 0 % 1 . > Pelvicviscera andretroperitoneal space Maleurethra (Plicae mucosae) Fundusvesicae Plica interureterica Trigonum vesicae Ostiumureteris Uvulavesicae Pars intramuralis Pars prostatica Pars intermedia Imembranacea] Ostiumurethrae internum Colliculus prostaticus seminalis; Utriculus Ductusejaculatorii Ductuliprostatici Cristaurethralis Glandula bulbourethralis, Ductusglandulae bulbourethralis Bulbuspenis Cruspenis Ductusglandulae bulbourethralis Tunicaalbuginea corporum cavernosorum Urethra masculina Corpusspongiosum penis Trabeculaecorporumcavernosorum A profundapenis Pars spongrosa Aa helicinae Cavernaecorporumcavernosorum Lacunaeurethrales Corona glandis (Valvula tossaenavicularis) Glanspenis penis Preputium Fossa navicularisurethrae Ostiumurethrae externum F i g . 1 1 1 6 U r r n a r yb [ a d d e rV , e s i c au r i n a r i a ; p r o s t a t eP , r o s t a t aa, n d m a l e u r e t h r a ,U r e t h r am a s c u L i n a ; ventraIview. Femategenital.ia V.dorsalis profunda penis V.dorsalis penis superficialis A dorsalispenis penis A profunda Fascia penis (profunda) Glanspenis, Coronaglandis Preputium penrs Tunica albuginea corpons spongrosl Cutis Tunicaalbuginea corporum cavernosorum Corpus cavernosum penrs Tunica albuginea corporum cavernosorum Septumpenis Fascia penis (profunda) Corpusspongiosum penrs Urethra Pars masculina, spongrosa A urelhralis Septumpenis a Glanspenis; Corpus spongrosum penis,Cavernae corpoflsspongrosl penis Preputium Urethramasculina, Fossanavicularis urethrae Corpus cavernosum penis,Cavernae corpons cavernosl Septumglandis Urethra masculrna penis Corpusspongiosum preputii Frenulum d c F i g .1 1 1 7a - d P e n i s P , enis; c r o s s - s e c t i o n sp;L a n e si n d i c a t e di n F i g .1118 ; venlraLvtew. a C r o s s - s e c t i otnh r o u g ht h e m i d d t eo f t h e s h a f t l artof the b C r o s s - s e c t i oant t h e L e v eol f t h e p r o x i m a p g t a n sp e n i s c C r o s s - s e c t i otnh r o u g ht h e m i d d t eo f t h e g t a n sp e n i s d C r o s s - s e c t i oant t h e l e v e Io f t h e d i s t a Ip a r t o f t h e g [ a n sp e n i s externum Ostiumurethrae Fascia penis (profunda) Fascia penis (superficialis) penis Preputium preputii Frenulum , t a n sp e n i s , , e n i sw F i g .1 1 1 8 P e n i s P , i t h g t a n sp e n i s G , r e p u t i u mp e n i s . a n d p r e p u c eP * L e v e lo f s e c t i o no f F i g . 1117 a + + L e v e lo f s e c t i o no f F i g . 1117 b * * + L e v e lo f s e c t i o no f F i g . 1 1 1 7 c * * * * L e v e lo f s e c t i o no f F i g 111 7 d Pelvicviscera andretroperitoneal space U r i nar vbtadder Femaleurinaryandgenitalorgans,overvtew Pelvis renalis Ovarium Epoophoron Ductuslongitudinalis, Ductulitransversi Ductusmesonephricus* 1t :ut, Paroophoron .. .. Lrg Ovarllproprlum Tuba uterina [Salpinx] Epoophoron "\7 Vesicaurinaria Infundibulum tubaeuterinae Urachus Appendix vesiculosa Ovarium Lrg ovanr propflum Lig teresuteri Ductusmesonephricus* Urethrafeminina Glans clitoridis Oslium urethraeexternum Crusclitoridis Ostium vaginae Bulbusvestibuli F i g .1 1 1 9 F e m a t eu r i n a r ya n d g e n i t aoLr g a n s , O r g a n au r o g e n i t a L fi e aminina; d i a g r a mo f t h e d e v e t o p m e ntth: e p a r t st h a t d e g e n e r a t a ere d i s p L a y eidn p a t ep i n k ,a n d t h e p o s i t i o no f t h e o v a r yp r i o r t o i t s d e s c e n ti s i n d i c a t e db y t h e d a s h e dI i n e ; ventraIview. Glandulae vestibulares majores*** E p o o p h o r o n= g e n i t a Lp a r t o f t h e m e s o n e p h r o s ; P a r o o p h o r o n= r e m n a n t so f t h e t u b u t e so f t h e m e s o n e p h r o s * W 0 L F F i a nd u c t * * N 4 U L L E R Tdaunc t * * x B A R T H 0 L I N 'gst a n d s Femalegenitatia Fimbriaovarica Ovarium,Extremitas tubaria Ampullatubaeuterinae Amoullatubaeuterinae Margomesovaricus Ostiumabdominale tubaeuterinae; Infundibulum tubae uterinae Mesosalpinx A; Vv ovarica(e) lsthmustubae uterinae Fundusuteri Fimbriae tubaeuterinae Tubauterina[Salpinx] Appendix vesiculosa Ovarium. Facies medialis Ovarium Lig suspensoriumovarii A.; Vv ovarica(e) Extremitasuterina Lig.ovariiproprium Ovarium,Margoliber Ureter Lig latumuteri Corpusuteri, Faciesintestinalis lsthmusuteri cervicis Portiosupravaginalis [il. rectouterinus** Plicarectouterina Excavatiorectouterina; TunicaserosaIPerimetrium] * C t i n i c atIe r m : c a r d i n a[[i g a m e n t + +C t i n i c a It e r m : s a c r o u t e r i n e[ i q a m e n t F i 1 . 1 1 2 0 U t e r u sU, t e r u s ; o v a r y , O v aarn, du t e r i n et u b e T , u b au t e r i n a ; dorsatview. Lig ovariiproprium Stromaovarii lsthmustubaeuterinae Fundusuteri Mesosalpinx Ductuslongitudinalis Amoullatubaeuterinae Ductulitransversi Tubauterina lSalpinxl Plicaetubariae Lig.teres uteri*** Lig ovarii propflum lnfundibulum tubaeuterinae; Fimbriae tubae uterinae Tunicaserosa IPerimetrium] Cavitasuteri;Tunica mucosaIEndometrium] Tunicamuscularis IMyometrium] Appendixvesiculosa Fimbriaovarica Corpusalbicans Vv ovaricae;A ovarica ovarici vesiculosi* Corpus luteum Canalisceruicis uteri, Plicaepalmatae Portiovaginaliscervicis Ostiumuteri Lig latumuteri Parsuterina; \Ostiumuterinum,l " ^ . . . ^ . , - ^ Corpusuteri lsthmusuteri Portiosupravaginalis ceruicis Rugae vaginales Fi1.1121 Uterus,Uterus; o v a r y , O v aarn, du t e r i n et u b e T , u b au t e r i n a ; dorsalview. * C t i n i c a tI e r m : G R l A F i afno t [ i c [ e * * S t a t k e dh y d a t i d * * * C t i n i c a l t e r mr:o u n d[ i g a m e n t Appendix vesiculosa** > Petvicviscera andretroperitoneal space Urinaryhi.aelder ]varies and uterus Folliculiovarici primarii Fi1.1122 Ovary,Ovar; m i c r o s c o p iecn t a r g e m e natt l o w m a g n i f i c a t i o n Facies intestinalis / Cavitas uteri lsthmusuteri Canalis ceruicisuteri Fundusuteri TunicamucosaIEndometrium] Fornixvaginae,Parsposterior Tunicamuscularis lVyometriuml Peritoneum urogenitale TunicaserosaIPerimetrium] Facies vesicalis Peritoneumurogenitale,Excavatiovesicouterina Portio supravaginalisceruicis Fornixvaginae, Pars anterior Excavatiorectouterina Labiumposterius Ostiumuteri Labiumanterius Vagina F i 1 . 1 1 2 3 U t e r u sU, t e r u sa, n dv a g i n aV, a g i n a ; viewed f r o mt h er i q h t . Stratum functionale endometriale Stratum basale endometriale Tunica muscularis F i g . 1 1 2 1 M u c o s ao f t h e u t e r u s ,U t e r u s ; e a r l yp h a s eo f p r o t i f e r a t i o n F i 1 , 1 1 2 5 M u c o s oa f t h eu t e r u sU , terus; L a t ep h a s eo f p r o L i f e r a t iwoint he x c r e t o rgy[ a n d s Femategenitalia , agina; F i g . 1 1 2 6 U t e r u s ,U t e r u s ,a n d v a g i n aV , n dt h e n o r m a Ia n g t e sb e t w e e nt h e v a g i n at,h e c e r v i x a b o d yo f u t e r u s ; v i e w e df r o m t h e r i g h t . * L o n g i t u d i naaxIi so f t h ev a g i n a ** LongitudinaI axisof thecervixof uterus *** LongitudinaI axisof the bodyof uterus A n g t eb e t w e e nv a g i n aa n d c e r v i xo f u t e r u s= v e r s i o n A n g [ eb e t w e e nc e r v i xa n d b o d yo f u t e r u s= f l e x i o n f the uterus: N o r m a It o p o g r a p h i c a I s i t u a t i o n a n t e v e r s i o na,n t e fl e x i o n R e t a t i o nt o t h e m e d i a np t a n e= p o s i t i o n Fundus uteri Fig.1127 a-c Uterus,Uterus,and vagina,Vagrna a A n t e v e r s i o na,n t e f t e x i o=n n o r m a Ip o s i t i o n b A n t e v e r s i o nb,u t n o a n t e f t e x i o n c Retroversion,retrofLexion tubae Ostiumuterinum uterinae Tubauterina ISalpinx] Cavitasuteri Ampullatubae uterinae Canaliscervicis uteri F i 1 , 1 1 2 8 U t e r u sU, t e r u sa, n du t e r i n e t u b eT , u b au t e r i n a ; A P - r a d i o g r aapfht e ri n j e c t i oonf t o c o n t r a sm t e d i u mi n t ot h e c e r v i xo f u t e r u sI h y s t e r o s a I p i n g o g r a p h y l ; u t e r u si n d e x t r o p o s i t i o n ; ventraL view. T h i sf o r m e r l yc t i n i c a [ Layp p t i e dt e c h n i q u ea t l o w st o d e t e r m i n e t h e p o s i t i o no f t h e o r g a n sa n d t h e p a t e n c yo f t h e t u b e s . K = t u b e a d a p t o rf o r i n j e c t i o no f t h e c o n t r a s tm e d i u m > Pelvicviscera andretroperitoneat space U r i nar ybl adder Arteriesof the femaleinternalqenitalia Lig ovariiproprium A uterina,R tubarius Lig teresuteri* Ovarium A uterina,R ovaricus Fundusuteri A ovarica A ovarica Llg suspensoflum ovanl Appendix vesiculosa Corpusuteri Ostiumabdominale tubaeuterinae; lnfundibulum tubae uterinae Ovarium Lig teresuteri* Rr helicini A uterina A uterina Rr vaginales Cervix uteri A vaginalis A vaginalis F i g . 1 1 2 9 A r t e r i e so f t h e f e m a L ei n t e r n a Ig e n i t a l i a , 0 r g a n ag e n i t a L ifae m i n i n ai n t e r n a ; dorsaLview. + C [ i n i c at eI r m :r o u n d[ i o a m e n t Tubauterina Lrg suspensonum ovafll R tubarius Fundus uteri (R fundi uteri) R ovaricus Lig,ovariiproprium Rr helicini A uterina R vaginalis > 90% F i g . 1 1 3 0a - f V a r i b i l . i toyf t h e a r t e r i a Is u p p t yo f t h e f e m a [ ei n t e r n a Ig e n i t a l i a ; dorsaLview. a S u p p l .oy f t h e u t e r u s ,U t e r u s[ " t e x t b o o kc a s e " ] b , c , d S u p p t yo f t h e o v a r i e sO , v a r i aI b , " t e x t b o o kc a s e ] €,f S u p p t yo f t h e f u n d u so f u t e r u s ,F u n d u su t e r i I e . " t e x t b o o kc a s e " ] Femalegenitatia Articulatio sacroiliaca (Spatiumretrorectale) (Spatiumpararectale)* Rectum Lig rectouterinum Excavatiorectouterina Lig.cardinale cervicis]** ILig.transversum Ceruixuteri vesicouterina Excavatio (Spatium paravesicale)*** Ureter Vesicaurinaria Spatiumretropubicum Ostiumureteris internum Ostiumurethrae pubica Symphysis F i g . 1 1 3 1 U t e r u s ,U t e r u s ; u t e r i n eL i g a m e n tasn d c o n n e c t i v tei s s u es p a c e s ; s e m i - s c h e m a t itcr a n s v e r s es e c t i o na t t h e L e v eoLf t h e c e r v i xo f u t e r u s : s u o e n o rv t e w * C [ i n i c atIe r m : P a r a p r o c t i u m * + C L i n i c at eI r m : P a r a m e t r i u m l e x i s t e n c eo f t h i s s t r u c t u r ei s c o n t r o v e r s i a I l * * * C l i n i c atLe r m : P a r a c y s t i u m Cervixuteri Portio vaginalis cervtcts raoium I anlenus usilum ] ulefl I Labium postenus Portio vaginalis cervrcts I l"uiu. ostiumI anlerlus ulerrl Labium I poslenus Rugae vagrnares I o r t i o no f t h e c e r v i xo f u t e r u s ,P o r t i o F i g . 1 1 3 2a , b V a g i n a p v a g i n a l i sc e r v i c i s . s oman a Photograph o f t h e c e r v i xo f a y o u n gn u l t i p a r o u w b Photograph o f t h e c e r v i xo f a y o u n gw o m a nw h o h a s g i v e n b i r t ht o t w o c h i l d r e n L o r t i o no f t h e c e r v i xt h e of thevaginap F o rt h e i n s p e c t i o n n o r m a t l ys l i t - t i k ev a g i n ai s s p r e a d e db y m e a n so f a b i v a l v e s p e c u t u m{ * ) ; i n f e r i o rv i e w . .,:'j:.i . U r i n a r yb t a d d e r and retroperitoneaI space F u n i c u l uusm b i l i c a l i s Truncus Caput Membrum inferius F i g . 1 1 3 3 U t e r u s ,U t e r u s w , ith an embryo; u t t r a s o u n di m a g et a k e ni n t h e e i g h t hw e e k o f p r e g n a n c y ; [ a t e r a Iv i e w ( r i q h t l . T h e e m b r y oi s i m m e r s e di n t h e a m n i o t i cf t u i do f t h e c h or i o ni c cavity Caput,Frons Nasus Membruminferius Labiumsuperius Regiomentalis Truncus F i g . 1 1 3 4U t e r u sU, t e r u sw,i t h a f o e t u s ; uLtrasoun d a g et a k e ni n t h e 2 8 t hw e e k o f p r e g n a n c y ; im L a t e r av Ii e w[ l e f t ] . U L t r a s o u nedx a m i n a t i o a n l t o w st h e v i s u a I i z a t i oonf m o v e m e n r s of the extremitiea s n d t h e o o e n i n oo f t h e m o u t h D i g i t il l - V Palma Antebrachium Pollex IDigitusI] Humerus F i g .1 1 3 5 H a n d ,M a n u s o, f a f o e t u s; u [ t r a s o u n di m a g et a k e ni n t h e 1B t hw e e ko f p r e g n a n c y ; L a t e r avI i e w D e t a i [ ss u c ha s f i n q e r sc a n b e o b s e r v e d . Femalegenitatia V umbilicalis Aa umbilicales Fundusuteri Colonsigmoideum Fornix vaginae, Pars posteriol Placenta Os coccygis Fascia rectovaoinalis ISepturi'rectovaginale] Linea alba CorpusanococcygeumILig anococcygeuml Excavatio vesicouterina pubica,Discusinterpubicus Symphysis Vesicaurinaria Clitoris, Corpuscavernosum clitoridis M sphincter aniexternus Glans clitoridis perineiprolundus M transversus Labium majus pudendi Urethrafeminina Labiumminuspudendi urethrae M sphincter F i g .1 1 3 6 U t e r u sU, t e r u sw, i t ha f o e t u s ; n t h em e d i a np t a n e . t h ep e l v i sh a sb e e ns e c t i o n ei d * M u c o u sp L u gI o f K R I S T E L L Ei nRtIh e c e r v i c a Ic a n a Lo f t h e u t e r u s * * C [ i n i c atLe r m : p o u c ho f D 0 U G L A S * * * C [ i n i c atLe r m :v e s i c o v a g i nsael p t u m * * + *C [ i n i c a tI e r m : c a v eo f R E T Z | u s Spinailiacaanteriorsuperior Fig.1137 Uterus,Uterus; p o s i t i o no f t h e f u n d u so f u t e r u sd u r i n gp r e g n a n c y N u m b e r sr e f e rt o t h e e n d o f t h e r e s p e c t i v e m o n t ho f p r e g n a n c y[ = 2 8 d a y s ) . > Petvicviscera andretroperitoneaI space Placenta F i g . 1 1 3 8 a ,b P l a c e n t aP, l a c e n t aa, n d u m b i t i c acI o r d ,F u n i c u I u su m b i t i c a l i s . a View of the foetaIsurface b V i e wo f t h e m a t e r n a Is u r f a c eo f a p a r t u r i e n tp [ a c e n t a U r i nar ybtadder Genitalia Femategenitalia tubes Appendix vermilormis Fimbriae tubae uterinae A; V ovarica Caecum Lig suspensorium ovarii* lnfundibulum tubaeuterinae Ampulla tubae uterinae Ampullatubae uterinae l\4esosalpinx Ovarium, Facies medialis lsthmustubae uterinae l\4argo mesovaricus Lig latumuteri Lrg ovarii proprium I id tarac ' 'tAri Excavatio vesicouterina Plica umbilicalismedialis Plica umbilicalismediana Uterus, Facies vesicalis Vesica urinana genitaLia, F i g . 1 1 3 9 F e m a [ ei n t e r n a L e m i n i n ai n t e r n a ; 0 r g a n ag e n i t a L fi a ventraIview. * C t i n i c at et r m :i n f u n d i b u [ o p eI Li gvai cm e n t Colon sigmoideum Fimbriae Tuba uterina Ovarium Ampulla Lrg ovanl propflum Facies intestinalis Uterus Fundus Fimbriae tubae uterinae Lig teres uteri Facies vesicalis Ovarium Fig.I1t0 FemaLe i n t e r n a Ig e n i t a L i a , 0 r g a n ag e n i t a I ifae m i n i n ai n t e r n a ; s u r g i c ae I x p o s u r ei n a y o u n gw o m a n ; o v a r i e sd i s p t a c e db o t h m e d i a L Layn d s u p e r i o r l yb y c o m p r e s s e s[ * Ji n t h e p o u c ho f D 0 U G L A S ; v e n l r o s u p e f l ovrt e w ** Swab F i g . ' 1 1 1 1 A b d o m i n aol s t i u mo f t h e u t e r i n et u b e , 0 s t i u m a b d o m i n a t teu b a eu t e r i n a e ; s u r g i c a L e x p o s u irnea y o u n gw o m a n ; t h e p e t v i cc a v i t yi s f i t t e dw i t h s a t i n et o d e m o n s t r a t e t h ef i m b r i a ; d o r s o s u p e r i ovri e w . * P l a s t itcr a yt o s u p p o rt th eu t e r i n teu b e Pelvicviscera andretroperitoneaI space U r i nar ybtadder Rectum Flexura sacralrs Tunica muscularis, Stratum longitudinale M. levator ani Flexura anorectalis lperinealisj Telasubcutanea, Panniculus adiposus F i g . 1 1 t + 2 R e c t u m ,R e c t u m ; viewedfrom the Left. A rectalissuperior V. iliaca communis V cava inlerior V sigmoidea Tunicamuscularis, Stratumlongitudinale V. sacralis mediana Plicatransversarecti"* V. rectalissuperior Ampullarecti Ampullarecti (Spatium pararectale) Plexusvenosus rectalis M levatorani Columnae anales M sphincter ani internus Junctioanorectalis W rectales meorae Sinusanales A pudenda interna Columnae anales W rectales inferiores Pectenanalis M. sphincter aniexternus F i g . 1 1 1 3 R e c t u m ,R e c t u m ; b l o o ds u p p [ y t; h e m u c o s aa n d t h e p a r a r e c t a L a d i p o s et i s s u e sh a v eb e e np a r t t yr e m o v e d ; o p e n i n g si n t ot h e h e p a t i cp o r t a Iv e i ni n p u r p t e . Noduli lymphoidei solitarii M. levator ani M sphincterani internus Valvulaeanales M. sphincter ani externus Linea anocutanea F i 1 . 1 1 1 1 R e c t u m ,R e c t u m ,a n d a n u s ,A n u s ; ventraL view * H a e m o r r h o i dn ao Id e X * K O H L R A U S C H ,f so [ d G en i t a l i a Columnaanalis Canalisanalis Sinus analis F i g . 1 1 4 5 R e c t u m ,R e c t u m ; e n d o s c o p i icm a g eo f t h e a n a Ic a n a [w i t h s i x e n L a r g e d n o d e so f t h e c a v e r n o u sr e c t a Ib o d y ,h a e m o r r h o i d s ; suoeflorvtew. * Co[onoscope +*ThreehaemorrhoidaI nodes Plicatransversarecti F i $ . 1 1 1 6 R e c t u mR, e c t u m ; e n d o s c o pi im c a g eo f t h er e c t a I a m p u [ILr a ectoscopy); i n f e r i ovr i e w . > Pelvicviscera U r i nar ybtadder andretroperitoneaI space Arteriesof the rectum A mesenterica inferior Parsabdominalisaortae A rectalissuperior* A. sacralis mediana A. iliaca communis A. gluteasuperior A iliaca interna Canalisobturatorius A. iliaca externa Spinaischiadica A gluteainferior M obturatorius internus A. pudenda interna Rectum A obturatoria M levatorani A. rectalismedia A. rectalisinferior Tuberischiadicum M. sohincter ani externus Fig.11t7 Rectaa I r t e r i e sA , a .r e c t a t e s ; dorsaIview. * C [ i n i c at eI r m :S U D E c Kp'osi n ltf r o mt h i sp o i not nt h e r ea r e nof urtheranastomoses withthesiqmoidarteriesl GenitaIia V iliaca communts V cava inferior W sigmoideae V rectalis supenor Colon sigmoideum V gluteasuperior Canalis obturatorius V. iliaca interna V. iliaca externa Spina ischiadica V.gluteainferior V obturatoria V pudenda interna M. obturatorius internus V rectalismedia M. levator ani W rectalesinferiores Plexusvenosus rectalis Tuberischiadicum ani M. sphincter externus Fig. 1148 RectaIveins,Vv.recta[es; d i a g r a mw i t h p a r t so f t h e p e l v i sa n d t h e p e t v i c diaphragm; dorsaIview. T h e r ea r e n u m e r o u sc o n n e c t i o nbs e t w e e nt h e v e i n s d r a i n i n gi n t ot h e h e p a t i cp o r t a Iv e i nI s u p e r i o r r e c t a Lv e i n Ja n d t h o s ed r a i n i n gi n t ot h e i n f e r i o rv e n a . h e yf o r m c a v aI m i d d [ ea n d i n f e r i o rr e c t a tv e i n s l T t h e p o r t o c a v aaIn a s t o m o s e sw, h i c ha r e o f p a r t i c u t a r c t i n i c a iIm p o r t a n c e . > Pelvicviscera andretroperitoneaI space U r i nar ybl adder lnnervation of the rectum Plexus coeliacus;Ganglia coeliaca Truncuscoeliacus Pars abdominalisaortae Gangliatruncisympathici A mesentericainferior Plexushypogastricus superior A iliaca communis (S 2-S 5) Radices anteriores N hypogastricus dexter Plexushypogastricus inferior Plexusrectalissuperior Plexusrectalismedius Plexusrectalisinferior M ievator ani N pudendus Nn. anales N4.sphincter aniexternus Fig. 111+9 Rectum,Rectum; s c h e m a t i co v e r v i e wo f t h e i n n e r v a t i o n ; ventratview. Green = sympatheticnervoussysiem Purpte = parasympatheticnervoussystem Genita!.ia Rectum,radiography Os sacrum Colonsigmoideum , a m u si n f e r i o r O s p u b i sR Ampullarecti Os coccygis M gluleusmaximus Tuberischiadicum Canalisanalis T h e t r a n s i t i o n azI o n eb e t w e e nt h e a n u sa n d t h e r e c t u m[ a r r o w l i s [ o c a t e da t t h e L e v eoI f t h e t i p o f t h e c o c c y x[ t r i a n g t e ) . T h e a n g L eb e t w e e nt h e a x e so f t h e a n u sa n d t h e r e c t u m[ 4 ] 9 y0 ' a n d d e p e n d su p o nt h e c u r v a t u r eo f t h e is approximateL . c a t ei n c m l e v a t o ra n i m u s c [ e{ p u b o r e c t amLu s c t e )S F i g .1 1 5 0 R e c t u mR , ectum; I a t e r a Lr a d i o g r a p hi n v o L u n t a rcyt o s u r eo f t h e a n u sa f t e rf i L t i n g w i t h a c o n t r a s tm e d i u mI d e f a e c o g r a p h y l . Iemoris Caout Os sacrum Femur,Corpustemoris Colonsigmoideum Os pubis,Ramusinferior Os coccygis Ampulla recti Tuber ischiadicum l\il gluteus maximus , ectum; F i g .1 1 5 1 R e c t u mR g ith a contrast t a t e r a Lr a d i o g r a p ho f t h e d e f a e c a t i oanf t e rf i L t r n w m e d i u mI d e f a e c o g r a p h y ) I n c o m p a r i s otno F i g 1 1 5 0t,h e a n o r e c t a L t r a n s i t i oznoanI eh a s [ 4 ] i n c r e a s etdo 1 3 7 od u et o t h e d e s c e n d eadn dt h e a n g L e r e L a x a t i oonf t h e c u r v a t u r eo f t h e l e v a t o ra n i m u s c L eA s t h e , e e t o n g a t i o rne s u L t si n a n u n i m p e d e d b e n d i n ga c t st i k ea v a L v et h p r e s s u r eo f t h e f a e c e so n t h e a n a Ic a n a Ll e a d i n gt o d e f a e c a t i o n . Pelvicviscera andretroperitoneaI space Arterial supplyof the kidney Ren.Extremitassuoerior , Vertebralumbalisl, Proc costalis A arcuata A. renalis A. interlobaris Ren,Margomedialis A. segmenti A. renalis Calyxrenalis Ren, Margo lateralis Pelvisrenalis Ureter,Parsabdominalis Ben,Extremitas inferior Crista iliaca Fig.1152 Kidney,Ren; A P - r a d i o g r a pahf t e r i n t r a v e n o u isn j e c t i o no f a c o n t r a s t m e d i u mw h i c h i s e x c r e t e dv i a t h e k i d n e y st o d e m o n s t r a t e the renaI petvisand the ureters IintravenouspyeLographyl; c o n c o m i t a nvti s u a t i z a t i oonf t h e a r t e r i e sb y i n j e c t i o n o f a c o n t r a s tm e d i u mi n t ot h e r e n a Ia r t e r yt h r o u g h a c a t h e t e r *i n t r o d u c e di n t ot h e a o r t a( a r t e r i o g r a p h y l . (A.renalispolarisinferior) F i g . 1 1 5 3a - d V a r i a t i o n isn t h e a r t e r i a ls u p p t yo f t h e k i d n e y . a O n er e n a Ia r t e r y ,A . r e n a [ i sw , i t h a b r a n c ht o t h e s u p e r i o rp o l e b T w o r e n a Ia r t e r i e st o t h e r e n a Ih r t u m c T w o r e n a Ia r t e r i e s o , n e o f w h i c hs u p p l i e st h e s u p e r i o rp o t e d T w o r e n a ta r t e r i e s o , n e o f w h i c h s u p p L i etsh e i n f e r i o rp o l e Genitalia peritoneaI space,overview Retro A , : V p h r e n i cian f e r i oar a Vv hepaticae o A phrenicaa inferior (Facies contacta hepatis) Glandula suprarenalis Gaster, Hiatus oesophageus Parscardiaca O aA ; V phrenicainferior media; a A suDrarenalis sinistra a V suprarenalis Glandula suprarenalis Peritoneum parietale OaA;V.renalis Truncuscoeliacus a) a Mm.intercostales A mesentericaa supenor Ren inferior;a A suprarenalis V suprarenalis dextraO (A renalis a accessona) V cava inferiorO a a A ; V testicularis Costa Xl A;V renalisOa Ren, Capsulaadiposa * N subcostalis Ureter a a A.; V lumbalisI M obliquusexternusa abdominis & N. iliohypogastricus M obliquusinternusa abdominis a A. mesenterica inferior M transversust abdominis * N. ilioinguinalis V;A testicularis o a o M. quadratus tumoorum M psoasmajora Lig iliolumbale Aa sigmoideae a a A colicasinistra (M psoasminor)a & N cutaneus femorislateralis Aa ;Vv iliacae a a communes a lvl iliacus /- I H. remorails, f . oentto-1 Temorails I a ooA;Viliolumbalis, Rr iliaci naniratic $ N femoralis A;V iliacainternaaa '' \ o H. remorails N. genitoI * R. genitalisJ femoralis Mesocolon sigmoideum a A iliacainterna Excavatio rectovesicalis Plica umbilicalismedialis Vesicaurinaria O A rectalissuperior inferior o a A ; V epigastrica aaA;Vsacralismediana M. rectus abdominis a Colonsigmoideum Plica umbilicalismediana Pars abdominalis aortae V renalissinistra V cava inferior a V renalis dextra A testicularis dextra A testicularis sinistra -80% tructures, F i 1 . 1 1 5 1 P o s i t i o no f t h e r e t r o p e r i t o n e as L S i t u sr e t r o o e r i t o n e a t iosf,t h e m a t e . W h e r e a st h e L e f t e s t i c u L avre i no p e n si n t o t h e l e f t r e n a lv e i n , t h e r i g h t t e s t i c u t a vr e i nd r a i n sd i r e c t t yi n t o t h e i n f e r i o rv e n a c a v a .T h e s a m ea p o t i e st o t h e o v a r i a nv e i n s . F i g . 1 1 5 5a , b V a r i a b i t i toyf t h e c o u r s eo f t h e t e s t i c u t a r a r t e r i e sA , a .t e s t i c u L a r e s . a "Textbookcase" , a .t e s t i c u t a r e sb,r a n c ho f f r r t e r i e sA b B o t ht e s t i c u t a a c r a n i a t Ltyo t h e r e n a Iv e i n s ,V v .r e n a t e st;h e r i g h t a r t e r y passesposteriorto the inferiorvenacava,V.cavainferior, a n d t h e l e f t a r t e r yp a s s e sa n t e r i o rt o t h e l e f t r e n a Iv e i n , V . r e n a t i ss i n i s t r a . > Pelvicviscera U r i nar vbtadder andretroperitoneal space Lymphatics of the retroperitoneal space W hepaticae a V cava inferiorO A phrenica a inferior Nodi lymphoidei phrenici inferiores a A renalis Truncusintestinalis a A mesenterica supenor Cisterna chyli a Parsabdominalis aonae Truncuslumbalis dexter Nodi lymphoidei lumbales intermedii Nodilymphoidei lumbales dextri V cavainferiora a A iliaca communrs Ureter o V iliaca communts Nodi lymphoidei iliaci interni Mesocolon sigmoideum Colonsigmoideum Nodi lymphoidei inguinales superficiales,Nodi superolaterales* A femoralis o Fascia cribrosa V femoralis a N femoralis l Nodi lymphoideiinguinales,(Nodi profundi) a V saphena magna V saphena magna O ilioinguinalis Funiculus spermaticus F i g . 1 1 5 5 L y m p hn o d e s ,N o d it y m p h o i d e ai ,n d L y m p h a t i c s , V a s al y m p h a t i c ao, f t h e p o s t e r i o a r b d o m i n aw I a | .a [ ndthe i n g u i n arLe g i o n ; v e n t r a Iv i e w T h e n u m b e r sX a n d X l l i n d i c a t et h e r e s p e c t i v rei b s . * C t i n i c at eI r m : h o r i z o n tcahI a i n "d, r a i n i ntgh eL o w earb d o m i n a t w a t l t h eg l u t e arIe g i o nt h , ep e r i n e u m a n dt h ee x t e r n agte n i t a l GenitaIia Lymphatics of theretroperitoneal radiography Truncuslumbalis sinister Vas lymphaticum efferens Noduslymphoideus icialis inguinalis superf Vasa lymphatica afferentia , d l y m p hn o d e s , F i g . 1 1 5 7 L y m p h a t i c sV, a s aL y m p h a t i c a n N o d iL y m p h o i d eo if,t h e i n g u i n a [t ,h e p e L v iacn dt h e Lumbaregion; A P - r a d i o g r a pahf t e r b i l a t e r a itn j e c t i o no f a c o n t r a s t m e d i u mi n t o L y m p h a t i cosf t h e f o o t ( t y m p h o g r a p h y ) . nnd t hse p o s i t i o a T h i sf o r m e r t ya p p L i etde c h n i q u vei s u a L i z e s i z eo f l y m p h a t i c sa n d L y m p hn o d e s . > Petvicviscera andretroperitoneat space U n i n a r yb l a d d e r Neryesof the retroperitoneal space & N vagus[X],Plexusoesophageus N splanchnicus major,* Oesophagus ." Plexus coeliacus Costa Xll N subcostalis , O Truncuscoeliacus lumborum O l\4.quadratus N iliohypogastricus * 6 Truncussympathicus N ilioinguinalis{ * Plexusmesentericus inferior Cristailiaca N genitofemoralis{ ,* N temoralis a M. iliacus N obturatorius{9 Truncuslumbosacralis * & Plexussacralis F i g . 1 1 5 8 N e r v e so f t h e p o s t e r i o a r b d o m i n aw Lat[, , t e x u s[ u m b o s a c r a t i sa,n d t h e L u m b o s a c r apLt e x u s P t h e a b d o m i n apI a r t o f t h e a u t o n o m o u sn e r v o u ss y s t e m , P a r sa b d o m i n a I iasu t o n o m i c a : ventraLview. Genitatia Vessels and A Dhrenica inferioro N. splanchnicusmajor '' V cavainferiora A t V r e n a l i so* a retroperitoneal Hiatus oesophageus superior a A mesenterica a Truncuscoeliacus ascendens a V lumbalis lumborum o l\il quadratus * N subcostalis A;VtesticularisOo * Truncus sympathicus a Parsabdominalis aortae O A mesenterica inferior aaA;Viliaca communls N iliohypogastricus, a A lumbalislV I Truncus lumbosacralis genitolemoralis , a A iliolumbalis, R iliacus N ilioinguinalis. ,r, N obturatorius a A iliolumbalis M psoasmajora * Rr musculares s N ilioinguinalis N femoralis ,., a M transversus abdominis & N. cutaneus femorislateralis & N genitofemoralis, R genitalis aaA;Vcircumflexa iliumprotunda Ureter,Parspelvica Ductusdeferens A ;V sacralismedianaa a r bdominal F i g . 115 9 V e s s e Lasn d n e r v e so f t h e p o s t e r i o a watlof the male. * I n - 1 0 %t h e[ e f tr e n avI e i np a s s epso s t e r i ot or t h ea o r t a . > Petvicviscera andretroperitoneat space U r i nar ybl adder lnnervation of the maleaenitalia F i 9 . 1 1 5 0 M a t eg e n i t a t i a , a ascutina; 0 r g a n ag e n i t a L im d i a g r a md e m o n s t r a t i n tgh e a u t o n o m o u si n n e r v a t i o n o f t h e [ e f ts i d e ; ventraIand LateraIview, respective[y. Green= sympatheticneryoussystem Purpte= parasympatheticnervoussystem Medulla spinalis eflgent nerves S u r g i c a rI e m o v a o I f p a r a a o r t i cl y m p hn o d e so r o p e r a t i o n sa t t h e a b d o m i n aaI o r t aa n d t h e [ a r g ea r t e r i e so f t h e p e t v i sc a n c a u s ed a m a g et o t h e s y m p a t h e t i n c e r v e sw i t h t h e c o n s e q u e n c e o f e j a c u L a t o ri m y p o t e n c yI l m p o t e n t i ag e n e r a n d i lP. r o s t a t e o p e r a t i o n si ,n t u r n , m a y d a m a g et h e p a r a s y m p a t h e tfi icb r e s i n n e r v a t l n tgh e p e n i s ,t h u s [ e a d i n gt o e r e c t i t ei m p o t e n c y l l m p o t e n t icao e u n d i J . Piexushypogastricus superior Plexustesticularis A. testicularis Ductusdeferens Glandula vesiculosa Vesicaurinaria Prostata Glandula bulbourethralis penis Corpusspongiosum N hypogastricus sinister penis Corpuscavernosum Plexus deferentialis Plexusprostaticus Plexus hypogastricus inferior Ganglia pelvica, Radix Urethramasculina parasympathica INn splanchnicipelvici]* Glanspenis Plexustesticularis Plexus deferentialis l n n e r v a ti o no f th e ma teg e n i ta ti a Parasympathetic Sympathetic SacraLpart of t h es p i n a l c o r d l S 2- 5 4 l Thoracicpart of the s p i n a Ic o r d t T 1 0- T 1 2 l G a n g l . ipae L v i c aR,a d i x para parntca nchnicp i elviciJ lNn. Penis C o r p u sc a v e T n o s u m Vasodi[atation Erection P [ e x u sm e s e n t e r i c i s u p e r i o re t i n f e r i o r J Testis Regulatioo n f b l o o df t o w T-,,^^,,- -,,-^^+ki^,,^ Jyt t tPoU ilLu> .1, P t e x utse s t i c u L a r i s J L u m b a rp a r t o ft h es p i n a L c o r dl L 1 - L 2 l P t e x uhs y p o g a s t r i csuusp e r r o r J N hypogastricus J P L e x uhsy p o g a s t r i c u s rnreTror Somatomotor, somatosensory C-^-^l ^^-+ ^{ JOUr dL Pdr I Ul N pudendus t h e s p i n a cL o r d ts2- s4l N n . s c r o t a l e sp o s t e r i o r e s N . d o r s a L ipse n i s Fvnrrlcinn ^f itc flrirl G L a n d u tbau L b o u rethra[is D u c t u s( v a s ld e f e r e n s C o n t r a c t i o nt r, a n s p o r to f t h e s p e r m si n t ot h e u r e t h r a G L a n d u tvae s i c u L o s a E x p u L s i oonf i t s c o n t e n ti n t o Prostata the urethra I M s p h i n c t evre s i c a e ] C t o s u r eo f t h e u r i n a r y btadd to preventretrograde eJacu ron M i s c h i o c a v e r n o s u s E x p u L s i oonf t h e e j a c u L a t e M bulbospongiosus outofthe urethraS c r o t a sI k i n P e n i [ es k i n G en i t a I i a lnnervation Medulla spinalis F i g . 1 1 6 1 F e m a l eg e n i t a t i a , 0 r g a n ag e n i t a t i af e m i n i n a . d i a g r a md e m o n s t r a t i n tgh e a u t o n o m o u si n n e r v a t i o n ; ventraIview. c e r v o u ss y s t e m G r e e n= s y m p a t h e t i n Purp[e= parasympatheticnervoussystem * C t i n i c at eLr m :F R A N K E N H A UgSaEnR g L' si o n ** A[so:erigentnerves Rr communicantes R interganglionaris d ith gangLia. T h e a u t o n o m i cp t e x u sa r e i n t e r s p e r s e w T h e h y p o g a s t r iac n d u t e r o v a g i n apLt e x u sc o n t a i nb o t h s y m p a t h e t i ac n d p a r a s y m p a t h e tfi icb r e s . Radices anteflores (s2-s5) Plexusovaricus Gangliatrunci sympathici A ovarica N hypogastricus Tubauterina[Salpinx] Plexushypogastricus inferior Plexusuterovaoinalis* N. sacralis[S1l N vaginalis Ganglia pelvica, Radix parasympathica lNn. splanchnicipelvicil Ganglia pelvica, Radix parasympathica INn. splanchnicipelvici]** Plexussacralis Labiumminuspudendi N pudendus Nn.labialesoosteriores (lntroitus vaginae) Innervationof the femalegenitatia Parasympathetic JCo^ L^ '- ^ol L ^P^o-' +L of the -^;^-t ^^-n ts2- s4l Sympathetic G a n g t i ap e L v i c aR,a d i x parasvmpatnIca I N n .s p t a n c h n i cpi e t v i c i J J N n . c a v e r n o sci L i t o r i d i s T u b au t e r i n a U t e r us Vasodi [atation Vasodi[atation Vaqi na CL i i o r i s Transsudation Erection Ovar Vasoconstriction T u b au t e r i n a Uterus Vagina C o n t r ac t i o n TL^-^^;^ ^^-+ I rrvrouru Por L nf tho cninal P t e x u sm e s e n t e r i c u s ! supenor Ptexus c o r d[ T ' 1-0T 1 2 l ovancuS v P l e x u sr e n a L i s T-.,^^,,^ I I UilLU5 ^.,-^^+hi^,,>yil rPOLr ilLU> J L u m b a rp a r t o ft h es p i n a L c o r d[ 1 1 - L 2 ] Somatomotor, somatosensory S a c r a Lp a r t of the s p i n a Ic o r d ts2- s4l P L e x u hs y p o g a s t r i c u s s up e n 0r J N hypogastrrcus P t e x u sh y p o g a s t r i c u s inferior J P l e x u su t e r o v a q i n a L i s I F R A NK E N H A U S T N ' S g an gL i o n ) N dorsatis z cLitoridis N.pudendus :r Nn LabiaLes posteriores Clitoris L a b i am a j o r a M . i s c h i o c a v e r n o s u sC o n t r a c t ino M buLbospongiosus U r i nar ybl adder andretroperitoneaI space Pelvicarteries A iliaca communis A iliolumbalis A. sacralislateralis A iliaca interna gluteasuperior M piriformls A gluteainferior A iliaca externa Lig sacrosplnale A obturatoria A pudendainterna A umbilicalis vesicalis superior Lig sacrotuberale A rectalismedia A uterina F i g . 1 1 6 2a - d V a r i a b i L i o t yf t h e b r a n c h i n gp a t t e r no f t h e i n t e r n a Ii t i a ca r t e r y ,A . i t i a c ai n t e r n a ; viewedfrom the Left. a A t [ b r a n c h e sa r i s ef r o m t h e s a m e s t e m . b T h e i n t e r n a Ii t i a ca r t e r y ,A . i L i a c ai n t e r n a ,d i v i d e si n t ot w o m a j o r b r a n c h e s[ " t e x t b o o kc a s e " J . c T h e i n t e r n a Ii t i a ca r t e r y ,A . i t i a c ai n t e r n a ,d i v i d e si n t ot h r e e m a j o r b r a n c h e s . d T h e i n t e r n a Ii t i a ca r t e r y ,A . i L i a c ai n t e r n a ,d i v i d e si n t o m o r e t h a n t h r e e m a j o r b r a n c h e s . Genitatia Vessels andnervesof the pelvicwall Parsabdominalis aortaea A, mesentericainferiora Plexussacralis, Truncus lumbosacralis A iliacacommunis sinistraa V iliacacommunis O o A sacralislateralis A sacralis mediana O ,i N sacralis [S1], R anterior A iliaca communis dextra a A iliaca interna a A iliolumbalisO a A gluteasuperior A iliaca externa a A umbilicalis,Pars oatens a ,, Truncussympathicus, Gangliasacralia A obturatoria a N obturatorius N genitofemoralis, R genitalis r N sacralis [S2], B anterior O A glutea inferior A n u l u si n g u i n a l i s profundus , N sacralis [S3], R anterior A cremasterica O 6 Nn anales [rectales] inferiores A epigastrica O inferior R pubicusa R obturatorius a Lig sacrospinale a A pudendainterna pubica Symphysis *, N pudendus A obturatoria, R oubicusa M obturatorius internusa O A rectalis media A vesicalis interiora : Plexussacralis F i g . 1 1 6 3 I n t e r n a Ii t i a ca r t e r y ,A . i I i a c ai n t e r n a , , t e x u ss a c r a L i s ; a n d s a c r a Ip l e x u s P viewedfrom the left > Pelvicviscera andretroperitoneaI space U r i nar vbtadder )rgans of the malepeLvis A ;V sacralis lateralis,Rr spinales O a N sacralis [S1], R anterior * Os sacrum ,* N sacralis[S2],R anterior N lumbalis[L5], R anterior i V iliaca interna O parietale Peritoneum V iliaca externa a) A iliaca communis O a M piriformis Mesocolon sigmoideum O M gluteusmaximus Colon sigmoideum Rectum,Flexurasacralis Appendicesomentales [epiploicae] Ductusdeferens Vesica u n n a n aI Excavatio rectovesicalis funicaserosa muscularis I Tunica \ Articulatio sacrococcygea l/ rectusabdominis O Os pubis Ureter Lig puboprostaticum Glandula vesiculosa Corpus anococcygeum ILig anococcygeum] Funiculus spermaticus a M levator ani Ductusdeferens Corpusanococcygeum [Lig anococcygeum] lvl cremasterC Tunicadartos,M dartosa Rectum,Flexuraanorectalis Iperinealis] Cruspenis ani externus a M sphincter A profundapenisa l\4 ischiocavernosus 0 perineiprofundus l\4 transversus a perineiprofundus a I/l transversus l\4 sphincter urethraea Prostata Glandula bulbourethralis' a M bulbospongiosus F i g . 1 1 6 1 + 0 r g a n so f t h e m a [ ep e L v i s . * C t i n i c at eI r m :C O W P EgR[ 'asn d Genitatia Rectunn Topography Sseti0ns of themalepelvis a A sacralismediana a A iliaca interna Promontorium Pars abdominalisaortae a Parspatens a A umbilicalis, A mesentericainferiora superior a a A ; V.vesicalis A i l i a c ac o m m u n i sO V i l i a c ac o m m u n i so Canalissacralis O a A ; V rectalissuperior Ureterdexter A;VobturatoriaOo V iliaca externa a A iliaca externa a \ a V iliaca interna ki inferior a a A.; V vesicalis Ductusdelerensdexter a A ductusdeferentis A ; V c i r c u m f l e xOao iliumprofunda a l\4.piriformis Plicaumbilicalis lateralis; A;V epigastricaaa inferior Plica umbilicalismedialis Vesicaurinaria Ductusdeferenssinister Uretersinister vesiculosa Glandula A vesicalis superiora aaA;Vrectalismedia V dorsalisprofundaa penrs inferior a A vesicalis o M levatorani A dorsalispenisa Plexus venosus vesicalisa Prostata a aA ; V rectalisinferior pudendainterna ooA;V ' A profunda Funiculus penisO spermaticus penis Corpuscavernosum posteriores a a A ; V pudendainterna,Rr.scrotales F i g . 1 1 6 5 B L o o ds u p p l . oy f t h e m a t ep e t v i s > Pelvicviscera and retroperitoneaI space g t a n dI U r i n a r yb l a d d e r K i d n e yI S u p r a r e n a Vesselsof the femalepelvis a A iliacainterna o V iliaca interna V i l i a c ac o m m u n ios O A sacralismediana a o A ; V rectalissuoerior A iliaca communis O Tunicamuscularis, rl\ / Rectum, .11\/ Stratumlongitudinale A umbilicalis,Pars patens a o A uterina A ; V, ovarica a O a a A :V rectalismedia Plicarectouterina Uretersinister Tubauterina Lig teresuteri OOA;Vuterina A;V iliacaexternaaa a a A ;V rectalismedia Vesicaurinaria o A vaginalis Ovarium sinistrum o A vesicalisinferior a M levatorani A uterina,a R tubarius a o A ; V rectalisinferior o Plexusvenosusvaginalis B u l b u vs e s t i b uol i aoA:V Lig teres uteri a W vesicales Fig. 1156 BtoodsuppLyof the fema|.epetvis oudendainterna Genitatia R e ctu m Topography S e et i o n s femalepelvis Nodi lymphoidei preaortici, aortici laterales et retroaortici a Pars abdominalisaortae Nodi lymphoideiiliaci communes a a A :V sacralismediana Nodus lymphoideusprecavalis a A iliolumbalis a aA : V rectalissuoerior A;Vovaricaoo Nodi lymphoideiiliaci interni Rectum Noduslymphoideus iliacusexternus OoA;V uterina N genitofemoralis,, ,: N obturatorius A ; V i l i a c ae x l e r n aa O Noduslymphoideus rectalissuperior A;V obturatoriaOa a A vaginalis Nodi lymphoideiiliaci externi mediales et laterales o A pudendainterna A umbilicalls,Pars occlusa O a A rectalismedia A;VepigastricaaO inferior Lig sacrospinale Nodi lymphoidei pararectales Chorda arteriae umbilicalis Excavatio rectouterina* Plica rectouterina Lig teres ul Anulusfemoralis oaA;Vrectalismedia Nodi lymphoideiiliaciexterni obturatorii a A. umbilicalis,Pars patens Lig teresuteri a M levatorani Uterus,Faciesintestinalis Aa vesicales superiores a Vesica urinaria Lig umbilicalemedianum F i 1 . 1 1 6 7 L y m p h a t i c sV, a s aL y m p h a t i c a n , d l y m p hn o d e s , N o d iL y m p h o i d eoi ,f t h e p e t v i cw a t [ o f t h e f e m a l e . T h eL y m p hn o d e sa r e f r e q u e n t l ym u c h s m a t t e rt h a n i t t u s t r a t e d . u m o u rc e t l sf r o m t h e u t e r u sc a n b u t t h e ya r e a l w a y sp r e s e n tT r e a c ht h e s u p e r f i c i aiIn g u i n a l y m p hn o d e sv i a l y m p h a t i c so f t h e r o u n dl i g a m e n to f u t e r u s . * C I i n i c at eI r m :p o u c h ofD0UGLAS * * C [ i n i c at eI r m :r o u n dl i g a m e n t A iliaca interna A iliaca externa eprgastflca inferior obturatoria Foramen obturatum 250k F i g . I 1 6 8a - c V a r i a b i t i toyf t h e o r i g i no f t h e o b t u r a t o ra r t e r y ,A obturatoria; mediaLview a O r i g i nf r o m t h e a n t e r i o rb r a n c ho f t h e i n t e r n a Li L i a ca r t e r y , A . i t i a c ai n t e r n a[ " t e x t b o o kc a s e " ] b O r i g i na s a n i n d e p e n d e nbt r a n c hf r o m t h e i n t e r n a Li I i a c a r t e r y ,A . i t i a c ai n t e r n a externa c 0 r i g i nf r o m t h e e x t e r n a iI I i a ca r t e r y ,A . i L i a c a 0 n L yi n 7 5 %o f t h e c a s e s t, h e o b t u r a t o ra r t e r yo r i g i n a t e sf r o m t h e t r u n k o f t h e i n t e r n a Ii t i a ca r t e r v . > Pelvicviscera and retroperitoneaI space g i " andI U r i nar ybLadder Kidney| $ur pr anenat Female pelvicdiaphragm pubica Symphysis pubicum Tuberculum Lrg pubicuminferius Urethrafeminina, Tunicamuscularis perinei Lig transversum lvl transversus oerineiorofundus Vagina Fascia perinei IFascia investiensperinei superficialisl Spina iliaca anterior inferior Spina iliaca anteriorsuperior Fossa acetabuli Crista iliaca Lig transversum acetabuli Os ilium Fascia perinei IFascia investiens perinei superficialisl Facies lunata M transversus perineisuperficialis M obturatorius internus Fascia inferior diaphragmatispelvis Tuber ischiadicum Fascia obturatoria Fascia obturatoria Lig sacrotuberale Fascia inferior diaphragmatispelvis M levator ani, l\/l puborectalis Spina ischiadica l\4 levator ani, M iliococcygeus Lt9 M ischiococcygeus[M coccygeus] sacrotuberale M sphincterani externus Centrumperinei Lig sacrotuberale Spina iliaca posteriorsuperior M sphincter ani externus Corpus anococcygeumILig anococcygeum] Ossacrum F i g .1 1 6 9 P e r i n e am I u s c L e sM, m . p e r i n e i , a n d t h e p e t v i cd i a p h r a g mD , i a p h r a g m ap e t v i so, f t h e f e m a l e ; i n f e r i o rv i e w . pubicum Tuberculum Os coccygis P r o b ei n t h e p u d e n d acI a n a [I A L C O C Kc 'asn a [ ] Symphysis pubica L i n e at e r m i n a l i s Eminentia iliopubica M levator ani, l\4 pubococcygeus Corpusossispubis I I! Fossa acetabuli-1 Canalisobturatorius Os sacrum Ligg sacroiliacaanteriora Articulatiosacroiliaca Ligg sacroiliacainterossea l\4 levator ani, M iliococcygeus (Arcustendineus musculilevatoris ani) l\4 rectococcygeus M ischiococcygeus [M coccygeus] Foramen ischiadicum maJus Lig sacrotuberale Os ilium Proc articularissuperior F i g . 1 1 7 0 P e L v idc i a p h r a g mD , i a p h r a g m ap e t v i so, f t h e f e m a L e ; s u p e n o rv t e w . * C t i n i c atIe r m : l e v a t o rh i a t u sI H i a t u su r o q e n i t a t iest a n i l Genitatia Female pelvicdiaphragm A i l i a c ac o m m u n i so V iliacacommunis o A;ViliacainternaaO Ureter N obturatorius a M piriformis M transversus a abdominis o M. levator ani M obliquusG internus abdominis M o b l i q u uas exlernus abdominis M iliacus a V iliaca externa O a a (M sacrococcygeus) A ;V circumllexa a a iliumprofunda A ; V epigastrica inferiorO a N obturatorius: Pectenossispubis A;VobturatoriaOa-'{ M obturatorius a Internus (Arcustendineus musculilevatoris ani) a M rectococcygeus ; V pudendainternaa a a M levator ani Clitoris, Corpusclitoridis aniexternus o l\4 sohincter V dorsalisprofundaa cliloridis I M sphincterani internus M sphincter urethraea Ostiumurethrae externum Pecten analis Labiumminuspudendi Vagina Centrum perinei Labium majus pudendi F i g . 1 1 7 1 M u s c t e so f t h e p e L v i dc i a p h r a g m , D i a p h r a g m ap e L v i so,f t h e f e m a t e aniexternus e M sDhincter > Pelvicviscera andretroperitoneat space U r i n a r yb t a d d e r Malepelvicdiaphragm penis Corpusspongiosum M bulbospongiosus Tunicadartos.l\4.dartos * Glandula bulbourethralis lvl ischiocavernosus Raphe perinei perinei M transversus profundus lvl transversus perineisuperlicialis Fascia obturatoria Tela subcutanea, Panniculus adrposus Lig sacrotuberale Fasciaobturatoria M sphincter ani externus l\4 gluteusmaximus l\4.levator ani Os coccygis Corpusanococcygeum [Lig anococcygeum] F i g . 1 1 7 2 P e r i n e u mP , e r i n e u ma, n d p e L v i dc i a p h r a g mD , i a p h r a g m ap e l v i s o, f t h e m a t e ; i n f e r i o rv i e w . * C l i n i c at eLr m :c o w P E Rg' st a n d Genita[ia Femalepelvicdiaphragm Preputium clitoridis Ostiumurethrae externum M gracilis Glans clitoridis Ostiumvaginae; Carunculae hymenales Rugae vaginales Labiumminuspudendi Glandula vestibularis major,(Ostium)* M. ischiocavernosus M bulbospongrosus M bulbospongrosus Baphe peflnel Fasciaperinei IFasciainvestiens perineisuperf icialisl M. transversus peflnel superficialis Fascia obturatoria Fossa ischioanalis M. sphincter anrexernus M, gluteusmaximus M levatorani Anus perineisuperficialis Mm transversi et profundus Os coccygis F i g . ' l ' 1 7 3 P e r i n e u mP , e r i n e u mp ; e t v i cd i a p h r a g m , D i a p h r a g m ap e t v i sa, n d f e m a [ ee x t e r n a gI e n i t a t i a , 0 r g a n ag e n i t a l i af e m i n i n ae x r e r n a ; i n f e r i o rv i e w . + C t i n i c at eI r m :B A R T H 0 L g t N[ a' sn d Corpusanococcygeum ILig.anococcygeum] T h ev a g i n a a I n d t h e a n a Io r i f i c e sa r e l o c a t e di n c t o s ep r o x i m i t y . D u r i n gd e t r v e r tyh e s k i n a n d m u s c l e so f t h e p e r i n e u mc a n r u p t u r eu p t o t h e s p h i n c t e rm u s c t e so f t h e a n u s i l . - l l l . d e g r e e p e r i n e a lLa c e r a t i o n sT l .h e s ec a n b e p r e v e n t e db y s u r g i c a l i n c i s i o n sd i r e c t e de i t h e r[ a t e r a t [ yo r i n t h e m e d i a np [ a n e I p e r i n e aiIn c i s i o n= l a t e r a Io r m e d i a I e p i s i o t o m y l . L J r i n a r vb t m q i d e r Lig inguinale pubica Symphysis penis a V dorsalisprofunda A;N dorsalispenisO{a Lig pubicuminferius perinei Lig transversum Urethramasculina Glandula bulbourethralis* ll l\il,sphincter urethrae perineiprofundus M transversus N Ductusolandulae bulbourethralis A : V b u l b oi e n i so a perineiprofundus a M transversus perineisuperficialis] FasciaperineiIFasciainvestiens AiV oerinealisaa N perinealisi, Ramus ossis ischii A:Vpudendainternaaa N pudendus a M transversus peflnel superficialis F i g . 1 1 7 1 U r o g e n i t adI i a p h r a g m , D i a p h r a g m au r o g e n i t a t eo,f t h e m a [ e ; i n f e r i o rv i e w . * C l i n i c at eI r m :c o w P E Rg' st a n d pubicum Tuberculum Lig pubicum superius Lig inguinale Os pubis,Ramussuperior pubica Symphysis clitoridis a V dorsalisorofunda A ; N dorsalisclitoridis O r: Lig pubicuminferius Vagina perinei Lig transversum Os pubis, Ramus inferior Urethrafeminina A bulbivestibuli a perineiorofundus C M transversus Bamus ossis ischli Fasciaperinei perinei IFasciainvestiens M transversus a Tuberischiadicum peflnel superficialis F i g .1 1 7 5 U r o g e n i t adLi a p h r a g m , D i a p h r a g m au r o g e n i t a t eo,f t h e f e m a L e ; i n f e r i o rv i e w . - i." Genitatia Female externaI genitalia pubica Symphysis pubicum Tuberculum Lig.suspensorium clitoridis Lig. inguinale clitoridis Corouscavernosum Preputium clitoridis Glansclitoridis Frenulum clitoridis Crusclitoridis Labiumminuspudendi externum Ostiumurethrae Ostiumvaginae;Columnarugarumanterior hvmenales Carunculae Bulbusvestibuli M. ischiocavernosus Glandula vestibularis maior*, (Ostium) M. bulbospongiosus FasciaperineiIFasciainvestiens perineisuperficialisl M transversus oerineiorotundus Vestibulum vagrnae Tuberischiadicum labiorum Frenulum pudendi M. transversus perineisuperficialis M. sohincter Parssubcutanea aniexternus. Anus Corpusanococcygeum ILig.anococcygeum] Fig. 1176 FemateexternaIgenita[ia, 0 r g a n ag e n i t a t i af e m i n i n ae x t e r n a ; v e n t r o i n f e r i ovri e w . + C [ i n i c at eI r m :B A R T H O LqI N L a' sn d Monspubis labiorum Commissura anterior Preputium clitoridis Frenulum clitoridis (Ductusparaurethralis) Ostium urethrae externum Glandula vestibularis malor, (Ostium) Fossa vestibuli vagrnae Commissura labiorum poslenor Fi1.1177 FemateexternaIgenitatia, 0 r g a n ag e n i t a t i af e m i n i n ae x t e r n a ; inferiorview. Commissura labiorum anterior Preputium clitoridis Glans clitoridis Labiummajuspudendi Labiummajus pudendi Rimapudendi Labiumminus pudendi Labiumminuspudendi Ostium vagrnae Hymen Frenulum labiorum pudendi Perineum Perineum, Raphe peflnel Fig. 1178 Fema[eexternaIgenitatia, 0 r g a n ag e n i t a l . ifae m i n i n ae x t e r n a ; inferiorview. > Pelvicviscera U r i nar ybtadder andretroperitoneaI space Malepelvicorgansand retroperitoneal space Fossasuoravesicalis Plica umbilicalismedialis (Chorda arteriae umbilicalis) Plica umbilicalismediana (Lig. umbilicalemedianum, Chorda urachi) O Plica umbilicalislateralis (A ; V. epigastrica inferior) Plicavesicalistransversa Fossainguinalis lateralis o N. femoralis M. psoasmajorO a N genitofemoralis A;V iliacaexternaaa Ductusdeferens Fossa inguinalismedialis Nodilympholdei iliaciexterni Nodi lymphoidei iliaci externi O A. umbilicalis,Pars occlusa N obturatoriuso Linea terminalis A;V obturatoriaOO \ Ductusdeterens Lig. capitis femoris Ureter Ductusdeferens Glandula vesiculosa Amoullaductusdeferentis M obturatorius internusa M obturatorius externusO a Plexusvenosusvesicalis;Plexusvenosusprostaticus Excavatio rectovesicalis Membranaobturatoria Fossaischioanalis M. levator ani O Prostata Os ischii A ; V pudendainterna;N. pudendus OOC Cruspenis Cruspenis Glandula bulbourethralis perineiprofundus M. transversus a Bulbuspenis F i g . 1 1 7 9 P e t v i cd i a p h r a g mD , i a p h r a g m ap e l v i s ; p e l v i co r g a n sa n d a n t e r i o ra b d o m i n a I w a [ [ , 0 r g a n aa b d o m i n i se t p e t v i so, f t h e m a [ e ; f r o n t a ls e c t i o nt h r o u g ht h e h e a do f t h e f e m u r a n d t h e u r i n a r yb | . a d d eor n t h e L e f t ; dorsaIview Genita[ia space Femalepelvicorgansandretroperitoneal Fascia pelvis visceralis Excavatiovesicouterina t N. obturatorius o A obturatoria M obturatorius internusO Vesica urinaria N pudendus internusj o Plexusvenosus vesicalis A. pudendainternaa a M. levatorani Diaphragma urogenitale Crusclitoridis Glandula vestibularismajor Bulbus vestibull O M ischiocavernosus Ostiumvaginae Urethrafeminina Labiumminuspudendi externum Ostiumurethrae p e t v i sa, n d F i g . 1 1 8 0 P e L v idc i a p h r a g mD , iaphragma p e t v i co r g a n s ,O r g a n ap e l v i s o, f t h e f e m a [ e ; f r o n t a L s e c t i ol onn t h e r i g h t lc o m b i n e w d i t h a m e d i a ns e c t i o n ; ventraIview. Pelvicviscera andretroperitoneaI space U ni nar bl y " adder genitaLia MaIe external A dorsalis penis a penis Lig fundilorme a V dorsalis profunda penis A n u l u si n g u i n a l i s superficialis :t N ilioinguinalis Funiculus spermaticus N genitofemoralis,{ B genitalis a A cremasterica; a (V cremasterica) N dorsalis penis a o A.; V, pudendaexterna Plexuspamoiniformis a Ductusdeferens A testicularis a anteriores a Rr scrotales a V dorsalisprofundapenis penis a V dorsalissuperficialis Fascia penis (profunda) F i g . 1 1 8 1 M a L ee x t e r n a g I enitatia, 0 r g a n ag e n i t a t i am a s c u L i neax t e r n a . Genitalia Maleexternal Anulusinguinalis superficialis, Crusmediale Telasubcutanea, Panniculus adiposus Aponeurosis a M obliquusexternusabdominis, abdominis a M obliquusinternus * N ilioinguinalis a V dorsalisprofunda penrs; oeA;N dorsalispenis Fascia spermatica exlerna a Fasciacremasterica; a M cremaster penis 1 A. profunda Plexus pampiniformisa penis Corpuscavernosum Ductusdeferens Urethramasculina A testicularis a I Epididymis j caput penis Corpusspongiosum | (APPendix) Appendix testis a Fasciacremasterica; M cremasler Tunicavaginalis testis, Laminavisceralis a Fasciaspermaticaexterna Tunica vaginalistestis, Lamina parietalis Fascia sDermaticainterna a Tunicadartos,M dartos M cremastera Fascia spermaticaexterna o Septumscroti Raphe scroti Fig. 1182 MaLegenitaLia 0 r q a n aq e n i t a t i am a s c u L i n a . > Pelvicviscera and retroperitonealspace t l r i n a r yb l a d d e r Maleperinealregion perinealis,Rr scrotalesposteriores A, dorsalispenisa I M bulbospongiosus A bulbipenisa l| l\4 ischiocavernosus N dorsalis penis , a A perinealis Rr perineales : (N cutaneus femoris posterior) I l\4.transversus peflnel superficialis Nnclunium: inferiores (N cutaneus femoris posterior) Nn anales: Irectales] inferiores N oerinealis Lig sacrospinale O A rectalisinferior N pudendus, A pudenda interna O ' Nn.cluniuminferiores (N cutaneus femorisposterio0 Lig. sacrotuberale M gluteusmaximus+t Corpus anococcygeumILig anococcygeum] il M levator ani Nn anococcygei F i g . 1 1 8 3 V e s s e l sa n d n e r v e so f t h e p e r i n e u m , R e g i op e r i n e a L iasn, dt h e m a L ee x t e r n a L g e n i t a L i a , 0 r g a n ag e n i t a t i am a s c u I i n ae x t e r n a . i.:liir i:.:rl:i Genitalia M bulbospongiosus I Ostiumurelhraeexternum V bulbi O vestibuli posteriores a A pudendainterna,Rr labiales L a b i u mm i n u sp u d e n d i Bulbusvestibuli O M ischiocavernosus A dorsalis O clitoridis A perinealisa s Nn.labiales posleflores N dorsalis , clitoridis A pudenda o interna Rr perineales (N cutaneus femoris posterior) a M transversus pennel superficialis N dorsalis clitoridis Nn clunium interiores (N cutaneus lemoris posterior) I M gluteus maxtmus Nn perineales OoA;V Pudenda inlerna a A. rectalisinlerior N pudendus * Nn anales lrectales]inferiores A pudendainternaa lvl levatorani a M sDhincter aniexternuss * Nn cluniuminferiores (N cutaneus femorisposterio0 t, Nn anococcygei Corpusanococcygeum [Lig anococcygeum] F i g , 1 1 8 4 V e s s e t sa n d n e r v e so f t h e p e r i n e u m , R e g i op e r i n e a L iasn, dt h e f e m a t ee x t e r n a I g e n i t a I i a , 0 r g a n ag e n i t a [ i af e m i n i n ae x t e r n a . > Petvicviscera andretroperitoneal space N , . J n i n ba tray d d e r Abdomen,mediansection Oesophagus Plexusvenosusa vertebralis internus anterior, V basivertebralis Aorta,a Pars abdominalis Hepar,Area nuda Centrumtendineum a Diaphragma, Hepar,Lobussinister Cor Sternum, Corpus Sternum,Proc xiphoideus Gaster,Cardia Fornixgastricus A gastroduodenalis O Pancreas, Ductuspancreaticus A mesenterica superiora Colontransversum Pars lumbalis a diaphragmatis Lineaalba V renalis dextra a A renalisdextra a JeJUnum Filum terminale ,, Omentummajus Aa jejunales O Peritoneum viscerale V mesentericasuperior a parietale Peritoneum A iliaca communis a dextra V iliaca communis O oexlra Cauda equina , a A jejunalis Promontorium Colon sigmoideum Plica transversa recti a M rectusabdominis Os sacrum Vesicaurinaria a l\4 pyramidalis Glandula vesiculosa Ampullarecti O sp u b i s Os coccygis Lig fundiforme penis Prostata M sphincterani I externus penis Corpusspongiosum lvl,sphincter ani a internus penis Corpuscavernosum Columnae anales Tunicaalbuginea corporum cavernosorum M levator ani, t M pubococcygeus Septumscroti l\4 transversusperineia profundus penis Preputium l\4 ischiocavernosus O Glans penis lV bulbospongiosusj Epididymis Tunica vaginalistestis, Lamina visceralis a M cremaster a Tunicadartos F i g . 1 1 8 5 A b d o m e nA , b d o m e n a, n d p e t v i sP , eLvis, ofthemate; m e d i a ns e c t i o n . Genita[ia Pulmodexter,Lobusinferior V hepaticasinistraO Lig falciforme Recessus phrenicomediastinalis Hepar, Lobus sinister M rectusabdominis o diaphragmatis O Parslumbalis Parssternalisa diaphragmatis a V cavainferior Gaster retrocavales Nodilymphoidei A hepatica propria O Caput pancreatis; Ductus pancreaticus a V renalisdextra a A. renalisdextra Ductus choledochus lbiliarisl V portaehepatisO Omentummajus, Lig.gastrocolicum Colontransversum Omentummajus Caputpancreatis, Proc uncinatus V mesenterica O supenor a M erectorsoinae a A iliacacommunis A mesenlerica a supenor a V. iliacacommunis Lineaalba Os sacrum Nodi lymphoideiileocolici 6 N .s a c r a l i[sS 1 ] Rectum a M piriformis M rectus abdominis a Excavatio rectovesicalis Ductusdeferens Cavitas perilonealis vesiculosa Glandula Rectum Vesicaurinaria a (M sacrococcygeus) a M gluteusmaximus Corpusossispubis Prostata penis Lig fundiforme a lvl levatorani,M. iliococcygeus (l\4madductores) O o M levatorani,M pubococcygeus Septumpenis urogenitale) a (Diaphragma penis Corouscavernosum G l a n sp e n i s penis Preputium A testicularis a a M cremaster Epididymis o Plexuspampiniformis , etvis, F i g .1 1 8 6 A b d o m e nA, b d o m e na, n d p e t v i sP of the mate; s a g i t t a sI e c t i o nt o t h e r i g h t o f t h e m e d i a nP [ a n e . > Pelvicviscera andretroperitoneat space U r i n a r yb l a d d e r Abdomen, frontal section Hepar,Lobuscaudatus V hepaticasinistra O a V cavainferior Atriumcordisdextrum Ventriculus cordisdexter V portae hepatis O Lig triangulare sinistrum V portaehepatis,O R dexter Gaster,Ostium cardlacum A hepaticapropriaO O O A.; V gastricasinistra Duodenum, Parssuperior Colontransversum Hepar,Lobusdexter Caudapancreatis Colontransversum a A. gastroduodenalis a V splenica Caputpancreatis Duodenum, Flexura duodenojejunalis Colonascendens O A mesenterica supeflor A,;V mesenteria c aa supeflor a Aa jejunales Colon ascendens lleum Cavitas peritonealis O si l i u m Colon descendens M sartoriusa M. tensorfasciaelataeI l\4 iliacus a N femoralis .l Colon sigmoideum A femoralis o Os pubis lvl rectuslemorisa V femoralis o pubica Symphysis M pectineus a Lig.fundiforme penis N4,adductor brevis a M adductorlongusa Penis,Tunica albuginea a A profundapenis F i g . 1 1 8 7 A b d o m e nA , bdomen; f r o n t a ls e c t i o nt h r o u g ht h e m o s t a n t e r i o rp a r t o f t h e a b d o m i n a t c a v r t y . Genitatia Ostiumcardiacum f Loous PulmoJ superlor sinisterI r ^n,," | Parsthoracica Oesophagus, V. pulmonalis O sinistrainferior dextrainferior a V pulmonalis Pulmodexter,Lobusinferior Pulmodexter, Lobusmedius .-l-':" \ Inreflor Lobushepatis sinister Pleuraparietalis, Parsdiaphragmatica Lig triangulare sinistrum o Diaphragma Lobushepatis dexter Diaphragma O Ductusthoracicus Lig gastrosplenicum Corpusgastricum (Noduslymphoideus mediastinalis posterioo SplenILien] O A subcostalis Glandula suprarenalis o Parsabdominalis aortae Lig splenorenale Nodilymphoidei splenici a Nn splanchnici majoret minor A ; V s p l e n i caa a Glandula suprarenalis Pancreas Omentummajus Pyramisrenalis Colondescendens Papillarenalis a o A.; V lumbalisI o Truncus sympathicus CostaXl Ren A : V r e n a l ios a Pelvis renalis, Calyx renalis major Pelvisrenalis Ureter M psoasmajora o V hemiazygos aoA;V lumbalisll Parslumbaliso diaphragmatis , bdomen; F i g . 1 1 8 8 A b d o m e nA f r o n t a Is e c t i o nd e m o n s t r a t i n tgh e d i a p h r a g m , t h e o r g a n so f t h e u p p e ra b d o m e na n d t h e k i d n e y s ; dorsaIview. Ren, Capsula adiposa ::.- a: > Pelvicviscera and retroperitoneaI space [-]rir"lany hi,**ia$*r Upperabdomen,sagittalsection iwl Diaphragma,{} Centrum tendineum nepar, Lobus dexter Pleuravisceralis [pulmonalis] Pleura parietalis, Pars costalis Q Pars costalis diaphragmatis Parscostalisa diaphragmatis a V hepatica dextra Recessus costodiaphragmaticus l\4 erectorc sptnae a V portae hepatis, R dexter, R anterior Columnarenalis V renaliso A renalisa Pelvis renalis t l\4 rectus abdominis l\4edullarenalis Peritoneum vrscerale Calyx renalis mtnor M quadratus C rumDorum Cortex renalis R e n ,C a p s u l a adrposa Ren,Capsulafibrosa M psoas major * Fascia renalis F i g .1 1 8 9 A b d o m e nA, b d o m e n ; s a g i t t asI e c t i o nt h r o u g ht h e u p p e ra b d o m e n a t t h e L e v eoLf t h e r i g h t k i d n e y ; v i e w e df r o m t h e r i g h t . ffienitalia Upperabdomen,sagittalsection Gaster,Cardia, Ostium cardiacum Gaster,Fornixgastricus Omentumminus,Lig hepatogastricum Pleuravisceralis [pulmonalis] Pleuraparietalis, Parscostalis Pars costalis t diaphragmatis SplenILien] Hepar, Lobus sinister Lig gastrosplenicum A gastrica sinistra a Bursaomentalis R intercostalis anterior; a) V intercostalis anterior; o N intercostalis a Recessus costodiaphragmaticus o M erectorspinae CostaXll lumborum a lvl quadratus gastroomentalis a sinistra Fasciarenalis Omentummajus Lig gastrocolicum lvl rectus abdominis a Omentummajus c lvl psoasmajor Cavitasperitonealis Colontransversum F i g .1 1 9 0 A b d o m e nA, b d o m e n ; s a g i t t a sLe c t i o nt h r o u g ht h e u p p e ra b d o m e na t t h e [ e v e [o f t h e s p l e e n ; viewedfrom the left > Petvicviscera andretroperitoneaI space {.J ni nnr y dder b{m Upperabdomen, transversesections 1,4rectusabdominis * Lig falcilorme V cava inferiora CostaVll Linea alba Hepar,Lobussinister Costa Vl O Pars thoracicaaortae Pleura parietalis, Pars costalis Pleuraparietalis, Parsdiaphragmatica Cavitaspleuralis, Becessus costodiaphragmaticus Pars costalisdiaphragmatisI Costa Vl Peritoneumparietale * lV],obliquus externus abdominis Peritoneumviscerale CostaVll Mm intercostales * SplenILien] Costa Vlll V hepaticadextra a Cavitasperitonealis M latissimus dorsi& Costa lX N intercostalis(T 9) a V splenica V portae hepatis, R dexter, O R posterior a A splenica CostaX Vertebrathoracica Xl, Proc articularissuoerior VertebrathoracicaXl l\4edullaspinalis Spatiumepidurale Bursaomentalis diaphragmatis, S Parslumbalis Crussinistrum ' Truncussympathicus {i M erector spinae N intercostalis(T 10) Ductusthoracicus F i g .1 1 9 1 A b d o m e nA, b d o m e n ; t r a n s v e r s es e c t i o nt h r o u g ht h e u p p e ra b d o m e n a t t h e l e v e Io f t h e e L e v e n tthh o r a c i cv e r t e b r a . Proc xiphoideus M rectusabdominis Hepar, Lobus sinister Pars costalisdiaphragmatis Costa Vll Gaster Hepar,Lobusdexter Splen [Lien] VertebrathoracicaX Pars thoracicaaortae M erectorspinae Pars lumbalisdiaphragmatis F i 9 . 1 1 9 2 A b d o m e nA , bdomen; c o m p u t e dt o m o g r a p h i c r o s s - s e c t i oInC T J a t t h e l e v e Io f t h e t e n t ht h o r a c i cv e r t e b r a : i n f e r i o rv i e w . Genitalia Rectum T o p o g raphy Sections Upperabdomen,transversesections Lig falciforme M rectus abdominis,Vagina musculi recti abdominis o Lrnea Lig tereshepatis;Lobushepatissinister communis a A heDatica M transversus abdominis o Hepar,Lobusquadratus Omentumminus,Lig hepatogastricum Ductuscysticus; Duclus choledochus Ibiliaris] sinistra; o oA; V gasvica Nodi coeliacum; * Ganglion gastroomentales lymphoidei Lig hepatoduodenale A hepalica propria, o R dexter; V portae hepatis o Bursaomentalis Lobuscaudatus, Proc papillaris; Recessus superiorbursaeomentalis Omentummajus Recessus splenicus V portaehepatis,O R dexter f Parscostalis: pars Diaphragma ?1 lumbalis, ( Crusdextrum Hilumsplenicum; Nodilymphoidei splenici Lobushepatisdexter SplenILien] V cavainferiorO Cauda pancreatis Ductusthoracicus V azygosa Peritoneumviscerale Cavitas pleuralis Cavitasperitonealis Pleuraparietalis, Parsdiaphragmatica PleuraDarietalis. Parscostalis Mm intercostales externiet interni|} Peritoneumoarietale aaA;V splenica Ben:Glandula suprarenalis Ben Ren,Capsulaadiposa major N. splanchnicus a * V hemiazygos; minor N. splanchnicus a Q i, Aorta;Diaphragma; s N thoracicus [T12] M latissimus dorsit M serratusoosterior inferiora M iliocostalisthoracis N N splanchnicus minor,, M longissimus thoracis|} Medulla spinalis Xll. Proc.soinosus Vertebra thoracica j \ $ l\,4m multifidi F i g .1 1 9 3 A b d o m e nA, b d o m e n ; t r a n s v e r s es e c t i o nt h r o u g ht h e u p p e ra b d o m e na t t h e [ e v e [ o f t h e i n t e r v e r t e b r adIi s c b e t w e e nt h e e l e v e n t ht h o r a c i c a n d f i r s t L u m b a vr e r t e b r a ; withthe exception o f t h e o m e n t a Lb u r s ah i g h l . i g h t ei n dyetLow g r e e nt h e p e r i t o n e u mi s c o L o u r eidn b t u e . Colontransversum Lig falciforme Jejunum Lig tereshepatis Pancreas Hepar,Lobuscaudatus Colondescendens Hepar,Lobusdexter V portaehepatis Aorta V cavainterior Vertebra lumbalis, Corpusvertebrae Parslumbalis diaphragmatis Costa X Splen[Lien] Rensinister M latissimusdorsi Costa Xl M. erectorspinae Ben dexter Costa Xll F i g . 1 1 9 1 A b d o m e nA , bdomen; c o m p u t e dt o m o g r a p h i cs e c t i o nI C T ] a t t h e l e v e Lo f t h e f i r s t I u m b a rv e r t e b r a T h e i n t e s t i n ei s p a r t i a t t yf i t t e dw i t h a c o n t r a s tm e d i u m . > Pelvicviscera and retroperitoneaI space htadder KidneyI Supr ar enagltand . I U r i nany Upper abdomen, transversesections Hepar,Lobussinister V portae hepalis a costavlll Lig teres hepatis Colontransversum * l\4 rectusabdominis suoerior O A mesenterica Peritoneumparietale Cavitas peritonealis Pancreas Pars costalisdiaphragmatis Becessus Noduslymphoideus pancreaticus costodiaphragmaticus Pleuraparietalis, Parsdiaphragmatica JeJunum Pleura parietalis, Pars costalis C o s t aV l l l Costa lX Hepar, Lobus dexter Colon descendens aA. renalis * M latissimus dorsi V cavainferioro Pelvis renalts Pars lumbalisdiaphragmatlss CostaXll Truncus sympathicus l\4 erector spinae * Medulla renalis Calyx renalis minor Sinusrenalis Vertebra lumbalisI Cortexrenalis Cauda equina , A mesentericainlerior a o V renalis a Pars abdominalisaortae F i g .1 1 9 5 A b d o m e nA, b d o m e n ; t r a n s v e r s es e c t i o nt h r o u g ht h e u p p e ra b d o m e n a t t h e l e v e Io f t h e f i r s t I u m b a rv e r t e b r a . A mesentericasuperior Hepar, Lobus sinister Jejunum Vesica biliaris A renalis V cava inferior Corpus vertebrae lumbalis I Hepar, Lobus dexter F i g . 1 1 9 6 A b d o m e nA , bdomen; c o m p u t e dt o m o g r a p h i cs e c t i o nI C T ] a t t h e l e v e Io f t h e f i r s t [ u m b a rv e r t e b r a ; i n f e r i o rv i e w * I n t e s t i ngaaI s Rectum Genitalia T o p o E r aphy Sections Lowerabdomen,transversesections Linea alba * M rectusabdominis mesenterica superior, Aa ; Vv ilealesO o lleum A mesentericainferiorO Cavitasperitonealis Peritoneumviscerale Peritoneum oarietale f M. transversus abdominis Colon sigmoideum c l\4.obliquus internus abdominis * M obliquus exlernus abdominis aaA.;V mesenterica supeflor, Aa.;W. ileales Pars O abdominalis aonae Colon descendens Colon ascendens 1,4latissimus dorsi* 6 M psoasmajor aoA;Vtesticularis Vertebra lumbalis lll Cauda equina t t M erector spinae N spinalis Vertebralumbalis lV. Proc sprnosus Fig.1197 Abdomen,Abdomen; t r a n s v e r s es e c t i o nt h r o u g ht h e l o w e ra b d o m e n a t t h e l e v e Io f t h e t h i r d L u m b a vr e r t e b r a . r l/ M rectus abdominis Linea alba Jejunum* Colondescendens M obliquus externusabdominis l\4 obliquusinternusabdominis Caecum abdominis M. transversus Appendix vermiformis Parsabdominalis aortae l\4 psoas major V cava inferior lumbalislll Corpusvertebrae F i g .1 1 9 8 A b d o m e nA, b d o m e n ; c o m p u t e dt o m o g r a p h i cs e c t i o nI C T l a t t h e l e v e Io f t h e t h i r d L u m b a vr e r t e b r a ; i n f e r i o rv i e w . * Jejunum f i t l e dw i t ha c o n t r a smt e d i u m > Petvicviscera andretroperitoneat space K r e i n e yI S u p r a r e r r aEI t a n d I l . J n i n * riy: L n d c l e n Malepelvis,mediansections Mesenterium Ostiumurethrae internum \ Colon sigmoideum ,ro 1[\l' Filum terminale lntestinumtenue Ostiumureteris Omentummajus Apex vesicae Plica umbilicalismediana ( L i g u m b i l i c a l em e d i a n u m ) Plica transversarecti* ,4' Lrg sacrococcygeum posteriussuperficiale Spatium retropubicum"" Excavatio rectovesicalis Lrneaalba Articulatio sacrococcygea Symphysis pubica Ampulla recti Lig lundiforme penis Fascia rectoprostatica V dorsalis profunda penis a Prostata Fasciapelvisvisceralis dorsalis superficialispenis o Corpusanococcygeum [Lig anococcygeum] Urethra,Pars spongiosa 6 M sphincterani externus Duclus delerens ani * M sphincter internus Caputepididymidis Tunicaalbuginea corporum cavernosorum Columnae anales: Sinus anales penis Corpuscavernosum (Pecten analis) penis Corpusspongiosum ani externus * M sphincter perineiprofundus & M transversus Septulatestis Membrana perinei Coronaglandis Glanspenis Ductuliefferentes testis Fossa navicularisurethrae Mediastinumtestis P r e p u t i upme n i s Ductusdeferens; Caudaepididymidis Ostiumurethrae externum Urethra,Parsintermedia Imembranacea] Lig puboprostaticum penis Bulbuspenis,Corpusspongiosum Tunicadartos.M dartos S Scrotum. M cremaster; Fasciacremasterica & Lobuli testis F i g . 1 1 9 9 P e L v i sP, e L v i so,f t h e m a l e ; m e d i a ns e c t i o n ; viewedfrom the [eft. * C l i n i c at eI r m :K o H L R A U sSfCoH td * * C t i n i c at eI T mc: a v eo f R E T Z I U S Vertebra l u m b a l i sV Canalis sacrails M rectus abdominis Colon sigmoideum Vesica urinaria Symphysis pubica Bulbus penis F i g . 1 2 0 0 P e L v i sP, e t v i so, f t h e m a [ e ; m a g n e t i cr e s o n a n c teo m o g r a p h i c i m a g eI M R l l ; p a r a m e d i a ns e c t i o n ; viewedfrom the left Testrs Os sacrum Ampullarecti Os coccygis Prostata Canalisanalis Rectum Genitatia T n p o E r aphy Sections Femalepelvis, sections Fimbriaetubae uterinae Infundibulum tubaeuterinae Uterus.Faciesintestinalis Cavitas uteri; Canalis ceruicisuteri, Plicae palmatae A sacralismediana a Lig suspensorium ovarii;A; V ovaricaa o Colon sigmoideum A.; V iliacaexternaa o Ampullatubaeuterinae Ovarium,Folliculus ovaricus vesiculosus a A. sacralis mediana lsthmustubaeuterinae Fundusuteri Lig teresuteri A ; V epigastricainferiorO a Plica umbilicalismedialis (Chorda a umbilicalis) Ampulla recti; Plicae transversae recti Peritoneumparietale Linea alba Excavatiorectouterina*** Plica umbilicalismediana (Lig umbilicalemedianum) Fornix vaginae, Pars posterior Fascia pelvis parietalis lsthmus uteri Portiovaginalisceruicis Uterus, Facies vesicalis Ostium uteri Excavatiovesicouterina Glomus coccygeum Fascia rectovaginalis [Septum rectovaginalel Ostiumurethraeinternum Corpuscijtoridis, Corpuscavernosum clitoridis Frenulum clitoridis Ostiumureteris Labium m i n u sp u d e n d i Labium majus pudendi externum Ostiumurethrae Os sacrum Promontorium lvl erectorspinae Fig. 1201 Petvis,Petvis,of the femate; m e d i a ns e c t i o n ; t h e i n t e s t i n eh a s b e e na l m o s tc o m p l e t e t y r e m o v e dw i t h s o m e r e m n a n t so f t h e s i g m o i da n d r e c t u m ; v i e w e df r o m t h e L e f t . * C t i n i c at eI r m :v e s i c o v a g isneapI t u m + * C l i n i c at eI T ms: a c r o u t e r iLnieg a m e n t *** C[inicaI term:pouchof DOUGLAS lntestinum lenue l\,4rectus abdominis Corpusuteri Vesica unnafla Symphysis Portiovaginalisceruicis Vagina Spatium rectovaginale urethra Fig. 1202 pelvis,pelvis,of the female; tomographic m a g n e t i cr e s o n a n c e i m a g eI M R l ) ; p a r a m e d i asne c t i o n ; viewedfrom the [eft. > Petvicviscera andretroperitoneal space g tand y ndder KidneyI Supr nr enal . | [.l r i narbl Lowerabdomen,transversesections a A rectalissuperior Colon sigmoideum a Aa sigmoideae & l\4 rectusabdominis A iliacacommunis a) o A epigastricainferior V iliacacommunis a Ureter lleum A testicularis a * M obliquusinternus abdominis l\4 transversus abdominis * M obliquus externus abdominis Colon ascendens Crista iliaca M psoas.s malor Colon oescenoens P l e x u sl u m b a l i s # M iliacus A l ao s s i si l i u m Vertebra lumbalisV S M gluteus medtus A;Vgluteasuperioraa Os sacrum, Proc articularissuperior s l\4 gluteusmaximus Ligg sacroiliacainterossea C a u d ae q u i n a superior Spinailiacaposterior Vertebra lumbalisV, Proc articularis inferior F i g . 1 2 0 3 P e t v i sP , e[vis; t r a n s v e r s es e c t i o na t t h e l e v e Io f t h e f i f t h L u m b a vr e r t e b r a . T h i s m a l e s p e c i m e ni s d i f f e r e nftr o m F i g . 1 1 9 1 ,1 1 9 3 ,1 1 9 5 a n d 119 7 . A s t h e s i g m o i dr e a c h e sf a r i n t ot h e u p p e ra b d o m e nt h e f i g u r e a L s od i s p L a ytsh e d o m eo f c o L o n ifct e x u r eT. h e t h i c k n e s so f t h e a d i p o s et i s s u eL a y e or n t h e g t u t e u sm e d i u sm u s c L em u s t b e t a k e ni n t o c o n s i d e r a t i ownh e n i n j e c t i ng i n t r a m u s c u [ a r l y . M rectus Colon a b d o m i n i s 0escenoens M transversusabdominis M obliquusinternus abdominis Colon sigmoideum M obliquus externusabdominis Caecum Cristailiaca A i l i a c ac o m m u n i s M iliacus V iliaca interna M gluteusmedius l\4 psoas major M gluteusmaximus V iliaca externa l\4 erector spinae Fig. 1201 PeLvis,Petvis; c o m p u t e dt o m o g r a p h i c r o s s - s e c t i o{nC T la t t h e l e v e I o f t h e f i r s t s a c r a Iv e r t e b r aa f t e r a d m i n i s t r a t i o n Articulatiosacroiliaca o f a c o n t r a sm t e d i u mi n t ot h e c o t o n ; s u p i npeo s i t i o n ; i n f e r i o rv i e w . * Calcificatio n tnh ew a t lo f t h ei l i a ca r t e r y ' p a t e l n u e Jr6e o d d e 'ourlsolur l l P L Ua s q l ] o s l J e dp u e J a ^ r la q t ' q l e u r o l sa q l ' l J e a qo q l s e q r n s s u e 6 J o s a u e l du o r l l a so q l Jo 'IICl p a l n d u r o s u o r l ] e s l r q d e r 6 o u r o ] lre ] u o z r J o uq o p a s e q a u e l dl e l u o J la q l u r u o r l l n J l s u o l a p l aprn6-aurnlo^ u a u r o p q v ' u a u r o p q v9 0 z l ' 6 l J suopuassEuoloc suepuacsopuoloc rouap ueu unueponc urnun[af Ecuol^dsred lolse9 roueons ecuelueseulv reuap snqol 'rPdaH slledoqsarel 6Fl luar'tluotdS lalstuts snqo"lrEdeH relsPc euOerqderO ralsrurs srprocsnlnc!.lluon urruuapsrpJocurnulv 'uawopqeJa$o-l suo!llas fiqder6odol u n lla u er l el r ua9 fualre1e.rou-ra; aqlJolJedletpaulaql ut uotleltJnleO * 'uorlrsod a u r d n su r ] ) a f q n se q ] q l l Ms t A l a dJ o s s a a l q] Ll6noJqi lf Cl uorlras-ssorllr qder 6ourolpelndurol :aleLUaql ,o 'st^led'st^lod LOZL'6lt [sna6^ccoc l l] snab^ccocortlcsr li\ srlPueorqcsr Pssol ruP rolE^el y! ecrperqcsr euros sncrperqcsr N y1 snurxeusna1n16 snurolxasnuole.rnlqol :ofeu :elueqcoll'rnLual PSOInCTSAA elnpuelc snuirurr! la snrpauirep16tuyl EUeUUneStSAn suourajlnoPc rlnqPlace essol ePlel aercsel rosual y! y! snuJalur snrJoleJnlqo suor.r.rajsnlcar !\ snuouPs|/\ sBosdorlr |/\ snaurlcaoyI + srleJotlaj V srlerotr]aln snc[euroossnlncrunl srqnoso ecrqndsrs^qdu^S srururopqE snlcar n l o r l l e sa s r a ^ s u e r l s r ^ l a dJ a s s o e l q l q 6 n o J qu :oleul aql jo 'sr^led'sr^lad gOZa'6lJ PSOlnCrSa^ elnpuelg PuJolurepuap An: vda o snquir"l'unlnqElacv uinlceH suoual exauuincrcn o srlPrpauJ srlPrpaui suoual a exauurncrsv st6,{ccoc s6 suaralapsnlcno ruralurilrolPrnlqorlncsnu EourpualqnseslnE ilr.lcsrso roua;uree1n16 1 O eelnl6V o sncrperqcstN * snutxeut snelnlo y! a snrpeuJ a snelnloy! ilpoLU ralnl0rlncsnu PCUAlUeqCOrl eSrng srlecrsaA snsouo^snxalda roleu JAlUeqcorl rnual snurolur snuolPrnlqou\ o eercsel a rosual n suelncrqro euoz ecPrll eeurpuelqns esrng srJouiallnoPc 'lnutal seosoorl|.u\ a suourol surdec6q suor.lajepunloJov o o o euolernlqon: v o suoual snpal yI O sPosdorlrU\ o snlrouesn srleroualN t, P3erI POUrpualqns eslng srlerouialv a snqur"l'unlnqelacv stleloulojn a srlerporxoredns snpoN 'srlercUadns srleurnOur snaproqdLu^l snpoN snauncedy1I sncrlPrurods snlncrunl * snuolErnlqo N & sr;eluabg 'sr;eroualolrue6 I suajalopsnlcno srqnoso pueut./nP3rsan a suelnc[salv ecrqndsrs^qdur^S srurrlropqe snlcor r{ a snDadns uncrqnd0r-l suo\Jas asJaAsueJJ'stqad aFN pue aleds leauoltJedollel eJalsl^ I^lad < r ap pe lq{. re ur - r |1-pu 1 el 6le ua rer dn|s[a up ly Genitatia Femalepelvis,transversesections Lig pubicum l\4 iliacus * M sartorius * pubica Symphysis Spatiumrekopubicum M pectineus * Vesicaurinaria pubis a V femoralis N obturatorius a O . V:A obturatoria: a A femoralis o A profundafemoris M rectuslemoris* i N femoralis M psoasmajor,* Tendo M vastus g lateralis Articulatio coxae Femur, Collumfemoris M obturatorius externusa : N ischiadicus ; N cutaneus femoris posterior Bursa subtendineamusculi obturatoriiinternitTuber ischiadicum Flectum l\4 gluteusmaximus4t M obturatorius !l internus Fossa ischioanalis Corpusanococcygeum ILig anococcygeum] o M levatorani a A gluteainterior ., N gluteusinferior O a V ; A p u d e n d ai n t e r n a N pudendus I Excavatiorectouterina F i g . 1 2 0 8 P e t v i sP , e L v i so,f t h e f e m a L e ; t r a n s v e r s es e c t i o nt h r o u g ht h e [ e s s e rp e L v i s a t t h e l e v e Io f t h e s y m p h y s i s pectrneus Ospubis A profundafemoris pubica / Symphysis [,4 sartorius l\il rectusfemoris V femoralis M illopsoas Vesica urinaria M tensorlasciaelatae Vagina M vastuslateralis Rectum,Ampulla recti Femur, Collumfemoris l\4 obturatorius externus Fossa ischioanalis R a m u so s s i si s c h i i ; Tuberischiadicum N ischiadicus Os coccygis [,4obturatorius internus M gluteusmaximus Fig. 1209 Petvis,Pelvis,of the female; c o m p u t e dt o m o g r a p h i c r o s s - s e c t i oInC T lt h r o u g h t h e L e s s epr e [ v i sw i t h t h e s u b j e c ti n s u p i n ep o s i t i o n . * R e m n a no t sf c o n t r a s t i ni ngt e s t i n caoI n t e n t s > Petvicviscera andretroperitoneaI space U r i nar ybl adder Malepelvis,obliquefrontalsection o Aa sigmoideae a V iliaca interna Peritoneumparietale Osilium Appendices omentales lepiploicael Colonsigmoideum Ureter Ductusdeferens Glandula vesiculosa internus M obturatorius o M levatorani o o V;A pudendainterna* Tuberischiadicum a M bicepslemoris; M semitendinosus; M semimembranosus Cutis lvl sphincterani internusa a M levator ani, M puborectalis I M sphincterani externus Fig. 1210 Petvis,PeLvis, of the ma[e; o b I i q u ef r o n t a Ls e c t i o nt h r o u g ht h e [ e s s e rp e t v i s . * C L i n i ctaeIr m A : L C 0 C sKc a n a t Genitatia Discusintervertebralis Vesicaurinaria M gluteusmaximus Corpusossisilium M gluteusmedius Caputfemoris internus M obturatorius Prostata externus M obturatorius Urethramasculina M vastuslateralis penis Corpuscavernosum (Mm.adductores) penis Corpusspongiosum Fig. 1211 Petvis,Petvis,of the mate; t o m o g r a p h i ci m a g el M R l l ; m a g n e t i cr e s o n a n c e f r o n t a Ls e c t i o na t t h e l e v e Io f t h e h i p j o i n t s ; ventraIview. M. psoasmajor Cavitasuteri Corpusuteri Corpusossisilium M iliacus M. gluteusmaximus M gluteusmedius Caputfemoris internus M. obturatorius Collumfemoris Tubauterina externus M. obturatorius Vesicaurinaria (Mm adductores) Fig. 1212 Petvis,Petvis,of the femaLe; t o m o g r a p h i ci m a g eI M R l l ; m a g n e t i cr e s o n a n c e f r o n t a Is e c t i o na t t h e l e v e Io f t h e h i p i o i n t s ; ventraIview W h e nt h eu r i n a r yb t a d d ei rs e m p t yt,h eu t e r u s[ i e so nt h ea p e x o f t h eb [ a d d edr u et o i t sa n t e f t e x r o n . > Petvicviscera andretroperitoneat space U r i nar ybtadder Malepelvicdiaphragm, angled-frontalsection Vesicaurinaria, Plicainterureterica Ostiumurethrae internum Ostiumureteris o M. levatorani Peritoneum urogenitale, Fossaoaravesicalis O M. obturatoriusinternus Fossaacetabuli Lig capitis femoris a N. pudendus Caput femoris a M obturatorius eXlernus a a A.;V M. iliopsoas, O Tendo circumflexa femoris medialis M. quadratus O femoris Ramusinferior ossispubis M adductora) mlntmus M adductorO ma9nus oOA;V.pudenda interna MmO ischiocrurales M. ischiocavernosus a O M. transversus perineiprofundus M. bulbospongiosus O Urethra masculina Penis, Corpus spongiosum a N. perinealis O M transversusperineisuperficialis Fascia perinei (superficialis) Fig. 1213 Petvis,Petvis,of the ma[e; a n g l e d - f r o n t asIe c t i o nt h r o u g ht h e u r i n a r yb L a d d e r . * C t i n i c at eLr m :p a r a c y s t i u m ** CLinical term:prostatic venousptexus FemaIe pelvic diaphragm, angled-frontaI section Urethrafeminina Vesicaurinaria, Tunicamuscularis N obturatorius;aOa A.; V obturatoria M obturatorius internusa Vesicaurinaria a M levatorani Peritoneumurogenitale,Fossaparavesicalis Acetabulum Caputfemoris Membrana obturatoria . O V;4. pudenda interna; a N pudendus M obturatoriusO exlernus N perinealis a o (Diaphragma urogenitale) M. iliopsoas a Ramusossis ischii M adductora orevts Crusclitoridis A. profundaa femoris, Aa circumflexae lemorismedialis et lateralis a M ischiocavernosus Bulbus vestibuli V profundaa femoris, Vv circumflexae femorismedialis et lateralis a M bulbospon9rosus M adductorO longus M. gracilis o Labiummajuspudendi Labiumminuspudendi Fi$.1211 Pelvis,Pelvis,of the fema[e; a n g t e d - f r o n t asIe c t i o nt h r o u g ht h e u r i n a r yb t a d d e r . * Paracystium withvenousptexus Urethrafeminina, Ostiumurethraeeldernum > Lowertimb Surfaceanatomy Os sacrum Spina iliaca anterior superior (Sulcusanalis) M tensor fasciae latae R e g i oi n g u i n a l i s , Lig inguinale Regioglutealis, M gluteusmaximus Trochanter major(Femu0 Trochanter major(Femur) Sulcusglutealis Begio anterior lvl sartorius M quadriceps femoris Regiogenusposterior, Fossapoplitea Caputlibulae Flegiogenus anterior, Patella Caput libulae Tuberositas tibiae M gastrocnemius Regio cruris anterior Regiocrurisposterior, Sura l\4argoanterior (l'lbia) Malleolusmedialis (Tibia) Malleolusmedialis (Tibia Malleoluslateralis(Fibula) Malleoluslateralis(Fibula) Dorsumpedis Dorsumpedis D i g i t um s inimus lquintusl Digitusquartus Digitustertius Digitussecundus Hallux[Digitusprimus] F i g . 1 2 1 5 L o w e r[ i m b ,M e m b r u mi n f e r i u s . F i g . 1 2 1 6 L o w e rL i m b M , e m b r u mi n f e r i u s . Thigh Knee Leg Foot Skeletonof the lowerlimb,overview Articulatiosacroiliaca Cingulum pelvicum Articulatio coxae (Articulatio femoropatellaris) | (Articulatiomeniscofemoralis) Articulatiogenus I meniscotibialis) [ (Articutatio Parslibera membriinferioris Articulatio tibiofibularis tibiofibularis Syndesmosis Articulatiotalocruralis Articulatiocalcaneocuboidea Tarsus,Ossatarsi t Metatarsus, Ossa metatarsi Articulatiosubtalaris l. .. . j (Anlculaao'"lolarsalls) Articulatiotalocalcaneonavicularis Articulatiocuneonavicularis (Articulatio cuneocuboidea) intercuneiformes Articulationes Articulationes tarsometatarsales Digitipedis, Ossadigitorum: - Phalanxproximalis - Phalanxmedia - Phalanxdistalis Articulationes metatarsophalangeae Articulationesinterphalangeaepedis Fig. 1217 Lower [imb, Membrum inferius; s k e l e t o na n d j o i n t s . > Lowertimb M us c [es Pelvis Promontorium Aperturapelvissuperior t?tn^ iliaca posteriorsuperior Tuberositasiliaca / Os sacrum,Parslateralis ^L-: Articulatiosacroiliaca Alaossisilium, Fossailiaca Linea terminalis Labium internum Linea Crista intermedia iliaca Labium exlernum Tuberculum iliacum Linea arcuata Os ilium Spina iliaca anterior supenor Spina iliaca anteriorinferior Spina ischiadica Os ischii Eminentiailiopubica Pectenossispubis Ramussuoeriorossisoubis Articulatio sacrococcygea Ospubis Aperturapelvisinferior pubicum Tuberculum pubica Symphysis F i g . 1 2 1 8 S a c r u m ,O s s a c r u m ,a n d p e l v i cg i r d t e , pelvicum CinguLum T h e r e g i o nc r a n i a It o t h e I i n e at e r m i n a t i si s r e f e r r e d , e t v i sm a j o r ,a n d t h e r e g i o n t o a s t h e g r e a t e rp e [ v i sP , e L v im c a u d a It o i t i s k n o w na s [ e s s e rp e t v i sP s inor. Diameler o b l i q u al l Fig. 1219 PeLvis, PeLvis; s h a p ea n d d i m e n s i o n so f t h e p e L v i icn L e t of thefemaLe. Lineaterminalis Fig. 1220 PeLvis, PeLvis; s h a p eo f t h e p e t v i ci n L e t ot the mate. Topography Thigh Knee Leg Foot Pelvis h-d = Sagittaldiameter of the pelvic brim 12-12.5 cm e-g = Sagittaldiameter of the pelvic constriction 11-l l 5 cm e-f = Sagittaldiameterof the pelvic outlet (=,Distantia puoococcygea) 9-1 0 cm k-k = Pelvic axis a-b = Anatomicalconjugate a-e = Diagonalconjugate 12 5-13 cm a-c = True conjugate 104-11cm Spina iliaca anteriorsuperior Spinailiacaanteriorinferior maius Foramenischiadicum Linea terminalis pelvissuperior Apertura Li9 sacrospinale sacrotuberale Foramen ischiadicumminus Aperturapelvisinferior Foramen obturatum Tuber ischiadicum Fig. 1221 Pelvis,Petvis; d i m e n s i o nisn t h e f e m a [ e ; m e d i a ns e c t i o n . a-a = Crestal distance 28-29 cm. b-b = Anterior spinal distance 25-26 cmc-c = Posteriorspinal distance (width of the sacrum) 10cm " In this perspective,the crestal distance appears shorter than the anterior spinal distance Fig. 1222 Petvis,PeLvis, d i m e n s i o nisn t h e f e m a t e d-d = Transversediameter of the pelvic brim (= interacetabularline) 12-12 5 cm e-e = Transversediameter of the oelvic constriction (= iriterspinalline) '10 5 cm l-f = Transversediameterol the pelvic outlet (= tuberal diameter) '11-.12 cm) > Lowertimb h4r-rEe[es Hipbone Crista iliaca Linea intermedia A l a o s s i si l i u m Labiuminternum Facies sacropelvica Fossa iliaca Tuberositas iliaca Spina iliaca anteriorsuperior Faciesauricularis Spinailiacaposterior superior Spina iliaca anterior inferior Linea arcuata Spina iliaca posteriorinferior Incisuraischiadicamajor E m i n e n t i ai l i o p u b i c a Sulcusobturatorius Corpus ossis ischii Ramussuperior ossispubis, Pectenossispubis Spina ischiadica Incisuraischiadicaminor Foramen obturatum (Tuberculumobturatoriumposterius) Faciessymphysialis Bamus ossis ischii Flamusinferiorossis pubis Tuberischiadicum F i 1 . 1 2 2 3 H i p b o n e , 0 sc o x a e ; m e d i a Iv i e w T h et h i n r e g i o ni n t h e c e n t r eo f t h e a [ ao f i t i u m i s c h a r a c t e r r s t r c for itsframe-Like structure. Tuberositasiliaca Crista iliaca A l a o s s i si l i u m Facies sacropelvica Facies auricularis Sulcussupraacetabularis Spinailiacaanteriorinferior Corpusossisilium Eminentia iliopubica Corpusossispubis Ramussuperior ossisDubis Cristaobturatoria Pecten ossis pubis pubicum Tuberculum Cristapubica (Tuberculum posterius) obturatorium Foramen obturatum F i g . 1 2 2 1 H i p b o n e , 0 sc o x a e ; v e n t r a Iv i e w Facies symphysialis (Angulus ossispubis) Ramusinferiorossispubis Tuber ischiadicum Ramus ossis ischii T op o gn ap h y ThiEh Knee Leg Foot Hip bone Labiuminternum Linea intermedia Linea glulea anterior Facies glutea Labiumexternum iliacum Tuberculum Crista iliaca Linea glutea inferior Alaossisilium Soina iliaca anteriorsuoerior (Tuberositas musculi gluteimaximi) Spinailiacaposterior superior Corpusossisilium Spina iliaca anterior inferior Spina iliaca posteriorinferior SulcussuDraacetabularis Incisuraischiadicamajol Facies lunata Limbus acetabuliIMargo acetabuli] Fossa acetabuli Incisura acetabuli Pectenossispubis Cristaobturatoria Spina ischiadica pubicum Tuberculum Incisuraischiadicaminor Ramusinferiorossisoubis Corpusossisischii anterius Tuberculum obturatorium posterius) (Tuberculum obturalorium Tuber ischiadicum Ramusossisischii F i 1 . 1 2 2 5 H i p b o n e , 0 sc o x a e ; dorsotateraLview. A l a o s s i si l i u m Corpusossisilium Eminentia iliopubica Corpusossis puors Corpusossisischii Tuberischladicum (cartilagineum) Ramus ossis ischii F i 1 . 1 2 2 6 H i p b o n e , 0 sc o x a e ; devetopment * A p p r o x i m a t seitxyt hy e a ro f [ i f e Ramussuperior ossispubis Ramusinferior ossispubis F i g . 1 2 2 7 H i p b o n e , 0 sc o x a e ; i nt a 6 - y e a r - o l dc h i t d . s t a g eo f d e v e L o p m e n I n t h e a c e t a b u t u mt ,h e t h r e e p a r t so f t h e h i p b o n ea r e f u s e d . h i sj u n c t i o no s s i if e s a t t o a Y - s h a p e dc a r t i t a g i n o uj su n c t i o n T t h e a g e o f 13 - 18 y e a r s . > Lowertimb M us c l es Jointsof thepelvicgirdle Vertebra lumbalislV Lig longitudinaleanterius Discusintervertebralisnrticutatio \ lumbosacralis Lig iliolumbale J Ligg sacroiliacaanteriora Soina iliaca anteriorsuoerior Lig pubicumsuperius Lig iliofemorale Canalisobturatorius Articulatio coxae, Capsulaarticularis Trochanter major Membrana obturatoria Angulus subpubicus Fig. 1228 Jointsof the petvicAirdLe, J u n c t u r a ec i n g u t ip e [ v i c ia, n d t h e I u m b o s a c r a L j o i n t A r t i c u t a t i oL u m b o s a c r a t iosf.t h e m a t e . Vertebra lumbalislV Discus intervedebralis) Articulatiolumbosacralis / Lig. iliolumbate / Lig inguinale Articulatiosacroiliaca Canalis obturatorius Lig iliofemorale Trochantermajor Tuber ischiadicum Arcuspubicus Fi1. 1229 Joints of the peLvicairdLe, J u n c t u r a ec i n g u Lpi e t v i c ia, n d t h e I u m b o s a c r aj o I int, A r t i c u t a t i o[ u m b o s a c r a I i so.f t h e f e m a [ e Topography Thigh Knee Leg Foot Jointsof thepelvicgirdle Vertebra lumbalislV CorDus Lig iliolumbale Vertebralumbalis V Proc costalis Articulatio sacroiliaca, anterius Lig sacroiliacum majus Foramenischiadicum Spinailiacaanteriorsuperior Lig sacrotuberale Lig inguinale Lig.sacrospinale M rectusfemoris,Tendo Lacunamusculorum minus Foramenischiadicum Arcusiliopectineus Articulatiocoxae, Lig iliofemorale Lig Lacuna vasorum pubrcum supenus F i g . 1 2 3 0 J o i n t so f t h e p e t v i cg i r d t e , I int, J u n c t u r a ec i n g u Lpi e [ v i c ia, n d t h e I u m b o s a c r aj o A r t i c u l a t i o[ u m b o s a c r a t i so,f t h e m a t e Vertebra lumbalislV.Corous Vertebra lumbalis V, Proc costalis Lig iliolumbale Articulatio sacroiliaca, Lig sacroiliacumanterius majus Foramenischiadicum Lig sacrospinale Soina iliaca anteriorsuoerior Lig inguinale Lig sacrotuberale minus Foramenischiadicum Lacuna musculorum M rectusfemoris,Tendo Arcusiliopectineus Articulatiocoxae, Lig iliofemorale Ltg pubrcum supenus Fig. 1231 Joints of the peLvicgirdte, j oI i n t , J u n c t u r a ec i n g u l ip e [ v i c ia, n d t h e L u m b o s a c r a A r t i c u l a t i oI u m b o s a c r a t i so,f t h e f e m a [ e . > Lowertimb Musc[es Jointsof thepeLvic girdle Lig supraspinale Lig iliolumbale Ligg sacroiliacaposteriora Ligg sacroiliacaposteriora Ligg sacroiliaca Interossea Lig sacrotuberale Proc falcilormis Lig sacrospinale Lrg sacrococcygeum posteriusprofundum Lrg. sacrococcygeum posteriussuperficiale Lig.pubicuminferius + F i g . 1 2 3 2 J o i n t so f t h e p e t v i cg i r d t e , j oI i n t , J u n c t u r a ec i n g u t ip e t v i c ia, n d t h e L u m b o s a c r a A r t i c u t a t i o[ u m b o s a c r a L iosf,t h e f e m a t e . Spinailiacaposterior superior Foramenischiadicum majus Foramenischiadicum minus Proc falciformis Articulatio coxae, Capsula articularis Lig inguinale Tuberischiadicum Lig pubicum inferius € F i 9 . 1 2 3 3 J o i n t so f t h e p e t v i cA i r d [ e , J u n c t u r a ec i n g u t ip e [ v i c io, f t h e f e m a [ e . To pogr a p h y Thigh Knee Leg Foot Jointsof thepelvicgirdle Canalis sacralis Ligg sacroiliacainterossea Ligg sacroiliacaposteriora Articulatiosacroiliaca Ligg sacroiliacaanteriora Lig sacrospinale Foramen ischiadicum maJus Lig capitis femoris Lig sacrotuberale Caputfemoris Lig capitis femoris Cavitasarticularis Foramen ischiadicum Zonaorbicularis MINUS Membrana obturatoria Lig pubicum inferius Articulatiocoxae, Capsulaarticularis pubica, Symphysis Discusinterpubicus Fig. 123t, Jointsof the pelvicgird[e, J u n c t u r a ec i n g u Lpi e [ v i c io, f t h e f e m a [ e Vertebra lumbalis V Corpus Forameninteruertebrale Articulatiolumbosacralis, Discus interuertebralis Os sacrum Crista iliaca Fossa iliaca Spinailiacaanteriorsuperior Spina iliaca anterior inferior Foramen ischiadicummajus Lineaarcuata Lig sacrospinale Linea terminalis Pectenossispubis Os coccygis Foramen ischiadicumminus pubicum Tuberculum Lig sacrotuberale Faciessymphysialis Foramenobturatum F i 9 . 1 2 3 5 J o i n t so f t h e p e [ v i cg i r d [ e , J u n c t u r a ec i n g u Lpi e L v i cai ,n d t h e [ u m b o s a c r a I j o i n t , A r t i c u t a t i o[ u m b o s a c r a t i so,f t h e f e m a [ e ; m e d i a ns e c t i o n . N o r m a [ t yt,h e a n t e r i o rb o r d e ro f t h e l o w e s ti n t e r v e r t e b r adLi s c forms the furthestprojectingpointof the posteriorcircumference o f t h e p e l . v iicn [ e t .R a d i o g r a p h i c a ttlh. ye,m o s t a n t e r i o rp a r t o f t h e sacrum is referredto as promontory. > Lowertimb M us c l es Jointsof thepelvicgirdLe Articulatio zygapophysialis Ligg sacroiliacainterossea Os sacrum Ligg sacroiliacaanteriora F i g . 1 2 3 6 S a c r o i t i ajco i n t ,A r t i c u L a t isoa c r o i I i a c a ; f r o n t a Is e c t i o n Discusinterpubicus, Cartilago tibrosa (Cavitas symphysialis)* Ramussuoeriorossisoubis Cartilagohyalina i Lig. pubicum inferius Ramusinferiorossispubis Fig. 1237 Pubicsymphysis,Symphysispubica; o b t i q u es e c t i o ni n t h e d i r e c t i o no f t h e L o n g i t u d i n a L a x i so f t h e s y m p h y s i s T h e i n t e r p u b i cd i s c c o n s i s t so f f i b r o u sc a r t i L a g ew,i t h the exception o f t h e a r t i c u L asr y m p h y s i asI u r f a c e so f b o t h p u b i cb o n e st h a t a r e c o v e r e dw i t h h y a t i n e c a r t i t a g eA. [ o n g i t u d i n af lLa t c l e f to c c u r sa f t e r t h e f i r s t d e c a d eo f L i f e[ * ] . TopographyI Sections Thigh Knee Leg Foot Pelvis,radiography Basis ossis sacri Proc spinosus Proc articularissuperior lumbalislV Vertebra Pediculus arcusvertebrae Crista iliaca Proc costalis Spina iliaca posterior supenor Os sacrum, Pars lateralis Spina iliaca posterior inlerior Articulatio sacroiliaca Ala ossis ilium Spina iliaca anterior supenor Linea arcuala Spina iliaca anterior inlerior Os sacrum Articulatio coxae, Cavitas articularis Spina ischiadica Fossa acetabuli Fovea capitis femoris Caput femoris Eminentia iliopubica Trochanter maJor Collum femoris Cristaintertrochanterica Tuber ischiadicum Trochanter mtnor Foramen obturatum pubicum Tuberculum Os coccygis Ramusossisischii Ramussuperiorossispubis pubica Symphysis Ramus inferiorossis pubis F i g . 1 2 3 8 P e L v i sP, e t v i so, f t h e m a l e ; A P - r a d i o g r a pw h i t h t h e c e n t r a Ib e a md i r e c t e d o n t ot h e t h i r d s a c r a Is e g m e n t ;u p r i g h tp o s i t i o n > Lowertimb $urnfnae lSketetonl MLrscles Petvis Pelvis,development Os ilium Vertebraesacrales Trochantermajor * Symphysis pubica Os pubis Trochanter minor+ Os ischii Fig. 123i Pelvis,PeLvis, and femur, Femur; A P - r a d i o g r a pohf a f e m a t e ,p r e m a t u r eb a b y [ e i g h t hm o n t h o f p r e g n a n c y ) * O s s e o u sr o o fo f t h e a c e t a b u L u m * * Y - s h a p e jdu n c t i o ni n t h e a c e t a b u L af or s s a * * + T h eo s s i f i c a t i ocne n t r ei n t h e h e a do f t h e f e m u r d o e sn o t a o p e a r b e f o r et h e t h i r d t o f i f t h m o n t h o f [ i f e + A t t h i s a g e , b o t h g r e a t e rt r o c h a n t e r so n L yb e c o m ea p p a r e n ta s s m a t I p r o t u b e r a n c eosf t h e b o n eo f t h e d i a p h y s i s Os ilium Vertebrae sacrales Trochantermajor + Symphysis pubica Os pubis Foramen obturatum Os ischii Trochanterminor + Femur, Diaphysis Fig."1210 Petvis,PeLvis, and femur, Femur; A P - r a d i o g r a pohf a 1 2 - m o n t h - o Lbdo y * 0 s s e o u sr o o fo f t h e a c e t a b u L u m ** Y-shaped j u n c t i o ni n t h e a c e t a b u L af or s s a * * * O s s i f i c a t l ocne n t r ei n t h e e p i p h y s i os f t h e h e a do f t h e f e m u r + A t t h i s a g e ,b o t hg r e a t e rt r o c h a n t e r os n t yb e c o m ea p p a r e n at s s m a t t p r o t u b e r a n c eosf t h e b o n eo f t h e d i a p h y s i s . Hip Thigh Knee Leg Foot Femur Foveacapitis femoris Caputfemoris Caputfemoris Trochantermajor Fovea capitis femoris Tuberculum quadratum Collumfemoris Collumfemoris Crista intertrochanterica Linea intertrochanterica Trochanterminor Trochanter minor (Trochanter tertius) Lineapectinea Tuberositas grurea Corpusfemoris Lineasupracondylaris lateralis Linea supracondylaris medialis Facies poplitea Epicondylus lateralis Epicondylus lateralis Fig.1211 Femur,Femur; ventraIview. Fig. 1212 Femur,Femur; dorsaIview. > Lowerlimb tt Hip Femur Fossa trochanterica Caput femoris Fovea capitis femoris Trochanter malor Collumfemoris Tuberculum quadratum I Cristaintertrochanterica Trochanter minor Tuberositas grurea Linea pectinea Lrnea aspera, Labium mediale F i g . 1 2 t 3 F e m u r ,F e m u r ; p r o x i m ae I xtremity; dorsaLview. Fig. 1215 Femur, Femur; t r a b e c u t a sr t r u c t u r eo f t h e f e m o r a Lb o n ew i t h a L a r g e n e c k - s h a fat n g [ el c o x av a [ g a Js; e c t i o ni n t h e p [ a n eo f t h e a n g [ eo f a n t e r i o rt o r s i o n[ 6 0 % ] . T h e l a t e r a Ip t a t e so f t h e t r a b e c u L abro n e *[ " t e n s i Lsey s t e m " l a r e o n L yp o o r l yd e v e l o p e dw, h e r e a st h e m e d i a Lp t a t e s * + ( " c o m p r e s s i vsey s t e m " )a r e m u c h s t r o n g e r . Fig. 1211 Femur, Femur; v a r i a b i L i toyf t h e a n g [ eo f t h e n e c ko f t h e f e m u r ; d o r s a Iv i e w . T h e a n g t eb e t w e e nt h e n e c ka n d t h e s h a f to f t h e f e m u r l s r e f e r r e dt o a s n e c k - s h a fat n o t e l t i s 15 0 " i n i n f a n t sa n d a b o u t 1 2 6 "i n t h e a d u [ t . Fig. 1216 Femur, Femur; t r a b e c u L asrt r u c t u r eo f t h e f e m o r a Ib o n ew i t h a s m a L [ n e c k - s h a fat n g L el c o x av a r a l ;s e c t i o ni n t h e p t a n eo f t h e a n g [ eo f a n t e r i o rt o r s i o n[ 6 0 % ) . T h e l a t e r a Ip l a t e so f t h e t r a b e c u [ a br o n e* l " t e n s i l es y s t e m " l a r e w e t l d e v e l o p e dw, h i t et h e m e d i a Ip l a t e s* * L e s ss t r o n g .A s a l " c o m p r e s s i vsey s t e m ' la r e d e v e l o p e d r e s u Lot f t h e h i g hd e m a n do f f t e x i o nt,h e c o r t e xo n t h e i n n e r s i d eo f t h e f e m o r a In e c k i s o a r t i c u [ a r ltvh i c k . Thigh Knee Leg Foot Caputfemoris Foveacapitisfemoris Trochantermajor Fossatrochanterica Collum femoris Trochanter minor Lrnea aspera Fig. 121,8 Femur, Femur; v a r i a b i t i to y f t h e a n g [ eo f a n t e r i o rt o r s i o n ;t h e p r o x i m a I e n d o f t h e f e m u r h a s b e e np r o j e c t e do v e rt h e d i s t a Ie n d ; o r o x i m avI i e w T h e a n g [ eo f a n t e r i o rt o r s i o ni s a b o u t3 0 oi n i n f a n t s a n d a b o u t1 4 oi n a d u L t s . Corpusfemoris Substantia compacra Facies poplitea Substantia spongrosa Tuberculum adductorium Fossaintercondylaris Epicondylus medialis Cavitasmedullaris Condyluslateralis Condylus medialis Fig.121l Femur,Femur; mediaIview. Fig.121,9 Femur,Femur; t h em i d d t eo f t h es h a f t ; c r o s s - s e c t i tohnr o u g h d i s t avI i e w . > Lowertimb M us c tes Hipjoint l\il rectus femoris, Tendo Membranaobturatoria Trochanter minor F i g . 1 2 5 0 H i pj o i n t ,A r t i c u t a t i oc o x a e ; v e n t r o d i s t avIi e w . Lig sacrospinale caPutrellexumJ M. rectus femoris'Tendo caputrectum J Lig iliofemorale Lig sacrotuberale Collum femoris Lig ischiofemorale Trochanter major Trochanter minor glutea Tuberositas F i g . 1 2 5 1 H i pj o i n t ,A r t i c u t a t i oc o x a e ; d o r s a Iv i e w . T o p o g r a p h yI S e c t i o n s Thigh Knee LeE Font Hipjoint Caputrectum l\4 rectus temoris, Tendo Lig iliolemorale Labrum acetabuli Lig capitis femoris Caputreflexum Canalisobturatorius Os pubis, Faciessymphysialis Caput femoris Lig pubofemorale Lig capitis femoris N4embranaobturatoria Trochanter minor F i g . 1 2 5 2 H i pj o i n t ,A r t i c u l a t i oc o x a e ; t h e a r t i c u t a rc a p s u t eh a s b e e no p e n e da n d t h e h e a do f t h e f e m u r h a s b e e np a r t l ye x a r t i c u L a t e d ; [aterodistaLview. Facies lunata Fossa acetabuli Lig capitis femoris F i 9 . 1 2 5 3 H i pj o i n t ,A r t i c u [ a t i oc o x a e ; a s p e c to f t h e a c e t a b u [ u ma f t e r r e m o v a o I f thearticuLar c a p s u L ae n d e x a r t i c u l a t i oonf t h e h e a do f t h e f e m u r . IaterodistaLview. Canalis obturatorius Lig transversum acetabuli Lig ischiofemorale; Capsula adicularis Facies lunata M tensor fasciae latae Cavitas articularis M gluteus medius Caputfemoris Fossa acetabuli s inimus M g l u t e um Lig capitis femoris Zonaorbicularis Fovea capitis femoris Fossatrochanterica M obturatorius internus Trochanter major Collum femoris M gluteusmaximus, Tendo* Laorum acetabuli Bursatrochanterica musculi gluteimaximi Bursa lrochantericamusculi glulei medii M obturatorius externus Tractus iliotibialis M iliopsoas, Tendo Trochanter minor M vastuslateralis F i g . 1 2 5 1 H i pj o i n t ,A r t i c u t a t i oc o x a e ; v e r t i c a sI e c t i o na t t h e p l a n eo f t h e a n g L eo f a n t e t o r s i o n * R a d i a t i o innst ot h ei t i o t i b i tarIa c t > Lowertimb $ur{ace lSkeletonl Hipjoint, radiography Corpusossisilium Fossa acetabuli Caput femoris Fovea capitis fgmoris C o l l u mf e m o r i s Trochantermajor Foramenobturatum Tuberischiadicum Femur,Corpus F i g . 1 2 5 5 H i pj o i n t ,A r t i c u [ a t i oc o x a e ; A P - r a d i o g r a p uh p; r i g h p t osition o n b o t h[ e g s Trochanter minor * C [ i n i c atIe r m : a c e t a b u l arro o f= t a n g e n t i apI r o j e c t i o o n f t h e [ u n a t es u r f a c e * x C t i n i c atIe r m : e d g eo f t h e a c e t a b u t arro o f= t h e m o s t l a t e r a Ip r o j e c t i o n of theacetabu[um * * * C L i n i c at eI r m : K O H L E Rt 'esa r d r o p= p r o j e c t i o o n f t h e a c e t a b u t af ro s s a Os ilium lncisura ischiadica maJor Cavitasarticularis* Caputfemoris Trochanter major Spina ischiadica Incisuraischiadica mrnor Foramen obturatum Trochanterminor F i g . 1 2 5 6 H i pj o i n t ,A r t i c u L a t rcoo x a e ; n i t ht h e t h i g ha b d u c t e d A P - r a d i o g r a pshu; p i n ep o s i t r ow a n d f l e x e dI s o - c a L L eLdA U E N S T EoIrNo i e c t i o n ] Tuberischiadicum * D u et o m i n i m a Ia b s o r p t i o n o l X - r a y sb y c a r t i t a g e t, h e a r t i c u L a rc t e f t a p p e a r sa b n o r m a t l yb r o a d Musctes To poE r a p h y Thigh Knee LeE Fsot Femur Epicondyluslateralis Condylus lateralis Sulcus popliteus Fig. 1257 Femur, Femur; distaLextremity; [ateraLview. Epicondylusmedialis Epicondylus lateralis Condylus medialis Condylus lateralis F i g . 1 2 5 8 F e m u r ,F e m u r ; d i s t a Ie x t r e m i t y ; distaLview. Cavitasmedullaris Substantiaspongiosa Linea epiphysialis EpicondylusIateralis Epicondylusmedialis Sulcus popliteus Condylus lateralis Condylus medialis (Cartilagoarticularis) Fig. 1259 Femur, Femur; f r o n t a Is e c t i o nt h r o u g ht h e d i s t a Ip a r t ; v e n t r a Iv i e w > Lowertimb Muscl.es Tibia Facies articularis supenor Tuberculum intercondylare laterale Area intercondylarisanterior intercondylaremediale Facies articularis supeflor Condylus medialis Condylus lateralis Facies articularis fibularis Eminentia intercondylaris Area intercondylaris posleflor Tuberositas tibiae Ltnea muscutl solei Corpus tibiae Margoanterior Foramen nutricium l\4argomedialis Facies lateralis Facies lateralis Facies posteflor Faciesposterior Facies medialis Corpus tibiae Sulcus malleolaris Incrsura fibularis Facies articularisin{erior tnctsura fibularis Faciesarticularis inferior Facies articularismalleoli Facies articularis inlerior F i g . 1 2 6 0 T i b i a ,T i b i a ; v e n t r a Iv i e w Facies articularismalleoli medialis ma F i q . 1 2 6 1 T i b i a ,T i b i a ; Lateratview. F i g . 1 2 6 2 T i b i a ,T i b i a ; d o r s a Iv i e w Tuberositastibiae Areaintercondylaris anterior Tuberculumintercondylarelaterale Condyluslateralis" Condylus medialis. Caputfibulae Articulatio tibiofibularis Tuberculumintercondylaremediale Area intercondvlarisoosterior F i g . 1 2 6 3 T i b i a ,T i b i a ,a n d f i b u t a ,F i b u t a ; p r o x i m avI i e w . * Theartrcutar surfaces of thecondyles together are referred to as suoeriorarlicutarsurface To p o g r a p h y Thigh Knee Leg Foot Tibiaand fibula Apex capitis fibulae Apex capitis tibulae Facies articularis capitis fibulae Caput fibulae Caput fibulae Collum fibulae Crista medialis Margo posterior l/argo anterior Margo Inlerosseus Foramennutricium Facies medialis Corpusfibulae Facies lateralis Margo anlerior Facies posterior Facies articularis malleoli lateralis Sulcus malleolaris F i g .1 2 6 t + F i b u t a F , ibuta; medialview lvlalleolus lateralis F i g . 1 2 6 5 F i b u L aF, i b u L a ; [ a t e r a vt i e w . F i 1 . 1 2 6 6 T i b i a ,T i b i a ,a n d f i b u l . aF, i b u L a ; dorsaLview. Facieslateralis Margoanterior Faciesmedialis Corpustibiae lvlargoanterior Facies lateralis Facies medialis Corpusfibulae Margointerosseus Facies poslerior Crista medialis F i g . 1 2 6 7 T i b i a ,T i b i a ,a n d f i b u L aF, i b u L a ; c r o s s - s e c t i ow n i t h t h e i n t e r o s s e o um s e m b r a n eo f l e g ; distaIview. * 0 p e n i nfgo rt h ea n t e r i ot ri b i aaI r t e r y > Lowerlimb M us c [es Patellaand kneejoint Facies articularis Facies anterior Fig. 1269 Patelta,Patelta: d o r s a Iv i e w . Fig. 1268 Pate[La, PateLta; ventraIview. Faciesanterior Facies articularis,Cadilago articularis Retinaculumpatellaemediale Articulatiogenus (Articulatio femoropatellaris) (Plica synovialismediopatellaris) Betinaculumpatellaelaterale Facies patellaris,Cartilagoarticularis Epicondylus lateralis M biceps femoris Tendo M sartorius, M gastrocnemius, Caput laterale V saphena magna A poplitea V poplitea M gracilis,Tendo 1 N l i b u l a r icso m m u n i/s N ischiadicus { N .t i b i a l i s \ M semimembranosus,Tendo Tendo M. semitendinosus, V saphenaparva M gastrocnemius, Caputmediale F i g . 1 2 7 0 K n e ej o i n t ,A r t i c u L a t igoe n u s ; c r o s s - s e c t ino. * M e d i abl o r d efra c e t To p o g r a p h y Thigh Knee Leg Foot Kneejoint genus M articularis Facies patellaris M quadriceps femoris,Tendo Plica synovialis infrapatellaris M. quadriceps femoris Condylus lateralis Lig collaterale fibulare Betinaculum patellae laterale Corpus adiposum intrapatellare Betinaculum patellae mediale Capsula articularis Lt9 collaterale tibiale Lig patellae Caput fibulae Tuberositas tibiae F i g . 1 2 7 1 K n e ej o i n t ,A r t i c u l a t i og e n u s ; i n t a c ta r t i c u t a rc a p s u t e : ventraIview. F i g . 1 2 7 2 K n e ej o i n t ,A r t i c u l a t i og e n u s ; t h e a n t e r i o rp a r t o f t h e a r t i c u [ a rc a p s u t eh a s of b e e nr e f[ e c t e dd o w n w a r d sa f t e r d i s s e c t i o n s uscte; the quadricepm t h e s u p r a p a t e t l abr u r s ah a s b e e no p e n e d ; ventraIview. > Lowertimb M us c l es Kneejoint Faciespatellaris ** posterius Lig cruciatum Condylusmedialis Condylus lateralis Meniscus medialis l\4eniscus lateralis * Lig cruciatum anterius Lig,capitisfibulaeanterius genus Lrg transversum Caput fibulae Tuberositas tibiae F i g . 1 2 7 3 K n e ej o i n t ,A r t i c u t a t i og e n u s ; i n 9 0 of L e x i o n ; t h ae r t i c u t a rc a p s u L a en dt h e [ a t e r a L t i g a m e n t sh a v eb e e nr e m o v e d ; ventraLview. * C l i n i c a l t e r mA; C L { = a n t e r i o rc r u c i a t et i g a m e n t l * * C t i n i c a l t e r mP: C Ll = p o s t e r i o cr r u c i a t et i g a m e n t ) M. adductormagnus,Tendo M plantaris lV.gastrocnemius, Caputmediale Lig popliteum obliquum M gastrocnemius, Caputlaterale Lig, collateralefibulare Lig popliteumarcuatum Lig collateraletibiale M semimembranosus,Tendo M biceps femoris, Tendo M popliteus F i g . 1 2 7 1 K n e ej o i n t ,A r t i c u L a t igoe n u s : i n t a c ta r t i c u L acr a p s u t ew i t h m u s c u t a ro r i g i n s ; dorsaIview. To p o g r a p h yI S e cti o n s Thigh Knee Leg Foot Kneejoint lvl adductormagnus, Tendo l/ gastrocnemius, Caputmediale, Tendo M gastrocnemius, Tendo Caputlaterale, Femur, Condylus medialis Lig cruciatum anterius Lig meniscofemoraleposterius Femur,Condyluslateralis Lig collateraletibiale M popliteus, Tendo l\il semimembranosus,Tendo Meniscus lateralis fibulare Lig collaterale L r g p o p l i t e u mo b l i q u u m Tibia,Condyluslateralis posterius Lig cruciatum Lig capitisfibulaeposterius Caputlibulae M popliteus, Aponeurosis M popliteus F i g . 1 2 7 5 K n e ej o i n t ,A r t i c u L a t igoe n u s ; e x p o s u r eo f t h e c r u c i a t eL i g a m e n tasn d t h e m e n i s c i ; d o r s a Lv i e w lvl quadricepsfemoris, Tendo Femur Lig patellae l\4eniscusmedialis Lig collateraletibiale Tuberositas tibiae F i g . 1 2 1 6 T i b i a lc o L [ a t e r aI iLg a m e n t L, i g .c o [ [ a t e r a ttei b i a [ e ; k n e ei n e x t e n d e p do s i t i o n : mediatview 0 n L yt h e p o s t e r i o rf i b r e so f t h e t i b i a L c o t [ a t e r Iai L gamena t re attached t o t h e m e d i a Im e n i s c u s F i g . 1 2 7 7 T i b i a Lc o t l a t e r aLI i g a m e n tL, i g .c o l t a t e r a t tei b i a [ e ; p o s i t i o n[ 9 0 ' ] ; k n e ei n f L e x e d m e d i a Iv i e w I n t h e c o u r s eo f f t e x i o nt,h e p o s t e r i o ra n d p r o x i m a fI i b r e so f t h e t i b i a Ic o t L a t e r at iLg a m e n tb e c o m et w i s t e d t, h e r e b ys t a b i L i z i n g meniscus. themediaL > Lowertimb M us c l es Kneejoint Bursasuprapatellaris l\4 quadricepsfemoris,Tendo Bursa subfascialisoreoatellaris Lig collaterale fibulare Lig patellae l\4eniscus lateralis l\il popliteus, Tendo profunda Bursainfrapatellaris Lig popliteum arcuatum M biceps femoris,Tendo F i g . 1 2 7 8 K n e ej o i n t ,A r t i c u t a t i og e n u s ; s y n o v i am L e m b r a n et i g h t t yf i l . l . eadf t e r i n j e c t i o no f p t a s t i cm a t e r i a L ; LateraIview. S u b p o p t i t e ar e L c e s sn o t s h o w nI c o m p ar e F i g . 1 2 7 9 ) . M. adductormagnus,Tendo posterius Lig cruciatum posterius Lig meniscofemorale M gastrocnemius, Caputlaterale Lig collateralefibulare** Lig collateraletibiale* Meniscus lateralis M. semimembranosus,Tendo lvl popliteus, Tendo Meniscus medialis Lig popliteumobliquum F i g . 1 2 7 9 K n e ej o i n t ,A r t i c u L a t igoe n u s ; s y n o v i am L e m b r a n et h i g h t t yf i L t e da f t e r i n j e c t i o no f p L a s t i m c ateriat; d o r s a Iv i e w * C t i n i c at eI r m :M C Ll = m e d i act o l t a t e r L a iIg a m e n t l * +C t i n i c at eI r m :L C L[ =L a t e r ac Io [ [ a t e rlai q[ a m e n t ] M bicepsfemoris,Tendo Lig.popliteum arcuatum Topography Thigh Knee Leg Foot Lig. patellae profunda Bursainfrapatellaris Lig.cruciatumanterius Lig.transversum genus A. mediagenus, (R. anterior) Meniscus medialis A. mediagenus, (R. posterio0 M. popliteus, Tendo Lig.cruciatum anterius Meniscus lateralis Lig.cruciatumposterius A. poplitea Lig.cruciatumposterius Lig. collaterale fibulare A. inferiorlateralisgenus , r t i c u t a t igoe n u s , F i g .1 2 8 0 M e n i s coif t h ek n e ej o i n t A a n dc r u c i a t [ei g a m e n t L s ,i g g c. r u c i a t a ; oroximaI view. genus; Fi1.1281 Menisciof the kneejoint,Articutatio a r t e r i asI u p p t y ; view. oroximaI F i g . 1 2 8 2 a , b D i s p t a c e m e notf t h e m e n i s c id u r i n gf t e x i o n ; lateraIview. a Extendedposition b Ftexedposition F i g .1 2 8 3 D i s p t a c e m eonf t h em e n i s cdi u r i n gf l e x i o n ; proximaI view. posteriorty overthe bothmenisciaredisp[aced In f Lexion, of the lateraI Thegreatermobil.ity edgesof thetibial.condyles. for its lesserrisk of damage. accounts meniscus > Lowertimb Kneejoint,sections M vastuslateralis Epicondylusmedialis Epicondyluslateralis Lig collateraletibiale Lig cruciatumposterius Lig cruciatum anterius Femur, Condylus medialis M popliteus, Tendo Femur,Condyluslateralis lvleniscusmedialis Capsulaarticularis Tibia, Condylus medialis Meniscus lateralis Tibia,Condyluslateralis Eminentia intercondylaris M soleus M tibialisanterior F i g . 1 2 8 1 K n e ej o i n t ,A r t i c u t a t i og e n u s ; f r o n t a Ls e c t i o n Bursasuprapatellaris M quadricepsfemoris, Tendo Femur, Facies patellaris Corpusadiposum infrapatellare Femur,Condyluslateralis lvleniscus lateralis, (Cornuanterius) Capsulaarticularis, Lig popliteum arcuatum (Cornuposterius) Meniscus lateralis, Lig patellae l\4 popliteus, Tendo Recessus subpopliteus Tibia, Condylus lateralis Lig capitisfibulaeposterius Articulatio tibiofibularis M tibialisanterior M soleus F i 9 . 1 2 8 5 K n e ej o i n t ,A r t i c u L a t igoe n u s ; s a g i t t a sI e c t i o nt h r o u g ht h e [ a t e r a Lp a r t o f t h e j o i n t To p o g r a p h y Thigh Knee Leg Foot Kneejoint, radi ography Corpusfemoris Basis patellae Epicondyluslateralis medialis Epicondylus Fossa intercondylaris Apexpatellae Sulcus popliteus Femur, Condylus lateralis Femur,Condylusmedialis Tibia, Condylus lateralis Tibia,Condylusmedialis Tuberculum mediale intercondylare Apex capitis fibulae Eminentia intercondylaris Tuberculum intercondylare laterale Articulatiotibiofibularis Lineaepiphysialis Caput fibulae Corpusfibulae Corpustibiae F i g . 1 2 8 6 K n e ej o i n t ,A r t i c u t a t i og e n u s ; A P - r a d i o g r a pw h i t h t h e c e n t r a Ib e a md i r e c t e do n t o t h e m i d d t eo f t h e j o i n t ;s u b j e c rt e c L i n e d . Corpusfemoris Patella,Facies articularis Facies poplitea Apex patellae Fossa intercondylaris Femur, Condylus medialis Femur, Condylus lateralis Eminentiaintercondylaris Linea epiphysialis Apex capitislibulae Tuberositastibiae Articulatiotibiofibularis Caput fibulae Corpustibiae Corpus libulae F i g . 1 2 8 7 K n e ej o i n t ,A r t i c u L a t igoe n u s ; [ a t e r a Lr a d i o g r a p h w i t h t h e c e n t r a Lb e a md i r e c t e do n t o t h e m i d d L eo f t h e j o i n t ;s u b j e c tr e c t i n e d > Lowertimb M us e[es Kneejoi nt,arthroscopy Patella,Facies articularis* '1 2 3 4 5 6 7 ** suprapatellaris Arthroscope Inlet or outlet for the rinsinqfluid Cold light source Ocular or connectorfor the video system Anterolateralaccess Anteromedialaccess Additionalinstrument Femur. Facies oatellaris F i g . 1 2 8 9a - c K n e ej o i n t ,A r t i c u L a t igoe n u s ; a rth roscopy a DistaL v i e w i n t ot h e f e m o r o p a t e I Ljaori n t * P a t e L t raor o fr i d g er:i d g eb e t w e etnh em e d i aaI n d l^+^-^l F i g . 1 2 8 8 A c c e s s e sf o r a r t h r o s c o p y ^-+;-.,1^- -,,-t^^^^ * * C [ i n i c atIe r m : s u o r a o a t e t t ar e r cess Femur, Condylus lateralis M e d i a tv i e wo f t h e f r e e i n n e re d g eo f t h e L a t e r a L mentScuS; r e t r a c t o r[ * l s t i g h t Ldy e p r e s s i n tgh e a n t e r i o rp a r t o f t n e menrscus A n t e r o L a t e r vaiIe w o f t h e d i s t a Lo a r t o f t h e a n t e r i o rc r u c i a t e t i g a m e n tL, i g .c r u c i a t u ma n t e r i u s T h e l i g a m e n ti s c o v e r e db y a r i c h L yv a s c u L a r i z esdy n o v i a I m e m b r a n e l t i s d r a w n m e d i a t Lbyy a r e t r a c t o r[ + ) Topography Thigh Knee Leg Fnnt Kneejoint, imaging l\il vastus lateralis Condylus lateralis Fossa intercondylaris Capsula articularis; M gastrocnemius, Tendo Femur, Condylus medialis Lig collaterale tibiale l\4eniscus lateralis,(Cornu l\ileniscus medialis Caput fibulae M popliteus, Tendo Adiculatio tibiofibularis Tibia, Condylus medialis Tibia infrapatellare Corpusadiposum F i g . 1 2 9 1 K n e ej o i n t ,A r t i c u t a t i og e n u s ; m a g n e t i cr e s o n a n cteo m o g r a p h ii cm a g eI M R l l ; s a g i t t a sI e c t i o nt h r o u g ht h e [ a t e r a Ip a r t o f t h e j o i n t ; k n e ei n t h e e x t e n d e dp o s i t i o n . F i g . 1 2 9 0 K n e ej o i n t ,A r t i c u t a t i og e n u s ; m a g n e t i cr e s o n a n cteo m o g r a p h ii cm a g eI M R l ) ; f r o n t a Is e c t i o n ; k n e ei n t h e e x t e n d e dp o s i t i o n . I n t h i s i m a g i n gt e c h n i q u ec,o m p a c bt o n ea p p e a r sb L a c k Capsula articularis, Lig popliteum obliquum Lig cruciatum anterius Lig cruciatum posterius Area intercondylaris anterior Fossa intercondylaris Capsula articularis, Lig popliteum obliquum Lig cruciatum posterius* Area intercondylaris posterior Tibia F i g . 1 2 9 2a , b K n e ej o i n t ,A r t i c u t a t i og e n u s ; m a g n e t i cr e s o n a n cteo m o g r a p h ii cm a g eI M R l ) ; the cruciate s a g i t t a sI e c t i o n st o d e m o n s t r a t e [rgaments; k n e ei n t h e e x t e n d e do o s i t i o n a A n t e r i o rc r u c i a t eL i g a m e n tL, i g c r u c i a t u ma n t e r i u s I, A C L ] b P o s t e r i o cr r u c i a t et i g a m e n t L, i g .c r u c i a t u mp o s t e r i u sI,P C L ) T h ei n h o m o g e n ei si tdyu et o o b l i q u see c t i o n i nogf t h ef i b r eb u n d l e s > Lowertimb Jointsof thebonesof the leq Articulatio tibiofibularis, Lig.capitisfibulaeanterius Tuberositas tibiae Membranainterosseacruris Malleolusmedialis Malleoluslateralis Syndesmosls tibiofibularis, Lig tibiolibulare anterius F i g . 1 2 9 3 J o i n t so f t h e b o n e so f t h e L e g ; ventralview. Faciesarticularis inferior Facies articularismalleolimedialis Malleoluslateralis Facies articularismalleolilateralis Malleolusmedialis F i g . 1 2 9 1 T i b i a ,T i b i a ,a n d f i b u l . aF, i b u l . a ; distaIview. To pogn a p h y Thigh Knee Leg Foot of thefoot Skeleton Phalanx distalis Fi1.1295 Skeletono f t h e f o o t ,O s s ap e d i s ; proximaIview. Phalanx proximalis Caputphalangis Corpusphalangis Caputossismetatarsi Basisphalangis Corpusossismetatarsi Basisossismetatarsi Os cuneiforme mediale Os cuneiforme I HalluxlDigitusprimus] ll Digitussecundus lll Digitustertius lV Digitusquartus V Digitusminimus[quintus] Os cuneiforme intermedium ossis Tuberositas quinti metatarsi Os cuboideum Os naviculare Caputtali Calcaneus Tuberositasphalangisdistalis Proc lateralistali Trochleatali Caput phalangis l-lll Calcaneus Phalanx distalis Phalanx media Phalanx proximalis Basis phalangis l-lll Ossa sesamoidea Ossametatarsil-V Basisossis metatarsi lll-V Tuberositas ossis quinti metatarsi Tuberositas ossis primi metatarsi Os cuneiformemediale Os cuneiformeintermedium Os cuneiformelaterale s usculi S u l c u st e n d i n im f i b u l a r il so n g i Tuberositas ossis cuboidei Calcaneus Tuberositasossis navicularis Caputtali Talus tali Sustentaculum o f t h e f o o t ,O s s ap e d i s ; Fig. 1296 SkeLeton p [ a n t a rv r e w . > Lowertimb MuscN.es Skeletonof the foot Caput tali Collum tali Facies malleolaris medialis Corpustali Proc posterior tali,Tuberculum mediale Sustentaculum tali Phalanx proximalis Phalanx media Phalanx distalis Tuberositas metatarsiV Ossasesamoidea medialeet laterale Basisossis metatarsi hallucis Os cuboideum, Tuberositas ossiscuboidei F i g . 1 2 9 7 S k e t e t o no f t h e f o o t ,O s s ap e d i s ; mediatview Ossatarsi Articulatiotarsi transversa* navtcutare Os cuneiforme intermedium Os cuneiforme laterale Articulationes tarsometatarsales** Ossa metatarsi Ossa digitorum IPhalanges] Calcaneus Trochlea Tuber calcanei Sinustarsi Articulatiotarsi transversa* O sc u b o i d e u m Tuberositas ossis metatarsiV Articulationes tarsometatarsales** F i g . 1 2 9 8 S k e L e t oonf t h e f o o t ,O s s ap e d i s ; [ateraIview. * A t s oc: H o P A RjTo'isn t + +A t s o L: | S F R A Nj oCi'nst Caputossismetatarsi V Topogr a p h y Thigh Knee Leg Foot Talusand calcaneus Caputtali Faciesarticularis navicularis Caput tali Collumtali Proc lateralis tali Facies malleolaris medialis C o l l u mt a l i sulcustali Facies malleolaris lateralis Corpustali Corpustali Proc lateralis tali Proc.posterior tal Tuberculum medial Sulcustendinis Trochleatali, Facies superior I I ./ Sulcustendinis musculiflexoris hallucislongi Facies articularis calcanea posterior Proc posterior tali, Tuberculum laterale hallucislongi Proc posterior tali F i g . 1 3 0 0 T a L u sT,a L u s ; p [ a n t avri e w . Fig.1299 Tatus,Tatus; p r o x i m avIi e w . Sustentaculum tali Faciesarticularistalarisposterior Facies articularistalaris media Faciesarticularis talarisanterior Sulcustendinismusculi flexorishallucislongi Facies articulariscuboidea Proc. medialistuberis calcanei Tuber calcanei F i g . 1 3 0 1 C a l c a n e u sC, a L c a n e u s ; medialview. Faciesarticularis talarisoosterior Facies articularistalaris media Trochleafibularis talarisanterior Faciesarticularis Sulcuscalcanei Faciesarticularis cuboidea Sulcustendinismusculi fibularislongi Tuber calcanei Proc lateralistuberis calcanei F i g . 1 3 0 2 C a L c a n e uC s ,a l c a n e u s ; lateraIview. > Lowertimb MurscLes Tarsalbones Os metatarsi ll Os metatarsilll Os metatarsiI Os metatarsilV Caputossis metatarsi US Corpusossis metatarsi Os cuneiformemediale metatarsi V I s ossrs rtarsi Os cuneiformeintermedium )rositas metatarsi Os cuneiforme laterale ti S u l cu us st e n d i n i s musculi iculifibulari fibularis Os naviculare Tuberositas erositasos! ossi cuboidei oidei Tuberositas ossisnavicularis S rboideum* Facies articularisnavicularis Caput tali (Facies al articularis catcanea) Collum tali Facies malleolarismedialis Facies articulariscuboidea Faciesarticularis talaris anterior Trochleatali Facies malleolarislateralis Facies articularistalaris media Proc lateralistali Proc postenor tali Sulcus calcanei Tuberculum mediale Sulcustendinismusculi flexorishallucislongi Tuberculum laterale Facies articularistalaris posterior Calcaneus Sustentaculum tali Sulcustendinismusculiflexorishallucislonoi Proc. lateralis ) tuberis calcanei I r,,xo. Proc.medialisI iir"""."i tuberis calcanei/ F i g . 1 3 0 3 T a r s a bI o n e s , O s staa r s i , a n d m e t a t a r s abI o n e s ,O s s am e t a t a r s i ; proximaLview. * T h ec u b o i b d o n ei s s h o w ni n a m e d i a I v i e w To p o g r a p h y Knee Leg Foot Ossacuneiformia Os naviculare Os cuboideum Os cuboideum Calcaneus Fig. 1304a, b Skeletonof the foot, Ossapedis; structurao I rganisation. a ProximaIview b P L a n t avr i e w T h e h e a d so f a [ [ m e t a t a r s abl o n e sL i ei n t h e p t a n t a rp l a n e .T h e r o n ea n d t h e t a l u s r e s t u p o nt h e c u n e i f o r mb o n e s t, h e n a v i c u l a b [ateraIparts of the sketeton,especiat[yin the posteriorpart of the foot.The talus is thereforesituatedabovethe calcaneusand t h e L o n g i t u d i n a rI c h i s f o r m e d . T h ew e d g e - s h a p ecdr o s s - s e c t i oonf t h e c u n e i f o r mb o n e sa n d t h e b a s e so f t h e m e t a t a r s abI o n e sc o n t r i b u t et o t h e f o r m a t i o n of the transversevau[t. Os naviculare Ossacuneiformia Os metatarsill Os metatarsiI Calcaneus Aponeurosisplantaris F i g . 1 3 0 5 S u p p o r t i n gs t r u c t u r e so f t h e m e d i a la r c h o f t h e t o n g i t u d i n avta u t to f t h e f o o t ; m e d i a Iv i e w . M. abductorhallucis, Fascia Lig.plantare longum Lig. calcaneonaviculare plantare are mostlydirectedin The ligamentsshown in this itl.ustration t h e t o n g i t u d i n aaIx i so f t h e f o o t a n d s u p p o r tp a s s i v e ttyh e t o n g i t u d i n a L v a uotftt h e f o o t .T h e s h o r t m u s c t e so f t h e f o o t p r i m a r i t ys u p p o r t h i s c o n s t r u c t i o n . > Lowertimb M us c l es Jointsof the foot ParstibiotalarisDosterior Pars tibionavicularis M tibialisposterior,Tendo M tibialisanterior, Tendo posterius Lig tibiolibulare Tuber calcanei Ligg tarsometatarsalia plantaria Sulcus tendinis musculi libularis longi Lig calcaneonaviculareplantare Lig plantare longum F i g . 1 3 0 6 J o i n t so f t h e f o o t ,A r t i c u L a t i o n epse d i s ; L i g a m e n tasn d t e n d o n s ; m e d i a tv i e w Lig tibiofibulare anterius Lig talofibulareanterius Lig talocalcaneum interosseum L4alleoluslateralis Lio. cuboideonavicularedorsale Ligg cuneonaviculariadorsalia Ligg metatarsaliadorsalia Lig calcaneofibulare Tendo calcaneus' Ligg metatarsalia transversa profunda Lig plantare longum Lig calcaneonavtcurare Lig calcaneocuboideum Ligg tarsometatarsalia dorsalia M libularisIperoneus] brevis,Tendo Lig bifurcatum F i g . 1 3 0 7 J o i n t so f t h e f o o t ,A r t i c u t a t i o n epse d i s ; L i g a m e n tasn d t e n d o n s ; Lateratview. * ALso: Achitles tendon Topog r a p h yI S e c ti o n s Thigh Knee LeE Foot Anklejoint Lig tibiolibulareposterius posterius Lig talofibulare l\4alleolusmedialis Lig collateralemediale, Pars tibiotalarisposterior Malleoluslateralis Lig collateralemediale, Pars tibiocalcanea posterius Lig talocalcaneum Talus Lig calcaneolibulare Lig talocalcaneummediale Tendo calcaneus" Calcaneus Tuber calcanei F i g . 1 3 0 8 J o i n t so f t h e f o o t ,A r t i c u t a t i o n epse d i s ; l i g a m e n t sa n d t e n d o n so f t h e p o s t e r i o rp a r t o f t h e f o o t * A l s oA : c h i [ [ et se n d o n Fibula Membrana interossea cruris Facies articularisinferior Lig tibiofibulare anterius Facies articularismalleolimedialis Malleolusmedialis Facies articularismalleoli lateralis Sulcus malleolaris Malleoluslateralis Plica synovialis Lig tibiofibulareposterius F i g . 1 3 0 9 A n k t ej o i n t ,A r t i c u L a t itoa t o c r u r a [ i s ; p r o x i m aa L r t i c u t a rs u r f a c e s ; distaLview. > Lowertimb $urfaee lSkeletonl Musci.es Hip Joints of the foot F i g . 1 3 1 0 J o i n t so f t h e f o o t ,A r t i c u t a t i o n epse d i s ; p t a n t a rv i e w . * W i t ht h el o n gp t a n t aLr i g a m etnhteg r o o vfeo rt h et e n d o n o f t h ef i b u [ a r i[so n g u m s uscte i s e n c t o s ei n da c a n a L Ligg collateralia Ligg plantaria Lig metatarsale transversum profundum Basisossismetatarsi I plantaria Ligg tarsometatarsalia Os cuneiforme mediale Tuberositas ossis quinti metatarsi Ligg cuneonaviculariaplantaria S u l c u st e n d i n im s usculi fibularis longi* lperonei] L'V P'ar r(are longum L'V Lig cuboideonaviculareplantare Tuberositasossis navicularis vo,Lorrvu- cuboideum plantare Lig calcaneonaviculareplantare Lrg calcaneofibulare Lrg plantare rongum Sustentaculum tali Lig collateralemediale, Pars tibiocalcanea Proc medialis tuberis calcanei Articulationesmetatarsophalangeae Sulcustendinismusculi flexorishallucislongi Os sesamoideum Tuber calcanei Lig metatarsale transversumprofundum M fibularis longus, [peroneus] Tendo Ligg metatarsalia Prar Ligg tarsometatarsaliaplantaria rLdr ra lV1tibialisanterior, Tendo Ligg tarsi plantaria fibularis[peroneus] brevis,Tendo Lig cuboideonaviculareplantare Tuberositas ossis cuboidei M tibialisposterior, Tendo Lig calcaneonaviculare plantare F i g . 1 3 1 1 J o i n t so f t h e f o o t ,A r t i c u l a t i o n eps e d i s : L i g a m e n tasn d t e n d o n so f t h e t a r s u sa n d m e t a t a r s u s , p L a n t avr i e w . Lrg calcaneocuboideum plantare Tuber calcanei Topng r a p h y Thigh Knee LeE Foot joint Talotorsal Ligg tarsometatarsaliadorsalia Os metatarsi ll Os metatarsi lV V Os metatarsi Os metatarsiI Ligg intercuneiformia dorsalia quinti ossismetatarsi Tuberositas dorsale Lig cuneocuboideum Ligg cuneonavicularia dorsalia Os cuboideum Lig calcaneonavicutare I r.o bifurcatum Lig.calcaneocuboideum l Os naviculare M fibularis[peroneus]brevis,Tendo Lig calcaneonaviculare plantare Facies articularis talaris anterior Lig talofibulare anterius Facies articularistalaris media Lig talocalcaneuminterosseum Facies articularistalaris posterior Ltg deltoideum Lig calcaneofibulare Calcaneus F i g .1 3 1 3 T a t o t a r s a t j o i n t , Articu[atio ta lotarsaIis; p r o x i m aa I r t i c u L asr u r f a c e s ; d i s t a Lv i e w . Fig. 1312 TalotarsaIjoint, A r t i c u t a t i ot a l o t a r s a [ i s ; d i s t a La r t i c u t a rs u r f a c e s ; proximaLview. (Faciesarticularis talaris) Os naviculare Facies articularistalaris media Lig cuboideonavicularedorsale Facies articularistalaris posterior Lrg talocalcaneumInterosseum Lig calcaneonaviculare Lig calcaneocuboideum F i g . 1 3 1 t , T a l o t a r s aj o I i n t ,A r t i c u L a t itoa t o t a r s a L i s ; t h e t a t u sa n d t h e l a t e r a IL i g a m e n ths a v eb e e nr e m o v e d ; l a t e r a Iv i e w . T h e t w o a r r o w sp o i n to u t t h e h e I i c a dL i s t o r s i o no f t h e t a L o c a L c a n ei natIe r o s s e o u[si o a m e n t . I lio oitr,"ut* T i g h t c o n n e c t i v et i s s u el a y e rb e t w e e nt h e p t a n t a rc a t c a n e o n a v l c u L a r p ra r t o f t h e d e t t o i dt i g a m e n It i m i t i n g t i g a m e n at n d t h e t i b i o n a v t c u [ a gf this a m e d i a L tdyi r e c t e dg t i d i n go f t h e h e a do f t h e t a l u s ;s l a c k e n i n o , e sv a L g u s l l a y e rr e s u [ t si n f t a t t e n i n go f t h e t o n g i t u d i n avt a u t t I f t a t - f o o t p > Lowertimb M us c tes Ankleand talotarsaljoint,sectlons Metaphysis,Linea epiphysialis Articulatio talocruralis Tibia, Malleolusmedialis Nletaphysis, Lineaepiphysialis Lig collateralemediale, Pars tibiocalcanea Corpustali M tibialisposterior,Tendo Fibula, Malleoluslateralis Vagina tendinis musculitibialis posterioris Lig talolibulareposterius M flexordigitorum longus,Tendo Vaginatendinismusculiflexoris digitorum longi Lig, calcaneofibulare Betinaculum musculorum llexorum Articulatiosubtalaris Articulatio subtalaris Retinaculum musculorum fibularium superius lperoneorum] Lig talocalcaneum interosseum M fibularis[peroneusj brevis,Tendo V a g i n cao m m u n itse n d i n u m musculorum fibularium lperoneorum] N plantarismedialis M libularis[peroneus] longus,Tendo (v plantarismedialis) plantarismedialis Retinaculum musculorum fibularium inferius lperoneorum] M abductor hallucis Calcaneus plantae M quadratus M abductordigiti minimi (V plantaris A; N plantaris lateralis; lateralis) plantaris Aponeurosis M flexor digitorumbrevis F i g .1 3 1 5 A n k L ea n dt a L o t a r s a t j o i n t , A r t i c u t a t i o n etsa L o c r u r a t iest t a l o t a r s a t i s : f r o n t a Is e c t i o n . I\4 flexor hallucislongus l\4 extensor hallucislongus M tricepssurae, Tendocalcaneus Articulatiotalocruralis Articulatio subtalaris / I (Articulatio talotarsalis) ./ Articulatio | talocalcaneonavicularis./ Os naviculare Os cuneiformeintermedium Articulatiotarsometatarsalis Lig talocalcaneum Interosseum M fibularis longus,Tendo [peroneus] Os metatarsi ll M interosseus dorsalisoedisI Calcaneus Tuber calcanei Aponeurosisplantaris Lig plantarelongum plantae M quadratus M flexor digitorum brevis 1,4adductor hallucis, Caput obliquum F i g .1 3 1 6 A n k t ea n d t a t o t a r s a L j o i n t , A r t i c u [ a t i o n etsa [ o c r u r a L e i st t a t o t a r s a t i s ; cr^iit2l cortinn * F a t p a do f t h e h e e l T* p:uqr* prhy ThiEh f{n*e i-e.q Foot joint,radiography Ankleand taLotarsal Linea epiphysialis Syndesmosistibiofibularis Trochleatali Articulatiotalocruralis l\4alleoluslateralis j o i n t ,A r t i c u L a tti ao L o c r u r a L i s ; F i g .1 3 1 7 A n k L e A P - r a d i o g r a pw h i t h t h e s u b j e c tr e c L i n eadn d t h e c e n t r a Ib e a m d i r e c t e dt a n g e n t i a L o [ yn t ot h e t r o c h L e o af t a I u s . Malleolusmedialis Talus C l i n i c a L [ yt h, e p o s t e r i o rb o r d e ro f t h e f i b u L a rn o t c hi s a L s or e f e r r e dt o a s t h e t h i r dm a t t e o t u s . Fibula Linea epiphysialis-. Articulatiotalocruralis Trochleatali Malleolusmedialis Proc posteriortali Malleoluslateralis Articulatiosubtalaris. Collum tali Sinustarsi Sustentaculum tali Caput tali Articulatio * talocalcaneonavicularis Os naviculare Tuber calcanei F i g .1 3 1 8 A n k L ea n dt a t o t a r s a L j o i n t , A r t i c uL a t i o n etsa L o c r u r a t e i st t a L o t a r sI a is; A P - r a d i o g r a pwhi t ht h e s u b j e c rt e c L i n eadn dt h e c e n t r a b I eam d i r e c t e dt a n g e n t i a [ yo n t ot h e a p e xo f t h e t r o c h L e o af t a L u s * D u e t o t h e i rh e I i c a dI i s t o r s i o nt h , e j o i n t c t e f t sa r e n o t d i s p t a y e d orthogonatty * * O v e r [ a p p i negp i p h y s e aI it n e so f t h e t i b i aa n d f i b u t a > Lowertimb >>lttl Surface lSketetonl Musctes Fasciaeof thelowerlimb Spina iliaca ------i- anteriorsuperior M tensorlasciae latae CornusuPerius MargeI falciformis Cornuinferius I Tractus iliotibialis Lig inguinale Funiculus spermaticus Hiatussaphenus, Fasciacribrosa V saphena magna Fascia lata Patella Retinaculum patellaelaterale Caput fibulae Bursasubcutanea prepatellaris Lig patellae Bursasubcutanea infrapatellaris Fasciacruris Fasciacruris Tibia,Margoanterior Tibia, Facies medialis M tibialisanterior, Tendo Retinaculum musculorum extensorum supeflus M extensor digitorum longus,Tendines Betinaculummusculorum extensorum inferius M extensor hallucisbrevis M. extensor hallucislongus, tenoo Fascia dorsalis pedis F i g . 1 3 1 9 F a s c i al a t a ,F a s c i al a t a ,a n d d e e pf a s c i ao f [ e g , F a s c i ac r u r i s . T h e t r a n s i t i o nz o n eb e t w e e nt h e a p o n e u r o s ios f t h e e x t e r n a l o b t i o u ea b d o m i n a m I u s c t ea n d t h e f a s c i al a t a i s k n o w na s i n g u i n a ILi g a m e n tT. h i s I i g a m e n te x t e n d s[ a t e r a L tfyr o m t h e a n t e r i o rs u p e r i o ri I i a cs p i n et o i t s a t t a c h m e n ot n t h e p u b i c t u b e r c [ em e d i a t L y . * 0 p e n i n gi sn t h ef a s c i fao rt h ep e r f o r a t o s insl r i n s( D o D Dv' e ve Topography Thigh Leg Foot Fasciaeof the lowerlimb (Fascia glutea) M tensor fasciaelatae Sulcusglutealis Fossapoplitea (Fascia poplitea) M gastrocnemius M. gastrocnemius, Tendo lvlalleolusmedialis Tendocalcaneus F i g . 1 3 2 0 F a s c i a[ a t a ,F a s c i a[ a t a , a n d d e e pf a s c i ao f l e g ,F a s c i ac r u r i s . > Lowertimb Musclesof thelowerlimb,overview lvl iliacus vr irioo.o". {, psoas major M tensor fasciae latae M pectineus M sartorius M adductor longus M vastuslateralis M gracilis quadflceps femoris M rectusfemoris M vastus medialis M fibularis[peroneus] longus M gastrocnemius, Caput mediale M tibialisanterior M soleus M extensor digitorum longus lvl extensor hallucis longus , l+5, > T r + 2 , f! + 4T T l+7,Tl+8 F i g , 1 3 2 1 M u s c L eos f t h e l o w e r I i m b ,M m e x t r e m i t a t i si n f e r i o r i s ; overvtew. Tn pogr a p h y Thigh Leg Foot Musclesof the lowerlimb,overview s edius M g l u t e um M gluteusmaximus lvl semitendinosus l\il biceps femoris M semimembranosus M gastrocnemius Tendo calcaneus F i g . 1 3 2 2 M u s c t e so f t h e l o w e rt i m b ,M m . e x t r e m i t a t i isn f e r i o r i s ; overvtew. ) T 43, T I+6,Tt+9 > Lowertimb tt 0riginsand insertionsof the musclesof the hip,the thighand the leg lvl quadratus lumborum M obliouusinternus abdominis l\4 transversus abdominis M. psoasmajor lvl,iliacus l\4 sartorius M obturatorius internus M piriformis M rectusfemoris Lig sacrospinale; [4.anococcygeus (Bursa iliopectinea) pectineus l\,1. M gluteusminimus M obturatoriusexternus l\il vastuslateralis l\4 adductorlongus M adductor brevis M iliopsoas M gracilis M vastus intermedius M. vastus medialis M adductormagnus M quadratus femoris M biceps femoris M semimembranosus genus M articularis M quadriceps femoris M adductormagnus M vastus medialis M bicepsfemoris Lig collaterale fibulare patellae Retinaculum M sartorius laterale Tractus iliotibialis M gracilis lvl semitendinosus l\4 extensor digitorum tongus M fibularis [peroneus]longus Lig patellae [/ tibialis anterior F i g . ' 1 3 2 3 O r i g i n sa n d i n s e r t i o n so f t h e m u s c t e sa t t h e L o w e r[ u m b a rv e r t e b r a et,h e p e L v i b c o n e s t, h e f e m u r a n d I x t r e m i t i e so f t h e b o n e so f t h e [ e g ; t h e p r o x i m ae ventraIview. til To pogr a p h y Thigh Leg ,i]r; Foot r titlr )rigins and insertionsof the musclesof the hip,the thighand the leg abdominis M. obliouus externus M. gluteusmedius M, gluteusminimus l\il piriformis l\4 tensor fasciae latae l\4 gluteusmaximus M obturatorius internus M piriformis lvl rectusfemoris M obturatorius externus M gluteusmedius l\4 gemellus superior l\4.gluteusminimus M. obturatorius internus musculigluteimedii Bursatrochanterica M. levatorani l\4 quadratusfemoris perineiprofundus M transversus Bursasubculaneatrochanterica M gluteusmaximus Bursaischiadica musculi obturatorii interni M gemellus inferior M, semitendinosus M iliopsoas M pectineus M. adductormagnus M adductorbrevis M vastus medialis M vastusintermedius M adductorlongus M biceps femoris l\4 vastuslateralis l\4 adductormagnus Bursasubtendinea musculigastrocnemii medialis M gastrocnemius M plantaris M semimembranosus M sartorius l\/ gracilis M semitendinosus M semimembranosus Lig collateralefibulare M biceps femoris l\4,popliteus M. soleus musculisolei Arcustendineus Foramennutricium lvl soleus M tibialisposterior M flexordigitorum longus F i g , 1 3 2 t , 0 r i g i n sa n d i n s e r t i o n so f t h e m u s c t e sa t c o n e s t, h e f e m u r a n d t h e p r o x i m a eI x t r e m i t i e s t h e p e L v ib o f t h e b o n e so f t h e [ e g ; dorsaIview. ) T 4 3 - T4 6 , T4 9 , T5 0 > Lowertimb >>l Surfmce l$[ceLertnnl Muscles Musclesof thethigh F i g . 1 3 2 5 T e n s o rf a s c i a e [ a t a em u s c t e ,M t e n s o r f a s c i a eI a t a e ,a n d s a r t o r i u s m u s c t e ,M . s a r t o r i u s . Q u a d r i c e pfse m o r i sm u s c L eM , . q u a d r i c e p fse m o r i s l\il pectineus l\4 adductorlongus M adductor brevis M adductor magnus l\4 gracilis A d d u c t o rm u s c t e s M . m.adductores l I i o p s o a sm u s c t e ,M i I i o p s o a s To p o g r a p h y Thigh Leg Foot Musclesof the thigh psoas major M iliopsoas {. (M psoasminor) iliacus Lig inguinale Arcusiliopectineus l/ iliopsoas Lig pectineum M tensor tasciae latae M pectineus M rectusfemoris M adduclorlongus M. sartorius M gracilis M vastuslateralis M vastusmedialis Fascia lata, Tractus iliotibialis prepatellaris Bursasubtendinea Femur,Condylusmedialis Lig patellae Caput libulae Bursa subcutaneainfrapatellaris %, Fig. 1329 Musctesof the thigh and the hip; a f t e r r e m o v a L o f t h e f a s c i a [ a t a e x c e o t f o r t h e i l i o t i b i a It r a c t . * C o m m o ni n s e r t i o no f t h e s a r t o r i u sg, r a c i l i sa n d s e m i t e n d i n o s u s m u s c t e sj u s t b e t o wt h e m e d i a Ic o n d y l eo f t h e t i b i a l f o r m e r t yk n o w n a s t h e s u p e r f i c i apI e s a n s e r i n u sP, e sa n s e r i n u s u p e r f i c i a t i s ) )T l + 2 , Tl r / , , T1 , 5 > Lowertimb >>l Surface lSkeletsnl Muscles Hip Musclesof the thigh M iliacus l\4 psoas major Promontorium M sartorius M tensor tasciae latae l\4 piriformis Lig sacrospinale M gluteusmedius Pecten ossis pubis Lig pubicumsuperius M iliopsoas l\4 pectineus lvl adductor longus M gracilis Canalis adductorius;A ; V femoralis Septumintermusculare vastoadductorium M quadricepsIemoris* M sartorius Fascia lata M, rectus femoris,Tendo Femur,Condylusmedialis Lig patellae > I I + 2 , I l + l + , lT+ 5 s f t h e t h i g ha n d t h e h i p ; F i g .1 3 3 0 M u s c t e o a f t e r r e m o v a L otfh e f a s c i a[ a t a ,t h e t e n s o rf a s c i a e[ a t a e m u s c l ea n d t h e s a r t o r i u sm u s c t e . * T h ef o u r t hh e a do f t h eq u a d r i c e p msu s c l et h , ev a s t u isn t e r m e d i u s is covered musc[e, bythe rectusfemorismuscle To p o g r a p h yI Se c ti o n s Thigh Leg Foot Musclesof the thigh M iliopsoas Soina iliaca anteriorsuoerior M. piriformis M sartorius ( iliaca Bursasubtendinea caPutrectumM rectusfemoris**.i rellexum luaput Pectenossispubis M gluteusmedius Lig iliolemorale M pectineus M iliopsoas M adductor brevis M vastus lateralis M gracilis M adductorlongus M adductormagnus Hiatusadductorius Fascia lata M vastusmedialis M vastusintermedius M rectus femoris,Tendo Tendo M sartorius, medialis Femur,Epicondylus Lig patellae F i g .1 3 3 1 M u s c L eosf t h e t h i g ha n dt h e h i p ; d e e pL a y e ar f t e r r e m o v a o I f t h e s a r t o r i u st,h e r e c t u sf e m o r i s a n d t h e a d d u c t o rL o n g u sm u s c t e sa s w e I La s p a r t so f t h e i t i o p s o am s u s c t ei n t h e j o i n tr e g i o n . + C o m m o ni n s e r t i o no f t h e s a r t o r i u sg, r a c i t i sa n d s e m i t e n d i n o s u s m u s c t e sj u s t b e t o wt h e m e d i a Ic o n d y l eo f t h e t i b i a * * T h e o r i g i n o f t h e r e c t u sf e m o r i s m u s c t eh a s b e e nf t a p p e dt a t e r a l t y upwards * * * A p a r t o f t h e a d d u c t o r[ o n g u sm u s c t eh a s b e e nf t a p p e du p w a r d s . > T I + 2 , Tl + 4 , I t + 5 > Lowertimb Surface lSkeletonl Muscles Musclesof the thigh M iliopsoas lvl sartorius M piriformis M. rectustemoris Canalisobturatorius M pectineus Bursa subtendineailiaca M adductorlongus gluteusmedius M obturatoriusexternus l\4 iliopsoas M adductor brevis Trochanter minor M pectineus M adductorminimus M adductorbrevis M adductormagnus M vastuslateralis M adductorlongus M gracilis M vastus medialis Hiatusadductorius lvl vastusintermedius M adductor magnus, Tendo M gracilis,Tendo l\4 sartorius,Tendo Bursa subtendineamusculi sartorii M gracilis, Tendo lvl semitendinosus,Tendo T5 > I 4 2 , T4 / + , 4 Bursaanserina F i g . 1 3 3 2 M u s c t e so f t h e t h i g ha n d t h e h i p ; a f t e r a t m o s tc o m p t e t er e m o v a I o fs u p e r f i c i aaI n d s e v e r ad I e e p e rm u s c t e s ; ventratview. 9 ' L - Z ' L ' e Z ZL ? 'M0rA lerpau.r : d ! qa q l p u e r . l 6 r qe]q t j o s a l r s n N e e e l ' 6 l l snuDeuropnppe'nl suoural snlca|lil y! snsourpualru.ros unouol1nde3'suouelsdactqy\ sr;rcer6 y1 sn0uolJopnppE'yI snurxeusneln;6y1 srqndsrsso JOlralur snueu ilqcsrsrssosnuleH srlerouro]V (!uBslJole^al!lncsnuJ sneu!puelsncJV) urncrpErqcsr leqnl ecrqndsrs^qdu^S snurelur snuolernlqoy! snuouesyI elPieqnlorces6r'l snuolernlqo srlPue3 snutLl.l urncrperqcsruaurelol areunce;611 slqnosrsso roueonssnureu Isne6[ccoc] snao^ccocorqJst li\ Euolerntqo n:'v :snuolPJnlqo'N EUOlernlqo etcsel e u r e u a B c e lnl !: V (aurolurdeJlur ueulero3) snaulsaoorIsncJV sruuolurdli\ sllaoulol N sllErouol u 'srlerourelolruoo N Proualue erlErcPsEUrureJol '611 e;eurnbur (auro;urdetdnsuoujelol) srlPlelPlsuor.uel snauelncN ro!JoonsrolJaluP ece!t!eutos s!lerces srlEuEc srqnosrssoualcad opual '(roufl-u seosd'W) unJcesso eroualuE ecerltolces 66t"1 'ecerlrorceso[elnsruv roleu seosd !\ srlerqeua^ srpue3 tt6!qlaql Jo sapsn4 looj 6at q6!ql suorllas | ,{qder6odol dltt s!^lad 'olq a q l lo sallsnur r '6!r l e s J o pd a a o 4ec ' s n r p a t us n a l n l 6 ' t / { ' a l l s n u Js n r p a u sr n a l n l e g e e l ' 6 l l suoualsnlPrpenby! roualursnllaua0 y! snulalul snuolPJnlqo y! rouadnssnllauao y! srrlroluro y! snururur snalnloti\ snrpau snalnlon 'snuJrxeu s n a l n lo hl ' a l l s n u rs n L u r x e us n o l n l g g e e ' 6 l l t ' q O l q lo q ] J os a l l s n u r lesroo teel'6ll snsourpuelruos l snutxpul snalnl0 y\ dltl atil pue q6gl aLlllo sapsnry MaTAJAA0 solrsnr{ luo}alo{sl qull JattAo'l< arP}rn5 To p o g r a p h yI S e cti o n s Thigh Leg Foct of the thighand the hip MuscLes M erectorspinae, Fasciathoracolumbalis M gluteus medius, Fascia M gluteusmaximus Trochanter major Sulcusglutealis Tractus iliotibialis Fascia lata Tendo lvl gluteusmaximus, F i g .1 3 3 8 M u s c t e o s f t h e t h i g ha n dt h e h i p . Crista iliaca M latissimusdorsi, Aponeurosis M erector spinae, Fascia thoracolumbalis Fascia lata, (Fascia glutea) M gluteusmaximus ( s edius M ,g l u t e u m (Foramen suPrapiriforme) Foramen I ischiadicum1 majus | (Foramen I infrapiriforme) M piriformis Spina ischiadica M. gemellussuperior Foramen ischiadicum mtnus internus* M obturatorius Lig sacrotuberale M gemellus inferior Ramusinferiorossispubis Tuberischiadicum Bursatrochanterica musculigluteimaximi Ramusossisischii femoris M quadratus l\4,gracilis M gluteusmaximus M adductor magnus M adductorminimus M semitendinosus M adduclor magnus bicepsfemoris, C a p u lto n g u m F i g .1 3 3 9 M u s c t e o s f t h e t h i g ha n d t h e h i p ; t h e g l u t e u sm a x i m u sm u s c t eh a s b e e ns e c t i o n e d ; d o r s a tv i e w . Tuberositasglutea * T h e p a r t o f t h e o b t u r a t o ri n t e r n u sm u s c l eb e t w e e nt h e c u r v e de d g e o f t h e l e s s e rs c i a t i cn o t c ha n d t h e i n s e r t i o ni n t h e t r o c h a n t e r i cf o s s a f r e q u e n t l cy o n s i s t so f t e n d i n o u sb a n d s ) T 4 3 , I I + 5 , T4 6 > Lowertimb Muscles Musclesof the thighandthe hip Crista iliaca M gluteusmedius s inimus M g l u t e um (Foramen suprapiriforme) I/ gluteusmaximus M piriformis N4gemellus superior (Foramen infrapiriforme) lvl tensorfasciaelatae l\il obturatorius internus M gemellus inferior Lig sacrotuberale M quadratus femoris M obturatoriusinternus M gluteusmedius Tuberischiadicum Trochanter major Bursalrochanterica musculigluteimaximi M adductormagnus lvl gluteusmaximus M adductorminimus M adductormagnus M gracilis M semitendinosus M vastuslateralis M biceps temoris, Caput longum M. bicepsfemoris,Caputbreve M biceps femoris,Caput longum l\4 semimembranosus M semitendinosus,Tendo A poplilea lvl semimembranosus, Tendo M gastrocnemius,Caput laterale M gastrocnemius,Caput mediale -> T 43, T r+5,Tt+6 F i g . 1 3 4 0 M u s c t e so f t h e t h i g ha n d t h e h i p ; t h e g l u t e u sm a x i m u sa n d m e d i u sm u s c t e sh a v e b e e np a r t i a L [rye m o v e d ; d o r s a Iv i e w . Topogr a p h yI S e c ti o n s Thigh Leg Foot Musclesof the thighand the hiP lvl gluteusmedius M gluteusminimus L4 gemellusinferior M gluteusmaximus Tendo internus, M obturatorius M piriformis musculigluteimedii Bursatrochanterica (Foramen infrapiriforme) Trochantermajor M gemellus superior externus M obturatorius M obturatorius inlernus femoris M quadratus Bursaischiadica musculiobturatorii interni musculi Bursatrochanterica Lig sacrotuberale glutei maximi M biceps femoris, Caput longum M iliopsoas,Tendo M semitendinosus Trochanterminor Foramenischiadicum minus M M gluteusmaximus M adductorminimus M gracilis M adductor magnus M vastuslateralis M semimembranosus lV bicepsfemoris,Caputlongum M biceps femoris, Caput breve M semitendinosus.Tendo Fossapoplitea M semimembranosus,Tendo M gastrocnemius, Caputmediale Caputlaterale M. gastrocnemius, s f t h e t h i g ha n dt h e h i p ; F i g .1 3 4 1 M u s c t e o I f the d e e pL a y e ar f t e ra t m o s tc o m p l e t er e m o v a o s u p e rifc i a L g t u t e aa nI dt h e i s c h i o c r u r amLu s c L e s ; dorsaIview. )I t + 3 , T4 5 , Tt 6 > Lowerlimb Surfaee lSkeletonl Muscles Hip Musclesof the thighand the hip M obliquus externusabdominis Cristailiaca.Labiumexternum SDinailiaca anteriorsuoerior M gluteusmaximus M. reclus femoris Tractus iliotibialis M vastuslateralis M biceps femoris, Caput longum Tractus iliotibialis M semimembranosus M bicepsfemoris,Caputbreve l\4 gastrocnemius, Caputlaterale -> T 43, r t+/+,T46 F i g . 1 3 1 2 M u s c t e so f t h e t h i g ha n d t h e h i p ; a f t e rr e m o v a o l f t h e f a s c i a[ a t ae x c e o tf o r t h e i t i o t i b i atLr a c t Topography Thigh Leg Foot Musclesof the thigh l\4 vastus medialis lvl sartorius l\4 gracilis, Tendo M semimembranosus,Tendo Tendo M semitendinosus, Retinaculumoatellaemediale Corpusadiposum infrapatellare Lig patellae M gastrocnemius, Caputmediale F i g . 1 3 4 3 M u s c t e si n t h e r e g i o no f t h e k n e ej o i n t ; > f I r 4 - Tt 6 , T4 9 mediaLview * C o m m o inn s e r t i oj u n s tb e t o w t h em e d i acI o n d y toef t h et i b i a s ,e sa n s e r i n ussu p e r f i c i a [ i s l l f o r m e r tkyn o w na ss u p e r f i c ipaet sa n s e r i n uP M vastuslateralis M adductor magnus lvl bicepsfemoris,Caputbreve M gracilis Femur,Lineaaspera Hiatusadductorius M vastusmedialis lvl bicepsfemoris,Caputlongum M adductormagnus,Tendo Femur, Facies poplitea M semimembranosus M plantaris Articulatiogenus, Capsula articularis M sartorius M biceps femoris,Tendo M semimembranosus,Tendo lvl gracilis,Tendo M semitendinosus. Tendo lvl gastrocnemius, Caputmediale Caputlaterale M gastrocnemius, Fig, 13t+t+ Musctes in t h e r e g i o no f t h e k n e ej o i n t ; a f t e r a t m o s tc o m p t e t er e m o v a o L f t h e i s c h i o c r u r am I usctes: dorsaLview. )T l + 4 - Tl + 6 , Tl + 9 > Lowertimb tt )rigins andinsertionsof the musclesof the thighand the ventralpart of the leg Tractusiliotibialis l\/ gracilis M quadricepsfemoris M. biceps femoris l\4 semitendinosus M sartorius lvl tibialisanterior l\4 fibularis[peroneus] tongus M. extensor digitorum tongus fibularisIperoneusl brevis F i g . 1 3 4 5 0 r i g i n sa n d i n s e r t i o n so f t h e m u s c t e s a t t h e b o n e so f t h e l e g ; v e n t r a Iv i e w tat"t To p o g r a p h y Thigh Leg Foot }rigins and insertions of themusclesof thethighand the dorsalpart of the leg M popliteus M soleus M tibialisposterior M flexordigitorum longus M. fibularis[peroneus] rongus M flexorhallucislongus M fibularislperoneus] orevts M. flexorhallucislongus,Tendo M fibularislperoneus] brevis,Tendo lvl.tibialisposterior,Tendo M llexordigitorum longus,Tendo F i g . 1 3 1 6 0 r i g i n sa n d i n s e r t i o n so f t h e m u s c l e s a t t h e b o n e so f t h e l e g ; dorsaIview. > T r,6,T 48-T 50 > Lowertimb tt Musclesof theLeg Fig.1317 Extensor m u s c L eosf t h e[ e g . M tibialisanterior M fibularis[peroneus] longus Iperoneus] L a t e r a [[ fi b u l . a rm ] uscLes Caput laterale I t o".uo"n".'r" Caput mediale ) M flexordigitorum rongus M tibialisposterior M flexorhallucis l o n gu s (Chiasma crurale) lvl.soleus (Chiasma tarsale) Tendo calcaneus Fig. 1319 Tricepssurae muscte, M . t r i c e o ss u r a e . D e e pf l e x o rm u s c L e o sf the leg Topog r a p h y Thigh Leg Fcot Musclesof the Leg Tibia, Condylus medialis Tuberositastibiae M gaslrocnemius M extensor digitorum longus M fibularis [peroneus]brevis Tibia, Facies medialis Septumintermusculare crurisanterius M extensor longus digitorum M tibialisanterior,Tendo M extensor h a l l u c i sl o n g u s Malleolusmedialis lvlalleoluslateralis l\il extensor digitorum longus,Tendines M fibularislperoneus] tertius,Tendo Retinaculummusculorum extensoruminferius M extensor hallucis longus,Tendo M exlensor digitorum brevis F i g . 1 3 5 1 M u s c L eos f t h e [ e ga n d t h e f o o t . lvl extensor hallucisbrevis > Lowertimb Surface lSkel.etonl Muscles Hip Musclesof the leg M semitendinosus M semimembranosus M gracilis Femur, Facies poplitea M semitendinosus,Tendo M semimembranosus,Tendo M gaslrocnemius, Caputmediale M gastrocnemius,Caput laterale Fasciacruris N4alleolusmedialis -------------t- Malleoluslateralis Tendo calcaneus* Tuber calcanei F i g . 1 3 5 2 M u s c l e so f t h e L e g ; s r r n p rifr i a l l r v c r * A l s o : A c h i t l e st e n d o n Topngraphy Thigh Leg Font Musclesof the leg l\4 gastrocnemius, Caputmediale M biceps femoris M semimembranosus Bursasubtendinea musculi gastrocnemii medialis lvl gastrocnemius, Capullaterale Bursamusculisemimembranosi Lig popliteum obliquum Lig popliteum arcuatum Tibia,Condylus medialis l\4 plantaris A ; V poplitea;Arcus tendineus musculisolei M soleus M plantaris, Tendo M gastrocnemius longus M libularislperoneus] M gastrocnemius,Tendo M llexor hallucislongus M flexor digitorum longus M tibialisposterior.Tendo Seotumintermusculare crurisDosterius Malleolusmedialis Tendo calcaneus* Retinaculummusculorumflexorum Tuber calcanei F i g . 1 3 5 3 M u s c L eos f t h e l e g ; s u p e r f i c i a[[a y e ra f t e r p a r t i a Ir e m o v a I s uscLe. o f t h e g a s t r o c n e m i um * ALso: Achi[[es tendon Retinaculum musculorum fibularium superius lperoneorum] > Lowertimb Surface lSketetonl Muscles Musclesof theleg Femur, Facies poplitea M gastrocnemius,Caput mediale M biceps femoris Bursasubtendinea musculi gastrocnemii medialis M gastrocnemius, Caputlaterale Bursamusculisemimembranosi M plantaris M semimembranosus,Tendo Lig popliteumobliquum M popliteus M tibialisposterior M soleus Fibula,Margointerosseus M flexordigitorum longus l\4 tibialisposterior M fibularis[peroneus] longus M flexor hallucislongus M flexor digitorum longus,Tendo M a l l e o l ums e d i a l i s M tibialisposterior, Tendo M flexor hallucislongus,Tendo Retinaculum musculorum flexorum Betinaculum musculorum fibularium superius [peroneorum] Tendo calcaneus" Tuber calcanei F i g . 1 3 5 4 M u s c [ e so f t h e l e g ; deep tayer. * A t s oA: c h i [ [ et se n d o n To p o g r a p h y ThiEh Leg Foot Musclesof the leg Caputmediale lil gastrocnemius, Bursasubtendinea musculi gastrocnemii medialis M plantaris Bursamusculisemimembranosi -----f Tibia,CondylusmeOialis M popliteus Tendo M. bicepsfemoris, i,, , Recessus suboooliteus M popliteus M flexordigitorum longus l\4tibialisposterior M flexor hallucislongus l\,4tibialisposterior,Tendo M flexor hallucislongus,Tendo lvl flexordigitorum longus,Tendo M fibularislperoneus] brevis Retinaculum musculorum flexorum f ibularium Retinaculum musculorum superius [peroneorum] Tendo calcaneus F i g .1 3 5 5 M u s c L eos f t h e l e g ; doonoqt lerror > Lowertimb Musclesof the leg l\/ biceps femoris M quadriceps temoris,M vastus lateralis Tractus iliotibialis M fibularis longus lperoneus] M gastrocnemius l\4 tibialisanterior Septumintermusculare crurisanterius l\4 extensor digitorum longus M fibularis[peroneus] brevis M tibialisanterior,Tendo M extensor hallucislongus Tendo calcaneus Retinaculum musculorum extensorum inferius Malleolus lateralis Retinaculum musculorum fibularium superius lperoneoruml M extensor hallucisbrevis Tuber calcanei M fibularis[peroneus] longus,Tendo M. extensor digitorum longus,Tendines Betinaculum musculorum fibularium inferius Iperoneorum] M fibularis[peroneus] brevis,Tendo M extensor brevis diqitorum - T 4 9 , T5 1 > I t+7 F i g . 1 3 5 6 M u s c l e so f t h e L e ga n d t h e f o o t . Topography Thigh Leg 1riginsand insertions of the musclesof the thefootand the leg M. tricepssurae,Tendocalcanous M. extensordioitorumbrevis: M. extensorhallucis brevi6 M. fibularislperoneus]brevis M. fibularislporoneus]tertius M. abductor digitiminimi Mm. interosseidorsalespedis Mm.interosseiplantares M. abductorhallucis Mm.extensoreshallucislongusst brevis Mm.extensorgsdigitorumlonguset brevis F i g .1 3 5 7 O r i g i nas n di n s e r t i o nosf t h em u s c t e s a t t h eb o n e so f t h ef o o t ; dorsaIview. >T4t,T48,T51, T53,T54 > Lowertimb tt Tendonsheaths of thefoot longus M extensordigitorum Lig tibiofibulare anterius Retinaculum musculorum extensorum interius Malleoluslateralis M tibialisanterior,Tendo l\4 extensorhallucislongus Malleolus medialis Vaginatendinismusculitibialisanterioris hallucislongi Vaginatendinismusculiextensoris Retinaculum fibularium musculorum inferius Iperoneorum] Vaginacommunis tendinummusculorum fibularium lperoneorum] M fibularislperoneus] brevis,Tendo l\4 extensor digitorum brevis Tendo M tibialisanterior, quinti Tuberositas ossismetatarsi M extensorhallucisbrevis M abductor digitiminimi Ligg tarsometatarsaliadorsalia f ibularislperoneus] tertius,Tendo (M opponens digitiminimi) I Corpusossismetatarsi M extensor longus,Tendines digitorum l\il extensor hallucisbrevis,Tendo Mm interossei dorsalesoedis lvl extensorhallucislongus, Tendo , a g i n a et e n d i n u m , F i g . 1 3 5 8 T e n d o ns h e a t h sV of the foot T o p o g r a p h yI Se cti o n s Thigh Leg Foot Tendon sheathsof the foot M. extensor hallucislongus,Tendo lvl extensor digitorum longus Vagina tendinum musculi extensorisdigitorum longi Nil fibularis lperoneus]brevis inferius musculorum extensorum Retinaculum Vaginatendinis musculi extensorishallucislongi Fibula l\4 extensor hallucisbrevis M fibularis [peroneus]longus Tendo calcaneus R e t i n a c u l ummu s c u l o r u m fibularium superius Iperoneorum] l\il extensor digitorum longus, Tendines Retinaculum musculorum fibularium inlerius lperoneorum] I/ extensor digitorum brevis Vaginacommunis tendinummusculorum fibularium lperoneorum] M fibularislperoneus] tertius,Tendo brevis,Tendo M fibularislperoneus] F i g . 1 3 5 9 T e n d o ns h e a t h sV , f thefoot. , a g i n a et e n d i n u m o Vaginatendinismusculi tibialisposterioris Vagina tendinis musculi tibialisanterioris Vaginatendinismusculi llexorisdigitorum longi Retinaculum musculorum extensorum inferius Vaginatendinismusculi flexorishallucislongi Vagina tendinis musculi extensorishallucislongi Tendo calcaneus \- Retinaculum musculorum flexorum Vagina tendinis musculi flexoris hallucislongi abductor hallucis, Tendo Vagina tendinis musculi tibialisposterioris /'a M abductor hallucis Vagina tendinis musculi flexorisdigitorum longi M flexor digitorum brevis , f thefoot. F i g . 1 3 6 0 T e n d o ns h e a t h sV , a g i n a et e n d i n u m o > Lowertimb Sunface lSkel.etonl Musclesof thefoot M tibialisanterior,Tendo M extensorhallucislongus lil extensor digitorum longus Malleolusmedialis l\4alleolus lateralis Retinaculummusculorumextensorum inlerius M fibularis[peroneus] brevis,Tendo Retinaculum musculorum fibularium inferius [peroneorum] lvl extensordigitorumbrevis M tibialisanterior,Tendo lM fibularislperoneus] tertius,Tendo M extensorhallucislongus, Tendo l\4 extensor digitorum longus,Tendines M extensorhallucisbrevis M abductordigiti minimi Articulatiometatarsophalanqea hallucis.Caosula articularis- Mm interossei dorsalesoedis )r47,T51,T53 F i g . 1 3 6 1 M u s c t e so f t h e f o o t ; a f t e rr e m o v a o I f t h e t e n d o ns h e a t h s . Muscles Tnpogr a p h y Thigh LeU Foot Musclesof the foot M fibularislperoneus] tertius M tibialisanterior,Tendo [/ extensor longus digitorum M extensor hallucislongus Malleoluslateralis extensorum Retinaculum musculorum inferius l\4 tibularis[peroneus] brevis,Tendo l\4 extensor hallucisbrevis l\il extensor digitorum brevis M fibularislperoneus] tertius,Tendo Nil abductordigiti minimi Mm interossei dorsales pedrs brevis, M extensor digitorum Tendines M extensor digitorum longus, Tendines I F i g . 1 3 6 2 M u s c L eos f t h e f o o t : a f t e rs e c t i o no f t h e i n f e r i o r extensor etinacutum. >T47,T51,T53 > Lowerlimb tt tat"t Hip Musclesof the foot Lig metatarsale transversum superficiale Fasciculitransversi plantaris Aponeurosis (Eminentiaplantarislateralis) (Eminentiaplantarismedialis) Malleolusmedialis M abductor hallucis l\4alleoluslateralis Bursasubcutanea calcanea F i g . 1 3 6 3 M u s c l e so f t h e f o o t ; p L a n t aar p o n e u r o s i sA,p o n e u r o s i ps t a n t a r i s . T o p o g r a p h yI Se cti o n s Thigh Leg Foot 0riginsandinsertionsof the musclesof the footand the leg M. flexordigitorum brevis M flexordigitorum longus M flexorhallucislongus,Tendo M adductorhallucis, Caputtransversum Caputobliquum M adductorhallucis, Mm interosseiplantares l\il abductor hallucis lvl flexor digiti minimi brevis Ossasesamoidea M abductor digiti minimi M abductor hallucis,Tendo M flexor hallucisbrevis t I I + I I al fl Mm interossei dorsalespedis longus M fibularis[peroneus] M tibialisanterior M flexordigitiminimibrevis M abductorhallucis lvl abductor digitiminimi l\4 flexor hallucis brevis t , M adductorhallucis, Caputobliquum M. tibialisposterior M fibularis longus,Tendo lperoneus] M quadratus plantae M abductor digiti minimi M abductorhallucis brevis M flexordigitorum F i g . 1 3 6 1 0 r i g i n sa n d i n s e r t i o n so f t h e m u s c l e s a t t h e b o n e so f t h e f o o t ; plantarview. )T47,T48,T50, T 52-T 54 > Lowertimb Surface lSke[etonl Muscles Hip Musclesof the foot Vaginaetendinum digitorumpedis Parscruciformis Vaginatendinismusculi flexorishallucislongi Parsanularis M flexor hallucislongus,Tendo Mm lumbricales pedislv-l M flexor hallucisbrevis M adductorhallucis, Caput transversum plantaris M interosseus lll l\4 abductorhallucis l\4 flexor digitorumbrevis plantaris Aponeurosis Tuber calcanei F i g . 1 3 5 5 M u s c t e so f t h e f o o t ; t h e p t a n t a ra 0 o n e u r o s i hs a s b e e nr e m o v e d T o p o g r a p h yI S e c t i o n s Thinh I- v :o, n Foot Musclesof the foot flexor hallucislongus,Tendo Vaginaetendinum digitorumpedis M flexordigitorum longus, Tendines M adductor hallucis, Caput transversum M llexordigitorum brevis, Tendines M flexor hallucisbrevis l/m lumbricalespedis lv-l M flexor digitorum longus,Tendo M flexor digiti minimi brevis Vagina plantaristendinis musculi fibularis [peronei]longi M abductordigiti minimi M llexor hallucislongus,Tendo l\il interosseusplantarislll M interosseus dorsalispedislV M fibularis[peroneus]longus,Tendo M abductor hallucis plantae M quadratus l\4 abductor digitiminimi l/ flexordigitorum brevis Tuber calcanei F i g . 1 3 6 6 M u s c l e so f t h e f o o t ; m i d d t eL a y ear f t e r a L m o sct o m p t e t er e m o v a o Lf t h e f t e x o rd i g i t o r u mb r e v i sm u s c L e . ) T 50,T 52-T stl > Lowertimb Surface lSkeletonl Musctes Musclesof thefoot M flexor digitorum longus,Tendines M flexor hallucislongus,Tendo M, flexordigitorum brevis,Tendines l\ilm lumbricalespedis lv-l M adductor hallucis l\4 interosseusdorsalis pedis lll Caputobliquum Mm inlerosseiplantares lll et ll l\4 interosseus dorsalispedislV lvl flexorhallucisbrevis (M opponens digitiminimi) M flexordigitiminimibrevis M abductor hallucis M abductor digiti minimi M flexor hallucislongus,Tendo M libularislperoneus] longus,Tendo plantae M quadratus M flexor digitorum longus,Tendo* M tibialisposterior,Tendo Retinaculum musculorum flexorum Lig plantarelongum M flexorhallucislongus,Tendo* M abductor digiti minimi l\4 abductor hallucis plantaris Aponeurosis f,4 flexor digitorumbrevis ) T 50,T 52-T str Fig. 1367 MuscLesof the foot; oeep rayer. * T h es i t ew h e r et h et e n d o o n f t h ef L e x odri g i t o r u m [ o n g um s usc[e c r o s s etsh et e n d o n o f t h ef t e x ohr a t t u c i[so n g u m s u s c t ies c o m m o n rt ye f e r r etdo a s p t a n t acrh i a s mC, h i a s mpaL a n t a r e Topognaphy Thigh Leg Foot Musclesof the foot Mm.interossei dorsalespedisl-lV F i g . 1 3 6 8 D o r s a Ii n t e r o s s em i u s c L e sM, m i n t e r o s s edi o r s a t e sp e d i s ; dorsaLview. Mm inlerossei p l a n t a r el sl l - l F i g . 1 3 6 9 P L a n t airn t e r o s s em i u s c L e sM, m i n t e r o s s epi L a n t a r e s ; p L a n t avr i e w . > Lowertimb plexus Lumbosacral N, subcostalis R cutaneuslateralis N i l i o h y p o g a s t r i(cTu1s2 ,L 1 ) Plexuslumbalis N i l i o i n g u i n a l i(sT 1 2 , L 1 ) /^. I H, Iemorails N o e n i t o f e m o r a l i(sL 1 . 2') { R. genitalis \ N. cutaneus femoris lateralis(L2, 3) N femoralis (L2-4) (L2-4) N. obturatorius N gluteussuperior(L4,5; Sl ) Truncuslumbosacralis Plexussacralis N .g l u t e u isn f e r i o(r1 5 ;S 1 ,2 ) I N ,f i b u l a r i s tcommunts N. tscnradrcus I ( L a ,5 ; S 1- 3 ) I I \ N. tibialis Plexus coccygeus DC N cutaneus (S1-3) femorisposterior Co (S2-4) N pudendus Nn analeslrectales] inferiores N, coccygeus tredtl N anococcygeus F i g .1 3 7 0 L u m b o s a c raanI dc o c c y g epaLI e x u s , P t e x u[su m b o s a c r a(t P i st e x u[su m b a Lei st s a c r a t i se]t c o c c y g e u s ; s e g m e n t aoIr g a n i s a t i o n fnerves. Thigh Poplitealfossa Leg Foot Nervesof the lower limb N iliohypogastricus N ilioinguinalis N. cutaneus femorislateralis N. genitofemoralis N. femoralis N. gluteussup€rior N. gluteusinferior N obturatorius N. pudendus N. cutaneus lemorisposterior N. ischiadicus N. saphenus N. cutaneussurae medialis N. cutaneussuraelateralis tibularis R. communicans N. saphenus N. suralis N cutaneusdorsalis intermedius N. cutaneus dorsalismedialis N. cutan€usdorsalislateralis N. olantarislateralis N. Dlantaris medialis Nn.digitales dorsalespedis F i g . 1 3 7 1 N e r v e so f t h e l o w e r[ i m b ; overyrew. Fig.1372 Nervesof the lower [imb; overvtew. > Lowertimb Cutaneous innervation S2 DJ S4 DC F i g , 1 3 7 3 S e g m e n t acI u t a n e o u si n n e r v a t i o n ldermatomes] of the lower [imb. F i g , 1 3 7 4 S e g m e n t acI u t a n e o u si n n e r v a t i o (nd e r m a t o m e s ] o f t h e l o w e r[ i m b . Thigh F o p l l t e a if n s s a Leg Fn*t Cutaneous innervation N iliohypogastricus, R cutaneus lateralis N iliohypogastricus, R cutaneus lateralis N cutaneus femoris posterior, Nn clunium inferiores N cutaneus lemorisposterior N femoralis, Rr cutanei anleriores N obturatorius, R cutaneus N obturatorius, R cutaneus N saphenus, R infrapatellaris (N femoralis) N fibularis communrs, N cutaneus surae lateralis (N ischiadicus) N fibularis communrs, N cutaneus suraelateralis (N ischiadicus) N saphenus, Rr cutaneicruris mediales (N temoralis) N saphenus, Rr cutanei cruris mediales (N femoralis) N suralis. N cutaneus dorsalislaleralis N. cutaneus I oorsalls N. fibularisI superficialisl Inlermeolus (N ischiadicus) N..ut"n"r. | \ dorsalismedialis N f i b u l a r ipsr o f u n d u s , Nn digitales dorsalespedis (N ischiadicus) I I Nn lumbales Nn sacrales I I N iliohypogastricus N cutaneus lemorislateralis F i g . 1 3 7 5 C u t a n e o u sn e r v e so f t h e l o w e r L i m b . N genitofemoralis N femoralis I N obturatorius N fibularis N cutaneus femorisposterior N suralis F i g .1 3 7 6 C u t a n e o u n s e r v e so f t h e l o w e r [ i m b > Lowertimb M us c l es Femoraland obturatornerve N iliohypogastricus M psoasmajor N. ilioinguinalis N genitofemoralis N lemoralis N cutaneus femoris lateralis Rr.cutaneianteriores Membrana vastoadductoria F i g .1 3 7 7 F e m o r a a I n d o b t u r a t o rn e r v e ,N n . f e m o r a L i es t o b t u r a t o r i u s ; overvtew; c u t a n e o u si n n e r v a t i o n i L [ u s t r a t ewdi t h p u r p t e . Thigh Poptitealfossa Leg Foot Glutealnervesandsciaticnerve N. gluteussuperior Plexussacralis N gluteusinferior N. ischiadicus N. cutaneus femorisposterior F i g . 1 3 7 8 G t u t e a nI e r v e s N , n . g t u t e i ,a n d s c i a t i cn e r v e ,N . i s c h i a d i c u s ; overvtew; c u t a n e o u si n n e r v a t i o int l u s t r a t e dw i t h p u r p t e > Lowertimb Tibialand fibuLarnerve N ischiadicus N tibialis N fibulariscommunis Arcustendineus musculisolei N suralis N suralis N plantaris lateralis N plantarismedialis F i 9 . 1 3 7 9 T i b i a Ln e r v e ,N . t i b i a t i s ; overvtew; c u t a n e o u si n n e r v a t i o int L u s t r a t ewdi t h o u r o [ e . F i g . 1 3 8 0 F i b u [ a rn e r v e ,N . f i b u t a r i s ; OVCTVIEW: c u t a n e o u si n n e r v a t i o n i[tustrated with purpLe Topography T h i g h F o p t i t e af Io s s a L e g Fuot Arteriesof thelowerlimb A glutea inferiot A femoralis A circumflexa femoris lateralis A circumflexa femoris medialis R ascendens A profunda femoris R descendens AA Aa. perforantes ll; ll;lll) 0""fri?ii?'j A descendens genus R saphenus A poplitea R articularis A superior genus lateralis A inferior genus lateralis A superior medialisgenus Rete articularegenus A inferior medialisgenus A superior m e d i a l igse n u s A superiorlateralis genus A suralis A suralis A inferior m e d i a l i sg e n u s A tibialisposterior A mediagenus A inferiorlateralis genus (A recurrens tibialis posterior) A tibialisanterior A tibialisanterior A fibularis R communicans A fibularis, R pertorans A malleolaris anteriorlateralis A tarsalislateralis A malleolaris anteriormedialis A tarsalis medialis A dorsalis pedis (A arcuata) Aa metatarsales oorsales F i g . 1 3 8 1 A r t e r i e so f t h e L o w e r[ i m b ; overvtew; v e n t r a Iv i e w T h e s e g m e n to f t h e f e m o r a La r t e r yb e t w e e nt h e p o i n tw h e r e t h e d e e pa r t e r yo f t h i g h b r a n c h e so f f a n d t h e p o i n to f e n t r y i n t o t h e a d d u c t o rc a n a [[ * ] i s k n o w nc t i n i c a t Lavs s u p e r f i c i a I femoralarterv. Rr malleolares mediales A plantaris medialis Rr malleolareslaterales A plantarislateralis profundus Arcusplantaris F i g . 1 3 8 2 A r t e r i e so f t h e l o w e r L i m b ; overvtew; dorsaIview. > Lowertimb M us c tes Pelvis Veinsand lymphaticsof the lowerlimb Nodi lymphoidei inguinales sapnenamagna V. saphenaparva F i g . 1 3 8 3a , b overytew V e i n sa n d l y m p h a t i c so f t h e l o w e r [ i m o ; a MediaLview b D o r s a tv i e w V superficialis Valvula V.communicans Valvula V perforans 1 DODD'S veins 2 HUNTER'S vein 3 BoYD's vein 4 V arcuatacrurisposterior 5 SHERMAN'S vein 6 cocKETT'sveins 7 Deepperforatingvein V profunda Fascia Of HACH 8 Popliteal perforating vein 9 MAY'Svein 10 Lateral perforatingvein Fig. 1384a, b Perforatingveins,Vv.perforantes; o v e r v i e w( a c c o r d i ntgo H A C H1,9 8 6 1 . a M e d i a vI i e w b Dorsatview F i g . 1 3 8 5 V e i n so f t h e [ o w e r[ i m b ; p r i n c i p [ eo f o r g a n i s a t i o n . D i s t u r b a n c eosf t h e v e n o u sf [ o w o f t h e l o w e r l i m b ,e s p e c i a t t y v a r i c o s i sa, r e a c o m m o nc a u s eo f v a s c u t a rd i s o r d e r s . l f o n e o f t h e v e n o u ss y s t e m si s e n t i r e t yo c c L u d e dt h, e perforating v e i n sm a y b e o f c r u c i a Ii m p o r t a n c et o m a i n t a i n t h e v e n o u sd r a i n a o e . Hip T o p o g r a p h yI Se c ti o n s Thigh PopliteaIfossa Leg Font Vessels andnervesof the thiqh A femoralisa R cutaneusanterior(N iliohypogastricus) A : V epigastrica superficialis a a i N ilioinguinalis a V femoralis N cutaneus femorislateralis o a Aa : VV pudendaeexternae (N genitofemoralis) B, femoralis (lateralis) o V saphenaaccessoria A ;V circumllexa iliumsuperlicialis a a a V saphenamagna (N femoralis) o Br cutaneianteriores , Rr cutanei(N obturatorius) genus a A descendens , R infrapatellaris(N saphenus) Bete patellarea 1391 F i g . 1 3 8 6 E p i f a s c i avLe s s e l sa n d n e r v e so f t h e i n g u i n a l r e g i o nR , e g i oi n g u i n a t i tsh, e a n t e r i o r e g i o no f t h i g h , R e g i of e m o r i sa n t e r i o r a , n d t h e a n t e r i o rr e g i o no f k n e e , R e g i og e n u sa n t e r i o r . > Lowertimb Surfaee lSkeletonl Musctes Petvis Lymphatics of theinguinalregion Lig inguina V circumflexailium superficialis V epigastricasuperficialis Nodi lymphoideiinguinales superficiales Funiculusspermaticus V saphena magna Vv pudendae externae V saphena accessoria (medialis) V saphena magna M adductor longus F i g . 1 3 8 7 S u p e r f i c i aLI y m p h a t i c sL ,y m p hn o d e s a n d m a j o rv e i n so f t h e i n g u i n arIe g i o nR , e g i oi n g u i n a t i s M, psoas major Nodilymphoidei iliaciinterni Nodi lymphoideiiliaciexterni, Nodi laterales A ; V i l i a c ai n t e r n a Nodi lymphoideiiliaciexterni, Nodi mediales Rectum A;V iliacaexterna Ovarium Uterus Nodi lymphoideiinguinales superficiales,Nodi superolaterales Vesicaurinaria Lig inguinale Nodi lymphoideiinguinales superficiales,Nodi superomediales Hiatus saphenus Nodi lymphoideiinguinales, (Nodi profundi) Nodi lymphoideiinguinales supediciales,Nodi inferiores F i g . 1 3 8 8 D r a i n i n ga r e a so f t h e L y m p hn o d e si n t h e i n g u i n arLe g i o nR , e g i oi n g u i n a L iosf,t h e f e m a L e ; overvtew. T h e a r r o w si n d i c a t ep o s s i b Ldei r e c t i o n so f t h e f t o w o f t y m p h . * I n s o m eT a r ec a s e st ,h em e d i apI a r t so f t h eu t e r i n teu b ea n d t h ef u n d u so f t h eu t e r u sm a yb ed r a i n e bd ys u p e r f i c i[aytm p hn o d e s i n t h ei n g u i n ar e I g i o vn i at h er o u n dL i g a m eonftu t e r u s Hip T o p o g r a p h yI Se c ti o n s Thigh PoptiteaI fossa Leg Foot Vessels andnervesof theinguinalregion 0 M psoas major M iliacus O t (M psoasmino0,Tendo N femoralis t Arcusiliopectineus Lig inguinale OaA;Vfemoralis (Nodus lymphoideuslacunarismedialis)" Lig lacunare** Fascia lata a V, circumflexailium superficialis Lig pubicumsuperius a V epigastrica superficialis Fascialata Cornuinferius a W pudendae externae V saphena magna O F i g .1 3 8 9 S a p h e n o uosp e n i n gH, i a t u ss a p h e n u s , a n dv a s c u t asr p a c e L, a c u n av a s o r u m ; a f t e rr e m o v aoI f t h e a n t e r i o ar b d o m i n a L w aa[nLdt h e c o n t e n t so f t h e a b d o m e n a, s w e [ La s d i s s e c t i o n of the i t i a cf a s c i aa n d t h e f e m o r a t s e p t u ml c l o o u r r ] * A t s oR : o S E N M U L LnEoR d 'es * * A t s oG : I M B E R N [Ai gTa' sm e n t Vaginamusculirecti Laminaanterior abdominis, a M obliquusexternus Aponeurosis abdominis, femorislateralis cutaneus Spina iliaca anteriorsuDerior Lig inguinale M iliopsoasO , N genitofemoralis, R femoralis aoA;Vlemoralis Septum femorale (Nodi lymphoideilacunares) N femoralis.. Arcusiliopectineus Lig lacunare Funiculus spermaticus (Bursa iliopectinea) Lig inguinale M ilioosoas.Tendo a Tuberculum pubicum pubica Symphysis Lig pectineum Membrana obturatoria M pectineus o Canalisobturatorius $ N obturatorlus a a V;A obturatoria F i g ,1 3 9 0 M u s c u t aar n dv a s c u t asr p a c e , L a c u n a em u s c u t o r u me t v a s o r u m ; o b t i q u es e c t i o na t t h e l e v e to f t h e i n g u i n a ILi g a m e n t . > Lowertimb $urface lSkeletonl Vessels and nervesof the thigh O A iliaca externa N femoralis. a V iliaca externa cutaneus femoris lateralis : a A iliaca interna Lig inguinale A circumflexailium profunda O M iliacus& I M pectineus N femoralis: a V saphena magna A profundafemoris a : R muscularis(N femoralis) A, femoralis* O . V femoralis l\4 tensor fasciae latae S C lvl adductorlongus M rectuslemorisi s N4gracilis G l\4 sartorius l\4 vastuslateralis a a M vastus medialis R articularis a (A descendens genus) 1154 11 5 6 Rete patellarea Lig, patellae F i g . 1 3 9 1 V e s s e Lasn d n e r v e so f t h e a n t e r i o rr e g i o no f t h i g h R e g i of e m o r i sa n t e r i o r ; a f t e r r e m o v a L otfh e f a s c i a[ a t ae x c e o tf o r t h e i I i o t i b i a L t r a c t . * C [ i n i c a [ [t yh e f e m o r a t a r t e r yi s c o m m o n [ yr e f e r r e dt o a s s u p e r f i c i a t f e m o r a Ia r t e r y t o d i s t i n g u i s hi t f r o m t h e d e e pa r t e r y o f t h i g h Muscles To p o g r a p h yI S e c ti o n s Thigh PopliteaIfossa [-eg Fc*t Vesse/s and nervesof the thiqh N obturatorius N cutaneuslemoris lateralis : N temoralis M i l i a c ua s a A femoralis * l\4 pectineus (A obturatoria) a R acetabularis a R anterior(A obturatoria) ., N. obturatorius A circumflexafemoris lateralisa femorismedialis o A circumtlexa A profunda femoris a a R superficialis (A circumflexa femorismedialis) M sartorius A R descendens a (A circumflexa femoris lateralis) o V femoralis a A femoralis M rectusfemorisi ,, R cutaneus(N obturatorius) ; N saphenus R m u s c u l a r(i N s femoralis) vastoadductorium* Septumintermusculare li M gracilis N saphenus M vastusmedialist I l\4 sartorius R articularis(A descendensgenus) O Fig.1392 Vesselsand n e r v e so f t h e a n t e r i o rr e g i o no f t h i g h , R e g i of e m o r i sa n t e r i o r ; a f t e r p a r t i a Ir e m o v a o I f t h e s a r t o r i u sm u s c [ ea n d d i s s e c t i o n of t h e p e c t i n e u sm u s c l e . + T h ee n t r a n c ei n t ot h e a d d u c t o cr a n a Ii s f o r m e db y t h e v a s t u sm e d i a [ i s a n d a d d u c t o [r o n g u sm u s c l e sa s w e t l a s b y t h e a n t e r o m e d i a L se intermuscuLa r p t u ms p a n n i n gb e t w e e nt h e m > Lowertimb SurrfaeelSkeletonl I/esselsand nervesof thethigh .. N obturatorius V iliaca externa a o V saphena magna A iliaca externa a a A circumflexafemoris medialis N femoralis i M i l i a c ucs o V femoralis A profunda femorisa o V profunda femoris R ascendens O A circumflexa femoris lateralis c} M adductorbrevis R descendens a c N4adductorlongus a A pertorans (N femoralis) Rr musculares , M rectustemoris$ R cutaneus(N obturatorius) s l\4 adductorlongus A perforans a o V femoralis * M gracilis l\il vastus lateralis I R muscularis(N femoralis) , M rectus femoris €t I M adductor magnus a A femoralis Hiatus adductorius vastus medialis fl O A descendens genus, R saphenus N saphenusa, O l\4 sartorius genus a A superiormedialis A poplitea genusa Retearticulare genus o A inferiormedialis 1'l5I+ 11 5 6 11 5 9 t, t'- V 1392 1408 F i g . 1 3 9 3 V e s s e Lasn d n e r v e so f t h e a n t e r i o rr e g i o no f t h i g h , R e g i of e m o r i sa n t e r i o r ; d e e pl a y e ra f t e r p a r t i a Lr e m o v a o I f t h e s a r t o r i u sa n d r e c t u sf e m o r i s m u s c l e s t, h e p e c t i n e u sa n d a d d u c t o rl o n g u sm u s c t e sh a v eb e e n d i s s e c t e d ; t haed d u c t ocr a n a L i s a L m o set n t i r e Loyp e n e d . Muscles Topography I Sections Thigh PoptiteaI fossa Leg Foot Arteriesof thepelvisand thehip Aorta,Bifurcatioaortae A. iliacacommunis A. iliaca interna A. epigastricainferior A epigastricasuperficialis R. obturatorius A circumflexailiumsuperficialis R. pubicus A. femoralis Lig.inguinale Aa. pudendaeexternae R. ascendenset R. transversus R. acetabularis R. ascendens R. anterior A. profundafemoris R. posterior A. circumflexafemorislateralis A. obturatoria R. transversus R. acetabularis A. circumflexafemorismedialis R. profundus R. descendens R. superficialis Aa perforantes R descendens Fig.1394 Arteriesof the hipandthe thigh; overvtew. patternof thesearteriesvariesconsiderab[y. Thebranching T h i st y p eo f o r i g i na n da r b o r i s a t i oonf t h ed e e pa r t e r yo f t h i g h occursin approximate[y 58%of cases. A. lumbalis V Parsabdominalisaortae lAortaabdominalisl A. sacralismediana A. iliacacommunis A. iliacaexterna A iliacainterna A. gluteasuperior Caputfemoris A. obturatoria F i g .1 3 9 5 A r t e r i e o s f t h ep e t v ias n dt h et h i g h ; d i g i t asI u b t r a c t i oann g i o g r a p h I Dy S A I . > LowerLimb Surface lSketetonl Muscles Veinsand nervesof the thigh (Ll -L3) Nn cluniumsuperiores (N iliohypogastricus) R culaneuslateralis N n c l u n i u mm e d i i ( S 1 - S 3 ) Sulcusglutealis (N cutaneus Nn cluniuminferiores temorisposterior) N cutaneus femorislateralis Fascia lata R cutaneus(N obturatorius) femorisoosterior N cutaneus V saphena magna V saphenaparva F i g , 1 3 9 6 E p i f a s c i avte i n sa n d n e r v e so f t h e p o s t e r i o r e g i o n o f t h i g h ,R e g i of e m o r i sp o s t e r i o rt,h e g L u t e arIe g i o n . R e g i og L u t e a I i sa,n d t h e p o p l . i t e af ot s s a ,F o s s ap o p L i t e a . Crista iliaca Soina iliaca anteriorsuoerior Spinailiacaposterior superior Cristasacralismediana (Foramen suprapiriforme)Foramen N gluteussuperior ischiadicum (Foramen infrapiriforme) maJus Foramenischiadicum majus N ischiadicus N gluteus inferior M piriformis N pudendus Lig sacrospinale Trochantermajor N cutaneus femorisoosterior Tuberischiadicum Lig sacrotuberale Tuberischiadicum F i g . 1 3 9 7 S k e t e t o nc o n t o u ra n d s c i a t i cn e r v e , N . i s c h i a d i c u sp,r o j e c t e do n t ot h e s u r f a c eo f t h e g t u t e a Lr e g i o n ,R e g i og t u t e a t i s . Thigh PopliteaIfossa Leg Foot Vessels andnervesof the thigh a M gluteusmedius,Fascia N n c l u n i u mm e d i i ( S 1 - 5 3 ) : r M gluteusmaximusa is Nn cluniuminferiores (N cutaneus femorisposterior) Tractusiliotibialis femorisoosterior * N cutaneus M gracilisI M semitendinosus a a M.vastuslateralis M. semimembranosus a a M bicepsfemoris V popliteao M semimembranosus a * N tibialis d N. fibulariscommunis A. popliteaa suraelateralis {i N cutaneus (N fibularis communis) M gastrocnemius a N cutaneussuraemedialist a V saphena parva a M biceps femoris, Tendo F i g . 1 3 9 8 V e s s e t sa n d n e r v e so f t h e g L u t e arLe g i o n , R e g i og t u t e a t i st,h e p o s t e r i o r e g i o no f t h i g h ,R e g i of e m o r i s p o s t e r i o ra, n d t h e p o p t i t e aflo. s s a ,F o s s ap o p [ i t e a . > Lowertimb Muscles Vessels and nervesof the thigh (L1-L3) " Nn cluniumsuperiores N n c l u n i u mm e d i i( S 1 - S 3 ) { , (Fascia glutea) o M gluteusmaximus N n c l u n i u mi n f e r i o r e s , (N cutaneus femoris posterior) ,r N ischiadicus N cutaneus femorisposterior t, a A perforans e lvl bicepsfemoris,Caputlongum N t i b i a l i,s, semitendinosus I a Aa,perforanles Hiatusadductoris N fibularis communis M. gracilisC l\4 semimembranosus a A popliteaa l\il sartorius O V popliteao ,. N cutaneussuraelateralis N cutaneussuraemedialis A superiormedialis genusa (N tibialis)* Rr musculares M gastrocnemius, |l Caputmediale N .s u r a l i s Caputlaterale O M gastrocnemius, r400 13 9 8 F i g . 1 3 9 9 V e s s e l sa n d n e r v e so f t h e g l u t e a Ir e g i o n ,R e g i og l u t e a [ i s , t h e p o s t e r i o r e g i o no f t h i g h ,R e g i of e m o r i sp o s t e r i o r , a n d t h e p o p t i t e afLo s s a ,F o s s ap o p L i t e a ; t h e l o n g h e a do f t h e b i c e p sf e m o r i sm u s c [ eh a s b e e nr e t r a c t e d IateraLty. I n t h i s s p e c i m e nt ,h e m e d i a L a n[da t e r a I s u r a I c u t a n e onuesr v e sb r a n c h o f f q u i t ef a r p r o x i m a t L y Thigh Poptitealfossa Leg and nervesof the thigh Vessels A glutea superior,R superticialis1 * M gluteusmedius M gluteusmaximuso I M piriformis superior a l\4 gemellus internus c M obturatorius c lvl gemellusinferior N gluteus inferiok O R ascendens (A. circumflexa femoris medialis) A gluteainferior a a R superficialis(A circumflexa femoris medialis) A ; V p u d e n dian t e r n a o a M. quadratus temoris N cutaneus Iemorisposterior N ischiadicus* a A perforans a M. adductormagnus (N tibialis)* Br musculares M bicepstemoris,Caputlongums O Aa perforantes M semitendinosus o o M bicepstemoris,Caputlongum t l\il biceps lemoris, Caput breve M semimembranosusa V popliteao communis !, N fibularis N cutaneus surae medialis : V saphenaparvaa F i g . 1 4 0 0 V e s s e Lasn d n e r v e so f t h e g t u t e a Ir e g i o n ,R e g i og L u t e a l ' i s , t h e p o s t e r r or e g i o no f t h i g h ,R e g i of e m o r i sp o s t e r i o r , a n d t h e p o p L i t e af oI s s a ,F o s s ap o p L i t e a ; o f t h e g L u t e u sm a x i m u sm u s c l ea n d t h e L o n gh e a d a f t e rd i s s e c t i o n o f t h e b i c e o sf e m o r i sm u s c L e 1399 11113 '14'lIr > Lowertimb Hip Vessels and nervesof theglutealregion Trigonum lumbale l, R cutaneus lateralis(N iliohypogastricus) Rr profundia a (A ; V.gluteasuperior) abdominis a M obliquusexternus Cristailiaca N gluteussuperior& a M gluteusmedius s inimus a M .g l u t e u m N gluteusinferior* a M gluteusmedius A;Vgluteainferioraa I M gluteusmaximus lVI.gluteusmaximusI o M piriformis cutaneus temorisposterior {t superior a M gemellus N. ischiadicusE internus a M. obturatorius a l\4.gemellusinferior A ; V. pudenda interna a a Lig sacrotuberale a M obturatoriusexternus femoris a M quadratus Trochanter minor Rr.profundi(A circumflexa femorismedialis) O a M adductormagnus F i g . 1 4 0 1 V e s s e t sa n d n e r v e so f t h e g t u t e a lr.e g i o n ,R e g i og l . u t e a l . i s ; a f t e rd i s s e c t i o n a n d p a r t i a Ir e m o v a o I f t h e g l u t e u sm a x i m u sa n d m e d i u sm u s c L e s ; t h e s c i a t i cn e r v eh a s b e e nr e m o v e da f t e r i t s p a s s a g et h r o u g ht h e i n f r a p i r i f o r mf o r a m e n Crista iliaca Spinailiacaanteriorsuperior M gluteusmedius gluteussuperior N. ischiadicus Trochantermajor Fig.1102 VentrogtuteaI injection(accordingto v HOCHSTETTERJ. a n d t h e p a l m o f t h e h a n do n t h e g r e a t e rt r o c h a n t e rS. i n c et h e I n o r d e rt o a v o i dt h e s u p e r i o rg I u t e a In e r v ea n d ,i n p a r t i c u l . a r , i n j e c t e dm a t e r i a Is h o u I db e d e p o s i t e d w i t h i nt h e b e t | . oy f t h e t h e s u p e r i o rg t u t e a Ia r t e r yt h e i n j e c t i o ni s m a d e i n t ot h e g l u t e u sm e d i u sm u s c l ea s f a r a w a ya s p o s s i b l ef r o m a n yv e s s e l , t r i a n g u [ a rf i e t df o r m e db y t h e t w o s p r e a df i n g e r sa n d t h e i l . i a c t h e n e e d t es h o u t dn o t c r o s st h e [ i n e so f t h e t r i a n g t e H . owever, c r e s t .T h e i n d e xf i n g e r- o r w h e n u s i n gt h e r i g h t h a n d ,t h e s o m e r i s k r e m a i n sf o r t h e n e r v eb r a n c ht h a t r u n s f r o m t h e m i d d [ ef i n g e r- i s p t a c e do n t h e a n t e r r o rs u p e r i o ri L i a cs p i n e s u p e r i o rg t u t e a In e r v et o t h e t e n s o rf a s c i a el a t a em u s c L e . Topography Thigh PopliteaIfossa Leg Foot Veinsandnervesof the leq V saphena magna N saphenus V saphena parua R infrapatellaris (N saphenus) N cutaneus surae lateralis (N fibularis communrs) N saphenus V perforans V pedorans* Rr cutanei crurismediales (N saphenus) Rr cutaneicrurismediales (N saphenus) N cutaneus suraemedialis (N tibialis) V saphena parua (V arcuatacrurisposterior) R communicans fibularis N suralis Fasciacruris Fasciacruris Rr cutaneicrurismediales (N saphenus) V marginalis lateralis Arcusvenosus dorsalispedis N fibularis superficialis N cutaneus dorsalismedialis cutaneus dorsalis intermedius Rete venosum dorsale pedis V marginalismedialis V saphena parva 13 8 6 + I :-;' ' - ' - F i g . 1 4 0 3 E p i f a s c i avle. i n sa n d n e r v e so f t h e [ e g a n d t h e f o o t ,R e g i o n e cs r u r i s e t p e d i s . N cutaneus dorsalis (N suralis) lateralis 1396 *k veinsand nervesof the [eg Fig, 1t Ot, Epifascial. a n d t h e f o o t ,R e g i o n e sc r u r i se t p e d i s ; t h e d e e pf a s c i ao f [ e g h a s b e e nd i s s e c t e d proximatty. * C t i n i c at eI r m :M A Yv' se i n > Lowertimb Vessels andnervesof the leg o (V femoropoplitea) V saphena magna a V saohena oarva O A. popliteaa & N tibialis Nodi lymphoideipopliteiprofundi a V. poplitea Vasa lymphaticasuperficialia Fasciacruris M gastrocnemiusil a V saphenaparua V saphenamagnaa F i g . 1 4 0 5 V e s s e Lasn d n e r v e so f t h e p o p t i t e afIo s s a , Fn<<a nnnlitaa. a f t e rd i s s e c t i o n o f t h e d e e pf a s c i ao f l e g a n d p a r t i a Ir e m o v a l o f t h e s m a t [s a p h e n o uvse i n . .: Fasciacruris Septum intermusculare crurisanterius 1 Compartimentumcruris anterius: A ;V tibialisanterior profundus N fibularis l\il tibialisanterior lvl extensordigitorumlongus lvl extensorhallucislongus l\/ fibularis tertius lperoneus] 3 Compartimentumcruris posterius,Pars profunda: A;Vtibialisposterior A ; V fibularis N .t i b i a l i s l\4.llexordigitorum longus l\4.tibialisposterior M llexorhallucislongus 2 Compartimentumcruris laterale: N fibularissuperficialis l\4 fibularis longus [peroneus] Nl fibularis brevis Iperoneus] 4 Compartimeniumcruris posterius,Pars superficialis: lV tricepssurae l\4 plantaris Tibia Septum intermusculare crurisposterius Membrana interossea crufls V saphena magna N saphenus Fascia cruris N cutaneus suraemedialis V saphenaparua F i g . 1 4 0 6 O s t e o f i b r o ut su b e so f t h e l e g ; c r o s s - s e c t i osnu p e r i o rt o t h e m i d d t eo f t h e l e g T h e s eo s t e o f i b r o utsu b e st o g e t h e rw i t h t h e i r c o n t e n t s a r e c t i n i c a [ Lkyn o w na s c o m p a r t m e n t s * Deeppartof thedeepfasciaof leg Topography Thigh Poptitealfossa Leg Fnot Vesselsof the leg Caput fibulae Tuberositastibiae longustD M fibularislperoneus] i* M tibialisanterior (Noduslymphoideus tibialisanterior) Vasa lymphaticaprofunda Tibia, Facies medialis W tibialesanteriores a a lvl tibialisanterior,Tendo A tibialisanterior a M extensor hallucislongus o longus$ M extensor digitorum inferius extensorum musculorum Retinaculum MalleolusIateralis 13 9 1 *t!* l!l A b b . 1 4 0 7 V e s s e t so f t h e a n t e r i o rr e g i o no f t e g , R e g i oc r u r i sa n t e r i o r ; t h e e x t e n s o rm u s c t e ss p r e a db y r e t r a c t o r s . T h e s u p e r f i c i atty m p h a t i c sr e g u t a r t yf o t l o wt h e m a j o re p i f a s c i a I v e i n sa n d c o n v e r g ea L o n gt h e g r e a ts a p h e n o u vs e i nt o t h e . h e d e e pl y m p h a t i c sa r e f o u n dw i t h i n m e d i a ts i d eo f t h e L e gT t h e c o n n e c t i v tei s s u es h e a t h so f t h e d e e pa r t e r i e sa n d v e i n so f the Leg. > Lowerlimb M us c l es Arteriesand nervesof the leg A superiorlateralis genuso A inferiorlateralis genusa genus a A superiormedialis genus a Betearticulare N fibulariscommunis M fibularis[peroneus]longus * Lig patellae M extensor digitorum longus* A recutrens tibialisanteriora N libularisprofundus: O A tibialisanterior N fibularis superticialis , M fibularis[peroneus]longus S lvl extensordigitorumlongus{ I lvl tibialisanterior N libularissuperficialis i fibularisprofundus M fibularis[peroneus]brevis G O l\il extensor hallucislongus M. extensor digitorum longus O A libularis, R perforansa Retinaculum musculorum extensorum inferius Rete malleolarelateralea A malleolarisanterior lateralisa ; N fibularisprofundus a A dorsalispedis l\4 extensor digitorum brevis * fibularis[peroneus]tertius,Tendo * , Nn digitalesdorsales pedis a Aa metatarsales dorsales 13 9 1 1392 A 1416 I" 'lI+07 F i g . 1 4 0 8 A r t e r i e sa n d n e r v e so f t h e a n t e r i o rr e g i o no f l e g , R e g i oc r u r i sa n t e r i o r a , n d t h e d o r s u mo f f o o t ,D o r s u mp e d i s ; a f t e rr e m o v ao I f t h e d e e pf a s c i ao f t e ga n d d i s s e c t i o n of the extensor d i g i t o r u ml o n g u sa n d f i b u [ a r i s[ p e r o n e u s[]o n q u sm u s c t e s . To p o g r a p h yI S e cti o n s Thigh PoptiteaIfossa Leg Foot Arteriesandnervesof thepoplitealfossa M gracilisa a l\4 bicepsfemoris M semitendinosus O M semimembranosus o {* N tibialis V popliteaO communis & N. fibularis A popliteaa genus a A. superiorlateralis genusa A. superiormedialis suraelateralis t N. cutaneus V saphenaparvaa a Aa.surales Rr musculares (N tibialis)$ E N cutaneussuraemedialis M gastrocnemius, Caputmedialea communis * N fibularis a M bicepsfemoris, Tendo M gastrocnemius, Caputlateralea Fig.lt 09 VesseLs and nervesof the poptiteaL fossa,Fossapopl.itea; a f t e r r e m o v a I o ft h e f a s c i a[ a t aa n d t h e d e e of a s c i ao f t e o . A perforans M semimembranosus M semitendinosus M biceps femoris l\4 gracilis Femur, Facies poplitea genus A descendens A superiormedialis genus genus A superiorlateralis M semimembranosus M. bicepsfemoris A. media genus A poplitea M gastrocnemius,Caput mediale M plantaris M gastrocnemius, Caputlaterale Aa surales genus A inferiorlateralis genus A. inferiormedialis lvl popliteus M. soleus M soleus (A recurrens tibialisposterior) A tibialisanterior (Truncustibiofibularis) A tibialisposterior F i g . 1 4 1 0 A r t e r i e so f t h e p o p t i t e afIo s s a ,F o s s ap o p L i t e a ; d e m o n s t r a t i o on f t h e a r t e r i a Is u p p t ya f t e r p a r t i a I M soleus A. fibularis r e m o v ao I f t h e c o v e f l n gm u s c L e s . g a t t e r ni s f o u n di n a b o u t9 0 %o f t h e c a s e s . T h i sb r a n c h i n o > LowerLimb Surface lSkel.etonl [/esselsandnervesof thepoplitealfossaand the leg I M biceps femoris M semitendinosus I { N tibialis A popliteaa a V poplitea a V saphenaparua lvl semimembranosus Q a M gastrocnemius,Caput laterale aOA;V suralis (N tibialis) , Rr musculares A :V suralia s a N fibulariscommunis M gastrocnemius,Caput mediale * genusO A inferiormedialis W tibialesposteriores o f lvl soleus Arcustendineus musculisolei M plantaris,Tendo * I M gastrocnemius longus O l\4 fibularislperoneus] N tibialis , brevis I lM fibularis[peroneus] A ;V tibialisposterior a a NI tibialisposterior, Tendo6 Malleolus lateralis Retinaculum musculorum f lexorum 1400 Tendo calcaneus 1 fibularium Relinaculum musculorum superius Iperoneorum] 11,13 ,, 'lI+Ol+ "I t F i g . 1 1 1 1 V e s s e t sa n d n e r v e so f t h e p o p l i t e afLo s s a ,F o s s a p o p t i t e aa, n d t h e p o s t e r i o r e g i o no f L e g R , e g i oc r u r i s p o s t e r i o r ; F i g . 1 1 1 2a - d V a r i a t i o n si n t h e b r a n c h i n gp a t t e r no f t h e p o p t i t e aaLr t e r y ,A . p o p [ i t e a . a C o m m o nt r u n ko f t h e a n t e r i o ar n d p o s t e r i otri b i a L a r t e r y , A a . t i b i a t e sa n t e r i o re t p o s t e r i o ra, L o n gw i t h t h e f i b u t a r a r t e r y ,A . f i b u t a r i s b T h e p o p t i t e aaLr t e r y ,A p o p t i t e ab, r a n c h e so f f p r o x i m a L [t yo L u s c L eM t h e s u p e r i o rb o r d e ro f t h e p o p t i t e am , . popLiteus. c P o s t e r i o tri b i a L a n df i b u L a ar r t e r y ,A a .t i b i a l . i ps o s t e r i o r e t f i b u [ a r i so, r i g i n a t ef r o m a c o m m o np r o x i m a tI r u n k . d T h e a n t e r i o rt i b i a Ia r t e r y ,A t i b i a L i a snterior, p a s s e sv e n t r a I Ltyo t h e p o p L i t e amI u s c [ e ,M p o p [ i t e u s . of the a f t e r r e m o v a L otfh e d e e pf a s c i ao f L e ga n d d i s s e c t i o n o a s t r o c n e m i um s uscte - Lo/o -30k - 1To MuscLes T opog r a p h yI S e c ti o n s ThiEh Poplitealfossa Leg Fc*t fossaand the leg Vessels andnervesof thepopLiteal 1 N fibulariscommunis ; N tibialis A i n f e r i o rm e d i a l i sg e n u s a A popliteaa M soleus& A libialis posterior O N tibialis r M tibialisposterior s M llexordigitorum longus{F A tibialisposterior a * M flexor hailucislongus N tibialis; M tibialisposterior,Tendo * Malleolus lateralis lvlalleolusmedialis Retinaculum musculorum flexorum musculorum fibularium Retinaculum superius lperoneorum] Tendocalcaneus i .:\ 1398 F i g . 1 4 1 3 V e s s e Lasn d n e r v e so f t h e p o p l i t e afIo s s a ,F o s s a , e g i oc r u r i s p o s t e r i o r ; p o p t i t e aa, n d t h e p o s t e r i o r e g i o no f L e g R deep layer. > Lowertimb $unface lSke[etonl Arteriesand nervesof the leg A popliteao inferiormedialisgenus a N tibialis t M plantaris l\4 popliteus * A tibialisanteriorO (Truncus tibiofibularis) a * M soleus M soleus dt M tibialisposteriorI A. tibialisposterior a a A fibularis N tibialis l\4 flexordigitorum longus& f M fibularis[peroneus]longus o l\4 llexor hallucislongus A tibialisposteriora brevis s [/] fibularis[peroneus] lvl tibialisposterior,Tendo @ Rr malleolaresmediales a M flexor hallucislongus,Tendo * a Rr malleolareslaterales Tendo calcaneus Rr calcanei O a Retecalcaneum F i g . 1 1 1 1 A r t e r i e sa n d n e r v e so f t h e p o p l i t e afIo s s a ,F o s s a p o p I i t e aa, n d t h e p o s t e r i o r e g i o no f L e g R , e g i oc r u r i s p o s t e r i o r ; d e e o e s lt a v e r . Muscl"es To p o g r a p h yI Se cti o n s Thigh Poptitealfossa Leg Foot Veinsandnervesof the foot t: N saphenus , N cutaneus surae medialis (N tibialis) N fibularissuperficialis a V saphena magna Malleolusmedialis Malleoluslateralis o V saphenamagna N cutaneusdorsalismedialis , N. saphenus N culaneusdorsalisintermedius V saohenaparvao medialis o V maroinalis cutaneus dorsalis lateralis a V pertorans V marginalislateralisO Nn digitales t N tibularisprofundus, rl^rcalac Arcusvenosusdorsalispediso Vv digitalesdorsales pedis a Nn digitalesdorsales pedis F i g , 1 4 1 5 E p i f a s c i avLe i n sa n d n e r v e so f t h e d o r s u mo f f o o t , D o r s u mp e d i s . na.lic > L o w e rt i m b Surface lSkeletonl Musctes Arteriesand nervesof the foot M extensor digitorum longusfi s M tibialisanterior,Tendo l\4 extensorhallucislongus* o A malleolarisanterior medialis R perforans(A fibularis)a A tibialisanlerior a A malleolarisanterior lateralisa a Rete malleolaremediale a A malleolarisanteriormedialis Rete malleolarelateralea ; N fibularisprolundus (N fibularisprofundus) * Rr musculares L4mextensores digitorum et hallucisbrevisO a Aa tarsalesmediales A tarsalislateralis a a A dorsalispedis (A arcuata)a profunda o A plantaris Aa metatarsales dorsalesa |) l\4 extensor hallucisbrevis,Tendo a M extensor hallucislongus,Tendo ', Nn digitalesdorsales pedis Aa digitalesdorsales a 1408 ,r-l: /1,' 'lI+15 F i g , 1 1 1 6 A r t e r i e sa n d n e r v e so f t h e d o r s u mo f f o o t . D o r s u mo e d i s . Topography I Sections Thigh PopliteaIfossa Leg Foot Aa digitalesplantarespropriae Aa. digitalesplantarescommunes Aa metatarsalesolantares A. plantarisprofunda(A. dorsalispedis) Arcusplantarisprofundus R superficialis R. profundus A. olantarismedialis A olantarislateralis A. tibialisposterior Fig. 1117 Arteriesof the soteof foot, Planta; overytew. 27 To 26 o/o F i g .1 4 1 8a - d V a r i a t i o ni nst h ea r t e r i asI u p p Loyf t h es o l eo f f o o t ,P t a n t a . a Dorsalispedisartery,A. dorsatispedis,as majorsupptyfor t h ed e e pp l a n t aar r c hA , r c u sp t a n t a r ipsr o f u n d u s b Posterior tibiaLartery,A. tibiatisposterior, as majorsuppl.y for the deepptantararch,Arcusptantaris profundus c Thefifthtoeand[ateraIpartsof thefourthtoearesupp[ied by r ,h e r e atsh e t h ep o s t e r i ot irb i a a I r t e r yA, . t i b i a t i p s o s t e r i ow o/o 13 Vo mediatty locatedtoesreceive theirarteriatsuppty remaining throughthe dorsalispedisartery,A. dorsatispedis. Thefifthandfourthtoeaswet[as lateraIoartsof thethird l .r t e r yA, .t i b i a t i s t o ea r es u p p t i ebdyt h ep o s t e r i ot irb i a a posterior, mediaLl.y locatedtoes whereasat[ remaining throughthedorsatispedis receive theirarteriaIsuppl.y artery,A. dorsatispedis. > Lowertimb Surface lSkel.etonl Musctes Arteriesand nervesof thefoot plantares propriaea Aa digitales plantares proprii:: Nn digitales Nn digitates.i ptanlarescommunes Aa metatarsales plantares a N plantarislateralis,*, R superficialis plantaris proprius a N digitalis plantaris Aponeurosis Retinaculum musculorum f lexorum Rr calcanei mediales (N tibialis) { N plantarismedialis a A tibialisposterior N plantarislateralis Fi1.1119 Arteries and nervesof the soteof foot, Ptanta T o p o g r a p h yI Se cti o n s Thigh Poplitealfossa Leg Foot Arteriesandnervesof the foot M flexordigitorum brevis,Tendines a o Aa digitalesplantarespropriae plantares communes o Aa.digitales o M flexor hallucislongus,Tendo Nn. digitales € planlarescommunes a M flexor hallucisbrevis longus a M. flexordigitorum a M. abductorhallucis a M quadratusplantae .9 (B cutaneus) A. plantarislateralisa medialis s N plantaris M abductor digitiminimia Betinaculum musculorum flexorum ADoneurosis olantaris * (R muscularis) M flexordigitorum breviso a A tibialis posterior lateralis & N. olantaris o M. abductorhallucis* Retecalcaneum a) 1t+13 1t+21 Fig.112O Arteries and nervesof the so[e of foot, Ptanta; oeep rayer. * ThedistaIextension space of themediaIretromatteolar beneath theabductor hallucismuscteis atsoknownastarsaI tunne[. 1419 > L o w e rt i m b Surfnc* lSkeletcnl Arteriesof the foot plantares proprii Nn digitales e M flexor hallucislongus.Tendo Nn digitalesplantares : communes * Caputtransversum I I a caputobtiquum ) plantares Aa metatarsales a M adductorhallucis C [,,]flexorhallucisbrevis profundus Arcusplantaris a o R perforans* , f R. superficialis I N plantaris lateralis 1t \ H. proTunous a A plantarismedialis,R superticialis c lvl flexor hallucislongus,Tendo l\4 adductor hallucis,Caput obliquum {l o M llexor digitorum longus,Tendo A plantarislateralisa 6 l\4 quadratusplantae lvl abductordigiti minimi I o M abductor hallucis ,' N. plantaris medialis flexordigitorum brevisa Retinaculum musculorum tlexorum plantaris Aponeurosis a A tibialisposterior Rete calcaneum a 1r+1l+ tI t, 1I+20 Fig,It21 doonoci A r t e r i e sa n d n e r v e so f t h e s o L eo f f o o t ,P t a n t a ; larrer + A n a s t o m o s iws i t h t h e d o r s a [ i sp e d i sartery Muscles To p o g r a p h yI Se rtro rrs T h i q h P n p l i t e a I f o s s aL e U F o o t of the foot Compartments / : / t''r'/'''' N fibularissuperficialis V saphena magna Fascia dorsalis pedis N fibularisprofundus M extensor digitorum longus,Tendines A dorsalispedis M extensordigitorum brevis l\4 extensor hallucislongus, Tendo Ossametatarsi Lig plantarelongum (Septa longitudinalia) plantaris Aponeurosis l\4 flexor hallucislongus,Tendo Fig. 1122 Compartmentsof the foot; qionuriqo r ** *** **** <ociinn S n a c eo f t h e i n l e r o s s em i usctes L a t e r a cI o m p a r t m e n t MediaL compartment I n t e T m e d i a ct eo m p a r t m e n t > Lowertimb Surface lSkeletonl MuscLes Leg Thigh,obliquesection a lvl tensor fasciae latae a l\4 gluteusminimus a M sartorius M gluteusmediusa a l\4 rectusfemoris,Tendo A ; V.gluteasuperiora a C M iliopsoas , N femoralis N gluteussuperior.,, Lig iliofemorale a A femoralis Bursasubtendinea iliaca l\4 piriformis, Tendoa o V femoralis a M pectineus l\4 gemellus superior a M obturatorius internus, TendoO femoris a A profunda M gluteusmaximusc g N obturatorius M gemellus inferiora o M adductorlongus A; V glutea inferiora O N gluteusinferior a M adductorbrevis M obturatorius externusa a M adductormagnus N ischiadicus, N cutaneus femorisDosterior , femoris t M quadratus t l\4 semitendinosus N4semimembranosus, Tendos F i q . 1 1 2 3 T h i g h ,F e m u r ; o b L i q usee c t i o nt h r o u g ht h e h i pj o i n t To p o q r a p h yI S e cti o n s Font Thighand leg,cross-sections a M rectusfemoris M vastusintermedius a Fascia lata M vastuslateralist a l\4 vastusmedialis o v saphenamagna Femur ooA;Vfemoralis I l\4 sartorius Tractusiliotibialis M bicepsfemoris.CaputbreveO M biceps femoris, Caput longum O a M gracilis N ischiadicus o M adductormagnus o M adductorlongus M semitendinosusC O l\4 semimembranosus F i g . I t 2 1 T h i g h ,F e m u r ; c r o s s - s e c t i otnh r o u g ht h e m i d d t eo f t h e t h i g h . M tibialisanteriore Fasciacruris l\4 extensor hallucislongus I a A tibialisanterior M extensor digitorum longusI N fibularissuperficialis profundus N fibularis Septumintermusculare crurisanterius lr4fibularislperoneusl brevisI I M flexor digitorum longus a v saphena magna M fibularis[peroneus] longusa Membrana interossea Septumintermusculare crurisposterius a M tibialisposterior Fibula O A tibialisposterior M {lexor hallucislongus a o M gastrocnemius, Caputmediale M soleuso N tibialis A fibularisa o V saphenaparva F i g . 1 t 2 5 L e g ,C r u s ; c r o s s - s e c t i otnh r o u g ht h e m i d d t eo f t h e L e g . I > Lowertimb M us c tes Legand foot,sections N fibularisprofundus * A dorsalispedisa a l\4 extensor hallucislongus,Tendo N libularissuperficialis I a M tibialisanterior,Tendo M extensor digitorum longus,Tendoa Syndesmosistibiofibularis O V saphenamagna N saphenus NI fibularis[peroneus] | longus,Tendo a Nil tibialisoosterior,Tendo M fibularislperoneus] breviso longus,Tendo a lvl flexordigitorum A fibularis O 6 N tibialis M flexor hallucislonous I a A tibialisposterior V saphena parva a Tendo a M plantaris, Tendocalcaneus F i 1 . 1 1 2 6 L e g ,C r u s ; c r o s s - s e c t ijouns ta b o v et h ea n k [ ej o i n t . t l\4 extensorhallucislongus,Tendo M extensor digitorum brevis,Tendoa l\4 extensor digitorum longus,Tendoa M fibularislperoneus] tertius,Tendo* Tendo a M tibialisanterior, ,, N saphenus o V saphenamagna Lig collaterale mediale Caput tali Sustentaculum tali Fasciapedis I l\4,tibialisposterior,Tendo Proc lateralistali c M flexor digitorumlongus,Tendo a M llexor hallucislongus,Tendo M fibularis[peroneus] brevis,Tendoc O A plantarismedialis M fibularis[peroneus] longus,Tendot medialis s N plantaris E N plantarislateralis lateralis o A plantaris 0 l\4 ouadratusolantae Tendo calcaneus Fi1.1127 Foot,Pes; o b I i q u es e c t i o nt h r o u g ht h e c a t c a n e u as n d t h e h e a do f t h e t a t u s Topogr a p h yI Se c ti o n s Foot Foot,sagittalsections Articulatiotalocruralis Tendocalcaneus Os cuneiforme intermedium Os cuboideum M fibularis[peroneus] longus,Tendo Articulatio subtalaris Os metatarsill M interosseus dorsalispedisI Lig talocalcaneum Interosseum M extensordigitorum longus,Tendo Phalanx proximalis Calcaneus plantae M quadratus M llexor digitorum longus, Tendo M adductor hallucis, Caputobliquum l\4 flexor digitorum brevis N plantaris lateralis Lig plantare longum plantaris Aponeurosis F i g . 1 t 2 8 F o o t ,P e s ; s a q i t t a sL e c t i o nt h r o u q ht h e s e c o n dt o e . N4 libialis anterior, Tendo l\4.flexor hallucislongus Tibia Linea epiphysialis Articulatio talocruralis M triceps surae, Tendo calcaneus Talus Articulatiosubtalaris (Articulatio talonavicularis) Lig talocalcaneum interosseum Os naviculare Calcaneus Lig plantarelongum Fig.1t29 Foot,Pes; m a g n e t i cr e s o n a n c teo m o g r a p h yi m a g e{ M R l ) s; a g i t t a sI e c t i o n > Lowertimb ...Top ogr aphy I Sec ti ons Foot Foot,cross-section andpedograms l\4 interosseusdorsalis oedis ll Mm extensores hallucislonguset brevis,Tendines l/m extensores digitorum longus et brevis,Tendines M interosseus dorsalispedisI Fasciadorsalispedis M interosseus dorsalisDedislll plantaris M. interosseus I M interosseusdorsalis oedis lV l\4,adductorhallucis, Caputobliquum (M opponens digiti minimi) M abductorhallucis M abductordigiti minimi lvl flexor digiti minimi brevis M flexorhallucislongus,Tendo (Eminentia plantaris lateralis) plantaris M interosseus lll l\4 inlerosseusplantarisll (Eminentia plantaris medialis) M. flexorhallucisbrevis Mm flexoresdigitorum longuset brevis,Tendines F i g . 1 4 3 0 O s t e o f i b r o utsu b e so f t h e f o o t ; f r o n t a Ls e c t i o nt h r o u g ht h e m e t a t a r s u s F i g . 1 4 3 1a - c F o o tp r i n t s ,p e d o g r a m s . a NormaIfoot b Pes cavus c Ftat foot tnoex II T h e n u m b e r sr e f e rt o t h e p a g en u m b e r s . T h e n u m b e r sw i t h , T " r e f e rt o t h e n u m b e r so f t h e t a b t e si n t h e s e p a r a t eb o o k t e te n c t o s e di n V o l u m e1 . Arteria[-ae] Arcus Anulus - e p i g a s t r i icnaf e r i o 6r 0 - 6 1 , 6 6 , - inguinalis ani levatoris muscu[i profundus60,71,225 - tendineus - - s u p e r f i c i a [5i 5 69,71-72,158-159,173,175, 230-231,317 s-58,50-61, Abdomen - - - s o l e i3 1 1 , 3 2 9 , 3 5 0 , 3 7 0 - computedtomography 248-21+9, 179,196,217, 221, 225,227 ,229, 70,238-239 - venaeazygos115 - umbilicaLis 231, 236,253-254,359 46,52,56,58,6o, 251,255 - - - collateraI - venosus 69 - cross-section 248-251 circutation pedis365, dorsalis 70, 72-73,140,159,2/+2 - - superficiatis 66,353,359 - frontal section 244-245 373 Anus 210, 212-21/+,230,232-233, - - s u p e r i o6r 6 , 6 9 - 7 0 , 7 2 - - j u g u t a r i1 - median section 2/+2 s10 235 - v e r t e b r a5e- 8 ,1 5 ,1 7 , 2 0 , 2 2 , 2 9 , - - - collateratcirculation 69 - s a g i t t a Is e c t i o n 2 4 3 ,2 4 6 - 2 4 7 Aorta29,35,76-77,83,87,122, - femoralis62,69,73,218,244, 32,41,45 126,174,242,249,359 A b d o m i n a I v i s c e r1a5 8 ,1 6 2 ,1 6 6 , - abdominalis 314, 317,351,353, 256-257, Area(-ael 172 s. Parsabdomi- cnDrosa - arteries 168 380-381 355-359, lKenJluJ natisaortae - - superficia3 - gastricae130 - ascendens t i 5s 1 , 3 5 6 s. Parsascendens A b d o m i n aw l a [ [ 5 8 , 6 6 ,6 9 - 7 1 - fibu[aris351,366,368-372, - intercondylaris - a n t e r i o r ,v i e w e df r o m i n s i d e 5 9 , anterior282, aortae - congestion, 381-382 293 circu[a71 cottateraL - gastrica[-ael - - posterior282 breves131,166, - i n n e r v a t i o ns, e g m e n t a ts, e n s o r y t i o n6 9 - descendens 168,170,173 67 s. Parsdescendens - n u d a1 1 9 , 1 4 2 , 1 4 5 , 2 4 2 - - d e x t r a1 3 1 , 1 6 8 , 1 7 0 , 1 7 2 - m u s c l e s 5 2 , 5 1 +5,6 - 5 8 ,6 0 - 5 1 , Areolamammae64 aortae - - posterior170 - thoracica Arteria s. Parsthoracica [-ae) 66,72-73, T1 4-r1 6 - - s i n i s t r a1 0 61, 3 11, 5 21, 5 5 , - appendicutaris - posterior 220-221 168,17/+ aortae - arcuata183,215,351,374 - s k e t e t o np r o j e c t i o n4 7 160,168,170-173,178-179, Apertura - a s c e n d e n1s7 6 - s u r f a c ea n a t o m y 4 6 - petvisinferior264-265 218,2l+l+,247,2l+9 - gastroduodenatis - auricutaris 152,168 - - superior264-265 posterior38 A c e t a b u t a frl o o r 2 7 4 - axittaris54,113,120,122,12/+ 170-173,242,244 Acetabular root 274, 280 Apex - gastroomentatis - bulbipenis234,240 dextra131, - capitisfibutae283,291 A c e t a b u t u m2 5 6 ,2 6 1 ,2 6 6 - - vestibuti234 167-168,170-173 84-85,98-99, A c h i l t e st e n d o ns . T e n d oc a t c a n e u s - cordis7/+-80, - - s i n i s t r a1 3 11, 6 0 1, 6 8 , - caecatis posterior174 101 A c i n ip a n c r e a t i c i1 5 3 - carotiscommunis69,74-75, - dentis5 170-173,2/+7 A c r o m i o n 1 - 2 , 2 6 , l + 7 - / + 81,2 2 - gtuteainterior212,224-225, - ossissacri 10-11 110-111, 89,98-99,104-107, A d d u c t o rc a n a l 3 5 7 - 3 5 8 380 - patellae284,290-291 256-257 ,351, 363-364, 113-114, 117-1 18,120-124 Ata - - superior212,224-225,254, - - e x t e r n a1 1 4 - o s s i si t i u m 7 2 , 2 5 4 , 2 6 4 , - pulmonis94-95,98-99,110, - - i n t e r n a1 1 4 359,363,380 2 6 6 - 2 6 ,72 7 3 123 - h e [ i c i n a1e9 8 - caudae - vesicae190-191,252 - - sacri 10 pancreatis 168 - hepatica - c e r v i c a lpi sr o f u n d3a9 , 1 1 5 communis131,152, Aponeurosis A l c o c K ' sc a n a t 2 3 0 ,2 5 8 - - superficialis 218,249 - muscu[i 178-179, 168,170-173, 66 obtiqui externiabdoAmputta ---AP-radiographlTl - circumflexa - d u c t u sd e f e r e n t i s7 1 ,1 9 1 , femorislateralis m i n i s6 0 - 6 1 - - propria131,142,1t+6,152, - plantaris299,30t+, 261,351,357-359 338,340, 195-196,236 '132, - - - medialis260-261,351, 179, - l D u o d e n u m1 155,167-168,170-172, 6-379,383-384 134-135, 342,37 l 30, 2l+3-244,2/+9 363-364 357-359, Appendix(-cesl 179 - - variabitity - - humeriposterior 170 - epididymidis - h e p a t o p a n c r e a t i c1a3 5 ,1 5 4 37,122 193,239 - - i t i u m p r o f u n d1a7 9 , 2 2 1 , 2 2 7 , - iteates152,168,174-175, 251 - epiptoicae - recti 210, 215, 242, 252-253, s.Appendixl-cesl - iteoco[ica168,17/+-175, 255 231, 356,359 omentates 257-258 - - - s u p e r f i c i a t5i 5 - fibrosahepatis142-143, - t u b a eu t e r i n a e 1 4 0 , 1 6 7 , 2 0 1 , s , 3 5 3 , 3 5 9 - iliacacommunis167,179,212, 160, - - s c a p u l a3e7 , 1 2 2 231, 214, 217_218, 221,22/+_229, 166 203,209,253 - colicadextra152,168, - omentales 242-243,254,359 138-'139, 162,165, A n a [h i a t u s 2 3 0 - - e x t e r n a6 9 , 7 1 , 1 7 9 , 1 9 6 , 2 1 2 , 174-175 226,258 A n a s t o m o s e sp, o r t o c a v a [1 8 1 , - - media152,161,163-164, - t e s t i s1 9 2 - 1 9 3 , 2 3 9 221, 22t+-225 , 227-229, 231, ttJ - v e r m i f o r m i1s3 8 - 1 4 0 236,253,317,354,356, 168,174-177 1 ,6 3 - 1 6 6 , Angte - - sinistra167-168,175-177, 358-359 - between 175,209,251 neckandshaftof the - - i n t e r n a2 1 2 , 2 1 7 , 2 2 4 - 2 2 5 . - - projection 1 7 ,92 1 7 140 lemur 276 - coronaria(-ael - - variations 227-229,231,354,356,359 - of antetorsion, 84,86 in position140 femur277 ---variations224 - - dextra74-75,78-80,82, - vesiculosae 200-201, 204 Angutus(-i) - iliolumbaLis 217,221.224-225, - costae49,101 127 8t -87,98, 119-120, Arachnoidea mater 229 - i n f e r i o1 87 angiograPhY coronary 40 craniaLis r -2,26-27 - inferiorlateralis - - sinistra74-75,79-80,82, genus289, - spina[is40-41,43-45 - infrasternalis 46-47 351,368-369 - m a n d i b u l a1e2 98,119-1 20' 127 8/+-87, Arcus - - medialisgenu - - - coronaryangiograPhY 2 s8 9 , 3 5 1 , 3 5 8 , - a n t e r i oart l a n t i s6 , 1 2 , 1 9 - ossispubis266 87 - aortae74-75,8l+-85, 369-372 - sterni46,50 89,98-99, - cremasterica193,225,238 - intercostatislesl 70,99,120, - subpubicus 168,170,172 10 1, 10 4 - 10 5 ,10 7 - 10 8 ,1 1 t + - 1 1 5 ,- cystica142,1/+9, 268 - d e s c e n d egnesn u s3 5 13, 5 3 , 127 - superior2 118-120,122,124 - - posteriores l+5,54,73,75, - - A P - r a d i o g r a 1p 1h 4 369 356-358, Ansasubclavia 117,120 - digitates (Pesl374 115-116 - - b r a n c h e1s 1 4 104-105,112-113, dorsates Anteftexio {Uterus)203 - - s u p r e m a1 1 5 - - ptantares - - v a r i a t i o n1s1 4 375, communes Anteversio IUterus]203 - i n t e r t o b a r(eRse n )1 8 3 - 1 8 4 , 2 1 6 - cartitaginis 377 90 cricoideae Antrumpyloricum130,133,135, - intertobutares ---propriae375-377 - costa[is3, 46-47,52,207 [Heparl145 247 - jejunates152,168,174-175, - dorsalis - itiopectineus clitoridis234 71,269,313,317, AnuLus - - p e d i s3 5 1 , 3 6 8 , 3 7 t + - 3 7 5 , 3 7 9177 - femoralis229 , , 242,244 355 - tienatis splenica s. Arterial-ael - plantaris - fibrosus24-25,29,42 382 profundus 351,375, - lobarisl-es) - - penis199,227,23t+,238-240, 98-99, inferiores - - dexterlCorl 77,8t, 378 - posterior 101,126 - - lDiscus 2l+4 attantis6, 12,18-19, intervertebratisl - ductusdeferentis 60,193,197, - - media98 /+5 33,39-40 - - superiores 98,125 - pubicus268 - - sinisterlCorl 77,79,84 227 A Arteria(-ael - t o b ic a u d a t i1 4 2 - l u m b a l e s 4 1 , 1 7 9 ,2 1 7 ,2 2 1 ,2 4 5 , 359 - m a t t e o t a r i sa n t e r i o r[ a t e r a l i s 3 5 1 ,3 6 8 ,3 7 4 ---medialis351,374 - m a r g i n a t i sc o t i 1 6 8 ,1 7 4 - 1 7 6 - m e d i ag e n u s2 8 9 , 3 5 1 , 3 6 9 - m e s e n t e r i c ai n f e r i o r 1 5 2 , 16 7- 1 6 8 ,1 74 , 1 76 - 1 7 7, 1 7 9, 2 1 2 , 2 1 4 , 2 1 ,72 2 1, 2 2 5 , 2 2 7, 2 5 0 - 2 5 1 ---AP-radiographlT6 ---variationslT6 - - superior 115,152-154, 16 7- 1 6 8 , 1 7 0 ,1 7 3 - 1 7 9 1 , 87, 217-2182 , 21,242-244, 250-251,255 ---AP-radiographlTt+ ---variationslT4 - m e t a t a r s a t e sd o r s a t e s3 5 1 ,3 6 8 , - - - - Arterial-ael - r e c u r r e n st i b i a t i sa n t e r i o r3 5 1 , 368 - - - p o s t e r i o r3 5 1 , 3 6 9 - 3 7 0 - r e n a t i s 1 5 2 ,1 8 2 - 1 8 3 ,1 8 5 ,1 8 7 , 18 9 , 2 16 - 2 18 , 2 2 1 ,2 t + 2 - 2 4 3 , 245-246,250 - - a c c e s s o r i a2 1 7 - - a r t e r i o g r a p h y2 1 6 - - p o [ a r i si n f e r i o r2 1 6 ---superior216 - - v a r i a t i o n s2 1 6 - s a c r a L i s[ a t e r a t i s2 2 4 - 2 2 6 - - m e d i a n a1 7 7 , 1 7 9 , 2 1 2 , 2 1 7 , 2 2 1 ,2 2 5 ,2 2 7- 2 2 9 , 2 5 3 ,3 5 9 - s e g m e n t a l i sb a s a l i sa n t e r i o r 9 8 ---lateratis99 ---mediatis99 ---posterior99 - s e g m e n tliA r e n a t i s )2 1 6 - - a n t e r i o r i sh e p a t i c i1 2 4 ---renatis171 374 - p l a n t a r e s3 7 5 - 3 7 6 , 3 7 8 - - p o s t e r i o r ihse p a t i c i1 2 4 - - - r e n a l i s1 7 1 m u s c u L o p h r e n i6 ca 9 - s i g m o i d e a e16 7- 1 6 8 ,1 76 - 1 7 7 , o b t u r a t o r i a7 1 ,2 1 2 ,2 2 l r - 2 2 5 , 2 2 7, 2 2 9 , 2 3 1 , 2 3 6 - 2 3 ,72 5 6 - 2 5 7, 1 7 9 2, 1 2 , 2 1,72 5 4 , 2 s 8 - s p i n a l i sa n t e r i o r 4 5 261,317,355,357-359 - v a r i a b i t i t y2 2 9 - s p [ e n i c a1 5 2 ,1 5 4 - 1 5 6 1 , 61 o c c i p i t a t i3 s7-39 16 7- 1 6 8 ,1 7 0 - 1 7 3 ,1 7 8 - 1 7 9, 2 1 8 , ovarica 152, 167, 201, 204,209, 245,248-249 - s u b c t a v i a74 - 7 5 , 8 9 , 9 8 - 9 9 , 223,228-229,253 p a n c r e a t i cdao r s a t i s1 6 8 ,1 7 1 104-1071 , 11- 1 1 3 ,11 5 ,11 7 , 1 2 3 - i n f e r i o r1 7 1 - - d e x t r a 6 9 , 9 9 ,1 1 / r ,1 1 8 ,1 2 0 - magna168 - - s i n i s t r a9 9 , 1 1 4 , 1 2 0 , 1 2 4 - s u b c o s t a t i s11 5 - 116 , 2 1 + 5 p a n c r e a t i c o d u o d e n aitni sf e r r o r - s u b s c a p u [ a r i1s 2 4 168,173,177 - s u p e r i o r a n t e r i o1r 7 1 , 1 7 3 - s u p e r i o rl a t e r a l i sg e n u s 3 5 1 , - - p o s t e r i o r1 6 8 , 1 7 0 - 1 7 1 , 1 7 8 366,368-369 - - m e d i a t i sg e n u s 3 5 1 ,3 5 8 ,3 6 2 , p e r f o r a n t e s3 5 1 ,3 5 8 - 3 5 9 , 362-363,369 368-369 - s u p r a d u o d e n a t1 p e r i c a r d i a c o p h r e n i c6a9 , 8 9 , i s6 8 - s u p r a r e n a t i s1 8 9 112-113,118 - - i n f e r i o r1 8 2 , 1 8 9 , 2 1 7 p e r i n e a t i s2 3 4 , 2 4 0 - - m e d i a 1 8 2 ,1 8 9 , 2 1 7 p h r e n i c ai n f e r i o r6 3 , 1 0 4 , - - superior 182,189 1 7 2 - 1 7 3 ,1 8 9, 2 1 7- 2 1 8 , 2 2 1 - - v a r i a t i o n s1 8 9 p t a n t a r i sL a t e r a t i s3 0 4 ,3 5 1 ,3 7 5 , - s u p r a s c a p u l a r i1s2 0 3 7 7- 3 7 8 , 3 8 2 - m e d i a t i s3 0 1 + , 3 5317, 5 , 3 7 8 , - s u r a [ e s3 5 1 , 3 6 9 - 3 7 0 - t a r s a t i s l - e s [l a t e r a t i s3 5 1 , 3 7 4 382 - p r o f u n d a3 7 / + - 3 7 5 - - m e d i a t e s3 5 1 , 3 7 4 - t e s t i c u t a r i s7 0 - 7 1 ,1 5 2 ,1 7 9 , p o p l i t e a2 8 4 ,2 8 9 ,3 2 0 ,3 2 9 ,3 5 1 , 3 5 8 ,3 6 1- 3 6 3 , 3 6 6 ,3 6 9- 3 7 2 1 9 3 - 1 9 4 ,1 9 7, 2 1 7, 2 2 1- 2 2 2 - v a r i a t i o n s3 7 0 238-239,243, 251, 254, 256 nron:nrre:tire 1AQ - - v a r i a t i o n s2 1 7 - t h o r a c i c ai n t e r n a 6 3 , 6 6 , 6 9 , 8 8 , p r o f u n d ab r a c h i i3 7 - femoris 256-257,261,351, 1 1 0 ,11 2 , 114 - 11 5 ,11 8 , 1 2 0 ,1 2 4 , 356-3593 , 80 126 - p e n i s 1 9 8 - 1 9 9 , 2 2 6 - 2 2 7 , 2 3 9 , - - - c o t t a t e r acI i r c u l a t i o n 69 - - l a t e r a [ i s6 6 244 - t h o r a c o a c r o m i a t1i s2 0 p u d e n d ae x t e r n a 6 6 , 2 3 8 , 3 5 3 , - t h o r a c o d o r s a t i s1 2 4 359 - i n t e r n a2 1 0 , 2 1 2 , 2 2 / + - 2 2 5 , - t h y r o i d e ai n f e r i o r 1 0 6 - - s u p e r i o r1 1 0 227-229 , 231, 234, 236-237, - t i b i a t i sa n t e r i o r2 8 3 ,3 5 1 , 240-241, 256-258, 260-261, 363-364 366-370,372,37/+,381 - - p o s t e r i o r3 5 1 , 3 6 6 , 3 6 9 - 3 7 2 , p u t m o n a t i s l - e s1l1 2 - dextra 7t-76,84-85,88-89, 375-378,381-382 - t r a n s v e r s ac o t t i 3 8 - 3 9 9 5 , 9 8 - 10 1, 10 5 , 10 7 , 1 1 9 ,1 2 5 - s i n i s t r a 7 / + - 7 5 , 8 4 - 8 5 , 8 8 - 8 9 , - u m b i t i c a t i s7 0 - 7 1 1 5 9 ,1 8 5 , , 9 5 , 9 8 - 9 9 ,10 5 , 10 7 , 1 1 3 ,1 2 / 1 2 0 7, 2 2 4 - 2 2 5 ,? 2 7 - 2 2 9 ,2 3 6 - u r e t h r a [ i s1 9 9 r e c t a l i s2 1 2 - i n f e r i o r1 6 8 , 2 1 2 , 2 2 7 - 2 2 8 , - u t e r i n a 2 0 4 ,2 2 4 ,2 2 8 - 2 2 9 - - V a r i a b i t i t d t2 0 4 240-241 - m e d i a 2 1 2 , 2 2 4 - 2 2 5 , 2 2 7 - 2 2 9 - - v a r i a b i t i t y2 0 4 - superior 167-168,176-177, - v a g i n a l i s2 0 4 ,2 2 8 - 2 2 9 - v e r t e b r a t i s2 4 , 3 4 , 3 7 , 3 9 - 4 0 , 1 7 9 ,2 1 0 ,2 1 2 ,2 1 7 ,2 2 7- 2 2 9 , 25/1 106,114.120 Arterial-ael - v e s i c a t i s ( - e si nl f e r i o r 2 2 5 , 227-228 - - s u p e r i o r e s7 0 , 2 2 4 , 2 2 7 , 2 2 9 , 260 A r t e r i e sh, i p 3 5 9 A r t e r l o g r a p h y2 1 6 A r t h r o s c o p yA, r t i c u t a t i og e n u s 292 Articutatiol-nesl - a c r o m i o c t a v i c u l a r i1s 2 2 - a t t a n t o a x i a t ilsa t e r a L i s1 7 - 1 9 - - m e d i a n aa n t e r i o r1 9 ---posterior19 - a t t a n t o o c c i p i t a t1i 7 s -19 - c a t c a n e o c u b o i d e2a6 3 ,T 3 9 - c a p i t i sc o s t a e8 , 1 4 , 2 0 , 2 2 - c o s t o t r a n s v e r s a r i8a, 1 4 , 2 0 - c o s t o v e r t e b r a l e2s 0 - 2 2 - coxae 257, 263, 268-271,273, Attas4-7,12,17-19,31, 33-34, 39-40 Atrium - cordisdextrum74-76,78,82, 84-85,89,99,101,114,119-121 , 127,2/+3-244,255 - - sinistrum 75-76,79,82 84-85,89,99,101,114,119, 126-127 AuricuIa - dextra74, 78-80,8l+,98,114 - sinistra7/+-76, 79,84-85,98, 101,114,126 Axitta 122-123 Axis4, 6-7,12,17-19,33 - petvis265 278-279,139 - A P - r a d i o g r a p h2 8 0 - L A U E N S T EpTr N o j e c t i o n2 8 0 c u n e o c u b o i d e a2 f f i , f 3 9 c u n e o n a v i c u L a r2 i s6 3 ,T 3 9 f e m o r o p a t e l l a r i s2 6 3 ,2 8 4 g e n u s 2 6 3 ,2 8 t + - 2 8 92,9 2 ,3 2 3 , T39 - - A P - r a d r o g r a p2h9 1 - - a r t h r o s c o p y2 9 2 - - c r o s s - s e c t i o n2 8 4 - - f r o n t a Is e c t i o n 2 9 0 - - [ a t e r a Ir a d i o g r a p h2 9 1 - - MRt 293 - - s a g i t t a Is e c t i o n 2 9 0 - humeri 122-123,T39 - i n t e r c u n e i f o r m e s2 6 3 ,T 3 9 - i n t e r m e t a t a r s a t e s3 0 4 ,T 3 9 - i n t e r p h a L a n g epaeed i s 2 6 3 , I 3 9 - l u m b o s a c r a t i s2 6 8 - 2 7 1 - m e m b r ii n f e r i o r i s2 $ , f 3 9 ---tiberi263,139 - m e n i s c o f e m o r a t i s2 6 3 - meniscotibial2 i s6 3 - m e t a t a r s o p h a t a n g e a { - a2e5l 3 , B a c k1 ,3 7 - cutaneous innervation, segmentat 36 - dermatomes 36 - [ i n e so f o r i e n t a t i o1n - muscles26-34 - regions1 - - - 3 0 2 ,3 0 4 ,T 3 9 - h a t t u c i s3 3 6 pedis 300-303 sacrococcyge2 a 2 6 ,2 5 2 ,2 6 4 s a c r o i t i a c a1 , 16 , 1 76 , 2 0 5 ,2 3 0 , 254, 263-264, 268-269,271-27 3, 280, 317,139 s t e r n o c t a v i c u L a r4i s6 , 5 1 , 119 s t e r n o c o s t a l e s5 1 s u b t a t a r i s2 6 3 , 3 0 4 - 3 0 5 , 3 8 3 , T39 t a l o c a t c a n e o n a v i c u t a r2i 6 s3, 303-305T , 39 - A P - r a d i o g r a p h3 0 5 - f r o n t a ls e c t i o n 3 0 4 - t a t e r a lr a d i o g r a p h3 0 5 - s a g i t t a Is e c t i o n 3 0 4 t a l o c r u r a t i s2 6 3 ,3 0 1 ,3 0 4 - 3 0 5 , 3 8 3 ,T 3 9 - A P - r a d i o g r a p h3 0 5 - f r o n t a Is e c t i o n 3 0 4 - l a t e r a Ir a d i o g r a p h3 0 5 - s a g i t t a ls e c t i o n 3 0 4 ta[onavicutari3 s 8 3 ,T 3 9 t a L o t a r s a t i s2 6 3 ,3 0 4 ,I 3 9 t a r s i t r a n s v e r s a2 9 6 , f 3 9 tarsometatarsaLes263,296 3 0 4 ,T 3 9 t i b i o f i b u t a r i s2 6 3 ,2 8 2 ,2 9 0 - 2 91 , 293-294,T39 z y g a p o p h y s i a t i1s2 , 1 5 - 1 6 ,2 3 , 2 5 ,2 9 , 3 5 . 2 7 2 B - -,,-l^-^ ^^^r^-., JUr rdLg oi rdtut I ty I I B A R T H o L I Ng'tsa n d 2 0 0 ,2 3 3 , 2 3 5 Basis - o s s i sm e t a t a r s i 2 9 5 , 2 9 8 , 3 0 2 ---hattucis296 - - sacri 10-11,15,273 - pateltae 284,290-291 - p r o s t a t a e1 9 5 - p u t m o n i s9 5 - p y r a m i d i s1 8 3 B i f ur c a t i o - aortae177,179,359 - t r a c h e a e 9 0 - 9 1 ,9 9 , 1 0 2 , 104-105,107,119,125 - t r u n c ip u t m o n a t i s7 5 - 7 6 , 8 5 , 8 9 BoCHDALE SK triangte63 BOYD s vern 352 B r o n c h is, e g m e n t asI . B r o n c h u s [ - i ] s e gm en t a[ i s ( - e s ] B r o n c h i o t u s l -9i J8 - t e r m i n a [ i s9 8 B r o n c h o g r a p h y / B r o n c h o s c o9p3y - B i f u r c a t i ot r a c h e a e 1 0 2 - s e g m e n t abI r o n c h i1 0 2 B r o n c h u s [ - i J9 0 - 9 2 , 9 8 - a r t e r i a Is u p p t y 9 9 - b r o n c h o g r a p h y9 3 - b r o n c h o s c o p y1 0 2 - i n t r a s e g m e n t a t i s1 2 0 ,1 2 4 - [ i n g u [ a r i si n f e r i o r( B V ) 9 0 , 9 3 , 102 - - s u p e r i o rt B l v l 9 0 ,9 3 , 1 0 2 - t o b a r i s l - e s9l 2 , 1 0 7 - - i n f e r i o r1 2 6 - - - dexter 90-91,95,120-121 - - - s i n i s t e r9 0 - 9 1 , 9 3 , 9 8 - - m e d i u s9 0 - 9 1 , 9 51, 2 1 , 1 2 6 - - s u p e r i o r1 2 5 - - - d e x t e r 9 0 - 9 1 , 9 5 , 9 91, 0 4 , tz3 - - - s i n i s t e9r 0 - 9 1 , 9 3 , 9 8 - 9 9 , 102 - p r i n c i p a tdi e s xte8 r 8 ,9 0 - 9 19, 5 , 99,101-102,104-105,107,109, 112,115,117, 119-120, 125 - - s r n i s t e9r 0 - 9 1 , 9 3 , 9 5 , 9 9 102,104-105, 113,115,117 , 119,125 - projection 90 lndex Canalis[-es] - i n g u i n a t i s2 3 9 - n e r v ih y p o g t o s s i1 8 - obturatorius 212-213,230, 268, 278-279,316-317,355 - pudendati2 s 30 - p y t o r i c u s1 3 0 ,1 3 5 ,1 5 2 - s a c r a t i s 1 0 - 1 1 ,2 4 , 2 2 7 ,2 5 2 , 2 7 1, 3 1 7 - v e r t e b r a [ i s3 , 2 4 ,4 1- 4 3 , 4 5 ,3 1 7 - - v e i n s4 2 C ap s u[ a - a d i p o s a1 8 2 ,1 8 8 ,2 1 7 ,2 4 5 - 2 L 7 , 249 - a r t i c u L a r i {sA r t i c u l a t i o l 7-18 a t L a n t o a x i a LLias t e r a t i s 1 - - { A r t i c u L a t iaot l a n t o o c c l p i t a [ i s ) 18 - - [ A r t i c u t a t i oc o s t o v e r t e b r a [ i s ] 21-22 - - l A r t i c u t a t i oc o x a e J2 6 8 , 270-271 - - l A r t i c u L a tgi oe n u s )2 8 5 ,2 9 0 , 293,323 - - [ A r t i c u l a t i om e t a t a r s o p h a [ a n g e ah a t t u c i s 3l 3 6 - - [ A r t i c u L a t isot e r n o c l a v i c u t a r i s )5 1 - - ( A r t i c u t a t i oz y g a p o p h y s i a t i s l 25 - - { C o t u m n av e r t e b r a L i s4) 2 - f i b r o s a( R e n l 1 8 2 - 1 8 4 , 2 4 6 - 2 4 7 - i n f r a p a t e t l a r ip s r o f u n d a2 8 5 , Caput 288-289 - b r e v e( M b i c e p sb r a c h i i l 5 4 - i s c h i a d i cm a usculo i bturatonl - - { M b i c e p sf e m o r i s l3 1 8 , i n t e r n i3 11 - m u s c u [ si e m i m e m b r a n o s i 320-3233 , 6 3 ,3 8 1 ,r 4 0 ,r 4 6 - c o s t a e8 , 1 4 , 2 2 ,/ , 9 32 9 - 3 31 - e p i d i d y m i d i s1 9 2 - 1 9 4 2 - o m e n t a t i s1 5 7 ,1 6 1 , 1 6 6 - 1 6 7 , , 3 9 ,2 5 2 - f e m o r i s 2 5 6 ,2 5 9- 2 6 1 ,2 71 , 2 7 3 , 247-21+9 - s u b c u t a n ecaa l c a n e a3 3 8 2 7 5 - 2 7 7, 2 7 9 - 2 8 0 , 3 5 9 - f ibuLae262, 282-283,285-281, - - c o c c y g e a3 7 - - i n f r a p a t e I L a r3i s0 6 , 3 1 3 291, 293-29/+,306, 3 13, 322, 332, - - p r e p a t e [ [ a r i s2 8 4 , 3 0 6 367 - humeri 122-123 - - sacralis37 - [ a t e r a l el M g a s t r o c n e m i u s l - - s p i n a ei t i a c a ep o s t e r i o r issu p e r i o r i s3 7 284, 286 -288, 320-323, 326, - - t r o c h a n t e r i c3 3 2 8 - 3 3 0 ,3 6 2 ,3 6 9- 3 7 0 , T4 9 a1 1 - - l M t r i c e p sb r a c h i i l5 2 - s u b f a s c i a t ip s88 s r e p a t e L [ a r i2 - [ o n g u m{ M b i c e p sb r a c h i i ]1 2 2 - s u b t e n d i n eiaL i a c a2 5 6 , - - [ M b i c e p s f e m o r i s ]3 1 7 - 3 2 3 , 3 15 - 3 16 , 3 8 0 - - m u s c u t gi a s t r o c n e mm iiedi3 6 2 - 3 6 3 , 3 8 0 - 3 8 1T,4 6 - - l M . t r i c e p sb r a c h i i l3 7 ,5 2 a l i s 3 11 , 3 2 9 - 3 3 1 - m e d i a L (eM g a s t r o c n e m i u s ) - - - obturatoriinterni 256-257 ---sartorii316 2 8 4 ,2 8 6 - 2 8 7 , 3 0 83, 2 0 - 3 2 1 ,3 2 3 , - - p r e p a t e t l a r i3s1 3 , 6 2 , 3 6 9- 3 70 , 3 8 1 , 3 2 6 ,3 2 8 - 3 3 1 3 - s u p r a p a t e t t asr i 2 8 5 , 2 8 8 , 2 9 0 , r49 - o b t i q u u mI M a d d u c t o hr a [ [ u c i s ] 292 - t r o c h a n t e r i cm 3 0 4 ,3 3 9 ,3 4 2 , 3 7 8 , 3 8 3 - 3 8T4 5, 2 a u s c u t gi L u t e i - o s s i sm e t a t a r s i 2 9 5 , 2 9 8 m a x i m i 2 7 9 ,3 1 9 - 3 2 1 m e d i i2 5 6 , 2 7 9 , 3 1 1 , 3 2 1 - - - q u i n t i 2 9 6 - p a n c r e a t i s1 3 4 , 1 4 0 ,512 - 15 3 , 16 7, 1 7 3 ,1 7 9 , 2 4 3 - 2 4 4 - p h a t a n g ilsP e s l 2 9 5 - rectum 278-2793 , 1 5 ,f / + 4 - r e f l e x u m 2 7 8 - 2 7 9 , 3 1 5T. 4 4 C a e c u m1 3 8 - 1 4 01, 5 8 ,1 6 2 - 1 6 6 , - rali 295-298,305, 382-383 1 7 5 , 2 0 ,92 5 1, 2 5 4 - transversum - p r o j e c t i o n1 4 0 { M a d d u c t o hr a t , 7 8 ,T 4 0 ,T 5 2 lucisl 339-3423 C a t c a n e u s2 9 5 - 3 0 13, 0 3 - 3 0 43, 8 3 C a r d i a1 0 9 ,1 3 0 - 1 3 11, 6 0 ,2 4 2 ,2 4 7 C a I i c e sr e n a l e s2 1 6 - majores 183,186,245 C a r i n at r a c h e a e 1 0 2 ,1 1 9 - m i n o r e s 1 8 3 - 1 8 4 ,1 8 6 ,2 4 6 ,2 5 0 Carti[ago[-inesl - a r t l c u t a r i s2 8 4 Calx 262 - a r y t e n o i d e9 a1 C a n a fo f A L C O C K2 3 0 , 2 5 8 - b r o n c h l a t e9s 0 , 1 0 2 C an at i s[ - e s ] - cornicutata - a d d u c t o r i u s3 1 4 , 3 5 ' 1 91 - c o s t a l i s5 1 ,5 5 ,5 7 - 5 8 ,7 0 , 115 , - a n a t i s2 1 1 , 2 1 5 , 2 5 2 - c e r v i c i su t e r i 2 0 1 - 2 0 3 ,2 5 3 125.127 Bronchus[-iI - s e o m e n t a l i s l - e s9l0 - 9 2 9 9 - - a n t e r i o[rB l l l ] 9 0 , 9 3 ,1 0 2 , 122,124-125 - - a p i c a t l s[ B l J 9 0 - - a p i c o p o s t e r i [oBr | + l l ] 9 0 , 93,102 - - b a s a t i sa n t e r i o rI B V l l l ] 9 0 , 93,102 - - - c a r d i a c u [sB V l l ]s R r n n r hrrc [ - i ls c n m e n t a t i s b a s a L im s e d i a L iIsB V l l ] - - - l a t e r a l i s[ B l X ] 9 0 , 9 3 , 1 0 2 , 127 - - - m e d i a l i st B V l l l 9 0 - - - p o s t e r i o [rB X ] 9 0 , 9 3 ,1 0 2 , 126 - - b r o n c h o s c o p1y0 2 - - L a t e r a L itsB l v l 9 0 - - m e d i a t i st B V l 9 0 - - p o s t e r i o rt B l l l 9 0 , 1 2 4 - 1 2 5 - - s u p e r i o rI B V l ] 9 0 ,9 3 , 1 0 2 B R U N N E Rg 'tsa n d s 13 6 Butbus - a o r t a e 7 9 ,8 7 , - p e n i s ' 1 9 61 98,236,252 - v e s t i b u l i 2 0 0 ,2 2 8 ,2 3 5 ,2 3 7 ,2 4 1 , 261 Bursa[-ae] - a n s e r i n a3 1 6 c CartiLagol-ines) - c r i c o i d e a1 2 ,11 9 - e p i p h y s i a L2i s7 4 - f i b r o s aI D i s c u si n t e r v e r t e b r a L i s l 272 - h y a [ i n aI D i s c u si n t e r v e r t e b r a t i s l 272 - t h y r o i d e a3 5 ,5 8 ,9 0 - 9 1 ,1 0 4 , 110,119-120 - t r a c h e a [ e s9 0 - 9 1 ,1 0 4 - 1 0 51, 1 9 C a r u n c u L ahey m e n a l e s2 3 3 ,2 3 5 Cauda - e p i d i d y m i d i s1 9 2 - 1 94 , 2 5 2 - e q u i n a 2 4 , 2 9 , 4 1 ,1 , 3 - 4 42, 4 2 , 250-251,25/+ - p a n c r e a t i s1 3 / ' , 1 5 2 ,514 - 15 5 , j 6 j , 1 6 6 _ 16 7, 1 7 9, Z t + 4 , 2 4 9 C a v eo f R E T Z l u s2 0 7 , 2 5 2 Cavea - thoracis48,55 - - A P - r a d i o g r a p 'h1 0 1 Caverna(-ael - c o r p o r i sc a v e r n o s i1 9 8 - 1 9 9 - - s p o n g i o s 1i 9 9 C a v i t a s-(t e s l - a r t i c u l a r i {sA r t i c u L a tci o x a e l 2 71, 2 7 3 , 2 7 9 - 2 8 0 - g t e n o i d a t i4s 8 , 1 2 2 - i n f r a g L o t t i c1a1 9 - m e d u t t a r i 2s 7 7 , 2 8 1 - nasi12 - p e r i c a r d i a c1 a1 9 , 1 2 5 - p e r i t o n e a l i s1 5 7 ,16 7 , 2 4 2 - 2 4 1 + , 247-251 - - d e v e t o p m e n1t 5 7 - p t e u r a I i s1 1 2 - 1 1 31, 1 7 ,1 2 1 , 1 2 6 ,1 5 5 , 2 4 8 - 2 4 9 - s e r o s as c r o t i 6 1 - s y m p h y s i a L i2s 7 2 - t h o r a c i s 1 1 9 ,1 2 4 - 1 2 5 1 , 27 --cr129 - - frontal section 120-122 m e d i a ns a g i t t asI e c t i o n11 9 MRt 120-121 t r a n s v e T s see c t i o n 1 2 3 , 125-126 - u t e r i 2 0 1- 2 0 3 , 2 3 7 ,2 5 3 ,2 5 9 C a v u ms e r o s u ms c r o t i 6 1 , 1 9 4 C e n t r um - perinei 230-231 - t e n d i n e u m 5 5 , 6 2 - 6 3 ,7 3 , 1 0 4 , 1 0 6 ,1 1 2 - 1 1 3 , 2 4 2 , 2 4 6 40 CerebeL[um C e r e b r o s p i nfaLIu i dp, u n c t u r e4 4 C e r v i c a pI a r t o f t h e v e r t e b r a l c o t u m n1 7 , 4 3 - A P - r a d i o g r a p 'h1 3 AT 'E - l a t e r a Ir a d i o g r a P h1 2 Cervix - u t e r i 2 0 3 - 2 0 52, 3 7 - v e s i c a e1 9 5 Chiasma - crurate 326 - p t a n t a r e3 4 2 - tarsate326 c H o P A R Tj 'osi n t 2 96 , f 3 9 Chordat-ael - a r t e r i a eu m b i t i c a t i 6 s 1 ,6 6 , 7 1- 7 2 , 15 8 , 196 , 2 2 9 ,2 3 6 ,2 5 3 - t e n d i n e a e7 9 - 8 1 - urachl61,72,236 C i n g uI u m - m e m b r ii n f e r i o r i s C i n g u t u m p e t v r cm u - - s u p e r i o r i s C i n g u t u mP e c torate Cingutum - p e c t o r a t e3 , 4 8 - p e t v i c u m3 , 2 6 3 - 2 6 4 Ci s t e r n a - c e r e b e l l o m e d u [ [ a r i4s0 - c h y t i1 1 6 , 2 1 8 C L a v i c u t3a, 4 6 - 1 , 8 , 5-15 2 ,9 0 , 10 1, 1 0 8 ,11 0 ,1 1 2 - 11 3 ,1 1 8 ,1 2 0 , 122-123,159 C t e f t ,u n c o v e r t e b r a2[ 4 C t i t o r i s2 0 7 , 2 2 3 , 2 3 1 C l i v u s1 8 eins 352 C o c K E T Tv' S C o e l i a c o g r a p h1y7 ' 1 C o l t i c u L usse m i n a l i s1 9 0 ,1 9 8 C o t t u m2 5 7 - c o s t a e8 , 2 0 , 4 9 - femoris 259, 273, 275-280 - fibutae283 - tati 296-298,305 - v e s i c a eb i t i a r i s1 4 9 - 1 5 1 C o t o n1 3 8 - 1 3 9 , 1 8 8 - AP-radiograp1 h41 - a s c e n d e n s1 3 8 - 1 4 11, 5 8 , 1 6 1 - 16 2 , 1 6 5 - 16 6 , 1 8 0 ,1 8 6 , 2 1 4 , 251,254 - d e s c e n d e n s1 3 8 ,1 4 0 ,1 5 9 , 1 6 5 - 16 6 ,177 , 1 8 0 ,1 8 6 ,2 4 4 - 2 4 5 , 21,9-251,25/'-255 - L a y e r so f t h e w a t t 1 3 9 - p r o j e c t i o n1 3 8 - s i g m o i d e u m' 1 3 81, 4 0 ,1 5 7 - 1 5 8 , 16 2 , 1 6 4 - 1 6 ,71 7 5 ,1 7 7, 1 7 9, 2 0 7, 27 1 8 ,2 2 6 , 2 0 9 ,2 1 2 - 2 1 3 , 2 1 5 , 2- 1 2 4 2 ,2 4 / + , 2 5-12 5 4 , 2 5 8 - t r a n s v e r s u m 1 3 8 - 14 0 ,1 4 9 , 15 7 - 15 8 , 1 6 0 - 1 6 2 , 1 6 4 - 1 6 6 , 1 7 5 , 242-21,4,246-247,249-250 - - v a r i a t i o nisn p o s i t i o n1 4 1 C o L o n o s c o p1y4 1 ,2 11 CoLumna[-ael - a n a t e s 2 1 0 - 2 11 , 2 4 2 ,2 5 2 ,2 5 8 - renales 183,246 - r u g a r u ma n t e r i o r2 3 5 - verlehralis 2-4, L2 - - nerves42 Commissura - [ a b i o r u ma n t e r i o r2 3 5 - - p o s t e r i o r2 3 5 Compartimentum - c r u r i sa n t e r i u s3 6 6 - - laterale366 - - p o s t e r i u s3 5 6 C o m p l e x usst i m u t a n sc o r d i s 82-83 C o m p u t e dt o m o g r a p h yI C T ) - a b d o m e n2 4 9 , 2 5 1 - c e r v i c a Ip a r t o f t h e v e r t e b r a I c o t u m n3 5 - L u m b a rp a r t o f t h e v e r t e b r a L c o t u m n3 5 - M m a b d o m i n i s7 3 - Mm dorsi 29 - p e t v i s2 5 4 - - of the femate 257 - - of the mate 256 - t h o r a c i c a v i t y1 2 5 C o n d u c t i n gs y s t e m 8 2 - 8 3 C on d y t u s - l a t e r a L iIsF e m u r ]2 7 5 , 2 7 7 , 2 8 1 , 285-287,290-293 - - lTibia] 282,287,290-293 - m e d i a l i sl F e m u r l 2 7 5 , 2 7 7 , 2 8 1 , 285-287,290-293,3',l3-3 14 - - [ T i b i a ]2 8 2 , 2 9 0 - 2 9 1 , 2 9 3 , 3 2 7, 3 2 9, 3 3 1- 3 3 2 - o c c i p i t a t i6 s Index Conjugata - a n a t o m i c a2 6 5 - d i a g o n a t i s2 6 5 - vera 264-265 Corpus(-ora) - s t e r n i 3 , 4 7, 5 0 - 5 1, 5 5 , 9 0 , 119 , 124-126,242 - rati 296-297,304 - tibiae 282-283,291 C o n u sa r t e r i o s u s7 4 ,8 4 ,i 8 - u t e r i 2 0 1 ,2 0 3 - 2 0 4 2 C o r 6 7 , 74 - 7 5 , 9 8 , 11/ + ,2 6 2 , 3 7 ,2 5 3 , - a r t e r i a Is u p p t y 8 5 259 - a t r i u m ,l e f t 7 9 - v e r t e b r a e 5 - 9 , 1 2 - 2 5 ,2 9 , 3 5 , - - r i g h t 7 8 ,8 2 4 1 ,1 + 57,2 ,1 2 5 ,1 5 5 ,1 8 8 ,2 4 9 , - b a t a n c e dc o r o n a r ya r t e r ys u p p l y 251 - v e s i c a e1 9 0 - 1 9 1 85-86 - c o n d u c t i n gs y s t e m 8 2 - 8 3 - - b i t i a r i s1 4 9 - 1 5 1 - c o r o n a r ya r t e r i e s 8 4 , 8 6 - 8 7 - - c y s t o s c o p y1 9 0 - - c o r o n a r y a n g i o g r a p8 h7 y Corpuscutum r e n a l e1 8 4 - d o m i n a n t[ e f t c o r o n a r ya r t e r y Cortex - [ G t a n d u tsau p r a r e n a [ i s1] 8 9 s u p p t y8 5 - 8 6 - d o m i n a n tr i g h t c o r o n a r ya r t e r y - r e n a t i s1 8 3 - 1 8 41, 8 8 , 2 4 6 - 2 4 7 , s u p p t y8 5 - 8 6 250 - i n n e r v a t i o n8 3 C o s t a [ - a e ]2 - 3 , 5 , 8 , 1 1 + -61, 2 0 - 2 2 , - p o s i t i o n7 7 2 7, 2 9 , 3 1- 3 2 , 3 / +4, 1, 4 8 - 4 9 , 5 4 , - - d u r i n ge x s p i r a t i o n / i n s p i r a t i o n 5 8 ,6 3 ,6 9 ,7 3 , 10 3 , 1 10 , 113 , 88 11 5 - 116 , 118 - 1 2 0 ,12 2 , 12 4 - 12 7 , - p r o j e c t i o n1 0 1 1 3 2 ,14 1 , 1 8 3 ,1 8 8 ,2 16 - 2 1 7 ,2 2 0 , - ultrasound image 126 245-250 - valvesp - f t u c t u a n t e[sX l ;X l l ] 4 8 , o i n t so f a u s c u l t a t i o n7 7 - - p r o j e c t i o n7 7 - s p u r i a e[ V l l l - X l l 4] 8 - v e n t r i c t e l,e l t 7 9 - 8 2 - v e r a e[ l - V l l ] 4 8 - - r i g h t 7 8 ,8 0 - 8 2 C o W P EsRg l a n d 2 2 6 , 2 3 2 ,2 3 1 Cornu Coxa - a n t e r i u s( M e n i s c utsa t e r a t i s ) - valga 276 - vara 276 290,293 - c o c c y g e u m1 1 uL n c t i o n s17 - 1 9 C r a n i o c e r v i cj a - i n f e r i u s( M a r g of a t c i f o r m i s3) 0 6 , - AP-radiograp1 h9 355 Crista - p o s t e r i u sI M e n i s c u lsa t e r a t i s ] - c a p i t i sc o s t a e 4 9 - c o t [ ic o s t a e 4 9 290,293 - s a c r a t e1 0 - 1 1 - i t i a c a1 - 2 , 1 5 ,2 6 - 2 7 ,3 7 , 4 4 ,4 7 , - s u p e r i u sl M a r g of a t c i f o r m i s l 6 2 ,7 3 , 1 0 3 ,1 76 , 1 8 3 , 2 1 6,220, 305,355 2 3 0 ,2 5 4 ,2 6 4 ,2 6 6 - 2 6 7, 2 7 1, 2 7 3 , C o r o n ag l a n d i s1 96 , 1 9 8 - 1 9 92, 5 2 3 0 7 ,3 1 7 ,3 1 9- 3 2 0 , 3 2 2 ,3 6 0 ,3 6 1 + - i n t e r t r o c h a n trei c a 2 7 3 ,2 7 5 - 2 76 C o r o n a r ay n g i o g r a p h 8y 7 - m e d i a t i s2 8 3 C o r o n a r ya r t e r i e s 8 4 , 8 6 - o b t u r a t o r i a2 6 6 - 2 6 7 C or p u s {- o r aI - a d i p o s u mi n f r a p a t e t [ a r2e8 5 , - o c c i p i t a t iesx t e r n a6 - p u b i c a2 6 6 290, 293,323 - - p a r a r e n a t e1 8 8 - s a c r a l i st a t e r a t i s1 0 - - ( R e n l1 8 3 - - m e d i a l i s1 0 - a t b i c a n s2 0 1 - - m e d i a n a1 0 - 1 1 1, 5 , 3 6 0 - a n o c o c c y g e u m2 0 7 ,2 2 6 , - urethraLi1 s 9 0 ,1 9 8 230-233,235, 240-241,252,257 C r u s [ - r a ]2 6 3 - cavernosum - c t i t o r i d r s2 0 0 ,2 3 5 ,2 3 7 ,2 6 1 c l i t o r i d i s2 0 7 , 2 3 5 , - c o m p a r t m e n t s3 6 6 253 - - penis192,196-197,199,222, - cross-section 381-382 - c u t a n e o u isn n e r v a t i o n 227, 239, 242-243, 252, 259 350 - - recti211 - d e x t r u m{ F a s c i c u t uast r i o v e n - [ C t a v i c u t a4l 6 - 4 7 tricutaris8 l 2-83 - c t i t o r i d i s2 3 1 , 2 5 3 - - [ P a r sl u m b a l i sD , iaphragmal - c o s t a e4 9 , 1 0 1 6 2 - 6 3 ,6 8 , 10 4 , 10 6 , 116 , 15 5 , - e p i d i d y m i d i 1s 9 1 ,1 9 1 + 249, r21 - f e m o r i s 2 1 5 ,2 7 5 ,2 7 7 ,2 9 1 - e x t e n s o r s3 2 6 - fibutae 283,291 - f t e x o r s3 2 6 - g a s t r i c u m 1 2 1 ,1 2 8 ,1 3 0 , - [ a t e r a t e[ A n u l u si n g u i n a t i s 132-133,158,160-161, 245 s u p e r f i c i a t i s5l6 ,5 8 ,6 0 ,2 3 9 - luteum 201-202 - m e d i a t el A n u t u si n g u i n a t i s - - m e n s t r u a t i o n i2s0 2 s u p e r f i c i a t i s5l6 ,5 8 ,6 0 ,2 3 9 - m a m m a e5 2 - muscles 324-332,I 47-T50 - o s s i si [ i u m 2 5 9 , 2 6 7 - - l a t e r a l3 6 6 - - i s c h i i2 6 6 - 2 6 7 - - o r i g i n sa n d i n s e r t i o n s - - m e t a t a r s i2 9 5 , 2 9 8 , 3 3 4 310-311,32/+-325 - - pubis 230,243,266-267 - o s t e o f i b r o u tsu b e s 3 6 6 - p a n c r e a t i s1 3 4 ,1 5 2 - 1 5 5 ,1 6 1 , - p e n i s1 9 6 ,1 9 8 , 2 2 6 , 2 3 6 , 2 6 0 - s i n i s t r u mI F a s c i c u t uast r i o v e n 166,173 - p e n i s1 9 7 t r i c u t a r i s8 l 2-83 - p h a l a n g i {sP e s l 2 9 5 - - l p a r st u m b a t i sD, i a p h r a g m a ) - spongrosum penis192, 63,j04,106,11|6,2/+9.f21 1 9 6 - 1 9 9 , 2 2 2 , 2 3 2 , 2 3 9 , 2 4 2 , 2 5 2C, r y p t a ei n t e s t i n a [ ess G t a n d u t a e 259-260 intestinates C u m u L uos o p h o r u s2 0 2 C u p u l ap l e u r a e1 0 3 , 1 2 2 Curvatura - m a j o r 1 2 8 - 1 3 01,3 2 ,1 5 8 - 1 6 1 - m i n o r 1 2 8 - 1 3 01,3 2 ,1 3 5 , 16 0 - 16 1 Cuspis - a n t e r i o r{ V a l v aa t r i o v e n t r i c u t a r i s dextral77-78,81-82 - - [ V a l v aa t r i o v e n t r i c u [ a r issi n i s tra) 77,79-80,82,126 - commissura[d i se x t r a 7 7 - - sinistra 77 - p o s t e r i o r[ V a l v aa t r i o v e n t r i c u [ a r i s d e x t r a ] 7 7- 7 8 , 8 0 - 8 1 - - l V a t v aa t r i o v e n t r i c u t a r issr n r s Ira) 77,79-81,126 - s e p t a t i sl V a l v aa t r i o v e n t r i c u L a r i s d e x t r a J7 7 - 7 8 , 8 0 C u t a n e o uisn n e r v a t i o n , gmentat se - back 36 - lowerlimb 346 C u t a n e o u sn e r v e s ,l o w e r [ i m o 349 C u t i s 7 0 ,1 8 8 ,2 1 0 C y s t o s c o p y19 0 - 19 1 D D e f a e c o g r a p h2y15 D e n sa x i s 6 - 7 , 1 2 , 1 8 - 1 9 Dermatomes - back36 - l o w e rl i m b 3 4 6 D i am e t e r l s l - o b t i q u a| 2 6 4 - o b L i q u lal 2 6 4 DiameterIs] - l o f t h e p e t v i si n t h e f e m a l e 265 - s a g i t t a t i s2 6 5 - transversa 26L-265 - t u b e r a t i s2 6 5 D i a p h r a g m a5 4 - 5 5 ,5 9 , 6 2 - 6 3 , 6 7 , 6 9 ,7 3 ,8 7, 1 0 1, 1 0 4 - 1 1 2 , 116 - 1 2 1 ,1 4 2 ,1 4 4 ,1 4 8 - 14 9, 1 5 2 , 15 7 , 15 9 - 16 0 , 2 5 5 , r 2 1 - p e t v i s 1 8 8 ,2 3 7 ,2 4 2 ,2 4 5 - 2 4 6 , 249-250,T22 - - o f t h e f e m a t e2 3 0 - 2 3 12, 3 3 - - ofthe male 232,236 - urogenita[e 2 3 1 ,2 4 1 ,2 4 3 ,2 6 1 , 122 - - of the femate 234-235 - - of the mate 234 Di gi t us ( -i l - m i n i m u sl P e s )2 6 2 , 2 9 5 - p e d i s2 6 3 - p r i m u sI P e s ls H a t [ u x - q u a r t u sl P e s l 2 6 2 , 2 9 5 - q u i n t u sI P e s Js D i g i t u sm i n i m u s - s e c u n d u sl P e s ) 2 6 2 , 2 9 5 - t e r t i u sl P e s l 2 6 2 , 2 9 5 Dr s c u s - a r t i c u t a r i s[ A r t i c u t a t i os t e r n o c L a v i c u t a r i5s1l - interpubicu2 s 0 7 ,2 6 8 ,2 71- 2 72 , T39 - i n t e r v e r t e b r a L i4s, 1 2 , 1 7 , 1 9- 2 5 , 2 9 , 3 5 ,4 2 , 4 5 , 1 7 8 ,2 5 9 , 268, 271 D i s t an ti a - i n t e r c r i s t a l i s2 6 5 - i n t e r s p i n o saan t e r i o r2 6 5 - - posterior265 - pubococcygea 265 Diverticutum(-al - a m p u t l a e1 9 1 - c e r v i c a t1 0 9 - e p i p h r e n i c1 0 9 - i L e i1 3 7 - mid-oesophagea 1 [0 9 - o f M E C K E1L3 7 _ o f Z E N K E1R0 9 D O D D 'vse i n s 3 0 6 ,3 5 2 Dorsum - t i n e so f o r i e n t a t i o n' 1 - o f t h e f o o t ,m u s c l e s 3 3 3 - 3 3 7 , T 51- T 5 2 - pedis 262, 368, 373-374 - p e n i s1 9 7 - r e g i o n s1 - s u r f a c ea n a t o m y 1 D O U G L APSo,u c ho f 1 5 7 , 1 6 7 , 2 0 7 , 229,253 Duct - o f M U L L E R1 9 2 , 2 0 0 _ O f S A N T O R I1N5I2 - o f W I R S U N1G5 2 - o f W o L F F1 9 2 , 2 0 0 Duc t u[ u s l- i J - a b e r r a n si n f e r i o r 1 9 2 , 1 9 4 - e f f e r e n t e st e s t i s 1 9 4 , 2 5 2 - p r o s t a t i c 1i 9 0 ,1 9 8 - transversi 200-201 Ductus[-us] - a L v e o l a r e9 s8 - a r t e r i o s u sI B O T A L L 0 ]7 5 - b i t i a r i ss D u c t u sc h o t e d o c h u s - b i t i f e ri n t e r l o b u t a r i1s 4 5 - c h o t e d o c h u 1s 4 2 , 1 4 6 , 51 0 - 15 4 , 1 7 0 ,1 7 2 ,1 7 9 , 2 4 32, 4 9 - - AP-radiograp1 h 5 1 ,1 5 4 - - v a r i a b i t i t y1 5 0 ,1 5 3 - c y s t i c u s1 3 1 ,1 5 0 - 1 5 41, 6 7 ,1 7 0 , 1 7 9 ,2 4 9 - d e f e r e n s{ V a sd e f e r e n s 6 l 0-61, 7 0 - 71 , 16 6 ,1 7 9 ,1 9 0 - 1 9 2 , 1 94 - 1 9 7, 2 2 1- 2 2 2 , 2 2 6 - 2 2 7, 2 3 6 , 238-239, 2/,3, 252, 256, 258 - - AP-radiograp1 h95 - e j a c u L a t o r i u1s9 0 ,1 9 2 ,1 9 5 - 1 9 6 , 198 - e p o o p h o r o n tliosn g i t u d i n a tsi s D u c t u s[ o n g i t u d i n a t i s - e x c r e t o r i u s1 5 3 ,1 9 6 - g t a n d u t ab e u t b o u r e t h r a l i1s9 2 , 198,234 - h e p a t i c u cs o m m u n i s1 3 1 , 15 0 - 15 4 ,1 6 7 , 1 7 0 , 1 7 9 - - d e x t e r 1 4 6 ,' 1 5 0 - 1 5 1 - - s i n i s t e r1 5 0 - 1 5 1 - t a c t i f e r i6 4 - t o n g i t u d i n a t i s2 0 0 - 2 0 1 - m e s o n e p h r i c u s1 9 2 ,2 0 0 - o m p h a l o e n t e r i c u1s3 7 - p a n c r e a t i c u 1s 5 0 ,1 5 2 - 1 5 4 , 242-243 - - accessoriu1 s 52-153 - - AP-radiograp1 h54 - - v a r i a b i t i t y1 5 3 - p a r a m e s o n e p h r i c u1s9 2 ,2 0 0 - nererrrothrelic ??q - t h o r a c i c u s6 3 , 11 3 ,11 5 - 1 ' 1 6 , 1 2 1 ,1 2 4 - 1 2 7, 2 4 5 , 2 4 8 - 2 4 9 - v e n o s u sI A R A N I u s ]1 4 3 D u o d e n u m1 1 7 ,1 2 8 - 1 3 01, 3 3 - 1 3 6 , 14 0 ,14 9- 1 5 4 , 1 5 7 ,1 6 0 - 16 1 ,1 6 3 , 16 5 - 16 7 , 1 70 , 17I - 1 8 0 , 2 4 3 - 2 4 4 , 25s - A P - r a d i o g r a p h1 3 2 ,1 3 5 - e n d o s c o p y1 3 5 - l a y e r so f t h e w a l 1 3 6 lndex Fissura(-ae) - p o r t a l i sd e x t r a 1 4 7 - - p r i n c i p a L i1s4 7 D u r am a t e r - u m b i t i c a t i s1 1 r 7 - c r a n i a l i s1 9 F t a t f o o t3 0 3 , 3 8 4 - s p i n a l i s 1 9 , 4 0 - 4 1 ,4 3 - 4 5 ,1 1 9 F L e x i oI U t e r u s ] 2 0 3 F t e x ur a - a n o r e c t a [ i s2 1 0 , 2 2 6 E - c o l id e x t r a' 1 3 8 , 1 5 5 , 1 6 0 - 1 6 3 , 165-166,175 E m b r y ou, t t r a s o u n idm a g e 2 0 6 - - s i n i s t r a1 2 0 - 1 2 1 , 1 3 21,3 8 , Eminentia 162,165-166,175 - i [ i o p u b i c a2 3 0 ,2 6 4 ,2 6 6 - 2 6 7 , - d u o d e ni in f e r i o r1 3 1 , 1 5 3 , 1 7 5 273 - - s u p e r i o r1 5 3 - rortnnrn<tafira 25? - intercondylaris 282, 290-291 - d u o d e n o j e j u n a t1i s3 4 - 1 3 51, 5 2 , - rectovagina[i2 - p t a n t a r i isn t e r m e d i a3 8 4 s 0 7 ,2 5 3 - renatis 188,21,6-247 16 6 - 16 7, 1 7 7, 2 4 1 - - lateraLi3 s38,384 - p e r i n e a l iss F l e x u r aa n o r e c t a t i s - s p e r m a t i ce - - m e d i a L i s3 3 8 , 3 8 4 a x t e r n a6 0 - 6 1 ,7 0 , - s a c r a t i s2 1 0 , 2 2 6 1 9 7, 2 3 9 Endocardium 80 F o e t u s ,u L t r a s o u n idm a g e 2 0 6 6 1 , 7 0 , 1 9 3 1 9 4 , 1 9 7 , i n t e r n a E n d o s c o p irce t r o g r a d ceh o l a n g i o 210,252 FoLdof KOHLRAUSCH 239 p a n c r e a t i c o g r a pt hEyR C P I15 4 - s u p e r f i c i a t Ii sC a n a t i isn g u i n a t i s l F o t tci uL us t -i i Epicardium s L a m i n av i s c e r a t i s - a t r e t i c u s2 0 2 ^^-+ia1? - LUrrrdLrd L 61 ilePdu5 . | / serosumj lPericardium - o v a r i c u s l -m - t h o r a c o [ u m b a l i s2 2 , 2 4 - 3 2 ,3 5 , - c o s t a l i sI P u t m o l 9 4 - 9 5 r l a t u r u s2 0 2 Ep i c ond y t us - - v e s i c u l o s i2 0 1 , 2 5 3 - l a t e r a L il sF e m u r l 2 7 5 , 2 8 1 , 2 8 4 , - d i a p h r a g m a t i c{ H 5 2 , 7 2 , 3 1 9 1 4 2 , a eparl - p r i m a r i i2 0 2 - t r a n s v e r s a l i s3 1 , 5 8 - 6 2 , 6 9 , 145,160-161 290-291 - - l P u t m o l9 5 Foot s Pes - m e d i a L ilsF e m u r l 2 7 5 ,2 1 7 , 2 8 ,1 72-73 - v e s i c o v a g i n a L2i s0 7 - - [ S p L e n1l 5 6 F o o tp r i n t s 3 8 4 284, 287, 290-291,315 - d o r s a L iIsO ss a c r u m i 2 6 Foramen{-inal F a s ci c u[ u s {- i J , 22, E p i d i d y m i s6 1 ,1 8 5 ,1 9 2 - 1 9 4 2 - costotransversarium - a t r i o v e n t r i c u L a r i8s2 - 8 4 8, 21 - g a s t r i c aI S p t e n )1 5 6 ,1 6 6 - 1 6 7 239,242-243 - epiploicum - lateralis 122 s F o r a m e no m e n - g t u t e a2 6 7 E p i g L o t t i1s2 ta[e - intervertebral7 i s- 9 , 1 2 ,1 1 ' - 1 6 , - L o n g i t u d i n a LI Le isg c r u c i f o r m e E p i n e u r l u m4 3 - infrapiriforme 3 1 7 ,3 1 9- 3 2 1 , a t t a n t i s l1 8 - 1 9 25 E p i o r c h i u m1 9 4 - m e d i a t i s1 2 2 360,361 - i n t e s t i n a [ i s2 0 1 - 2 0 2 2 , 0 9 ,2 2 9 , Ep iph y s i s - i n t e r v e r t e b r a l e4 , 1 2 , 1/ + - 1 5 2 , 2, - p o s t e r i o r1 2 2 - a n u t a r i s5 , 7 - 9 , 2 4 - 2 5 253 - t r a n s v e r s li A p o n e u r o s i P - L a t e r a t iIsF i b u t a ]2 8 3 2 5, 2 9, 3 5, 4 1, 4 5, 2 71 - o f t h e h e a do f t h e f e m u r 2 7 4 s lan- ischiadicum majus 230,265, - - [ T e s t i s l1 9 3 taris) 338 Episiotom2 y 33 - - [Tibia] 282-283 2 6 9 - 2 7 1 , 391, 3 6 0 F a t p a d ,p a r a t h y m i c 1 0 5 ,1 3 0 ,1 3 6 ,1 3 9 Epithetium - - minus 265,269-271,317, - [ u n a t a 2 3 0 ,2 6 6 - 2 6 7 2 111 , 79 Epoophoro2 n00 319,321 2 6 2 2 6 3 , 2 1 5 , 2 5 6 2 5 7 , 3 , F e m u r l a t e r a L i s 2 9 6 2 9 8 matteotaris Erection 222 - m a g n u m6 , 4 0 - - m e d i a L i s2 9 6 - 2 9 8 273-277, 280-281,284-287, E x c a v aot i - nutricium 282-2833 , 11 - m e d i a t i s( F i b u t a 2 - r e c t o u t e r i n a1 5 7 ,16 7 , 2 0 1- 2 0 2 , l 83 2 9 0 - 2 9 3 3, ' ,3] - 3 16 , 3 2 3 ,3 2 8 ,3 3 0 , - o b t u r a t u m 2 2 9 ,2 6 5 - 2 6 6 2 , 69, - - { O v a r i u m2l 0 1 369,381 2 0 5 , 2 0 7, 2 2 9 , 2 5 3 , 2 5 7 271, 273-274, 280 - - { T i b i a l 2 8 2 - 2 8 3 , 3 0 6 , 3 2 7 , 3 6 7 - a n g L eb e t w e e nn e c k a n d s h a f to f - r e c t o v e s i c a L i1s6 6 ,1 9 0 ,1 9 6 , - o m e n t a L e1 6 0 , 1 6 6 - 1 6 7 - p a t e I t a r i s2 7 5 ,2 8 1 ,2 8 4 - 2 8 6 , t h ef e m u r 2 7 6 2 1 0 ,2 1 7, 2 2 6 , 2 3 6 , 2 1 3 , 2 5 2 - o v a [ el C o r l 7 8 - - o f a n t e t o r s i o n2 7 7 - v e s i c o u t e r i n 1a 5 7 ,1 6 1 ,2 0 2 , 290,292 - p a p i L [ a r i 1a 8 3 - A P - r a d i o g r a p h2 7 4 - p e l v i c a 11 2 0 5 , 2 0 1, 2 0 9 , 2 3 7, 2 5 3 - s a c r a L iaan t e r i o r a1 0 , 1 6 , 3 1 7 - a r t e r i e s3 5 1 , 3 5 9 - p o p L i t e a2 7 5 ,2 7 7 ,2 9 1 ,3 2 3 ,3 2 8 , Extremitas - - p o s t e r i o r a1 0 - 1 1 - - d i g i t a st u b t r a c t i oann g i o g r a - acromialis 47, 122 3 3 0 ,3 6 9 - s u p r a p i r i f o r m 3e 1 7 ,3 1 9 - 3 2 0 , - p o s t e r i o rI F i b u t a ]2 8 3 - a n t e r i o r( S p L e n1l 5 6 ,1 5 9 p h y I D S A ]3 5 9 - c r o s s - s e c t i o n3 8 0 - 3 8 1 360 - - ( P r o s t a t a1l 9 1 - i n f e r i o rl R e n l 16 4 , 1 6 7 , 1 8 6 , - t r a n s v e r s a r i u m6 - 7 , 3 5 - fascia306-307 - - l R e n l1 8 8 188,21 6 - v e n a eb a s i v e r t e b r a t i 9 - m u s c l e s 3 1 0 - 3 2 3 f, 4 2 - f 4 6 s , 25 - - {Tibial 282-283 - - { T e s t i s1 l 93 - - c a v a e5 5 , 6 2 - 6 3 , 1 0 4 , 1 0 6 , - - o r i g i n sa n d i n s e r t i o n s - r e n a L i s[ S p L e n l' 1 5 6 - nn<tarinr lSnianl 'l5A r21 - s a c r o p e t v i c a2 6 6 - s t e r n a l i s3 , 4 7 , 1 0 8 310-311 - v e n a r u mm i n i m a r u m7 8 - s t r u c t u r eo f t h e t r a b e c u [ abr o n e - s u p e r i o r{ T a t u s l2 9 7 - s u p e r i o r{ R e n l 1 6 0 ,1 6 6 ,1 8 8 , - v e r t e b r a [ e6 - 9 , 3 5 ,1 2 5 - s y m p h y s i a t i3s, 2 6 6 ,2 71 , 2 7 9 276 216 - WINSLOW - v e i n s3 5 2 1 I6 0 - v e s i c a l i s2 0 2 ,2 0 9 ,2 5 3 - - l T e s t i s l1 9 3 F or n i x - v i s c e r a l i lsH e p a r l 1 4 5 ,1 6 0 - t u b a r i a2 0 1 Fibrae - g a s t r i c u s1 3 0 ,1 3 2 ,2 4 2 , 2 4 7 - i n t e r c r u r a l e s5 6 ,5 8 , 6 0 - - { S p t e n )1 5 6 - u t e r i n a2 0 1 - vaginae 202, 205, 207, 253 - o b L i q u a e1 2 9 F a t xs e p t i 7 9 Fossa Fibula 262-263, 282-283, 285-287, Fascia - a x i t t a r i s5 8 2 9 4 ,3 0 0 - 3 0 13, 0 4 - 3 0 53, 3 0 - 3 3 1 , - a c e t a b u t i7 1 , 2 3 0 ,2 5 6 ,2 6 0 , F - b r a c h i i5 8 2 6 6 - 2 6 ,72 7 3 , 2 7 9 - 2 8 0 3 3 5 ,3 6 6 ,3 8 1- 3 8 2 - itiaca 26t+,266,271 - c e r v i c a t i1s1 0 , 1 1 9 Frtumt-al F ac i e s - i n g u i n a t il sa t e r a L i5s 9 ,6 1 , 7 1 , 2 3 6 - r a d i c u t a r ilaN s p i n a t i s 4) 5 6R - a n t e r i o r( G [ a n d u lsau p r a r e n a L i s l - r l r w i n o r r n r r l i < - - m e d i a l i s5 9, 6 1, 7 1 , 2 3 6 - - p o s t e r i o r a4 0 - c r e m a s t e r i c a6 1 ,1 9 3 - 1 9 4 1 , 97, 189 - i n t e r c o n d y l a r i s2 7 5 ,2 7 7 ,2 8 1 , - t e r m i n a L e4 3 ,2 / + 22, 5 2 - - { P a t e l t a ]2 8 L - 2 8 5 , 2 9 0 - 2 9 1 239,252 2 9 1, 2 9 3 - c r i b r o s a2 1 8 , 3 0 6 - - tRenj188 Fimbria[-ae] - ischioanatis 232-233,236 - o v a r i c a2 0 1 - c r u r i s 3 0 6 - 3 0 73, 2 8 ,3 6 5 - 3 6 6 , - a n t e r o i n f e r r o r1 6 4 - t u b a eu t e r i n a e 2 0 1 , 2 0 9 , 256-258 - a n t e r o s u p e r i o1r 6 1 3 8 1- 3 8 2 - maIteo[L i a t e r a t i s2 8 3 - d e L t o i d e a2 6 - 2 7 - a r t i c u t a r i sa n t e r i o rl A x i s l 6 253 - n a v i c u t a r i su r e t h r a e 1 9 8 - 1 9 9 , - d o r s a I i sp e d i s 3 0 6 , 3 7 9 , 3 8 4 - - c a l c a n e a2 9 8 F i s s ur a| - a eI - horizontatp 252 - g l u t e a 5 2 , 3 0 7 ,3 1 9 ,3 6 2 ---anterior297 i su l m o n i sd e x t r i - ovalis78 - i t i a c a1 7 9 ---media297 94-95,120 - paravesicatis59, 260-261 - [ i g a m e n ttie r e t i s 1 4 2 - inferiod ---posterior297 r iaphragmatp i se t v i s - p o p l i t e a2 6 2 ,3 0 7 ,3 2 1 ,3 6 0 - 3 6 3 , - o b t i q u a 9 L - 9 5 ,9 9 , 1 2 0 - 1 2 1 , - - c a p i t i sc o s t a e 4 9 230 366,369-372 - i n f r a s p i n a t a2 6 - 2 8 ---fibulae283 12/,-127 Duodenum - p r o j e c t i o n1 3 4 Faciesarticularis - - c u b o i d e a2 9 7 - 2 9 8 - - f i b u t a r i s2 8 2 - - i n f e r i o rl A t t a s l6 _ _ _ lTibial 292,291,,301 - - - ( V e r t e b r at u m b a L i s )9 - - matteo[L i a t e r a [ i s2 8 3 , 2 9 4 , 301 - - - m e d i a l i s2 8 2 , 2 9 4 , 3 0 1 - - n a v i c u l a r i s2 9 7 - 2 9 8 - - I P a t e t t a l2 8 4 - 2 8 5 , 2 9 0 , 2 9 2 - - p o s t e r i o r( A x i s l 6 - - s u p e r i olrA t t a s 6 l ,19 ---fTibiaj 282,293 - - t a t a r i s3 0 3 - - - anterior 297-298,303 ---media297-298,303 - - - posterior297-298,303 - - t u b e r c u l ic o s t a e 4 9 - a u r i c u t a r i s1 0 - 1 1 , 2 6 6 - c o L i c a1 5 6 Fascia - i n v e s t i e npse r i n e si u p e r f i c i a L i s s F a s c i ap e r i n e i - t a t a 3 0 6 - 3 0 73, 1 3 - 3 1 53, 1 9 , 355,360,381 - n u c h a e3 9 - o b t ur a t o r i a 2 3 0 ,2 3 2 - 2 3 3 3 , 17 - p e d i s3 8 2 - p e t v i sp a r i e t a t i s2 5 3 - - v i s c e r a t i s2 3 7 , 2 5 2 - p e n i sp r o f u n d a1 9 7 , 1 9 9 , 2 3 8 - - superficiali1 s99 - perinei 230, 232-235,260 Index Fossa - s u p r a v e s i c a l i6s1 ,7 1 ,2 3 6 - t r o c h a n t e r i c 2a 7 5 - 2 7 72, 7 9 - v e s t i b u lvi a g i n a e2 3 5 F o v e a[ - a e J - c a p i t i sf e m o r i s 2 7 3 ,2 7 5 - 2 7 7 , 279-280 - c o s t a t i si n f e r i o r 8 , 2 0 - - p r o c e s s utsr a n s v e r s8i - 9 , 2 1 , 45 - - superior 8-9,20-21 - d e n t i s6 , 1 9 F o v e o l a eg a s t r i c a e 13 0 F R A N K E N H A USSgEaR n g t i o n2 2 3 Frenu[um - c t i t o r i d i s2 3 5 , 2 5 3 - [ a b i o r u mp u d e n d i2 3 5 - o s t i ii t e a t i s1 3 9 - p r e p u t i i1 9 9 F un du s - g a s t r i c u s 1 2 0 ,1 2 8 - 1 3 0 ,1 3 2 , 1 4 9 ,1 6 0 - u t e r i 1 6 7 ,2 0 1 - 2 0 4 2 . 0 7 ,2 0 9 , 253 - v e s i c a e 1 6 7 ,1 9 5 - 1 9 6 ,1 9 8 - - b i l r a r i s1 / + 9 - 1 5 0 , 1 5186, 3 , 166 FunicuLus - s p e r m a t i c u s5 6 - 5 8 , 6 0 , 6 81, 9 3 , 1 9 7, 2 1 8 , 2 2 6 - 2 2 ,72 3 8 ,2 5 6 , 3 0 6 , 35 4 - 3 5 5 - u m b i t i c a I i s7 0 , 2 0 6 ,2 0 8 Gt an dI s l - o f B A R T H o L I2N0 0 , 2 3 3 , 2 3 5 - o f B R U N N E1R3 6 - o f c o w P E R2 2 6 , 2 3 2 , 2 3 4 Glandu[al-ae] - a r e o t a r e s6 4 - b u l b o u r e t h r a t i1s9 2 ,1 9 6 ,1 9 8 , Hip - a r t e r i e s3 5 9 - muscles 310-322,T42-f 43 H o r s e s h o kei d n e y18 5 H u m e r u s3 , 1 2 4 H U N T EsRv e i n 3 5 2 H y d a t i ds, t a t k e d2 0 1 H y m e n2 3 5 H y s t e r o s a t p i n g o g r a p h2 y0 3 2 2 2 ,2 2 6 , 2 3 22, 3 4 ,2 3 6 d u o d e n a t e s1 3 6 g a s t r i c a e1 3 0 r n t e s t i n a t e1s3 6 ,1 3 9 mammaria 125-127 I o e s o p h a g e a 1e 0 5 s u p r a r e n a t i s1 5 2 ,1 6 1 ,1 6 7 ,1 7 9 , l t e u m 1 3 7 - 1 1 r 0 1 ,5 7 - 1 5 81, 6 2 - 1 6 3 , 1 8 2 ,1 8 5 ,1 8 9 ,2 1 7 ,2 4 5 ,2 4 9 16 6 , 1 7 5 ,2 0 9 ,2 1 5 , 2 4 2 - 2 4 4 , 2 5,1 - t h y r o i d e a 1 0 4 - 1 0 5 ,1 0 7 , 254-255 110-111,118-119 lmpotentia - t r a c h e a l e s9 1 - coeundi 222 - v e s i c u t o s a1 9 1 - 1 9 2 ,1 9 5 - 1 9 6 , - generandi 222 2 2 2 ,2 2 6 - 2 2 ,72 3 6 , 2 4 2 - 2 4 3 , 2 5 6 , r m p r e s s r o - c a r d i a c a9 5 258 - - AP-radiograph - colica 142 195 - v e s t r b u [ a rm - d u o d e n a [ i s1 4 2 i s a j o r 2 0 0 ,2 3 3 , - g a s t r i c a1 4 2 235,237 - o e s o p h a g e a1 4 2 Gtans - c L i t o r i d i s2 0 0 ,2 0 7 ,2 3 3 ,2 3 5 - r e n a t i s1 4 2 - p e n i s 1 9 2 ,1 9 6 - 1 9 9 , 2 2 2 , - s u p r a r e n a l i s1 4 2 242-243,252 Inctsura - a c e t a b u I2i 6 6 - 2 6 7 G L I S S 0T Nr,i a do f 1 4 5 - a n g u l a r i s1 2 8 ,1 3 0 ,1 3 2 , 1 3 5 , G l o m u sc o c c y g e u m2 5 3 GRAAFia f ont t i c t e2 0 1 160 - a p i c i sc o r d i s8 4 - 8 5 G u b e r n a c u l u tme s t i s 7 0 , 1 9 2 - cardiaca p u l m o n i ss i n i s t r i 94-95,103,110 G - c a r d i a [ i s1 2 8 , 1 3 0 H - c t a v i c u l a r i 5s 0 Gangtion(-ial - c o s t a l i s5 0 H A c Hd, e e pp e r f o r a t i nvge i no f 3 5 2 - c a r d i a c u m1 2 0 - f i b u t a r i s2 8 2 H a e m o r r h o i d2s1 1 - c e r v i c a tm e edium83,117,120 - i s c h i a d i c am a j o r 2 6 6 - 2 6 7 H a L t u x2 6 2 ,2 9 5 , 2 9 9 - - s u p e r i u s8 3 - - minor 266-267,280 H a u s t r ac o l i 1 3 8 - 1 3 91, 4 1 ,16 3 - c e r v i c o t h o r a c i c u8m3 , 1 1 7 , 1 2 0 H E A Dz,o n e so f - j u g u [ a r i sl S t e r n u m ]4 6 , 5 0 67 - c o e l i a c a2 1 L , 2 4 9 - t i g a m e n ttie r e t i s 1 4 2 Heart _ o f F R A N K E N H A U S2E - axis80 - p a n c r e a t i s' 1 5 2 2R 3 - mesentericum - s h a d o w1 0 1 i n f e r i u s2 1 4 - v e r t e b r a l i isn f e r l o r8 , 1 2 ,1 5 - p e t v i c a2 1 4 , 2 2 2 - 2 2 3 - s h a p e1 0 1 - - s u p e r i o r1 2 ,1 5 - s a c r a L i a2 2 5 - - a o r t i ck n o b 1 0 1 In f u n d r bIuu m - s e n s o r i an e r v o T U m - - - o f p u t m o n a r y a r t e r y1 0 1 - d u c t u sp a r a m e s o n e p h r i 'c1i 9 2 spinalium - - - o f t h e t e f t / r i g hat t r i u m 1 0 1 21,40-43,45 - t u b a eu t e r i n a e 2 0 0 - 2 0 1 , 2 0 4 , - s t e t l a t u ms G a n g [ i o cne r v i - - a r c h o f t h e v e n t r i c [ e 10 1 209, 228,253 - v e i n s8 5 c o th o r a c i cum I n g u i n acIa n a [6 1 - t h o r a c i c a1 1 3 - 1 1 41, 1 7 , - walts 60 H E I S T E R S v a L1v5e0 120-121 H e p a r 5 4 ,6 7 , 1 1 9 - 1 2 11, 3 1 , I n g u i n ahI e r n i a 6 1 - t r u n c is y m p a t h i cLi 1 - 4 3 , 4 5 , - directm 142-146, 149 -150, 154-155, 157, , e d i a [6 1 21/+,222-223 - i n d i r e c tL, a t e r a 6[ 1 180, 188, 242-241.246-250.255 G a s t e r6 3 ,6 7 , 1 0 4 , 1 0 6 , 1 0 8 - 1 0 9 , - A p - r a d i o g r a p h1 7 1 I n j e c t i o nv,e n t r o g I u t e a3[6 4 - a r t e r i e sv, a r i a t i o n s17 0 1 1 7 , 1 2 1 , 21 8 - 13 5 , 1 4 0 ,15 5 , I n s u t ap a n c r e a t i c a 153 1 5 7 - 1 6 1 , 1 6 6 , 1 7 0 , 1 7 2 , 1 7 9 - 1 8 0-, f o r m v a r i a t i o n s1 + + I n t e r a c e t a b u Lt ianre 2 6 5 - t a p a r o s c o p1y 4 9 217,242-244,246-250,255 I n t e r a r t i c u Lpaor r t i o n8 , 1 5 - AP-radiograph - m i c r o s c o p isct r u c t u r e1 4 5 1 3 2 ,1 7 1 I n t e r m e t a t a r s aj oI i n t s s A r t i c u l . a - a r t e r i e sv, a r i a b i l i t y1 7 0 - p o r t ah e p a t i s1 4 2 t i o l - n e s il n t e r m e t a t a r s a [ e s - forms 132 - p r o j e c t i o n1 4 4 I n t e r s e c t itoe n d i n e a4 6 , 5 6 - 5 8 - l a y e r so f t h e w a t t 1 3 0 - s e g m e n t s1 4 7 I n t e r s p i n at iI n e 2 6 5 - p r o j e c t i o n1 3 2 - veinsp , r o j e c t i o n1 4 6 I n t e s t i n adIe v e l o p m e n1t5 7 - - ultrasound G a s t r o s c o p1y3 3 image 14g Intestinum G e n i t aol r g a n s - c r a s s u m6 7 , 1 6 3 - 1 6 5 Hiatus - f e m a l e2 2 3 - a d d u c t o r i u s3 1 5 - 3 1 6 , 3 2 3 , 3 5 8 , - t e n u e 6 7 , 1 3 6 ,1 5 9 ,1 6 3 - 1 6 4 , - - d e v e t o p m e n t2 0 0 362 252-253 - - external233,235,241 - a o r t i c u s6 2 - 6 3 ,1 0 4 ,1 7 9 , f 2 1 - - l a y e r so f t h e w a t L 13 6 - - i n n e r v a t i o n2 2 3 - o e s o p h a g e u s6 2 - 6 3 ,1 0 4 - 1 0 5 , I n t r o i t u vs a g i n a e2 2 3 - - i n t e r n a l2 0 4 , 2 0 9 1 0 7 ,1 0 9 ,1 7 9 ,2 1 7 ,2 2 1 ,T 2 1 l s t h m u s8 , 1 5 - male 222,239 - s a c r a l i s1 0 - 1 1 - g t a n d u l a teh y r o i d e a e1 0 4 ' 1 9 2 - - development - s a p h e n u s3 0 6 ,3 5 4 - 3 5 5 - t u b a eu t e r i n a e2 0 1 , 2 0 9 , 2 2 9 , - - e x t e r n a l1 9 7 , 2 3 8 , 2 4 0 - urogenitate i st a n i 2 3 0 253 - - innervation 222 - uleri 201-202,253 Hitum G e n u2 6 3 ( G L a n d ust au p r a r e n a t i s1l 8 2 - muscles 323 - r e n a [ e1 8 2 - s p t e n i c u m1 5 6 ,1 6 1 ,2 1 9 G I f 4 B E R NsA[Ti g a m e n t 3 5 5 - J Jejunum132,13/.-135, 137,152, 154,157,162-163,165,175,179, 242,244,247, 249-251 , 255 Joint - o f c H 0 P A R 2T9 6 , f 3 9 - o f L I S F R A N2C9 6 , T 3 9 J u n c t i oa n o r e c t a t i 2 s 10 J u n c t u r a ec i n g u Lpi e t v i c 2 i 6 8 - 2 71 , T39 K K o H L E Rt' se a r d r o p 2 8 0 K0HLRAUScH f o' sl d 2 1 0 ,2 5 2 K R I S T E L L EmRu,c o u sp t u g o f 2 0 7 L Labium - anterius 202,205 - e x t e r n u m 2 6 4 ,2 6 6 - 2 6 7 3 , 22 - i n t e r n u m 2 6 / +2, 6 6 - 2 6 7 - l a t e r a t e2 7 5 , 2 7 7 - m a J Up s u d e n d i2 0 7 , 2 3 1 , 2 3 5 , 253,261 - m e d i a [ e2 7 5 - 2 7 7 - m i n u sp u d e n d i2 0 7 ,2 2 3 , 2 3 1 , 233, 235, 237,241, 253, 261 - p o s t e r i u s2 0 2 , 2 0 5 L a b r u ma c e t a b u L2i 7 9 L ac un a[ - a e J - m u s c u t o r u m2 6 9 , 3 5 5 - u r e t h r a t e s1 9 8 - v a s o T U m6 2 , 6 8 ,2 6 9 ,3 5 5 L a mi n a ( - a e l - a n t e r i o rl V a g i n a m u s c u [ ri e c t i a b d o m i n i s l5 2 , 5 6 - 5 8 ,7 0 , 7 2 , 355 - ar c us v e r t eb r ae 7- 9 , 2 1- 2 3 , 2 5 , 2 9 , 3 5 ,4 1, 4 4 - c a r t i t a g i n icsn c o i d e a e12 . 9 1 , 119 - cribrosa68 - d e x t r al C a r t i t a gtoh y r o i d e a l 9 0 - 9 1 ,1 0 / + - h e p a t o c y t i c a1e4 5 - m u s c u [ a r im s u c o s a e1 0 5 ,1 3 0 , 136,139 - p a r i e t a t i sI P e r i c a r d i u ms e r o suml 74-75, 85, 89, 119-120 - - lTunica v a g i n a t itse s t i s l 7 0 , 193-194,239 - p o s t e r i o [rV a g i n m a u s c u t ri e c t i a b d o m i n i s 5J 8 , 6 9 - 7 0 - p r o f u n d a( F a s c i tah o r a c o t u m b a t i s J2 9 ,3 2 - p r o p r i am u c o s a e1 0 5 ,1 3 0 ,1 3 6 , 139 - s u p e r f i c i a [ i sI F a s c i ac e r v i c a t i s ] 110,119 - - [ F a s c i at h o r a c o [ u m b a L i s ] 29 - v i s c e r a t i IsP e r i c a r d i u m serosuml 74-75, 78-80, 119-120 - - I T u n r c a v a g i n a l i s t e s t1i s9)4 , 239,242 v L A N Z 'pso i n t 1 4 0 L a p a r o s c o p y1 4 9 L a r y n x3 5 ,9 0 - 9 1 ,10 9 L A U E N S T EpIrNo j e c t i o n2 8 0 Legs Crus L i e ns S p t e n L i g a m e not f G I M B E R N 3A5I 5 lndex L i g a m e n tm u [-aJ - atare18 - a n o c o c c y g e usmc o r p u s Ligamentuml-a) - i[iotumba[3 e 1, 4 1, 2 1 7, 268-270,272 - i n f u n d i b u L o p e L v i c2u0m anococcygeum 9 - a n u [ a r i a9 0 - 9 1 - i n g u i n a l e5 7 , 6 0 ,6 2 , 6 9 , - a p i c i sd e n t i s 18 - 1 9 196- 19 7 , 2 34 - 2 3 5 ,2 6 2 ,2 6 8 - 2 70 , - a r c u a t u mL a t e r a t e6 2 - 6 3 ,6 8 3 0 6 ,3 1 3 ,3 1 7 ,3 5 4 - 3 5 6 , 3 5 9 - - m e d i a t e6 2 - 6 3 - i n t e r c t a v i c u L a5r1e - - m e d i a n u m6 3 - i n t e r c u n e i f o r mdi ao r s a L i a 303 - a r t e r i o s u m 7/ ' - 7 5 , 8 / + 8 - i n t e r f o v e o l a r e7 1 , 8 ,9 9 , - interspinaLia 10 4 - 10 5 , 1 1 3 - 1 1 4 2 5 , 3 1 ,3 5 , 4 4 ,1 1 9 - a t t a n t o o c c i p i t aLtaet e r a t e1 7 - i n t e r t r a n s v e rasr i u m 2 1- 2 2 , - b i f u r c a t u m3 0 0 , 3 0 3 31-32, 1,1 - c a l c a n e o c u b o i d e u3m - i s c h i o f e m o r a [ e2 7 8 - 2 7 9 0 0 ,3 0 3 - - p t a n t a r e3 0 2 - Lacunare 62,317,355 - c a l c a n e o f i b u [ a r 3e 0 0 - 3 0 4 - L a t u mu t e r i 2 0 1 , 2 0 9 - c a t c a n e o n a v i c u L a3r e - [ o n g i t u d i n a at en t e r i u s1 7 , 0 0 ,3 0 3 - - plantare299-3003 , 02-303 2 0 - 2 2 , 2 4 - 2 5 ,2 9 ,4 2 , 4 5 ,5 5 , 7 2 , - c a p i t i sc o s t a ei n t r a a r t i c u l a r e2 2 116,124,268 ---radiatum20-21 - - p o s t e r i u s2 0 , 2 3 - 2 5 , 4 2 - 4 3 , - - f e m o r i s2 3 6 , 2 5 6 , 2 6 0 , 2 7 1 , 2 7 9 45 - - f i b u l a ea n t e r i u s2 8 6 , 2 9 4 - [ u m b o c o s t a t e6 3 ---posterius287,290 - m e n i s c o f e m o r a lpeo s t e r i u s - c a r d i n a [ e2 0 1 , 2 0 5 287-288 - cottateratel-ial - m e t a t a r s a [ e ( - i adlo r s a t i a 3 0 0 - - {Articutatione - - p t a n t a r i a3 0 2 i nst e r p h a - - t r a n s v e r s u mp r o f u n d u m 3 0 0 , t a n g e a ep e d i s )3 0 2 - - fibulare 285-289,293, 302 ---superficia[e338 3 10 - 3 11 - - laterale288 - n u c h a e2 5 , 2 8 , 3 4 - - m e d i a [ e[ A r t i c u l a t igoe n u s ) - o v a r i ip r o p r i u m 2 0 0 - 2 0 1 , 2 0 4 , 287-288 209 - - - [ A r t i c u t a t i o t a t o c r u r a L i s ] - patettae 285, 287-290, 293,306, 3 0 0 - 3 0 4 ,3 8 2 310, 312-315, 322-323,327, 332, - - tibiate 284-290,293 356,368 - c o r o n a r i u m 14 2 - 11 , 3 ,1L 5 , 1 6 0 , - p h r e n i c o c o t i c u 1m6 0 ,1 6 6 167 - costoclavicular5 - phrenicosplenicum e1 247 .- costotransversarium20-21, 32 - p t a n t a r e l - i a3J0 2 - - longum 299-300,302,304, - - L a t e r a t e2 0 - 2 2 - - s u p e r i u s2 1 - 2 2 , 3 1 342,379,383 - c o s t o x i p h o i d e5a6 ,5 8 - p o p t i t e u ma r c u a t u m 2 8 6 , 2 8 8 , - c r i c o t h y r o i d e um 290,329 me d i a n u m9 0 - c r u c i a t u ma n t e r i u s 2 8 6 - 2 8 7 , - - obliquum 286-288,293, 329-330 289-290,292-293 - - p o s t e r i u s2 8 6 - 2 9 0 , 2 9 3 - p u b i c u mi n f e r i u s2 3 0 , 2 3 1 r , 2 6 8 , - c r u c i f o r m ea t t a n t i s18 - 19 270-272,r39 - cuboideonavicu[a - - superius234,256-257, d roer s a L e3 0 0 - - plantare302 268-2692 , 7 2 ,3 14 , 3 5 s ,T 3 9 - p u b o f e m o r a l e2 7 8 - 2 7 9 - c u n e o c u b o i d e udmo r s a t e3 0 3 - p u b o p r o s t a t i c u m2 2 6 ,2 5 2 - c u n e o n a v i c u l a rdi oa r s a t i a3 0 0 , - p u L m o n a [ 9e 5 ,1 ' 1 2 303 - rectouterinum - - p t a n t a r i a3 0 2 205 - deltoideum - r e f l e x u m5 6 ,5 8 , 6 0 s Ligamentum - r o t u n d u m 1 6 7 ,2 0 1 ,2 0 4 ,2 2 9 c o t L a t e r a tm e e d i a t e[ A r t i c u [ a t i o - sacrococcygeum anterius t al o cr u r aI is ] - d e n t i c u l a t u m4 0 , 4 3 , 4 5 230-231 - - p o s t e r i u sp r o f u n d u m2 7 0 - epididymidin s f e r i u s1 9 3 - - - s u p e r f i c i a t e2 5 2 , 2 7 0 - - s u p e r i u s1 9 3 - f a L c i f o r m e5 9 , 7 1 - 7 2 ,1 4 2 - 1 4 3 , - s a c r o i L i a caan t e r i o r a 2 3 0 , 268-2692 , 7 1 - 2 7 2 , 3 1 ,7r 3 9 14 7 , 1 5 0 ,15 8 - 16 0 , 16 6 ,2 4 3 , - - i n t e r o s s e a2 3 0 , 2 5 4 , 2 7 0 - 2 7 2 , 21,8-249 - flavum 20-23, 25, 29, 32, 35, 41, T39 - - p o s t e r i o r a2 7 0 - 2 7 1 , f 3 9 /.3-/.5,254 - s a c r o s pni a l e 2 2 4 - 2 2 5 2 - f u n d i f o r m ep e n i s 5 8 ,6 0 ,2 3 8 , , 2 9 ,2 4 0 , 2 6 5 ,2 6 9- 2 71 , 2 7 8 ,3 1 0 ,3 14 , 3 6 0 , 242-244,252 - gastrocolicum 157-158, T39 - s a c r o t u b e r a t e3 1 , 2 2 4 ,2 3 0 , 16 0 - 16 1 , 16 6 ,1 7 3 ,2 4 3 ,2 4 7 - gastrophrenicum 167 232-233,240, 265, 269-27 1, 278, - g a s t r o s p L e n i c u1m5 6 ,1 6 0 - 1 6 1 , 3 1 1 ,3 1 9 - 3 2 1 3 , 6 0 ,3 6 4 ,T 3 9 - s a c r o u t e r i n u m2 0 1 ,2 5 3 166-167, 245, 247 - spLenorena[1 - h e p a t o d u o d e n a1L3e1 ,1 5 0 , e56,245 - s t e r n o c l a v i c u t a raen t e r i u s 5 1 16 0 - 16 1 , 1 6 6 - 1 6 7 - s t e r n o c o s t a [ ien t r a a r t i c u t a r e - hepatogastricum 1 3 1 ,1 5 7 JI 16 0 - 16 1, 16 6 , 2 4 7, 2 4 9 - - r a d i a t u m5 1 - itiofemorate 268-269,278-279, - s u p r a s p i n a t e2 2 , 2 5 ,3 1 , 3 3 , 2 7 0 3 15 . 3 8 0 Ligamentum[-a) - suspensorium c L i t o r i d i2 s35 - - o v a r i i1 6 7 , 2 0 1 , 2 0 4 , 2 0 9 , 2 5 3 - - penis 58,238-239 - tatocatcaneum interosseum , 83 3 0 0 ,3 0 3 - 3 0 4 3 - - l a t e r a t e3 0 0 - - m e d i a l e3 0 1 - - p o s t e r i u s3 0 1 - t a t o f i b u t a raen t e r i u s3 0 0 , 3 0 3 - - p o s t e r i u s3 0 1 , 3 0 4 - t a r s ip L a n t a r i 3 a0 2 - t a r s o m e t a t a r s a Ldi ao r s a L i a3 0 0 , 303,334 - - p L a n t a r i a3 0 0 ,3 0 2 - t e r e sh e p a t i s5 9 , 7 1 - 7 2 , 1 4 2 , 1 4 4 , 1 1 1 75,41,15 8 ,16 0 - 16 1 ,16 6 , 170,172,21,9-250,255 - - uteri 167,200-201,204,209, 2 2 8 - 2 2 9 ,2 5 3 - t i b i o f i b u L aar e n t e r i u s2 9 4 , 3 0 0 - 3 0 13, 3 4 - - p o s t e r i u s3 0 0 - 3 0 1 - t r a n s v e r s u m2 3 - - a c e t a b u t i2 3 0 , 2 7 9 - - l A r t i c u L a tzi oy g a p o p h y s i a t i s l 23 - - a t t a n t i s1 8 - 1 9 - - cervicis Ligamentum cardinate - - genus 286,289 - - perinei 230,234 - t r i a n g u t a rdee x t r u m 1 4 2 - - s i n i s t r u m1 4 2 , 1 4 7 , 1 6 7 244-245 - u m b i l i c a lm e e d i a n u m6 1 , 7 2 , 15 8 ,1 9 0 - 1 9 11, 96 , 2 0 7 ,2 2 9 ,2 3 6 , 252-253 - v e n a ec a v a e 1 4 2 - 1 4 3 , 1 4 7 - v e n o s u m1 4 2 , 1 4 7 - vocale 1'19 L i m b ,l o w e r 2 6 3 - a r t e r i e s3 5 1 - c o m p a r t m e n t s3 6 6 - c r o s s - s e c t i o3n8 1 - 3 8 2 - c u t a n e o u Isn n e T v a t r osne,g m e n tat 346 - c u t a n e o u sn e r v e s 3 4 9 - d e r m a t o m e s3 4 6 - innervation se , g m e n t a it n, d i c a tor musclesT41 - l y m p h a t i c s3 5 2 - muscles 306-309T , 42-T5/. - - o r i g i n sa n d i n s e r t i o n s 310-311,324-325 - nerves345 - s k e L e t o n2 6 3 - -,,-J^-^ ^^^l^-., 5Ur rdLtr d'rd(v'rry tlt zez - v e i n s3 5 2 Limbus - a c e t a b u t i2 5 6 ,2 6 6 - 2 6 7 - f o s s a eo v a l i s 7 8 L in e a| - a eJ - a t b a 4 6 ,5 6 ,5 8 ,6 0 ,7 2 - 7 3 , 2 0 7 , 242-243,21,8-249,251-254 - a n o c u t a n e a2 1 0 - a r c u a t a7 1 , 2 7 1 , 2 7 3 - - [ 0 s i t i u m ]2 6 4 , 2 6 6 - - [Vaginm a u s c u t ri e c t ia b d o m i n i s l5 8 ,7 0 ,1 5 8 - aspera 275-271,323 - a x i [ [ a r i sp o s t e r i o r] - e p i p h y s i a t i2s8 1 ,2 9 1 ,2 9 3 . 304-305,383 - glutea anterior 267 - - i n f e r i o r2 6 7 - - p o s t e r i o r2 6 7 Linea[-ae] - i n t e r c o n d y l a r2 i s7 5 - i n t e r m e d i a2 6 4 ,2 6 6 - 2 6 7 - i n t e r t r o c h a n t e r i c a2 7 5 - m e d i a n ap o s t e r i o r1 - m u s c u t is o t e i 2 8 2 - 2 8 3 - p a r a v e r t e b r a [ i s1 - p e c t i n e a2 7 5 - 2 7 6 - s c a p u t a r i s1 - s e m i L u n a r i5s 8 - s u p r a c o n d y l a r ilsa t e r a L i s2 7 5 - - m e d i a t i s2 7 5 - t e r m i n a L i s1 6 7 ,2 3 0 ,2 3 6 , 264-2652 , 7 1 ,2 8 0 - t r a n s v e r s a1 0 L i n g u a1 2 L i n g u t ap u l m o n i s i n i s t r i9 4 - 9 5 , 110 L I S F R A N cj o' si n t 2 96 , I 3 9 L i v e rp u n c t u r e 1 4 4 L o b a rb r o n c h i9 2 Lobutusl-il - g l a n d u l a em a m m a r i a e6 4 - testis193-194,252 - t h y m i1 1 1 Lobusl-iJ - caudatus142-1431 , 5 4 ,1 6 1 , 166,172,244,249 - [ G L a n d u t ha y r o i d e a 1J 0 4 - 1 0 5 , 107,110 - g l a n d u l a em a m m a r i a e5 2 - h e p a t i sd e x t e r 1 3 1 ,1 4 0 , 1 4 2 - 1 1 + 4 , 1 4 9 - 1 5508,-116 1 ,16 3 , 2 ,1 , 8 - 2 5 0 , 16 6 , 1 7 2 ,1 8 8 , 2 4 / + - 2 4 6 255 - - sinister 120,131,142-144, 14 9 - 15 0 , 1 5 4 ,1 5 8 - 16 1 ,16 6 , 170,172,212-243,245, 2 4 7- 2 5 0 , 2 5 5 - i n f e r i o r9 4 - 9 6 ,9 8 - 9 9 ,1 0 3 ,11 0 , 1 18, 121, 121+-127 , 148, 159,243, 245-247 - m e d i u s( P r o s t a t a1l 9 5 - - putmonis dextri 94-96, 98, , 59, 1 0 3 ,1 1 0 , 1 1 8 , 1 2 6 - 1 2 7 1 245 - nrnc+elra davfpr 195 - - s i n i s t e r1 9 5 - p y r a m i d a t i1s1 0 - q u a d r a t u s 14 2 , 1 6 0 - 16 1 ,1 7 2 , 249 - s u p e r i o r I 4 - 96 , 9 8 - 9 9 ,1 0 3 , 110 - 111 , 1 1 8 ,1 2 4 - 1 2 71, 5 9 , 245 - { T h y m u s1l 1 1 L o w e ra b d o m e nv, e s s e L s1 7 5 ,1 7 7 L o w e rl i m b s L i m b ,l o w e r L u m b a rp a r t o f t h e v e r t e b r a I c o L u m n4 3 - A P - r a d i o g r a p 'h1 6 _CT35 - | ^+^-^t -^t:^^-^^l (dLEr dt I ourvgr dPr | 1F | J - [ i g a m e n t s2 3 - N 4 R l2 4 - v e r t e b r a t j o i n t s2 3 L u m b a rp u n c t u r e4 4 L u n u [ av a t v u l a es e m i L u n a r i s7 9 L y m p h a t i c sA, P - r a d i o g r a p h2 19 L y m p h o g r a p h y2 1 9 M MaLleotus - l a t e r a l i s 2 6 2 ,2 8 3 ,2 9 4 ,3 0 0 - 3 0 1 , 304-3053 , 2 7- 3 2 8 , 3 3 2 ,3 34 , 336-338,367, 370-371, 37?) Index Malteolus - m e d i a t i s2 6 2 ,2 8 2 ,2 9 / + , 3 0, 1 3 0 4 - 3 0 5 ,3 0 7 ,3 2 7- 3 3 0 ,3 3 4 ,3 3 6 , 3 3 8 ,3 7 1 ,3 7 3 - t e r t i u s3 0 5 M a m m a 6 4 - 6 5 ,1 2 7 - t y m p h a t i dc r a i n a g e6 5 - r a d i o g r a p h6 y5 Mammograph6 y5 M a n u b r i u ms t e r n i 3 , 4 7 ,5 0 - 5 1 ,5 5 , 6 9 ,1 0 8 ,1 1 9, 1 2 4 Margo - a c e t a b u tsi L i m b u sa c e t a b u l i - a n t e r i o rI F i b u t a l2 8 3 - - { P u l m o l9 4 - 9 5 , 1 1 0 - 1 1 1 - - l T e s t i s j1 9 3 - - ( T i b i a l2 6 2 , 2 8 2 - 2 8 3 , 3 0 6 - f a [ c i f o r m i s3 0 6 , 3 5 5 - i n f e r i o rI H e p a r l1 4 2 ,1 4 5 , 1 6 3 - - I P u t m o l9 4 - 9 5 , 1 1 0 - - I S p t e n )1 5 6 - i n t e r o s s e u{sF i b u t a l2 8 3 , 3 3 0 - 3 31 - - (Tibial 282-283 - l a t e r a l i sl R e n l 18 2 ,2 16 - t i b e rl O v a r i u m 2 l 01 - m e d i a l i sl G t a n d u t a s u p r a r e n a t i s1) 8 2 , 1 8 9 - - lRenl 182,216 - - ( S c a p u t a2) - - lTibia] 282-283 - m e s o v a r i c u s2 0 1 , 2 0 9 - p o s t e r i o{rF i b u t a l2 8 3 - - l T e s t i s ]1 9 3 - s u p e r i o r[ G t a n d u t a s u p r a r e n a t i s l1 8 2 , 1 8 9 - - l S p t e n l1 5 6 , 1 6 1 , 1 6 6 - 1 6 7 M a s s al a t e r a t i sa t t a n t i s6 , 1 7 ,1 9 M A Ys v e i n 3 5 2 ,3 6 5 M C B U R NSEpYo i n t 1 4 0 M E C K ESLd i v e r t i c u t u m1 3 7 M e d i a s t i n u m1 1 2 - 1 1 31, 16 , 11 9 - a n t e r i u s1 1 9 - i n f e r i u s1 1 9 - m e d i u m1 1 9 - organisatio1 n19 - p o s t e r i u s1 1 9 , 1 2 1 - s u p e r i u s1 1 9 - lestis 193-19/+,252 MedutLa - [ G t a n d u tsau p r a r e n a t i s1l 8 9 - r e n a l i s 1 8 3 - 1 8 41, 8 8 , 2 1 6 - 2 4 7 , 250 - s p i n a t i s 4 0 - 4 1 ,1 1 9 ,1 2 3 , 222-223,248-249 M e m b r an a - a t L a n t o o c c i p i t aatni st e r i o r1 7 , 19 - - p o s t e r i o r1 7, 1 9 , 3 4 - i n t e r c o s t a tri n s t e r n a3 1 ,5 5 - i n t e r o s s e ac r u r i s 2 8 3 ,2 8 6 , 2 9 4 , 3 0 1 ,3 6 6 ,3 8 1 - o b t u r a t o r i a2 3 6 ,2 6 0 - 2 6 1 ,2 6 8 , 271,278-279,355 - p e r i n e i2 5 2 - t e c t o r i a1 8 - 1 9 Membrum - inferius 206,263 - - s u r f a c ea n a t o m y 2 6 2 Meniscusl-il - l A r t i c u t a t i og e n u s l 2 8 9 - lateraLis 286-290,292-293 - medialis 286-290 M e s e n t e r i u m1 3 6 - 1 3 7 1 , 6 4 - 16 6 , 252 - d i v e r t i c u t1i 3 7 M e s o a p p e n d i x1 6 3 - 1 6 7 Me s o c o[ on - s i g m o i d e u m1 6 4 ,1 6 6 - 1 6 71, 7 9 , Muscutus{-i) - gracilis232-233, 261,284,308, 217-218,226 310-317, 319-321,323-324,328, - t r a n s v e r s u m1 3 9 ,1 5 7 ,1 6 0 - 1 6 1 , 356-358, 361-362,369,381 16 3 ,16 5 - 16 7 , 1 7 3 ,1 7 5 ,1 7 7 r /+0-I41, I45 - i t i a c u s6 2 - 6 37, 1 - 7 22, 1 72, 2 0 , M e s o s a [ p i n x2 0 1 , 2 0 9 Metaphysi3 s04 231,244,254,257,259,308,310, --cr29 M e t a t a r s u s2 6 3 , 2 9 8 312-314, 317,348,355-358, T42 - - [ a t e r a l t r a c t3 4 - iIiococcygeus M o n sp u b i s 2 3 5 230,243,T22 - e p i c r a n i u s3 9 - i t i o c o s t act iesr v i c i2s 8 , 3 0 , M o t i o ns e g m e n t '11,73, - c e r v i c a l2 5 - ArA.t^rcnin:o 1 )1-)q 33-34,120 - [umbar25 - - [umborum 122,125,188,243,216-251 28,30,72,f20 - - t h o r a c i2 M u c o u sp t u go f K R T S T E L L2E0R 7 253-254,319 s8,30,37,249,f20 - e x t e n s odTi g i t o r u b - itiopsoas M U L L E R i adnu c l 1 9 2 , 2 0 0 mr e v i s3 2 7 , 71,73,256-257, Muscles 332-337 4,379, 382,384, 260-261 ,368,37 , 279, 308,310-316, 321, - o r i g i n sa n d i n s e r t i o n os f T40-r41,r51 355,380,r40-r41 - o f t h e a b d o m i n a t w a L5L2 ,5 4 , - - - l o n g u s3 0 6 , 3 0 8 , 3 1 0 , 3 2 1 +- , infraspinatus 26-28,37,52, 5 6 - 5 8 , 6 0 - 6 26, 6 , 7 2 - 7 3 326-327 123-125 ,332-337 , - - Crus 310-311,324-325 - i n t c r c o c l e l e 5s 5 7 ? 2 1 7 2 4 8 367-368,37 4,379, --cT73 - - e x t e r n i3 1 , 5 4 - 5 5 5 381-384 I L, j - T 1 1 , T 4 7 , 7-58,60, - - Femur310-31'1 - - h a t l u c ibsr e v i s3 0 63, 2 7 , 10 6 , 115 , 1 2 4 , 1 2 6 - 1 2 7 , 1 1 + 4 , - - P e l v i s3 1 0 - 3 11 332-337 2 4 9, T 1 3 , 374, 384,r 40-r41, - - Pes 339 - - i n t e r n i3 1 ,5 4 - 5 8 ,6 0 , 1 0 6 , T51 - - - longus304,306,308,324, M u s c t e so f t h e b a c k 2 6 - 3 4 115 - 116 , 1 2 0 ,1 2 2 ,14 4 ,2 4 9 , - a u t o c h t h o n o u2s8 , 3 0 - 3 3T, 2 0 326-327 T13 ,332-337 , - - l a t e r a l t r a c t2 9 - 3 0 , 3 4T, 2 0 - i n t e r o s s eci ,o m p a r t m e n t s3 7 9 366-368,374,379, - - m e d i a It r a c t 2 9 - 3 0 ,T 2 0 381-382,38/1, I 40-r41,T47 - - d o r s a L e IsP e s l 3 0 4 ,3 3 3 - 3 3 4 , - - s u b o c c i p i t am - extremitatis I uscles32-34 inferioris308-309 336-3373 , 3 9 ,3 4 1- 3 4 3 , - deep 28-34 - fibularis brevis300,302-304, 383-384T , 53 - s u p e r f i c i a2[ 6 - 2 7 324-325,327,331-337,366,368, - - p l a n t a r e s3 3 3 , 3 3 9 - 3 4 33, 8 4 , M u s c u l u s [ - i3] 0 8 ,3 12 , 3 19 , 370,372,381-382,r 40-I/+1, r 48 T53 - - [ o n g u 3s 0 2 , 3 0 4 , 3 0 8 , 3 1 0 , - i n t e r s p i n a t ecse r v i c i s3 0 - 3 1 ,3 3 , 1040-1041,1045,1052 - a b d o m i n i s 5 2 , 5 6 - 5 8 ,6 2 , 6 6 , 324-327, 329-330, 332,335, 40,T20 - - l u m b o r u m3 0 - 3 1 ,T 2 0 72-73,188 339,341-342,366-368, 370, --cr73 - - t h o r a c i s3 0 , 1 1 9 , T 2 0 3 7 23, 8 1- 3 8 3r, 4 0 - 1 4 1 , r 4 8 - a b d u c t odri g i tm - - tertius327,332-337,366, - i n t e r t r a n s v e r s a rai in t e r i o r e s i i n i m i3 0 4 , 333-334, 336-337, 339-342, 368,382,T47 c e r v i c i s3 3 ,T 2 0 - f i b u L a rIipse r o n e ubsrle v i s3 2 6 - - l a t e r a t e [su m b o r u m3 1 - 3 2 , 377-378,384, T40,T54 - - h a t t u c i2s 9 9 , 3 0 / + , 3 3 3 , 3 3 5 , - f t e x o r [ - easc] c e s s o r isu sM u s 4 1 ,T 2 0 -378,384, - - m e d i a L e[su m b o r u m3 1 - 3 2 , 338-312,377 c u l u sq u a d r a t upsl a n t a e - - d i g i tm r40-r 41,r52 i i n i mbi r e v i{sP e s l 41, r20 - adductor(-esj - - p o s t e r i o r ecse r v i c i s3 1 , 3 4 , 243,259 339-342,384, r/10-r41, r54 - - b r e v i s2 4 4 , 2 6 1 , 3 1 0 - 3 1 2 , - - d i g i t o r u m 379 T20 3 15 - 3 16 ,3 5 83, 8 0T , 4 0 - T 4 1 , - - - brevis304,335, 339-342, - - - l u m b o r u m 3 0 - - t h o r a c i s 3 4 ,T 2 0 r45 3 7 7- 3 7 8 , 3 8 3 - 3 8 4 , - - hattucis301+,339-342,378, - i s c h i o c a v e r nsou s 2 2 2 - 2 2 3 ,2 2 6 , T 4 0 - T 4T 1 ,5 3 - - - l o n g u s3 0 4 , 3 1 1 , 3 2 5 - 3 2 6 , 232-233,235, 237, 240-242, 383-384, T40-r11,152 - - l o n g u s2 4 4 , 2 6 1 , 3 0 8 , 329-331, 339,341-342, 260-261,r22 - i s c h i o c o c c y g e u2s2 5 ,2 2 7 , 3 10 - 3 17 ,3 5 43, 5 6 - 3 5 8 , 3 6 6 , 3 7- 13 7 2 , 3 7- 73 7 8 , 380-381 r 4, 0 - I / + 1 , r 4 5 381-384,T40-T41, T50 230-231, 256,317, T22,T40 - - magnus260,286-288,290, - - hattucis - i s c h i o c r u r a t e2s6 0 brevis339-342, - l a t i s s i m ud 310-312,3 15-3't7, 319-321 377-378,38/,, r 40-rU ,r52 sorsi 1,26-29, , - - - longus30/+,325-326, 323,358,363-364, 380-381, 37 -38, 52, 54, 57-58, 63,72, r 40-r/+1 329-331, 339-312,36(. , r 45 1 2 6 - 1 2 72 , 4 8 - 2 5 13 , 19 , T 1I - - m i n i m u s2 6 0 , 3 1 6 , 3 1 9 - 3 2 1 , - l e v a t o r l - e saln i 2 1 0 ,2 1 2 - 2 1 4 , 3 7 1- 3 7 2 , 3 7- 73 7 9 . T40 381-384,T40-T41, T50 226-233,236-237, 240-2/+3, - a r t i c u t a rgi se n u s2 8 5 , 3 1 04, f/ ' - gastrocnemius 262,284, 256-258,260-261,311 , T22,r 1,0 - arytenoideus - - costarumT20 transversus 119 286-288,293,307-309, 311, - bicepsbrachii52,54,122 -323, -332, 320 326 361-362.366, - - - b r e v e s 3 1 - 3 2 - - femoris258,284,286,288, ---tongi31-32,f20 369-370,381 , T41,1 49 - g e m e t l ui sn f e r i o3r 1 1 , 3 1 8 - 3 2 1 , - - s c a p u l a e2 7 - 2 8 , 3 4 , 3 7 - 3 8 , 309-311, 317-324,328-332, 361-363,369-370, 380-381, 363-364,380, T43 r17 - - s u p e r i o3r1 1 , 3 1 8 - 3 2 1 , - [ o n g i s s i mcuasp i t i s2 8 ,3 0 - 3 1 , r40-TL1 , T46 - b r a c h i a t5 i s2 363-364,380, T43 33-34,37-39,T20 - bronchooesophag - g t u t e ums a x i m u1s , 3 7 , 5 2 , 2 1 5 , - - cervicis28,30,33-34,T20 9e 9us - bulbospon - - t h o r a c i2 giosus 222-223, 226, 226,232-233, 240-241,243,254, s8,30,37,72,249, 232-233,235,240-242, 260-261 2 5 6 - 2 5, 7 2 5 9, 2 6 2 , 2 7 9 , 3 0 9 1 r20 , ,3 ,1 - [ o n g ucso t t i5 5 ,f 1 2 - T 1 3 T22 317-322,361-364,380, - c o c c y g e su sM u s c u t ui ssc h r o - [umbricales r40-T41,T43 T1+0, IPes]340-342, - - m e d i u s7 2 , 2 5 4 , 2 5 6 , 2 5 9 . c0ccygeus T53 - c o t t i3 4 - muttifidusl-il 2 7 9 , 3 0 9 , 3,13111 + - 361, cervicis30,33-34, - constrictor pharyngis inferior 318-321 380, 3 9 ,10 2 0 ,361, 363-364, - - lumborum30-32,2L9,f20 104,120 r40-r41,143 - coracobrachiatis ---injection364 - - thoracis30-32,37,T20 54,122 - c r e m a s t e5r6 - 5 86, 0 - 5 1 , 7 0 , - - m i n i m u 2s 5 6 , 2 7 9 , 3 1 0 - 3 1 1 ,- o b t i q u ucsa p i t iisn f e r i o3r 1 ,3 3 , 193-194, 197,226,239,242-243, 318,320-321,364, 380, 39-40,120 - - - s u p e r i o3r 1 . 3 3 , 3 9 - 4T02, 0 252 r40-T41.T43 MuscuLusl-il - c r i c o t h y r o i d esu 1 0 4 ,1 1 0 ,1 2 0 - d a r t o s 7 0 , 2 2 6 ,2 3 2 ,2 3 9 ,2 5 2 - d e t t o i d e u s1 , 3 7 , 4 6 ,5 2 ,5 4 ,5 8 , 122-123 - d i g a s t r i c u s3 1 , 3 3 - 3 4 - d o r s i 2 6 - 3 3 ,3 5 , 4 ' l lndex l Musculusl-ilobLiquus - - e x t e r n u sa b d o m i n i s2 6 - 2 9 , 3 1, 3 7, 4 6 , 5 2 5 , 4 ,5 6 - 5 8 , 6 0 - 6 1 ,6 3 ,6 6 , 6 8 , 7 0 - 7 3 , 1 1 0 , 1 5 8 ,2 1 7, 2 3 1 ,2 3 9 ,2 4 8 ,2 5 1 , 2 5 4 ,3 1 1 ,3 2 2 ,3 5 5 ,3 6 4 ,T 15 , Musculusl-ilrectus - - c a p i t i sa n t e r i o rT 1 2 - - - L a t e r a l i s3 4 ,T 2 0 - - - p o s t e r i o r m a j o3r1 , 3 3 , 39-10, r20 m i n o r 3 1 , 3 3 , 4 0T, 2 0 - - femoris 244,256-257,269, r40 - - i n t e r n uasb d o m i n i2s7 - 2 8 , 2 7 8 - 2 7 9, 3 0 8 , 3 1 0 - 3 1 ,73 2 2 , 3 1 ,5 6 - 5 86, 0 - 6 16, 6 ,6 8 , 3 5 6 - 3 5 83, 8 0 - 3 8 1T, 4 4 - r h o m b o i d e u sm a j o t 2 6 - 2 8 , 70-73,158,217,231,239 2 5 1 , 2 5 4 ,0 3 ,1T 15 ,T 4 0 3 7- 3 9 , r 1 7 - obturatorius - - minor 27,38-39,I17 externus236, - r o t a t o r e sb r e v e s 3 0 - 3 1 ,T 2 0 256-257 279,310-311 ,259-261, , - - t o n g l3 0 - 3 1 , T 2 0 316,321,364,380,T40-141, - qa.rn.o..vdprs ?3n-2?1243 T45 - - internus212-213,225, - s a r t o r i u s 5 2 ,2 / 1 42, 5 6 - 2 5 7 ,2 6 2 , 230-231 2 8 4 ,3 0 8 ,3 r 0 - 3 17 , 3 2 2 - 3 2 1 . , 236-237 ,256-261, 2 7 9 , 3 1 0 - 3,1311 7- 3 2 1 , 3 5 6 - 3 5 83, 6 2 ,3 8 0 - 3 8 1 , 363-364, 380,T40-T41, T43 - neeinitnfrnnt:lie ?9 - omohyoideu1 s10,123 - opponend s i g i t im i n i m iI P e s ) 3 3 4 , 3 4 2 , 3 8 4T,4 0 ,T 5 4 - p a p i l l a r ia s n t e r i o r7 8 - 8 2 - - p o s t e r i o r7 8 - 8 1 - - s e p t a l i s7 8 - p e c t i n a t 7i 8 - p e c t i n e u s2 4 4 ,2 5 6 - 2 5 7 3 , 08, 3 10 - 3 16 , 3 5 5 - 3 5 73, 8 0 , - - - - - - - - - - r40-r41, r44 '1 - scalenua s n t e r i o r5 5 ,110 , 12 , 117-118,123,r11 - - m e d i u s 3 4 ,4 0 ,5 5 ,1 2 0 , 1 2 2 , T11 - - p o s t e r i o r2 8 ,3 1 ,3 4 ,5 5 ,T 11 - s e m i m e m b r a n o s u2s5 8 ,2 8 4 , 2 8 6 - 2 8 83 , 0 9 - 3 11 , 3 17 - 3 18 , 3 2 0 - 3 2 3 ,3 2 5 ,3 2 8 - 3 3 0 3 , 61- 3 6 3 , MuscuLus[-il - t e r e sm a j o r 1 , 2 6 - 2 8 , 3 7 , 5 2 , 122,124-125 - - m i n o r 3 7 ,5 2 - t h o r a c i s3 1 , 5 2 , 5 46, 0 - t h y r o h y o i d e u1s1 0 - t i b i a L i sa n t e r i o r 2 9 0 , 3 0 0 , 3 0 2 , , 32, 3 0 6 ,3 0 8 ,3 1 0 ,3 2 1 ,3 2 6 - 3 2 7 3 , 74 , 3 3 4 ,3 3 6 - 3 3 7 ,3 3 9 ,3 6 6 - 3 6 8 3 3 8 1 - 3 8 3T, L j - r 4 1 , I / 1 7 - - p o s t e r i o r3 0 0 ,3 0 2 ,3 0 4 ,3 11 , 325-326,329-331, 339,342, 3 6 6 , 3 7 0 - 3 7 2 , 31-83 8 2 , T 4 0 - T 4 1T , 50 - t r a c h e a L i9s1 - tr:ncvar<ncninrlic 29 Nervusl-ilcutaneus - - d o r s a t i si n t e r m e d i u s3 1 r 5 , 3 4 9 , 3 6 5 , 3 7 3r,4 0 - - - l a t e r a t i s 3 4 5 ,3 4 9 - 3 5 0 , 3 6 5 ,3 7 3 ,T 4 0 - - - m e d i a [ i s3 4 5 , 3 4 9 - 3 5 0 , 365 - - f e m o r i sl a t e r a t i s3 6 , 6 8 , 7 1 , 7 3 , 1 7 9, 2 1 7, 2 2 0 - 2 2 1, 3 1 7, 3 / + 4 - 3 4 53,4 8 - 3 4 9 ,3 5 3 , 3 5 5 - 3 5 7 ,3 6 0 ,T 1 * 0 - - - p o s t e r i o r3 6 , 2 4 0 - 2 4 1 , 2 5 7, 3 4 / + - 3 4 5 , 3 4 9 , 360-3643 , 8 0 ,T 4 0 - - s u T a el a t e r a L i 3 s45,349-350, 3 6 1- 3 6 3 , 3 6 5 ,3 6 9 ,T 4 0 - - - m e d i a t i s3 4 5 , 3 6 1 - 3 6 3 , 365-366,369,373,r40 - d i g i t a l ed s o r s a l e sp e d i s 3 4 5 , 3 4 9, 3 6 8 , 3 7 3 - 3 7L , r 4 0 - - p l a n t a r e cs o m m u n e s 3 76 - 3 7 8 , r 4 0 - - - proprii 376,378,140 - d o r s a t i sc t i t o r i d i s 2 2 3 ,2 3 1 ,2, 4 1 , - t r a n s v e r s uasb d o m i n i s3 1 , 5 8 - 6 3 ,6 6 , 6 8 ,7 0 - 7 3 ,1 5 8 ,2 1 7 , 2 2 1, 2 3 1, 2 4 9, 2 5 1, 2 5 4 , 3 1 0r, 1 5 , T40 - - p e r i n e pi r o f u n d u s2 0 7 , 2 2 6 , 230,232-236,2/+2,252, 260, 3 1 1 , f 2 2 , 10 4 0T a b - - - s u p e r f i c i a t i s2 3 0 ,2 3 2 - 2 3 5 , 2 4 0 - 2 4 ,12 6 0 , r 2 2 ,1 0 4 0 Tab - - t h o r a c i s5 5 , 6 9 ,1 1 0 ,1 2 7, f 13-T11+ - t r a p e z i u s1 , 2 6 - 2 8 , 3 3 - 3 43, 8 , 5 2 ,1 2 2 - 1 2 6r 1, 7 - t r i c e p sb r a c h i i3 7 ,5 2 - - s u T a e3 0 1 , , 3 2 6 , 3 3 3 , 3 6 6 , 3 8 3 , r40 - penis222,234,238-240, T40 - s c a p u l a3e8 - 3 9 , T 1 7 3 6 9 - 3 7 03, 8 0 - 3 8 1T, 4 1 ,r 4 6 - s e m i s p i n a t icsa p i t i s2 8 ,3 0 - 3 1 , Jlanche r i g e n t essN e r v u s l -si p n i c ip e L v i c i r40-r41,r45 3 3 - 3 4 ,3 8 - 4 0 ,T 2 0 - - c e r v i c i s2 8 ,3 0 - 3 1 ,3 3 ,3 9 ,T 2 0 66,68,73,179, femoraLis p e c t o r a [ i sm a j o r 4 6 , 5 2 , 5 1 . 2 ,36 ,2 4 4 , 2 17- 2 18 ,2 2 0 - 2 2 1 5 6 - 5 8 ,6 0 , 6 4 ,1 1 0 , 1 1 9 , 1 2 3 - 1 2 7 , - - t h o r a c i s3 1 , 3 3 - 3 4T, 2 0 - s e m i t e n d i n o s u s2 5 8 ,2 8 4 , 348-349, 256-257, 317,344-345, r 4 0 , r4 9 r26 - v a s t u si n t e r m e d i u s3 1 0 - 3 1 2 , - minor 54,60,120,12L,f26 T ,4 0 , 3 ,8 0 - 3 8 1 3 5 3 3, 5 5 - 3 5 8 309-311, 31 6-321,323-324,328, r LL-r45 p e r i n e i2 3 0 315-316,381,144 3 6 1- 3 6 3 ,3 6 9- 3 7 0 ,3 8 0 - 3 8 1T, 4 1 , - f i b u t a r icso m m u n i2s8 4 , - - l a t e r a l i s2 5 7 , 2 5 9 , 2 7 9 , 2 9 0 , p e r o n e u sb r e v i s ,[ o n g u sb z w T46 - s e r r a t u sa n t e r i o r2 7 - 2 8 , 4 6 , 5 2 , 361-363, 365, 349-350, 344-345, 2 9 3 ,3 0 8 ,3 10 - 3 16 , 3 2 0 - 3 2 3 , t e r t i u ss M u s c u t u fsi b u [ a r i s 368-371, T40,T51 3 3 2 ,3 5 6 ,3 5 8 ,3 6 1 ,3 8 1 ,r 4 4 b r e v i s ,L o n g u sb z w t e r t i u s 5 4 , 5 6 - 5 8 ,6 3 - 6 4 ,7 0 , 1 2 0 , - - profundus - - m e d i a L i s2 9 0 ,3 0 8 ,3 10 - 3 16 , 366, 31'5, 349-350, p h a r y n g i s1 0 9 1 2 2 - 1 2,7r 1 7 - - p o s t e r i o ri n l e r i o r 2 7 - 2 8 , 3 7 , 3 68,373-374, 379, 381-382, p i r i f o r m i s 2 2 4 ,2 2 6 - 2 2 7 2 323,356-358.381,r44 , 31, f 4 0 , f1 + 7 5, f1 M y o c a r d i u m76 , 7 8 - 8 0 ,11 9 2 4 3 ,3 1 0 - 3 11 , 3 14 - 3 2 1 ,3 6 0 , 2 4 9 ,T 1 9 - - superficia[is - - - s u p e r i o r2 7 - 2 8 , 3 7 , f 1 9 345,349-350, , 43 363-3643 , 8 0 ,T 4 0 - T 4 1 T - s o t e u s2 9 0 ,3 0 8 - 3 0 93, 11 , 368,373,379, 365-366, p t a n t a r i s2 8 6 , 3 1 1 , 3 2 3 , r 4, 0 , r 4 8 381-382 N 3 2 8 - 3 3 1 ,3 6 6 ,3 6 9- 3 7 2 ,3 8 2 ,T 4 0 , 325-332,369-372, 381, T 41,r 49 - genitofemoralis - s p h i n c t ear n i e x t e r n u s2 0 7 , 2 1 0 , 60,66,68,179, T49 1 9 ,72 1 7 , 2 2 0 - 2 2, 212 5 , 2 2 9 , 2 3 6 , p o p l i t e u s2 8 6 - 2 9 0 ,2 9 3 ,3 1 1 , N e c k ,m u s c t e s3 4 2 12 - 2 14 , 2 2 6 ,2 3 0- 2 3 3 , 2 3 5 , 1,5,348_349, 238,256, 317, 344_3 N e c k - s h a fat n g t eo f t h e f e m u rs 3 2 5 ,3 3 0 - 3 3 1 ,3 6 9- 3 7 0 ,3 7 2 , 240-242,252, 258,r22, r 40 - - - i n t e r n u s2 0 7 , 2 1 0 , 2 3 1 , 3 5 33, 5 5T, 15 ,T 4 0 A n g t eb e t w e e nn e c k a n d s h a f to f T 4 0 - T 4 1T , 50 - gluteusinferior257,344-345, p s o a sm a j o r 2 9 , 3 5 , 4 1 , 6 2 - 6 3 , thefemur 242,252,258 - - p y l o r i c u s1 3 5 ,1 5 2 380,T40,T43 349,360,363-364, N e p h r o ss R e n 6 8 ,7 2 , 1 5 2 ,18 5 - 18 6 , 1 8 8 ,2 1 7 , - - u r e t h r a e2 0 7 , 2 2 6 , 2 3 1 , 2 3 4 , N e r v o u ss y s t e ma, u t o n o m o u s1 1 7 , - - superior3/+1r-345,349,360, 2 2 1 ,2 3 6 ,2 4 5 - 2 4 ,72 5 1, 2 5 4 ,2 5 7, 364,380,r40,rrc-r4t' 120-121 2 5 9 ,3 0 8 ,3 1 0 , 3 1 2 - 3 1 1 , , 3 1, 37L 8 , r22 - hypogastricus - - vesicae 222 214, 222-223 Ne r v u s ( - i l 354-355T , 42 - iLiohypogastricus - a c c e s s o r i u s[ X l ] 3 8 - 3 9 ,T 17 - minor 62-63,72,179,217, - s p i n a l i s3 0 36-37,66,68, - a n a l e s2 1 4 - - c a p i t i s3 0 - 3 1 ,T 2 0 73,115,117, 179,217 , ,220-221 313,317,355,T42 - - i n f e r i o r e s2 2 5 , 2 4 0 - 2 / . 1 , 3 4 4 , - - c e r v i c i s 3 0 ,T 2 0 353,364,T15, 34/+-345, 348-349, p u b o c o c c y g esu 2 3 0 ,2 4 2 - 2 4 3 , - - t h o r a c i s2 8 ,3 0 ,T 2 0 T40 T40 r22 - i t i o i n g u i n a 6L 0i s6 - a n o c o c c y g e u s2 2 5 ,2 4 0 - 2 4 1 , - s p [ e n i u sc a p i t i s2 6 - 2 8 ,3 0 - 3 1 , , 3 ,1 7 9 , , 6 ,6 8 7 puborectaLis230, 256, 258 238-239, 217-218, 220-221, 3 4 4 ,T4 0 p y r a m i d a t i s5 6 - 5 8 ,6 6 , 7 0 , 7 2 , 3 3 - 3 4 , 3 8 - 3 91, 2 2 , T 2 0 - a u r i c u l a r im - - c e r v i c i s2 7 - 2 8 , 3 0 , 3 3 - 3 1T* ,2 0 353,T15, 344-31,5, 31,8-349, s a g n u s3 6 - 3 8 2 4 2 ,T 1 1 r - a x i t l a r i s3 6 - 3 7 , 1 2 2 - s t e r n a l i s5 4 , 6 0 ,T 1 3 r40 q u a d r a t u fse m o r i s 2 6 0 ,3 10 , - intercostates - c a r d i a c ucse r v i c a t iisn f e r i o r - s t e r n o c l e i d o m a s t o i d e2u6s- 2 8 , 36,38,41,54,66, 318-3213 , 63-3643 , 8 0 ,T 4 0 ,T 4 3 - f u m b o r u m2 9 , 3 1 , 6 2 - 6 3 , 6 6 , 13,115-117,120, 70,73,112-1 83 3 5 ,3 8 ,5 4 ,5 8 ,1 1 0 ,1 1 9 ,1 2 3 - - - m e d i u s8 3 , 1 2 0 - s t e r n o h y o i d e u1s1 0 ,1 2 3 1 2 11+2, 7, 2 2 0 , 2 4-72 4 8T, 1 3 - r 1 1 6 8 ,7 2 - 7 3 ,1 2 1, 1 5 2 , 2 1 7, - intercostobrachiaLis ---superior33 - s t e r n o t h y r o i d e u5s5 ,1 ' 1 01, 1 9 , 37 2 2 0 - 2 2 12, 4 6 - 2 4 72, 5 1 ,3 10 , - interosseus - c a v e r n o sci t i t o r i d i s2 2 3 crurisT40 r16 124 - ischiadicus 284, - ptanta3 256-257, e 0 4 , 3 3 9 , 3 4 1 - 3 4 2 , - s u b c l a v i u s5 4 ,6 0 , 11 0 ,1 1 2 - 1 1 3 , - c e r v i c a [ i s1 9 , 4 0 ,1 2 0 ,T 1 9 - I 2 0 - cLunium 360, 347,349-350, 344-315, i n f e r i o r e s3 6 , 2 4 0 - 2 4 1 , 377-378,382-383, T40,T53 120,122-123,126 - s u b c o s t a [ e s6 0 ,T 1 3 362-361,, 380-381,I 40,r n, 3/,9,360-362,r40 quadriceps femoris262,285, - - medii 36,349,360-362 - suboccipitate3 T46-T50 287-288,290,306,308,311-312, s 1 - 3 4 ,L 0 - - projection - - s u p e r i o r e s3 6 - 3 7 , 3 / + 9 , 3 6 0 , - s u b s c a p u t a r i6s 0 ,1 2 2 ,1 2 4 ,f 2 6 350 314,324,332, T40-r41,r 44 - labiates223 - s u p r a s p i n a t u s1 2 2 - 1 2 3 rd.t^.^..vdo,,< )1n-2'\1 362 - - anteriores - c o c c y g e u s2 2 5 ,3 6 4 ,f 4 0 - s u s p e n s o r i udsu o d e n i1 3 5 ,1 5 2 T40 r e c t o u t e r i n u 2s 0 1 - - p o s t e r i o r e2s2 3 , 2 4 1 , f 4 0 - c u t a n e u sb r a c h i li a t e r a t i si n f e r i - t e n s o rf a s c i a el a t a e 5 2 , 7 3 , 2 4 4 , r e c t u sa b d o m i n i s1 ' 6 , 5 6 - 5 9 , - [aryngeus recurrens83,88-89, or 36-37 2 5 6 - 2 5 ,72 6 2 ,2 7 9, 3 0 6 - 3 0 8 , 6 1 - 6 3 ,6 6 , 6 9 - 7 3 ,1 1 0 ,11 9 , 1 5 5 , 111-1 13,115,117-1 18,120 s u p e r i o r3 6 1 5 8 , 2 1 ,72 2 6 ,2 t 2 - 2 4 3 ,2 4 6 - 2 5 4 , 3 11- 3 14 , 3 2 0 ,3 2 2 ,3 5 6 ,3 8 0 , - [ u m b a t e6s 6 , 2 2 6 , 3 4 9 ---posterior36-37 r40-r41.r44 2 5 6 ,r 1 4 , r 4 0 Index Nervus[-il N odus[- i] tymphoideus[- i) - o b t u r a t o r i u s6 8 ,7 1 , 2 2 0 - 2 2 1 , - - b r a c h i a l e s6 5 - - b r o n c h o p u [ m o n a L e1s2 5 - 1 2 7 2 2 5 ,2 2 9 , 2 3 1, 2 3 6 - 2 3 7, 2 5 6 - 2 5 7, - - c e r v i c a t e sa n t e r i o r e s6 5 2 6 1 ,3 1 7 ,3 t 4 - 3 4 5 ,3 4 8 - 3 4 9 ,3 5 3 , 3 5 5 ,3 5 7 - 3 5 83, 6 0 ,3 8 0 ,T 4 0 , T 4 5 p r o f u n d i6 5 - o c c i p i t a l im ---taterates120 s ajor 37-40 - - minor 36-38 p r o f u n diln f e r i o r e s1 2 0 - - t e r t i u s 3 7 ,4 0 dol+nnorrnreloc AE - p e c t o r a t i s[ a t e r a [ i s6 0 ,T 2 6 - - g a s t r i c i1 3 1 , 2 1 8 - - m e d i a t i s6 0 ,T 2 6 - - g a s t r o o m e n t a t e1s3 1 ,2 4 9 - p e r i n e a l e s2 3 4 ,2 4 0 - 2 4 1 , - - h e p a t i c1i 3 1 - - i t e o c o t i c2i 4 3 260-261, T40 - p h r e n i c u6s3 , 8 9 1, 1 0 - 1 1 3 , 1 1 5 , - - i t i a c ci o m m u n e s2 1 8 , 2 2 9 - - - e x t e r n i2 1 8 , 2 2 9 , 2 3 6 , 3 5 4 1 1 8 ,1 2 0 - 1 2 11, 2 4 - 1 2 ,7r 2 1 - - c o u r s e1 1 8 [ a t e r a t e s2 2 9 , 3 5 4 - p l a n t a r i s[ a t e r a I i s3 0 4 ,3 4 5 ,3 5 0 , m e d i a t e s2 2 9 , 3 5 4 - - - i n t e r n i2 1 8 , 2 2 9 , 3 5 4 3 76 - 3 7 8 ,3 8 2 - 3 8 3 T , 4 0 ,I 5 2 - r 5 L - - m e d i a t i s3 0 4 , 3 4 5 , 3 5 0 , - - i n f r a c t a v i c u [ a r e6s 5 - - inguinate3 3 76 - 3 7 8 , 3 8 2 , r4 0 ,T 5 2 - T 5 3 s 52 - p u d e n d u s2 14 , 2 2 2 - 2 2 32, 2 5 , ---profundi218,354 - - - s u p e r f i c i a t e2s1 8 - 2 1 9 , 3 5 4 2 3 4 ,2 3 6 ,2 4 0 - 2 4 1, 2 5 7, 2 6 0 - 2 6 1, 344-345,3/+9, 360,T22,r 40 i n f e r i o r e s2 1 8 , 3 5 4 - r a d i a t i s3 6 - 3 7 s u p e r o [ a t e r a t e2s1 8 , - r e c t a L e isn f e r i o r e ss N e r v u s ( - i ) aq/, a n a L e si n f e r i o r e s s u p e r o m e d i a t e2s1 8 , - s a c r a l e s 2 2 3 ,2 2 5 - 2 2 6 ,2 4 3 , 256,354 - - j u x t a o e s o p h a g e a l e1s0 7 , 1 2 7 349,r22 - s a p h e n u s3 4 5 ,3 4 8 - 3 4 9 , 3 5 3 , - - [ a c u n a r i s { - e s3]5 5 ---mediatis355 357-3583 , 65-3663 , 7 3 ,3 8 1- 3 8 2 , - - l i g a m e n tai r t e r i o s i8 8 r40 - s c r o t a t e sa n t e r i o r e sT 4 0 - - [ u m b a L edse x t r i 2 1 8 - - p o s t e r i o r e s2 2 2 , 2 4 0 , T 4 0 ---intermedii 218 - s p i n a t e s3 6 , 4 1 , 4 3 , 4 5 ,2 5 1 - - m e d i a s t i n a Laens t e r i o r e s8 8 , - spinalis 24,29 1 1 1 ,1 1 3 - s p i n a [ i s l - e s2l 4 , 3 5 ,4 0 - 4 1 - - - p o s t e r i o r e s1 0 7 , 2 4 5 - s p L a n c h n iIcui m b a l e s2 1 1 r - - o b t u r a t o r i2i 2 9 - - p e t v i csi R a d i xp a r a s y m p a t h - - - p a n c r e a t i c u2s5 0 - - p a r a m a m m a r i6i 5 tca - s p [ a n c h n i c ums a j o r 6 3 , - - n:rrra.trla< It) )tS - - p a r a s t e r n a t e s6 5 11 2 - 11 3 . 11 5 - 11 7 , 1 2 0 - 1 2 ' - - p a r a t r a c h e a t e8s8 , 1 2 0 ,1 2 4 2 2 0 - 2 2 1, 2 4 5 ,2 4 9 - - m i n o r6 3 , 1 1 5 , 1 1 7 , 1 2 1 , 2 4 5 -, - p a r i e t a l e s2 1 8 - - p h r e n i ciin f e r i o r e s2 1 8 249 - s u b c o s t a t i s6 8 ,7 3 , 1 1 5 - 1 1 7 , - - - s u p e r i o r e8s 8 , 1 1 9 - - p o p t i t e u ps r o f u n d u s3 6 6 2 1 7, 2 2 0 - 2 2,13 4 4 - s u b o c c i p i t a t3 ---superficiatis366 i s7 ,3 9- 4 0 ,T 2 0 - s u b s c a p u L a r e3s7 , T 2 6 - - preaortici 229,251 - supractavicutare - - p r e c a v a L e2s 2 9 6 s6 - - t a t e r a L e s3 6 - 3 7 - - p r o m o n t o r i2i 1 8 - s u p r a s c a p u t a r i1s2 3 - - p y t o r i c i1 3 1 - s u r a t i s3 4 5 , 3 4 9 - 3 5 03,6 2 , 3 6 5 , rect:lic crrnorinr ?24 - - r e t r o a o r t i c i2 2 9 382,r40 - thoracic3 - - retrocavales 243 i 7 , 6 0 ,6 6 , 7 0 , - - sptenic2 11 2 - 11 3 , 11 5 - 11 7 , 1 2 0 - 1 2 1 2, 2 0 , i 45,249 - - s u b m a m m a r i6 2 4 9 ,r 1 5 , 1 1 9 - T 2 0 i 5 , - t h o r a c i c u sl o n g u s ' 1 2 2 1 AE 24-126, - - c r r n r e e l e v i r r r l : r o < r17 t h o r a c i s1 0 7 , 1 2 0 - t h o r a c o d o r s a L1i s2 2 ,f 1 8 - - t i b i a t i sa n t e r i o r3 6 7 - t i b i a t i s 2 8 4 ,3 4 4 - 3 4 5 3 qq tr:.h6^hr^nehirloc , 49-350, 3 6 1- 3 6 3 , 3 6 5 - 3 6 6 ,3 6 9- 3 7 3 , 3 76 , 9 8 - 9 9 ,1 1 3 ,1 2 2 - - - i n f e r i o r e s8 8 , 9 5 ,1 0 7 , 1 1 9 , 3 8 1- 3 8 2 ,T 4 0 ,T 4 9 - T 5 0 T , 52-T53 - v a g i n a l i s2 2 3 127 - v a g u s I X8J 3 , 8 8 - 8 91,11 - 11 3 ,11 5 , - - - s u p e r i o r e s8 8 , 1 0 7 ,1 1 9 - sinuatriaIi8 117-118, 120-121, 123-127, 220 s2 N O d CO fR O S E N M U L L3E5R 5 N u c l e u sp u l p o s u s 2 4 - 2 5 ,2 9 Nodutusl-il - t y m p h o i d e u s (a- igl g r e g a t 1 i 37, 139 0 - - s o I i t a r i i1 3 0 ,1 3 6 - 1 3 71, 3 9 , 150,210 Oesophagoscop 1 y0 8 ,1 3 3 - v a t v u L asee m i I u n a r i s7 9 0 e s o p h a g u s6 2 - 6 3 ,6 7 ,10 4 - 10 9 , Nodus{-il 11 2 - 11 3 ,11 5 - 11 7 ,11 9 - 1 2 1 , - a t r i o v e n t r i c u t a r i s8 2 - 8 3 12 3 - 13 0 , 1 3 2 - 1 3 3 ,1 5 7 ,1 8 0 ,2 2 0 , - [ y m p h o i d e u s {a- iol r t i c [i a t e r a t e s 242,245 - c o n s t r i c t i o n1 229 s08-109 - - a x i t L a r i s l - e6s5l , 1 2 2 , 1 2 4 - d i v e r t i c u I u m1 0 9 - - - a p i c a t i s1 2 4 - r a d i o g r a p h y1 0 8 0 [ i s t h e s i s9 0mentum - m a j u s 1 2 1 ,1 3 1 ,1 3 9 - 1 4 0 ,1 4 9 , 1 5 7- 1 6 6 , 1 7 2 ,2 4 2 - 2 4 3 , 2 4 5 - 2 ,4 7 2 4 9, 2 5 2 , 2 5 1 r - m i n u s 1 6 0 - 1 6 11, 6 6 ,2 4 7 ,2 4 9 0 r c h i ss T e s t i s 0 r g an u mI - a l - g e n i t a t i fae m i n i n ae x t e r n a2 2 3 , 233,235,241 ---interna204,209 - - m a s c u l i n a2 2 2 , 2 3 9 - - - externa 197,238,240 - nolwic in tho fomrlo ??? - - inthemate 236 - u r o g e n i t a l ifae m i n i n ad, e v e t o p ment 200 - - m a s c u [ i n ad,e v e l o p m e n1t 9 2 0 r i f i c i u md u c t u sp a n c r e a t i c1i5 0 0sl-saJ - c o c c y g i s2 - 4 , 1 1, 2 0 7, 2 1 5 ,2 3 0 , 2 3 2 - 2 3 32, 4 2 , 2 5 2 , 2 5 6 - 2 5 , 2771, 273 - c o x a e2 , 1 6 ,4 1 , 2 6 3 , 2 6 6 - 2 6 7 - - AP-radiograp1 h6 - - d e v e t o p m e n t2 6 7 - c u b o i d e u m2 9 5 - 2 9 6 ,2 9 8 - 2 9 9 , 303,383 - c u n e i f o r m e [ - i a2l9 9 - - i n t e r m e d i u m2 9 5 - 2 9 6 , 2 9 8 , 3 0 4 ,3 8 3 - - laterale295,298 - - m e d i a t e2 9 5 - 2 9 6 , 2 9 8 , 3 0 2 - d i g i t o r u m( P e s l 2 6 3 ,2 9 5 - 2 9 6 - h y o i d e u m1 2 - i t i u m 3 , 1 5 - 1 6 ,4 1 , 7 1 , 7 32, 3 0 , 2 / + 4 , 2 5 82, 6 4 ,2 7 2 ,2 7/ + , 2 8 0 - i s c h i i 2 3 6 ,2 5 6 ,2 6 4 ,2 7 4 - m e t a t a r s i 2 6 3 ,2 9 5 - 2 9 6 , 2 9 8 - 2 9 9, 3 0 3 - 3 0 4 ,3 7 9 ,3 8 3 - n a v i c u [ a r e2 9 5 - 2 9 6 2 , 98-299, 303-305,383 - o c c i p i t a t e6 , 1 2 ,1 7- 1 9 - pedis 295-296,299 - - s t r u c t u r ec h a r a c t e r i s t i c s2 9 9 - p u b i s 1 9 6 ,2 1 5 ,2 2 6 ,2 3 4 ,2 / . 2 , 2 4 / +2, 5 6 - 2 5 7, 2 6 4 ,2 7/ 1 , 2 7 9 - s a c r u m 2 - 5 , 1 0 - 1 1 ,1 5 ,2 3 ,2 6 , 4 1 ,2 1 5 ,2 2 6 ,2 3 0 ,2 4 2 - 2 4 3 , 2 5 2 - 2 5 / 12,6 2 , 2 6 / +2,7 1- 2 7 3 , 3 1 7 - - s e x d i f f e r e n c e1s 1 - s e s a m o i d e al P e s l 2 9 5 - 2 9 6 , 3 0 2 , 339 - t a r s i 2 6 3 ,2 9 5 - 2 9 6 2 , 98 - t e m p o r a t e4 0 0stiuml-aJ - a b d o m i n a tteu b a eu t e r i n a e2 0 1 , 204,209 - a p p e n d i c ivse r m i f o r m i s1 3 9 - a t r i o v e n t r i c u t a rdee x t r u m 7 8 - - s i n i s t r u m7 9 , 1 2 6 - c a r d i a c u m 1 0 8 ,1 2 1 ,1 3 0 , 16 6 - 16 7, 2 4 4 - 2 4 5 , 2 4 7 - i t e at e 13 9 - p y t o r i c u m1 3 5 - s i n u sc o r o n a r i i7 8 , 8 2 , 8 4 - u r e t e r i s1 9 0 - 1 9 11, 9 5 ,1 9 8 ,2 0 5 , 252-253,260 - u r e t h r a ee x t e r n u ml U r e t h r a f e m i n i n a l 2 0 0 ,2 3 1 ,2 3 3 ,2 3 5 , 2 3 7, 2 4 1 , 2 5 3 ,2 6 1 - - - IUrethramascuIina] 198-199,252 - - i n t e r n u mI U r e t h r af e m i n i n a l 205,253 - - - [ U r e t h r am a s c u l i n a 1 ] 90, 19 5 . 19 8 .2 5 2 . 2 6 0 0stium[-a] - uteti 201-202, 205, 207, 253 - u t e r i n u mt u b a eu t e r i n a e2 0 1 , 203 - vaginae 200, 233, 235, 237 - v e n a ec a v a ei n f e r i o r i s8 2 ---superioris32 Ovariu m 140, 167, 200-202,204, 2 0 9 ,2 2 3 , 2 2 8 , 2 5 3 , 3 5 4 P P a l a t u mo s s e u m 1 2 P a n c r e a s1 2 1 ,1 3 1 ,1 3 4 ,1 5 2 - 1 5 3 , 1 5 7, 16 3 - 1 6 41, 7 2 ,1 7 7, 2 4 2 - 2 4 3 , 245,249-250 - c o m p u t e dt o m o g r a p h y1 5 5 - L o wm a g n i t u d e n l a r g e m e n1t 5 3 - p r o j e c t i o n1 3 4 - ultrasound image 151' P a n c r e a t o c y t i c uesx o c r i n u s 15 3 P a n n i c u l uasd i p o s u s5 8 ,7 2 ,2 1 0 , 232,239 P a p i L t[a- a e ) - 152-153 - minor152-153 i t e at i s 13 9 m a m m a r i a5 2 , 6 4 ,1 2 7 r e n a l e s 1 8 3 - 1 8 4 ,1 8 6 , 2 4 5 o f V a t e rs P a p i [ [ a ( - a d eu ] odenr maJor P a r a c y s t i u m2 6 0 - 2 6 1 P a r a d i d y m i s1 9 2 Parametrium s Ligamentum cardina[e P a r a p r o c t i u sm S p a t i u mp a r a r e c taLe P a r a s y m p a t h e t ince r v o u ss y s t e m 214,222-223 P ar i e s - a n t e r i o r( G a s t e r 1 l 3 3 ,1 6 0 - 1 6 1 - m e m b r a n a c e ul sT r a c h e a9l 1 , 9 9 , 1 0 7, 1 1 9 - p o s t e r i olrG a s t e r J1 3 3 ,1 5 5 P a r o o p h o r o n2 0 0 Pars - a b d o m i n a [ iaso r t a e3 5 ,6 2 - 6 3 , 6 9 , 1 0 41 , 1 5 ,1 1 7 , 1 4 8 ,514 - 15 5 , 1 5 7, 16 8 ,1 7 2 ,1 74 , 1 7 7- 1 7 9 ,1 8 5 , 18 7 - 18 9 ,2 1 2 ,2 14 , 2 16 - 2 1 8 2 , 21, 2 2 5 ,2 2 7, 2 2 9 ,2 4 2 , 2 4 5 , 2 5 0 - 2 5,1 359 - - - u t t r a s o u n idm a g e 1 7 8 - - a u t o n o m i c a2 2 0 - - [ M p e c t o r a t i sm a j o r J 5 2 , 5 4 , 5 6 ,5 8 ,6 0 ,T 2 6 - - l O e s o p h a g u s6l2 - 6 3 , 1 0 4 , 10 6 , 10 8 - 10 9 , 1 1 7, 1 2 8 ,1 3 0 - - {Ureterl 163,216 - a n t e r i o rl F a c i e sd i a p h r a g m a t i c a h e p a t i s )1 4 5 - - I F o r n i x v a g i n a e2 l0 2 , 2 0 5 - a n u t a r i sv a g i n a ef i b r o s a e3 4 0 - a s c e n d e naso r t a e 7 5 ,7 8 - 8 0 , 8 4 , 1 0 9 ,114 - 11 5 ,11 7 ,11 9 - 1 2 1 125-126,255 - - [ D u o d e n u m l1 3 4 , 1 3 9 - 1 4 0 , 152,165,167 - - { M .t r a p e z i u s2l 6 , f 1 7 - a t t a n t i c aI A v e r t e b r a [ i s ]3 4 , 4 0 - b a s a l i s( A a [ o b a r e si n f e r i o r e s d e x t r a e l9 8 - - l A a .[ o b a r e si n f e r i o r e ss i n i s trael 98-99 - b a s i t a r i (sO so c c i p i t a t e1l 7 - 19 lndex Pars - c a r d i a c a6 3 ,1 0 4 ,1 2 1 ,1 3 0 - 1 3 2 , 1 7 9, 2 1 7, 2 4 2 - c e r v i c a l i(sC o [ u m n vae r t e b r a t i s ] 2 - - [ 0 e s o p h a g u s1] 0 4 ,' 1 0 6 - 1 0 8 , 119 - c t a v i c u t a r (i sM p e c t o r a t im s ajor) 51',f26 - costatid s i a p h r a g m a t i5s 4 , 6 2 - 6 3 ,7 3 , 1 4 8 ,1 7 9 , 2 4 6 - 2 5 0 , T21 - - [ P t e u r ap a r i e t a t i s5) 4 ,1 1 0 , 11 2 - 1 1 3 ,1 2 0 - 1 2 1 1 , 2 4 ,1 5 9 , 246-250 - c r u c i f o r m i sv a g i n a ef i b r o s a e3 4 0 - d e s c e n d e naso r t a e 7 5 ,1 0 7 , 1 0 9 , 11/1,125-127 - - [ D u o d e n u m 1] 2 8 , 1 3 0 , 1 3 2 , 13 4 - 13 5 , 14 0 , 1 5 2 - 1 5 1 1 , 67, 179 - - t L i g i L i o f e m o r a t e2l 7 8 - - [ M t r a p e z i u s 2) 6 , f 1 7 - d i a p h r a g m a t i c5a4 ,6 3 ,8 9 , 11 0 - 11 3 , 11 8 , 1 5 9 ,2 4 5 ,2 4 8 - 2 5 0 - h o r i z o n t a L(iD s uodenuml 13 4 - 13 5 , 1 5 2 - 1 5 3 ,16 3 ,16 5 ,16 7 , 179 - i n f r a c t a v i c u L a r i5s4 , 1 1 2 - 1 1 3 - intermedia l U r e t h r am a s c u l i n a l 195-196,198,252 - i n t r a m u r a l i IsU r e t h r am a s c u t i n a l 19 8 - i n t r a s e g m e n t a l i s1 2 0 ,1 2 2 - l a t e r a t i sl 0 s o c c i p i t a [ e l17 - - { 0 s s a c r u m )1 0 - 1 1 , 4 1 , 2 5 4 , 261,273 - L i b e r am e m b r ii n f e r i o r i s2 6 3 - L u m b a L {i sC o t u m n a v e r t e b r a [ i s2] - - d i a p h r a g m a t i6s 2 - 6 3 ,6 8 , 1 0 4 ,1 0 6 ,11 5 - 1 ' 1 61 ,1 9 ,1 2 1 , 14 8 , 15 5 , 1 7 2 ,2 4 2 - 2 4 3 , 2 1 5 , 248-250,r21 - m e d i a s t i n a L8i s9 ,9 5 , 1 1 1 - 1 1 3 , 125,159 - m e m b T a n a c el S a e p t u mi n t e r v e n t r i c u l a r e7l 9 - 8 0 - - I U r e t h r am a s c u t l n asl P a r s intermedia l U r e t h r am a s c u t i nal - m u s c u [ a r i (sS e p t u mi n t e r v e n t r i c u t a r e l7 8 - 8 0 - o c c l u s a2 2 9 , 2 3 6 - patens 225,227-229 - petvica l U r e t e r l7 1 , 1 6 6 - 1 6 7 , 221 - p o s t e r i olrF o r n i xv a g i n a e 2 l 02, 205,207,253 - p r o f u n d al C o m p a r t i m e n t u m rrrrri< nn<+orirr<l ?AA - p r o s t a t i c a1 9 0 ,1 9 5 ,1 9 8 - p y [ o r i c a1 1 7 ,1 3 0 ,1 3 2 - 1 3 51, 5 8 , 16 0 ,16 6 ,2 4 7, 2 5 5 - s p o n g i o s a1 9 8 - 1 9 9 2 , 52 - sterna[id s i a p h r a g m a t i6s 2 - 6 3 , 110-111,119,243,121 - s t e r n o c o s t a t i(sM p e c t o r a [ r s m a j o r l 5 2 ,5 4 ,5 6 ,5 8 ,6 0 ,T 2 6 - s u b c u t a n e{aM s p h i n c t ear n i e x l e T n u szl J a , t z l - s u p e r f i c i a l i{sC o m p a r t i m e n t u m rrrrric nnctorirrcl ?AA - s u p e r i oIrD u o d e n u m1l 2 8 , 1 3 0 , 1 3 4 - 1 3 61,4 9 ,15 3 ,1 6 0 - 1 6 1 16 6 - 16 7, 1 7 9, 2 1 4 - - [Facied s iaphragmatica h e p a t i s l1 4 2 Pars - t e r m i n a [ i s1 3 7 , 1 6 3 - t h o r a c i c a o r t a e6 3 , 6 9 , 8 7 , 9 9 , 10/+-106 1 ,0 9 ,11 3 - 11 5 ,1 1 7 ,1 2 1 , 1 2 1 ,1 5 2 ,1 5 7, 1 7 8 , 2 4 8 - - a u t o n o m i c a1 1 7 , 1 2 0 - 1 2 1 - - ( C o L u m nvae r t e b r a [ i s2] - - [ D u c t u s t h o r a c i c u1s1]3 , 115-116 - - ( O e s o p h a g u s6 l3 ,1 0 4 - 1 0 9 , 11 3 ,115 - 11 7 ,1 1 9 ,1 2 1 ,2 4 5 - t i b i o c a t c a n e a3 0 0 - 3 0 2 3 , 04 - t i b i o n a v i c u L a r3i0s 0 - t i b i o t a t a r iasn t e r i o r3 0 0 - - p o s t e r i o r3 0 0 - 3 0 1 - t T a n s v e r s IaL i g i t i o f e m o r a t e ) 278 - - ( M t r a p e z i u s 2l 6 , T 1 7 - t r a n s v e r s a r i a[ A v e r t e b r a l i s J 40 - u r e n n al t u 0 au t e n n a tz u l P a t e t t a2 6 2 - 2 6 3 ,2 8 L - 2 8 5 , 2 8 ,7 290-293,306, 3 14-3 15, 322-323, 3 2 7, 3 3 2 , 3 6 5 - r i d g eo f t h e 2 9 2 Pecten - a n a t i s2 1 0 , 2 3 1 , 2 5 2 - o s s i sp u b i s 6 2 , 2 3 1 , 2 6 L , 2 6 6 - 2 6 7 ,2 71 , 3 14 - 3 1 5 ,3 1 7 P e d i c u l uas r c u sv e r t e b r a e5 , 7 - 9 , 1 2 , 1 4 - 1 6 ,2 0 - 2 1, 2 3 - 2 5 , 2 9 , 3 5 , 273 P e d o g r a m s3 8 4 P e L v i ac p e r t u r e 2 6 4 P e L v iacr t e r i e sd, i g i t a sLu b t r a c t i o n a n g i o g r a p htyD S A I3 5 9 P e L v i c o n s t r i c t i o n2 6 5 Palvir rlienhr:nm T?? - of the female 230-231,233-235 - ofthemate232,234,236 P e t v i co r g a n s - in the femate 228 - in the male 226-227 P e t v i cw i d t h 2 6 5 P e l v i s2 6 4 , 2 6 8 - A P - r a d i o g r a p 2h 7 3 - 2 7 4 - cT 254 - of the femate 265 - - c r o s s - s e c t i o n2 5 7 --cr257 - - m e d i a ns e c t i o n2 5 3 - MRt 253,259 - o b t i q u es e c t r o n2 6 1 - p e t v i cd i m e n s i o n s2 6 5 j o i n t s o f p e l v i ca i r d t e 2 6 8 - 2 7 1 L u m b o s a c r apl a s s a g e2 6 8 - 2 6 9 , 271 - majot 264 - o f t h e m a [ e .c r o s s - s e c t i o2n5 4 , 256 --cr256 - - f r o n t a Is e c t i o n 2 5 8 m e d i a ns e c l i o n 2 4 2 , 2 5 2 MRt 252,259 o b [ i q u es e c t i o n2 6 0 - - <>nit+rl <aetian 2l'\ - minor 167,26/. - m u s c t e so, r i g i n sa n d i n s e r t i o n s 310-311 - r e n a t i s1 7 1 , 1 8 2 - 1 8 4 8 , 16 , 18 8 , 192,200, 216, 245-246,250 - - a m p u t l a rt y p e 1 8 6 - - AP-radiograph 186 - - d e n d r i t i c t y p1e8 6 - s e x d i f f e r e n c e s2 6 4 , 2 6 8 - 2 7 1 P e n i s 1 9 7 ,1 9 9 ,2 2 2 ,2 4 4 ,2 6 0 P e r f o r a t i n gv e i n ,[ a t e r a [ 3 5 2 P e r i c a r d i u m6 3 ,74 - 7 5 , 8 5 ,8 9 , 98-99,110,118,217 - f i b r o s u m7 4 , 8 9 ,1 0 7 ,111 - 11 3 , 121, 159 - s e T o s u m74 - 7 5 , 7 8 - 8 0 ,8 4 , 8 9 , 119-120 P e r i n e a [ a c e r a t i o n2 3 3 P e r i n e u m2 3 5 - of the femaLe 230, 233, 241 - of the male 232,240 P e r i o r c h i u m1 9 4 P e r i o s t e u m4 3 P e r i s t a l s i s1 3 2 P e r i t o n e u m1 4 3 h-r;6+rld q/, Ea a1_a1 7q,120, 1 4 9 ,1 5 8 ,1 6 7 ,1 7 9 ,1 9 0 ,1 9 6 ,2 1 7 , 226, 2/+2,248-251, 253, 256 - u r o g e n i t a [ e2 0 2 ,2 1 0 ,2 6 0 - 2 6 1 - v i s c e r a [ e5 4 , 7 0 , 1 2 0 ,1 3 6 ,2 4 2 , 246,248-249,251 Pes 263 - a n s e r i n u s u p e r f i c i a l i3s 1 3 , 323 - cavus384 - c o m p a r t m e n t s3 7 9 - c r o s s - s e c t i o3n8 2 - f r o n t a Is e c t i o n 3 8 4 - j o i n t s 3 0 0 - 3 0 3T, 3 9 - [ i g a m e n t s3 0 2 - l o n g i t u d i n as Ie c t i o nM , RI 383 - m u s c t e s3 3 3 - 3 4 3 , 3 8 4T,5 1 - T 5 4 - - o r i g i n sa n d i n s e r t i o n s3 3 3 , 339 - o s t e o f i b r o u tsu b e s 3 8 4 - - -^:++^l sog,trdt -^^+i^^ ao2 - t e n d o ns h e a t h s3 3 4 - 3 3 5 - vatgus303 - vault 299 P E Y E Rp' sa t c h e s1 3 7 P hat an x [- g e s ) - d i s t a L i s { - e s( P } e s l 2 6 3 ,2 9 5 - 2 9 6 , 383 - m e d i a t - a e(lP e s l 2 6 3 , 2 9 5 - 2 9 6 , 383 - l P e s l 2 6 3 ,2 9 6 ,2 9 9 , 3 0 4 - p r o x i m a l i {sP e s l 2 9 5 - 2 9 63, 8 3 P h a r y n x1 3 3 P i am a t e rs p i n a t i s4 1 ,4 3 Ptacenta 207-208 Planta 262,375-378 - a r t e r i e s3 7 5 - - v a r i a t i o n s3 7 5 P l a n t a ra p o n e u r o s iss A p o n e u r o sisplantaris P t a t y s m a5 8 P [ e ur a - p a r i e t a L i5s4 ,6 3 ,8 9 ,9 5 , , 23-125, 110 - 1 ' 13 , 11 8 , 1 2 0 - 1 2 1 1 159, 245-250 - p u t m o n a l iss P t e u r av i s c e r a t i s - v i s c e r a t i s5 / + 1 , 1 2 ,1 2 0 - 1 2 1 , 246-21+7 P [ e u r a Lb o r d e r s ,p r o j e c t i o n1 0 3 P l e u r o c e n t e s i sp,u n c t u r eo f t h e p l e u r a lc a v i t y 5 4 Plexus - a o r t i c u st h o r a c i c u s8 9 , 11 3 , 117,121 - b r a c h i a l i s5 4 , 6 0 , 1 1 1 - 1 1 3 , 1 2 0 , 122-123,128,T11,f17 - c a r d i a c u8s 3 , 1 1 3 , 1 1 7 - 1 1 8 - c a r o t i c u sc o m m u n i s 1 1 0 - c e r v i c a [ i s3 6 - 3 7 , 4 0 , f 1 1 - f 1 2 , r17.r21 - c o c c y g e u s2 2 5 ,3 4 4 ,f 4 0 - c o e l i a c u s2 1 4 , 2 2 0 - d e f e r e n t i a L 1i s9 7 .2 2 2 P[exus - h y p o g a s t r i c uisn l e r i o r 2 2 2 - 2 2 3 - - s u p e r i o r2 1 4 , 2 2 2 - 2 2 3 - L u m b a t i s2 9 , 3 6 ,6 6 , 6 8 , 2 5 4 , 3/r1+, T 15, I 40,T42, I 45 - L u m b o s a c r a t i s6 8 ,2 2 0 ,3 4 4 ,f 4 0 - m e s e n t e r i c u si n f e r i o r 2 2 0 , 2 2 2 - - superior 222-223 - o e s o p h a g e u s1 1 2 ,1 1 7 ,1 2 1 ,2 2 0 - o v a r i c u s2 2 3 - p a m p i n i f o r m i s6 0 , 7 0 ,1 9 3 - 1 9 4 , 197,238-239, 213 - p r o s t a t i c u s2 2 2 - putmonalis112-1131 , 20-121 - rectaLisinterior 21L - - m e d i u s2 1 4 - - s u p e r i o r2 1 4 - r e n a t i s2 2 3 - s a c r a [ i s 6 8 ,2 14 , 2 2 0 ,2 2 3 ,2 2 5 , r22,r 40,r n, r 46 344,349, - t e s t i c u [ a r i s1 9 7 , 2 2 2 u t e r o v a g i n a t i s2 2 3 v e n o s u sa r e o l a r i s6 6 - p r o s t a t i c u s2 3 6 , 2 6 0 - r e c t a t i s2 1 3 - s u b m u c o s u s10 6 , 1 8 ' 1 - v a g i n a t i s2 2 8 - v e r t e b r a t i se x t e r n u sa n t e r i o r 1+2 P o s t e r i o r4 2 ---internus123 anterior 41-43,45,242 p o s t e r i o r4 1 - 4 / 1 , 1 1 9 - - v e s i c a l i s2 2 7 , 2 3 6 - 2 3 7 , 2 5 6 P L i c la- ae l - alares 285 - c i r c u t a r e s1 3 0 ,1 3 2 ,1 3 5 ,1 3 7 , 150,152 - d u o d e n a t iisn f e r i o r1 6 5 ,1 6 7 - g a s t r i c a e1 3 0 ,1 3 3 - g a s t r o p a n c r e a t i c1 a6 1 ,1 6 6 - 1 6 7 - i [ e o c a e c a t i s1 6 2 - 16 3 ,1 6 7 - i n t e r u r e t e r i c a1 9 0 - 1 9 1 1 , 98, 260 - l o n g i t u d i n a [di su o d e n i1 5 0 ,1 5 2 - m u c o s a e1 5 0 ,1 9 0 ,1 9 8 - p a t m a t a e2 0 1 , 2 5 3 - r e c t o u t e r i n a2 0 1 ,2 2 8 - 2 2 9 ,2 5 3 - s e m i [ u n a r ecso t i 1 3 9 , 1 4 1 , 1 6 3 - s p i r a t i s1 5 0 - 1 5 1 - s y n o v i a l i s3 0 1 - - :^r-^^^+^lr--iililroPoLE(ro,,r toq zuJ - - m e d i o p a t e L L a r2i s8 4 - t r a n s v e r s ar e c t i 2 0 7 , 2 1 0 - 2 1 1 , 242,252-253 - t u b a r i a e2 0 1 - u m b i L i c a l li as t e r a l i s5 9 , 7 1 - 7 2 , 158-159,227,236 - - m e d i a t i s5 9 , 7 1 - 7 2 , 1 5 8 - 1 5 9 , 1 96 , 2 0 9 ,2 1 7 ,2 2 7 ,2 3 6 ,2 5 3 - - m e d i a n a5 9 , 7 1 - 7 2 , 1 5 8 - 1 5 9 , 196, 209, 217, 236, 252-253 - v e s i c a t i s t r a n s v e r s7 a1 ,2 3 6 Point - o f v . L A N Z14 0 - o f M c B U R N E1Y4 0 - of SUDEcK 176,212 P o l u su r i n a r i u s1 8 4 P o p t i t e apt e r f o r a t i nvge i n 3 5 2 P o r t ah e p a t i s1 4 2 Portio - s u p r a v a g i n a t icse r v i c i s2 0 1 - 2 0 2 - v a g i n a l i sc e r v i c i s 2 0 1 ,2 0 5 , 2 0 7 , 253 ---nullipara205 P o r t o c a v aaI n a s t o m o s e s1 8 1 ,2 1 3 P o s i t i ol U t e r u s l 2 0 3 Index Ram us[- i] cutaneusl-il Ramus[-i] - - m e d i a t i s ( - e IsNJ s p i n a t i s 3l 6 , - o e s o p h a g e a t el sA g a s t r i c a Radixl-cesi 41 s i n i s t r a1l 0 6 , 1 3 1 , 1 6 8 - a n t e r i o rl N s p i n a t i s l4 1 ,4 3 ,4 5 , - - l N o b t u r a t o r i u s3j 4 9 ,3 5 3 , - - [ A ,t h y r o i d e a i n f e r i o r ]1 0 6 - - I A o r t a l 1 0 6 ,1 1 5 214 3 5 7 - 3 5 8 ,3 6 0 ,T 4 0 - mesenteri1 s ediatis3 i 4 0 ,16 3 ,16 6 - 16 7 ,1 7 7 l 77 l N p L a n t a r im l G a n g t i otnh o r a c i c u m l1 2 0 - m o t o r i as . R a d i xa n t e r i o r - - p o s t e r i o r ( - e sIlN n c e r v i c a [ e s , - - l N [ a r y n g e u rse c u r r e n s J1 1 5 , Pr nnctorinrocl ?Q 121 lN spinatisl - p a r a s y m p a t ha - - - l N n t h o r a c i c iR, r p o s t e r i - - { V g a s t r i c as i n i s t r a l1 6 9 ,1 8 1 i c 2 14 , 2 2 2 - 2 2 3 - p o s t e r i o rI N s p i n a L i s l4 1 ,1 + 34,5 - o m e n t a l e sl A a g a s t r o o m e n 0rest J6 - d e s c e n d e n(sA c i r c u m f t e x a R am u s l - i l t a L e s1l 3 1 , 1 7 2 - a c e t a b u L a r il sA c i r c u m f l e x a - - l V v g a s t r o o m e n t a t e s1l3 1 ,1 6 0 f e m o r i s[ a t e r a L i s3l 5 1 ,3 5 7 - 3 5 9 - - { A c i r c u m f l e x af e m o r i sm e d i - o s s i si s c h i i 2 3 4 , 2 5 7 , 2 6 1 , f e m o r i sm e d i a t i s 3 J59 - - [ A o b t u r a t o r i a3l 5 7 ,3 5 9 atisl359 2 6 6 - 2 6 ,72 7 3 , 3 1 ,73 1 9 - a n t e r i o r{ A m e d i ag e n u s l 2 8 9 - d e x t e r( A h e p a t i c a p r o p r i a l1 4 6 , - o v a r i c u s2 0 4 - - [ A o b t u r a t o r i a3] 5 7 ,3 5 9 - p e r f o r a n s [ - t e s[]A f i b u L a r i s ] 1 7 1, 2 4 9 - - [ A r e n a t i s l1 8 2 - - {V portae hepalis) 146,244, 351, 368, 374 - - I N c e r v i c a L i s1l2 0 - - lA thoracica 246,248-249 i n t e r n a l6 9 - - I N l u m b a l i s )4 1 , 2 2 6 - d o r s a t i s[ A t u m b a l i s ]4 1 - - l A r c u sp L a n t a r i sp r o f u n d u s l - - [ N o b t u r a t o r i u s ]6 8 , 3 4 8 . - - ( V t u m b a l i s l4 1 378 - f e m o r a [ i s6 6 ,6 8 , 2 1 ,72 2 1, 3 1 7, - p e r i c a r d i a c ul N T39-T40 s phrenicusl - - [ N s a c r a t i s l2 2 6 3 4 4 , 3 4 9 , 3 5 33, 5 5 ,T 4 0 118 - - l N s p i n a t i s l4 0 - 4 1 , 4 5 , f 2 0 - f u n d iu t e r il A u t e r i n a l2 0 4 - p e r i n e a t e s2 / + 0 - 2 L 1 - - l T r u n c u sn s p i n a t i s 4l 2 - 4 3 , - g a s t r i cai n t e r i o r e (sT r u n c u vs a - p h r e n i c o a b d o m i n a ll N es g a [ i s a n t e r i o 1r l1 7 45 p h r e n i c u s6J3 , 1 1 8 - - l V p o r t a eh e p a t i s )2 4 6 - - l V g a s t r o o m e n t a l ids e x t r a l - p o s t e r i o r ( - e [sA) m e d i ag e n u s ] - a r t i c u [ a r e s{ A d e s c e n d e n s 160 289 - g e n i t a I i s6 0 ,6 8 , 1 9 7 , 2 1 7 , 2 2 1 , - - [ A o b t u r a t o r i a J3 5 9 g e n u s l 3 5 1 ,3 5 6 - 3 5 8 - a s c e n d e n sl A c i r c u m f L e x a - - ( A .r e n a t i s l1 8 2 225, 238, 256, 344, 31+9 , T40 - h e t i c i n i2 0 4 - - [ a t e r a [ e IsN n t h o r a c i c i 3 f e m o r i sl a t e r a L i s 3 ] 5 1 ,3 5 8 - 3 5 9 J7 - - l A c i r c u m f l e x af e m o r i s - i l i a c u s2 1 7 , 2 2 1 - - m e d i a [ e {sN n t h o r a c i c i 3 l 7 - i n f e r i o ro s s i sp u b i s 1 9 6 , 2 1 5 , - - I N a u r i c u [ a r im mediatis3 j 63 s a g n u s l3 6 - a t r i a l e s( A c o r o n a r i ad e x t r a l - - [ N c e r v i c a t i s l3 7 - 4 0 2 3 4 ,2 6 0 ,2 6 6 - 2 6 7, 2 7 2 - 2 7 3 , 3 1 ,7 - - [ N o b t u r a t o r i u s ]3 4 8 ,T 4 0 8 4 ,8 6 319 - - (A coronaria - i n f r a p a t e L L a r3i s4 8 - 3 4 9 3 - - [ N s a c r a t i s3 s i n i s t r a l8 6 , 53, J7 - a t r i o v e n t r i c u t a r e 8s 6 - 8 7 - - I N s p i n a l i s )3 6 - 3 7 , 4 0 - 4 1 , 4 5 3 6 5 ,T 4 0 - b r o n c h i a [ e9s 9 - i n t e r c o s t a t easn t e r i o r e s6 9 , 2 4 7 - - { N n t h o r a c i c i3 J 7 - 3 8 ,T 2 0 - - l A o r t a J1 0 5 - 1 0 61, 1 2 , 1 1 5 , - interganglionare - - I T r u n c u s ns p i n a t i s 4 4 s5 J1-43, - i n t e r v e n t r i c u t a r i s [ -aenstl e r i o r 121 45 - - [ N v a g u s J1 1 5 , 1 1 7 , 1 2 0 - 1 2 1 - - l V p o r t a eh e p a t i s l 2 4 8 s i n i s t r a ]7 4 , [A coronaria - c a L c a n e[ Ai t i b i a t i sp o s t e r i o r l - - v e n t r i c u lsi i n i s t r i8 5 - 8 6 1 1 9 ,1 2 7, 1 3 2 , 2 0 7, 2 4 2 , 2 4 8 7 9- 8 0 , 8 1 , 8 6 - 8 7, 9 8 , 1 2 7 ( 0 ss a c r u m l3 - + , - - p o s t e r i o r{ A c o r o n a r i ad e x - p o s t e r o t a t e r a t idse x t e r 8 6 - 8 7 Promontorium 372 - - m e d i a t e sI N t i b i a L i s3l 7 6 , - p r o f u n d u sl A c i r c u m f t e x a 1 0 - 11 , 15 , 6 2 , 1 7 7 ,1 8 5 ,2 1 7 ,2 2 7 , t r a l 7 5 ,8 0 , 8 4 - 8 7 , 1 2 0 - - s e p t a t e s{ A c o r o n a r i ad e x t r a ) 2L2,253,26/+,31/+ T40 f e m o r i sm e d i a t i s J3 5 9 ,3 6 3 - 3 6 4 - c a r d i a c ucse r v i c a t iisn f e r i o r3 7 6 - - l A g t u t e as u p e r i o r l3 6 4 P r o n a t i ol A r t i c u L a t itoa l o t a r s a t i s l 86 l ^ ^ -^ ^ ^ -i^ ^ i^ i^ +-^ l - - (A p[antarim T39 s ediatis3 5ilil5udj J75 { N v a g u s )8 3 tH - - t h o r a c i c u isn f e r i o rI N v a g u s ) - - ( A t r a n s v e r s ac o t L i l3 8 - 3 9 P r o s t a t a7 1 , 1 9 0 - 1 9 11, 9 5 - 1 9 6 , 86-87 - L a b i a l ep - - [ N p [ a n t a r i s[ a t e r a l i s J 1 9 8 , 2 2 22, 2 6 - 2 2 ,72 3 6 ,2 4 2 - 2 4 3 , 83,118 s o s t e r i o r e s2 4 1 - - - I N v a g u s l ' 11 2 - 1' 1 3 1, 1 8 - L a t e r a t i [sA c o r o n a r i as i n i s t r a ) 252,259-260 377-378 - - - [Truncussympathicus) - - [ V g t u t e as u p e r i o r l3 6 4 Protuberantia o c c i p i t a l i se x t e r n a 86 - - [ N s p i n a t i sR, p o s t e r i o r ) - p u b i c u s{ A e p i g a s t r i c ai n f e r i o r l 26,39 113 - c i r c u m f l e x u(sA c o r o n a r i sa r n r s P s o a sa r c a d e 6 3 41-43 225,359 - - l N t h o r a c i c u s3l 7 - - l A o o l u r a l o f t a ll l 5 P u b e s 19 7 rral 74-75,84-87 - c o m m u n i c a n s [ - t el sA] f i b u L a r i s l - m a L [ e o [ a r eLsa t e r a [ e s3 5 1 , 3 7 2 - r a d i c u t a r iasn t e r i o r{ A .s p i n a t i s P u I m o 5 4 ,9 2 ,9 L - | 0 0 ,1 1 0 - a r t e r i e s1 0 0 - - m e d i a t e s3 5 1 , 3 7 2 351 a n t e r i o r l4 5 - d e x t e r 8 9 ,9 L - 9 8 ,11 0 - 1 11 , 11 8 , - - a L b u s4 2 - m a n d i b u L a1e2 - s a p h e n u s{ A d e s c e n d e n s 120-121, 123-127, 1/+8,159,243, f i b u t a r i s 3 4 5 ,3 6 5 ,T 4 0 m a r g i n a t i ds e x t e r 8 0 , 8 4 , 8 6 - 8 7 g e n u s J3 5 ' 13, 5 8 - - g r i s e u s4 2 - - s i n i s t e r 8 0 , 8 4 ,8 6 - 8 7 - s c r o t a t e sa n t e r i o r e s2 3 8 245-246 - o r g a n i s a t i o 9n 8 - - [ T r u n c u s ns p i n a t i s4l 1 , 4 3 , - m a s t o i d e ulsA o c c i p i t a t i s3l 8 - - p o s t e r i o r e s2 2 7 , 2 4 0 - s i n i s t e r8 9 ,9 4 - 9 9 ,11 0 - 111 , - m e d i a t i sI N s p i n a t i sR, p o s t e r i - - s i n i s t e r[ A h e p a t i c ap r o p r i a l 1 4 6 45 - - l T r u n c u s y m p a t h i c u s4l 5 , - - [ V p o r t a eh e p a t i s l1 4 6 ,1 5 4 11 8 , 1 2 0 - 1 2 2 ,12 4 , 12 6 - 12 7 , 15 9 , ot) 41-43 - - [ N t h o r a c i c u s3l 7 - s p i n a l e sl A i n t e r c o s t a l i p 245,247 112-113,116-117,222 s oste- veins100 - c o n ia r t e r i o s i 8 1 , , 8 6 - 8 7 - m e n i n g e u lsT r u n c u sn s p i n a t i s ) nofl 45 - c u t a n e u s ( -ai ln t e r i o r l - e salb - - [ A s a c r a t i sl a t e r a t i s ]2 2 6 P u l m o n a r ay n g i o g r a p h y1 0 0 41-43,45 - m u s c u L a r i s l - el sNl . f e m o r a t i s l - s p L e n i c1i 7 3 P u [ m o n a r yb o r d e r s ,p r o j e c t i o n d o m i n a l e s6 6 - - - t N f e m o r a t i s l6 6 ,6 8 , - s u b e n d o c a r d i a t e8s3 103 356-358T , 40 - - l N . f i b u t a r i sp r o f u n d u s3l 7 4 - s u p e r f i c i a L i[sA c i r c u m f t e x a P u t p as p t e n i c a15 6 3 / + 8 - 3 4 9 , 3 5 3T,4 0 - - - lN iLiohypogastricu - - lN p[antarim P y e l o g r a p h yi n, t r a v e n o u s2 16 s ediatis3 o so l, J77 f e m o r i sm e d i a [ i s ]3 5 7 ,3 5 9 ,3 6 3 - - (N tibiatisl362-363, - - ( A g t u t e as u p e r i o r l3 6 3 P y t o r u s1 2 8 - 1 3 11, 3 5 ,1 6 0 - 1 6 1 349,353 - - c r u r i sm e d i a l e s( N P y r a m i d e rse n a t e s1 8 3 - 1 8 41, 8 8 , - - [A ptantarim 369-370 s ediatis3 ] 75, - n o d ia t r i o v e n t r i c u l a r i s8 6 245 s a p h e n u s 3l 4 9 ,3 6 5 ,T 4 0 378 - - [ a t e r a t i s [ - e {sN) i t i o h y p o g a s - - - s i n u a t r i a L i8s4 ,8 6 - - [ A t r a n s v e r s ac o t t i ] 3 9 - o b t u r a t o r i u{sA e p i g a s t r i cian - - [ N p L a n t a r i lsa t e r a t i s ] t r i c u s l 3 6 , 3 1 , 93, 6 0 ,3 6 4 - - - ( N s p i n a L i s3) 6 , 1 1 1 0 f e r i o r J 2 2 5 ,3 5 9 37 6-378 - - - [ N n t h o r a c i c i3 - o c c i p i t a t i s ( - e[ sAl a u r i c u l a r i s - - l N t i b i a t i s lT 4 0 ] 44 - - - p e c t o r a t e s( N n i n t e r - s u p e r i o ro s s i sp u b i s 1 9 6 , 2 3 4 , Q u a d r a n g u t as rp a c e3 7 p o s t e r i o r )3 8 - - { A o c c i p i t a L i s3l 8 c o s t a l e s i3 8 , 6 6 26 / 1 2 , 66- 2 6 7 , 2 72 - 2 73 , 3 17 Preputium - c L i t o r i d i s2 3 3 , 2 3 5 - p e n i s 19 7 - 1 9 9 2, 4 2 - 2 4 32, 5 2 P r o c e s s uIs- u s l - a c c e s s o r i u 5s , 8 - 9 - a r t i c u l a r i isn f e r i o r6 , 8 - 9 , 1 2 , 15 - 16 , 2 2 - 2 3 ,2 5 , 2 9 , 3 5 , 2 5 4 - - s u p e r i o rl O ss a c r u m l 1 0 - 11 , 4 1, 2 3 0 , 2 5 4 - - - I V e r t e b r a e5l - 9 , 1 2 , 1 5 - 1 6 , 2 0 - 2 1, 2 3 , 2 5 , 2 9 , 3 5 ,4 1, 45,248,273 - c a u d a t u s1 4 2 - c o r a c o i d e u s4 7 - 4 8 ,1 2 2 - c o s t a t i s5 , 9 , 1 6 , 2 3 , 3 03,2 ,3 5 , 4 8 , 6 3 ,2 1 6 ,2 6 9, 2 7 2 - 2 7 3 - f a t c i f o r m i s2 7 0 - L a t e r a t i tsa t i 2 9 5 ,2 9 7 - 2 9 8 , 3 8 2 - - t u b e r i sc a t c a n e2i 9 5 , 297-298 - m a m i t l a r i s8 - 9 , 3 5 - m a s t o i d e u s1 2 , 3 3 , 4 0 - m e d i a t i st u b e r i sc a t c a n e i 295-298,302 - p a p i t t a r i s1 4 2 ,1 6 6 ,2 4 9 - p o s t e r i o rt a L i 2 9 6 - 2 9 8 3 , 05 - s p i n o s u s1 , 5 - 9 , 1 2 - 1 6 1 ,9 2 2 - 2 6 ,2 8 - 2 9 ,3 2 - 3 5 , 4 1 ,1 , 4 ,1 1 9 , 123-1241 , 2 7, 1 8 8 , 2 / +,92 5 1, 2 7 3 - s t y t o i d e u sl 0 s t e m p o r a [ e J3 3 - 3 4 - t r a n s v e r s u s6 - 8 ,1 3 - 1 L 2 , 0 ,2 2 , 3 1, 3 4 - 3 5 , t + 0 ,1 2 5 - - l A t t a s J3 4 , 4 0 - - [Axis]34 - u n c i n a t u tsP a n c r e a s1j 5 2 - 15 3 , 1 7 3 ,1 7 9 , 2 4 3 - - I V e r t e b r asJ U n c u sc o r p o r i s - v a g i n a t i ps e r i t o n e 6 i 1 ---persistens6l - x i p h o i d e u s4 7 ,5 0 ,5 5 , 6 3 ,7 0 , R lndex Ramusl-il Rete - t r a c h e a t e s { N[ a r y n g e u s r e c u r - - a r t i c u [ a r e g e n u3s 5 1 , 3 5 8 , 3 6 8 - c a l c a n e u m3 7 2 . 3 7 7 - 3 7 8 rensf120 - t r a n s v e r s u s3 5 9 - m a t t e o t a rLea t e r a t e 368,374 - t u b a r i u s ( Au t e r i n a l2 0 4 , 2 2 8 - - m e d i a t e3 7 4 - v a g i n a t e(sA u t e r i n a l2 0 4 - p a t e l t a r e3 5 3 , 3 5 6 - v e n o s u md o r s a l ep e d i s3 6 5 Raphe - perinei 232-233,235 Retinacutum(-aj - s c r o t i1 9 4 , 2 3 9 - muscutorum extensorum inRecessus f e r i u s3 0 6 , 3 3 2 , 3 3 4 - 3 3 7 , - axittaris122 367-368,373 - c o s t o d i a p h r a g m a t i c5u4s, 1 0 1 , - - - s u p e r i u s3 0 6 - - f i b u l a r i u mi n f e r i u s3 0 4 , 3 3 2 , 1 0 3 ,1 1 0 ,1 1 8 , 1 2 0 - 1 2 1 , 1 6 0 , 246-248,250 334-336 - c o s t o m e d i a s t i n a t1i 1 - - - s u p e r i u s3 0 / 1 , 3 2 7 , s 0,113, 124,127 329-332,335,370-371 - d u o d e n a t i si n f e r i o r 16 4 , - - f l e x o r u m{ P e s J3 0 4 ,3 2 9 - 3 3 1, 166-167 335,342,370-371,376-378 - - s u p e r i o r1 6 4 , 1 6 6 - 1 6 7 - - peroneorum inferius/su- i t e o c a e c a [iinsf e r i o r1 6 3 - 1 6 7 p e r i u ss R e t i n a c u t u m u s - - s u p e r i o r1 6 3 , 1 6 5 - 1 6 7 c u L o r u mf i b u l a r i u m - i n f e r i o rb u r s a eo m e n t a l i s1 6 1 inferius/superius - i n t e r s i g m o i d e u1s6 4 , 1 6 7 - p a t e l l a e t a t e r a t2e8 4 - 2 8 5 , 3 0 6 , - p h r e n i c o m e d i a s t i n a1t i2s1 ,2 4 3 3 1 0 - 3 11 - piriformis 108 - - mediate284-285,323 - r e t r o c a e c a l i s1 6 6 Retrof[exio { U t e r u s }2 0 3 - s p t e n i c u s1 6 1 , 1 6 7 , 2 L q R e t r o p e r i t o n eoarlg a n s 15 2 - s u b p o p t i t e u2s 9 0 , 3 3 1 R e t r o p e r i t o n esapl a c e 1 7 9 - s u p e r i o rb u r s a eo m e n t a L i s1 6 1 , R e t r o p e r i t o n esat Ir u c t u r e sp, o s i 167,249 t i o no f t h e 2 1 7 - 2 1 8 - c r r n r r n r t o l l r r i c? a ? R e t r o v e r s i(oU t e r u s j2 0 3 - v e r t e b r o m e d i a s t i n a l i1s2 4 , 1 2 6 R E T Z I UC S a, v e o l 2 0 7 , 2 5 2 R e c t o s c o p2y1 1 Rima - g t o t t i d i s1 1 4 R e c t u m6 2 , 1 3 8 , 1 6 5 - 1 6 7 , 1 7 7 , - p u d e n d i2 3 5 1 8 0 ,1 8 5 ,1 9 0 ,2 0 5 ,2 0 9 - 2 1 4 , 2 2 0 - 2 2 1 , 2 2 6 , 2 2 8 - 2 2 9 , 2 3 1 , 2 3 7R, i m s 5 , 2 5 243,256-257,354 ROSENMULLE n oRd' S e355 - AP-radiograph 141 R u g a e v a g i n a l e2s0 1 , 2 0 5 , 2 3 3 - a r t e r i e s2 1 2 - c o t o n o s c o p y2 1 1 - innervation 214 S - L a t e r arl a d i o g r a p h2 ' 1 5 - r e c t o s c o p2 y11 Sacrap l u n c t u r e4 4 - v e i n s2 1 3 S a c r o i t i a c j o i sn tA r t i c u l a t i o Regio(-nes) sacroitiaca - c a t c a n e sa C a L x S a c r u mw , i d t ho f t h e 2 6 5 - c e r v i c a l i sp o s t e r i o r 1 , 3 8 - 4 0 S a l p i n xs T u b au t e r i n a - cruris365 S A N T O RsI N d Iu c t 1 5 2 - - a n t e r i o r2 6 2 . 3 6 7 - 3 6 8 S c a l e n um s u s c t e sT 1 1 - - p o s t e r i o r2 6 2 , 3 7 0 - 3 7 2 S c a p u t a1 - 3 , 2 6 - 2 1 , L 8 , 1 0 1 , 1 0 8 , - d e l t o i d e a1 122-125 - f e m o r i sa n t e r i o r2 6 2 , 3 5 3 , S c r o t u m1 9 4 , 1 9 7 , 2 5 2 356-358 Segmentuml-al - - p o s t e r i o r2 6 2 , 3 6 0 - 3 6 3 - a n t e r i u si n f e r i u s{ R e n l 1 8 7 - g e n u sa n t e r i o r2 6 2 , 3 5 3 - - l a t e r a l ed e x t r u m[ V l ]l H e p a r l - - p o s t e r i o r2 6 2 147 -glutealis 1,262,360-361, - - - s i n i s t r u m [ l l l ] { H e p a r1l 4 7 - i n f r a s c a p u t a r i s1 - - m e d i a t ed e x t r u m[ V ] { H e p a r l - i n g u i n a t i s2 6 2 , 3 5 3 - 3 5 4 147 - l u m b a t i s1 , 4 1 - - t S l l l ] l P u t m o j9 6 - - AP-radiograp2 - - s u p e r i u sl R e n l 1 8 7 h19 - o c c i p i i a l i s3 8 - 3 9 - a p i c a t e[ S l ] 9 6 - p e d i s3 6 5 - a p i c o p o s t e r i [uSsl - l l ]l P u t m o ]9 6 - p e r i n e a l ios f t h e f e m a t e2 4 1 - b a s a l ea n t e r i u s[ S V l l l ]l P u t m o ] - - ofthemate 240 96 - s a c r a l i s1 - - l a t e r a l e[ S l X ] l P u t m o )9 6 - s c a p u l a r i s1 - - m e d i a t e[ S V l l ]{ P u t m o l9 6 - v e r t e b r a l i s1 - - p o s t e r i u [sS X ] l P u t m o l9 6 R e n 2 9 ,3 5 ,6 7 , 1 5 2 ,1 5 4 - 1 5 5 , 1 6 0 , - b r o n c h o p u l m o n a t9i a6 - 9 7 1 6 4 , 1 6 6 - 1 6 7 , 1 7 7 , 1 7 9 , 1 8 2 - 1 8 6-, c a r d i a c u m s Segmentum 1 8 8 , 1 9 2 , 2 0 0 , 2 1 6 - 2 1 7 , 2 4 5 - 2 4 7 , b a s a [ em e d i a t e[ S V l l ] [ P u t m o ] 2/+9-250,255 [ 1 1l H e p a r l 1 4 7 - A P - r a d i o g r a p h1 8 6 , 2 1 6 - i n f e r i u s{ R e n l 1 8 7 - c o m p u t e dt o m o g r a p h y1 8 8 - l a t e r a l e[ S l V ] l P u t m o ] 9 6 - d e v e l o p m e n1t 8 8 - lingulareinferiuslSV ( P] u t m o ) - p r o l e c t i o n1 8 3 , 1 8 5 96 - u t t r a s o u n di m a g e 1 8 8 - - s u p e r i u s[ S l V ] l P u t m o i 9 6 Segmentum[-a) - m e d i a l e [ S V ]l P u t m o l9 6 - - s i n i s t r u m[ l V ] 1 4 7 - p o s t e r i u lsa t e r a l ed e x t r u m[ V l l ] l H e p a r )1 4 7 - - - s i n i s t r u m[ l l ] { H e p a r l1 4 7 - - m e d i a l ed e x t r u ml V l l l ] lHeparl 147 - - {Renl187 - - t S l l l l P u t m o l9 6 - renatia187 - s u p e r i u s { R e n1l 8 7 - - t S V l ]l P u t m o l 9 6 S e p t u l a t e s t r s1 9 3 - 1 9 4 , 2 5 2 Septum{-al - a t r i o v e n t r i c u l a r8e2 - femorale355 - gtandis 199 - i n t e r a t r i a l e7 8 - 7 9 , 1 1 9 - i n t e r m u s c u t a rcer u r i sa n t e r i u s 3 2 7 , 3 3 2 , 3 6 63,8 1 - - - p o s t e r i u s3 2 9 , 3 6 6 , 3 8 1 - - v a s t o a d d u c t o r i u3m1 4 , 3 5 7 - interventricu[a7 r e8 - 8 0 ,8 3 , 1 2 6 - t o n g i t u d l n a t i a3 7 9 - p e n i s 1 9 9 ,2 4 3 - r e c t o v a g i n asl eF a s c i ar e c t o vaginatis - s c r o t i6 1 ,1 9 4 , 2 3 9 , 2 4 2 - v e s i c o v a g i n a2t e0 7 , 2 5 3 v e' Si n 3 5 2 SHERMAN Sinus - a n a l e s2 1 0 - 2 1 1 , 2 5 2 - a o r t a e7 9 - 8 0 , 8 2 , 1 2 7 - c o r o n a n u s7 5 - 7 6 , 8 5 , 9 9 - e p i d i d y m i d i 1s 9 3 - 1 9 4 - l a c t i f e r u s6 4 - m a x i l l a r i s1 2 - o b t i q u u sp e r i c a r d i7i 5 , 8 9 - p r o s t a t i c u s1 9 0 - r e n a t i s1 8 3 - 1 8 41. 8 8 , 2 5 0 - s a g i t t a t i ss u p e r i o r 4 0 - tarsi 296,305 - t r a n s v e r s u s4 0 - - p e r i c a r d i7i 5 , 8 4 , 8 9 , 1 1 9 , 1 2 6 - t r u n c ip u l m o n a t i s7 6 , 8 2 ,9 8 - v e n a T u mc a v a r u m 8 5 Situs - c o r d i s8 8 - r e t r o p e r i t o n e a l 1i s7 9 , 2 1 7 - 2 1 8 - v i s c e r u m1 5 8 - 1 5 91, 6 2 , 1 6 6 , 172-173,175 S o t eo f t h e f o o t ,m u s c l e s 3 3 8 - 3 4 3 , T53-T54 Spatiuml-al - e p i d u r a l e2 4 , 4 1 , 1 , 3 , 2 4 8 , 2 5 2 - p a r a r e c t a l e2 0 5 , 2 1 0 - p a r a v e s i c a t e2 0 5 - r e t r o p u b i c u m7 0 , 2 0 5 , 2 0 7 , 2 5 2 , 257 - r e t r o r e c t a t 2e 0 5 - s u b a r a c h n o i d e u4m1 , 4 3 , 4 5 , 119,123,252 - s u b d u r a t e4 1 ,4 3 Spinal-ael - i t i a c aa n t e r i o ri n f e r i o r2 3 0 , 264-267,271,273 - - - s u p e r i o r3 , 1 , 6 - 4 7 , 5 2 , 5 6 - 5 8 ,7 1 , 1 3 2 , 1 4 0 , 1 9 7 , 207,230,255,262, 261+-269,271,273,306, 3 1 5 , 3 1 73, 2 2 , 3 5 5 , 3 6 0 , 3 6 4 - - p o s t e r i o ri n f e r i o r 2 6 6 - 2 6 7 , 273 - - - s u p e r i o r2 , 3 1 , 5 2 ,1 8 3 , 230,254,264,266-267, 270,273,360 Spina[-ae) - i s c h i a d i c a3 , 2 1 2 - 2 1 3 , 2 3 0 , 2 5 6 , 264,266-267,273,280,319 - s c a p u t a e1 - 2 , 2 6 , 5 2 , 1 0 3 , 1 2 3 S p i n a l a n a e s t h e s4i a4 S p L e n1 1 1 01 ,5 5 - 1 5 71, 5 9 - 1 6 1 , 166-167,170,172,180,245, 247-249,255 - AP-radiograph 171 - Hitum 156 S p o n d y l o l i s t h e s i9s S p o n d y t o t y s9i s S q u a m ao c c i p i t a l i s1 9 S t e r n o c l a v i c u t a r j o i nAt sr t i c u t a t i o sternoctavicularis S t e r n u m5 , 4 8 , 5 0 - 5 2 , 1 1 1 , 1 1 9 1 2 5 ,1 2 7, 1 3 2 , 2 0 7, 2 4 2 Stratum - b a s a l e e n d o m e t r i a 2l e0 2 - c i r c u [ a r e1 0 5 , 1 2 9 - 1 3 0 , 1 3 6 , 139 - f u n c t i o n a teen d o m e t r i a t e 202 - l o n g i t u d i n a t1e0 5 , 1 2 9 - 1 3 0 , 1 3 6 , 139,210,228 S t r o m ao v a r i i 2 0 1 S u b o c c i p i t am l usctes31-34,40, T20 Substantia - c o m p a c t a2 7 7 - s p o n g i o s a2 7 7 , 2 8 1 S u b t r a c t i oann g i o g r a p h dy i, g i t a t T D S A J3 5 9 - a r t e r i e s o f f e m u r3 5 9 S U D E O Kp'os i n t 1 7 6 , 2 1 2 Sutcusl-iJ - a n a l i s2 6 2 - a r t e r i a es p t e n i c a e1 5 3 - - subclaviae 49 - - v e r t e b r a l i s6 , 1 7 - c a l c a n e i2 9 7 - 2 9 8 - c o r o n a r i u s7 5 - 7 6 , 8 5 - costae49 - g l u t e a t i s2 6 2 , 3 0 7 , 3 1 9 , 3 6 0 - i n t e r v e n t r i c u L aar ni st e r i o r7 6 , 80 - - p o s t e r i o r7 6 , 8 0 ,8 5 - m a t l e o l a r i s2 8 2 - 2 8 3 , 3 0 1 - n e r v is p i n a l i s7 - o b t u r a t o r i u s2 6 6 - p a r a c o l i c1i 6 2 - 1 6 4 - p o p l i t e u s2 8 1 , 2 9 1 , 2 9 3 - s i n u ss i g m o i d e i1 8 - s u p r a a c e t a b u L a r2 i s6 6 - 2 6 7 - tali 297 - t e n d i n i sm u s c u t fi i b u t a r i sl o n g i 295,297-298,300,302 - - - ftexorishattucislongi l C a l c a n e u s J2 9 6 - 2 9 8 , 302 - t o n g il T a t u s l2 9 7 - 2 9 8 - t e r m i n a l i sc o r d i s 7 5 , 8 5 - v e n a es u b c t a v i a 4 e9 Sura 262 a t i 2 9 5 - 2 9 83, 0 0 , S u s t e n t a c u l utm 3 0 2 ,3 0 5 ,3 8 2 S y m p a t h e t ince r v o u s y s t e m2 1 4 , 222-223 Symphysis - m a n u b r i o s t e r n a t5i s0 - 5 1 - p u b i c a7 3 , 1 9 0 , 2 0 5 , 2 0 7 , 2 2 5 . 230,234-235,21,4,252-253, 256-257,264,268,271-274,317, 3 5 5 ,T 3 9 - x i p h o s t e r n a l i s5 0 S y n c h o n d r o s i s c o s t 5a 1e S y n d e s m o s i s t i b i o f i b u t a2r5i s3 , 294,304-305,382,139 Index Systema - c o n d u c e n t ec o r d i s 8 2 - 8 3 - s k e t e t a l e( C o l u m n av e r t e b r a l i s l 2 T f rigonunl-a) - l u m b o c o s t a [ e6 3 ,T 2 1 - s t e r n o c o s t a t e6 3 ,T 2 1 - v e s i c a e1 9 0 - 1 9 11,9 5 ,1 9 8 T r o ch an t er - m a j o r 2 5 6 ,2 6 2 ,2 6 8 ,2 7 3 - 2 8 0 , 3 1 9 - 3 2 1 , 3 6 03, 6 4 - minor 273-2803 , 16 , 3 2 1 ,3 6 4 - t e r t i u s2 7 5 Taenia - t i b e r a1 3 8 - 1 1 r1 05 , 8 ,1 6 1 - 1 6 5 T r o chI e a - m e s o c o L i c1a3 9 ,1 6 1 - f i b u L a r i s2 9 6 - 2 9 7 - o m e n t a t i s1 3 9 ,1 5 8 ,1 6 0 - 1 6 11, 6 3 - tati 295-298,305 fatus 295-2993 , 0 1 ,3 0 4 - 3 0 5 3 , 83 Truncus[-il - b r a c h i o c e p h a l i c u7s4 - 7 5 , 8 9 , T a r s a Ij o i n t - s A r t i c u l a t i cou n e o n a v i c u t a r i s , 9 8 - 9 9 ,10 4 - 10 5 , 1 0 7 ,1 0 9 ,1 1 1 , A r t i c u l a t i co u n e o c u b o i d eAar,114-1151 , 1 8 - 1 2 1, 1 2 4 t i c u t a t i o l - n e isnl t e r c u n e i f o r m e s - c o e t i a c u s6 2 , 1 0 4 ,1 0 6 ,1 1 5 ,1 5 2 , - t r a n s v e r s es A r t i c u t a t i ot a t o c a t 15 5 , 16 8 , 1 7 0 - 1 7 3 1 , 7 8 - 1 7 9 ,1 8 7, c a n e o n a v i c u l a rAi sr ,t i c u t a t i o 2 1 4 , 2 1-72 1 8 ,2 2 0 - 2 2 1 - - v a r i a t i o n s1 7 8 catcaneocuboidea - c o s t o c e r v i c a t1i s1 5 T a r s a tI u n n e [ 3 7 7 - [ E m b r y o l2 0 6 o Ii n t ss A r t i c u l a T a r s o m e t a t a r sj a - nac+rncnlonirrrc 174 t i o l - n e stJa r s o m e t a t a r s a t e s - hepatomesentericu Tarsus263 1 s7 8 - i n t e s t i n a t i 2s 1 8 Teta - s u b c u t a n e a5 8 ,74 , 2 1 0 ,2 3 2 ,2 3 9 - [ u m b a L i s2 1 8 - 2 1 9 - s u b m u c o s a1 0 5 ,1 3 0 ,1 3 6 - 1 3 7 , - l u m b o s a c r a l i s6 8 ,2 2 0 - 2 2 12, 2 5 , 139 344 - s u b s e r o s a1 3 0 ,' 1 3 61, 3 9 - n e r v is p i n a l i s 1 + 1 - 4 3/ .,5 - p u l m o n a t i s7 4 - 7 6 ,7 9 , 8 2 , 8 4 , T e n d oc a t c a n e u s3 0 0 - 3 0 13, 0 4 , 3 0 7 ,3 0 9 ,3 2 8 - 3 3 3 3 , 3 5 ,3 7 0 - 3 7 2 , 9 8 , 1 0 1 ,11 4 , 1 2 0 - 1 2 1 1 , 25-126 - s y m p a t h i c u s4 1 , 4 5 , 6 3 , 6 8 ,8 3 , 382-383 T e s t i s6 1 ,6 7 , 1 8 5 ,1 9 2 - 1 9 42, 2 2 , 112-1131 , 1 5 - 1 1 7, 1 2 0 - 1 2 1, 242-243.252 12/+-125 1 ,2 7, 2 2 0 - 2 2 3 , 2 2 52,4 5 , T h i g hs F e m u r 248,250-251 Thnr:rir m, ,c.16. qr-Eq c7 E8,Tl 3 - t i b i o f i b u L a r 3i s6 9 ,3 7 2 - v:n:lic:nrorinr A1 117 T h o r a c i c o r g a n1s1 8 - - posterior 63,120-121 T h o r a c i cp a r t o f t h e v e r t e b r a I coIumn T r u n k - a r mm u s c t e s2 6 - 2 7 , f1 8 - AP-radiograp1 - d e e pl a y e r 2 7 h4 - [ a t e r a rI a d i o g r a p h1 4 - s u p e r f i c i a lIa y e r 2 6 T h o r a c iw c a L [5 8 ,6 6 ,6 9 T r u n k - s h o u t d eg ri r d L e muscles - innervation , gmenta6 se [ 7 26-27,r17 - m u s c t e ss t h o r a c i cm u s c t e s - d e e pl a y e r 2 7 - s k e t e t o np r o j e c t i o n4 7 - s u p e r f i c i al a I yer26 - s u r f a c ea n a t o m y 4 6 Tuba - uterina 167, 200-201,203-204, Thorax - c r o s ss e c t i o n1 2 5 2 0 9, 2 2 3 , 2 2 8 2 , 59 - f r o n t a ls e c t i o n 118 , 12 1 - - A P - r a d i o g r a p 2h 0 3 - m e d i a ns e c t i o n11 9 Tuber - c a L c a n e2i 96 - 2 9 8 ,3 0 0 - 3 0 2 , T h y m u s1 1 0 - 1 1 31 ,1 9 1, 5 9 ribia 262-263,282-283,285-287, 304-305,328-330, 332, 340-341 - i s c h i a d i c u m3 , 2 1 2 - 2 1 3 2 290-294, 300-301, 304-306,327, , 15, 3 2 9 - 3 3 1 , 3 6 6 - 3 6,73 7 4 , 3 8 1- 3 8 3 230, 232-235, 257-258, 265-268, Trabecu[a{-ae] 2 7 0 ,2 7 3 ,2 8 0 ,3 1 7 ,3 19 - 3 2 0 ,3 6 0 - carneae79-80 - o m e n t a t e1 4 2 ,1 6 1 - coTporum cavernosorum 198 T u b e r c [ eo f V A T E R13 5 , 15 0 , 15 2 - septomarginat7 i s8 ,8 0 - 8 1 Tubercutuml-al - s p t e n i c a e1 5 6 - a d d u c t o r i u m2 7 5 , 2 7 7 - a n t e r i u s{ V e r t e b r ac e r v i c a [ i s ] T r a c h e a1 3 ,8 9 - 9 1 ,9 8 - 9 9 ,1 0 1 , 104,106-1070 , 19 , 111 , 1 1 / + - 1 2 1 , 6-7, 35,55 - c o s t a e8 , 2 0 , 2 2 , 4 9 123-124 - b i f u r c a t i o n9 0 - i l i a c u m2 6 4 , 2 6 7 - c r o s s - s e c t i o9n1 - i n t e r c o n d y l a r lea t e r a L e2 8 2 , - p r o j e c t i o n9 0 291 - - nediale 282,291 T r a c t u si t i o t i b i a l i s2 7 9 ,3 0 6 - 3 0 7 , - i n t e r v e n o s u m7 8 312-3133 , 18 - 3 19 , 3 2 2 ,3 2 4 ,3 2 7 , - Latera[e ( T a t u s ]2 9 6 - 2 9 8 3 3 2 ,3 6 1 ,3 8 1 - m a j u sI H u m e r u s J4 7 T R E I TM Z ,u s c t eo f 1 3 5 ,1 5 2 - m e d i a l e[ T a t u s J2 9 6 - 2 9 8 T r i a do f G L I S S 0 1 N4 5 - m i n u sl H u m e r u s l4 7 T r i a n g l eo f B O C H D A L E6K 3 Trirnnrrlrr cnrro ?7 - m u s c u t si c a t e nai n t e r i o r i s4 9 - obturatorium Trigonum I- a J a n t e r i u s2 6 7 - ctavipectorate - - p o s t e r i u s2 6 6 - 2 6 7 58 - f i b r o s u md e x t r u m 7 7 , 8 4 - p o s t e r i u s{ A t t a s l 3 4 - - s i n i s t r u m7 7 , 8 4 - - ( V e r t e b rcae r v i c a L i s6J- 7 , 1 2 , - [ u m b a t e 2 6 - 2 7 ,3 7 , 5 2 , 3 6 1 17 , 3 1 ,3 3 ,3 5 TubercuLum[-aJ - p u b i c u m 4 7 , 2 3 0 ,2 3 4 - 2 3 5 2 , 64, 2 6 6 - 2 6 ,72 7 1, 2 7 3 ,3 5 5 - q u a d r a t u m2 7 5 - 2 7 6 T ub e r o si t a s - g t u t e a 2 7 5 - 2 76 , 2 7 8 ,3 1 9 - iliaca 264,266 - m u s c u Lgi I u t e im a x i m i 2 6 7 - - s e r r a t ia n t e r i o r i s 4 9 - o s s i sc u b o i d e i2 9 5 - 2 9 6 2 , 9 8 ,3 0 2 - - m e t a t a r spi r i m i 2 9 5 ,2 9 8 - - - quinti 295-296,298, 302-303,334 - - n a v i c u l a r i s2 9 5 , 2 9 8 , 3 0 2 - - s a c r i1 0 - 1 1 - p h a t a n g ids i s t a t i sl P e s l 2 9 5 - tibiae 262, 282, 285-287,291, 2 9 4 , 3 2 ,73 3 2 , 3 6 7 Tubutus - d i s t a t i s1 8 4 - p r o x i m a l i s1 8 4 Tunica - a d v e n t i t i a1 0 5 - - l T r a c h e a9l 1 - a t b u g i n e a1 9 3 , 2 / 1 / + v V ag i n a[ - a e ) 2 0 0 - 2 0 5 2 , 0 7 ,2 2 3 , 2 2 8 ,2 3 0 - 2 3 1, 2 3 4 , 2 3 7, 2 5 3 , 2 5 7 - c o m m u n i st e n d i n u mm u s c u t o r u m f i b u t a r i u m3 0 4 ,3 3 4 - 3 3 5 - m u s c u t rl e c t ia b d o m i n i s5 2 , 5 6 - 5 8 ,6 9 - 7 0 ,7 2 , 2 4 9 ,3 5 5 - p L a n t a r it se n d i n i sm u s c u L i f i b u t a r i sL o n g i3 4 1 - t e n d i n i s / t e n d i n udmi g i t o r u m p e d i s3 3 5 , 3 4 0 - 3 4 1 - - muscuti/-orum extensoris d i g i t o r u mt o n g i 3 3 4 - 3 3 5 h a L L u c i[ so n g i 3 3 4 - 3 3 5 - - - f t e x o r i sd i g i t o r u ml o n g i 304,335 h a L L u cliosn g i 3 3 5 , 3 4 0 - - - t i b i a L iasn t e r i o r i s3 3 4 - 3 3 5 p o s t e r i o r i s3 0 4 , 3 3 5 - - [Pesl 334-335 Vatval-ael - a o r t a e 7 7 ,8 0 ,8 2 ,8 5 , 1 1 L , 119-120,126-127 - a t r i o v e n t r i c u L a rdi se x t r a 7 7 - 7 8 , - - enrnnri< <nnnnin<i 199 8 0 - 8 2 ,1 1 9 - 1 2 0 1 , 27 - - c o r p o r u mc a v e r n o s o T u m - - sinistra 77,79-82,126-127 - cordis 77 1 9 7- 1 9 9 ,2 4 2 , 2 5 2 - d a r t o s 7 0 ,1 9 4 ,1 9 7 ,2 2 6 ,2 3 2 , - m i t r a I i ss V a l v aa t r i o v e n t r i c u 239, 242, 252 [ a r i ss i n i s t r a - f i b r o s a1 5 3 - t r i c u s p i d a I i s V a l v aa t r i o v e n - m u c o s a 1 0 5 ,1 2 1 ,1 3 0 ,1 3 6 ,1 3 9 , t r i c u t a r i sd e x t r a - t r u n c ip u t m o n a t i s7 7 , 8 2 , 8 4 150,190,201-202 - - I G a s t e r j1 0 8 V a [ V eo f H E I S T E 1 R5 0 - - I T r a c h e a9j 1 Valvu[a{-aeI - muscuLari1 - a n a l e s2 1 0 s 0 5 ,1 1 9 ,1 2 9 - 1 3 0 , - f o r a m i n i so v a [ i s7 9 13 5 - 13 7 , 1 3 9- 1 4 0 , 1 9 0 - 1 91 , - f o s s a en a v i c u [ a r i s1 9 8 201-202,210,226,228,230, 261 - s e T o s a1 3 0 ,1 3 6 - 1 3 7' ,1 4 31, 5 0 , - s e m i t u n a r ias n t e r i o r7 7 - - - { V a t v tar u n c ip u [ m o n a I i s8l 4 153,201-202,226 - - I C o t o n j1 3 9 - - d e x t r a( V a t v a o r t a e j 7 7 , 7 9 , - v a g i n a I i st e s t i s 7 0 , 1 9 3 - 1 9 4 , 8 2 , 8 4 , 1 1 9 ,1 2 6 - - - { V a L vtar u n c i p u L m o n a L i s l 2 3 9 ,2 4 2 77,84 - - p o s t e r i o r[ V a l v aa o r t a e l 7 7 , U 7 9 - 8 0 , 8 2 , 8 4 ,1 1 9 ,1 2 6 - - s i n i s t r a{ V a l v aa o r t a e } 7 7 , U m b i [ i c acLo r d 2 0 8 7 9 - 8 0 , 8 2 , 8 41, 1 9 ,1 2 6 - - - ( V a L vtar u n c i p u I m o n a t i s ) U m b i L i c u5 s 9 , 7 2 ,1 9 7 U n c o v e r t e b r acIl e f t s 2 4 7 7, 8 2 , 8 4 - s i n u sc o T o n a r i 7 U n c u sc o r p o r i s7 , 1 3 ,2 4 - 2 5 ,3 5 i 8,82,84 - v e n a ec a v a ei n f e r i o r i s 7 8 ,8 2 U p p e ra b d o m e n - v e s s e t s1 7 2 - 1 7 3 Vas[-a] - v i s c e r a1 6 0 - d e f e r e n ss D u c t u sd e f e r e n s - l y m p h a t i c u ma()- 1 9 7, 2 1 9 U r a c h u s7 0 , 1 5 9 ,1 8 5 ,1 9 2 ,2 0 0 - - a f f e r e n t i a2 1 9 U r e t e r 7 1 , 1 5 2 ,1 6 3 - 1 6 4 1 , 66-167, - - A P - r a d i o g r a p 2h 1 9 1 7 1 ,1 7 9 ,1 8 2 - 1 8 31, 8 5 - 18 7 , - - c e n t r a t e1 3 6 191-1921 , 9 6 ,2 0 0 - 2 0 1, 2 0 5 , 2 0 9, - - e f f e r e n t i a2 1 9 2 16 - 2 1 8 ,2 2 1 - 2 2 2 2 , 2 6 - 2 2 9 ,2 3 1 , - - p r o f u n d a3 6 7 236,245, 251, 253-254,258 - AP-radiograp1 - - s u p e r f i c i a [ i3a6 6 h86 - t e s t i c u t a r e s7 1 U r e t h r a 19 0 , 1 9 6 ,1 9 8 , 2 5 2 - 2 5 3 - f e m i n i n a 2 0 0 ,2 0 7 ,2 3 0 ,2 3 / . , V A I E RP,a p i t l oa f 1 3 5 , 1 5 0 , 1 5 2 - 1 5 3 237,261 Veinlsl - m a s c u t i n a1 9 0 , 1 9 5 - 1 9 6 1 ,9 8 - 1 9 9 , - d e e p p e r f o r a t i n go f H A c H3 5 2 - o f B o Y D3 5 2 222,234,239,244,259-260 - o f C O O K E I3T5 2 U t e r u s 1 4 0 ,2 0 0 - 2 0 3 2 , 0 5 ,2 0 7 , - o f D o D D3 0 6 ,3 5 2 209, 223, 228-229,253,351, - A P - r a d i o g r a p 2h 0 3 - o f H U N T E 3R5 2 - m u c o s a p, h a s eo f p r o t i f e r a t i o n - o f M A Y3 5 2 , 3 6 5 - o f S H E R M A3N5 2 202 - p o s i t i o n2 0 3 Venal-ael - pregnant 206-207 - a n t e r i o r[ V p u [ m o n a l i sd e x t r a - - ultrasound image206 s u p e r i o r l9 8 , 1 2 0 , 1 2 2 - u [ t r a s o u n idm a g e 2 0 6 - a p i c a [ i s9 8 - a p i c o p o s t e r i o9r8 U t r i c u I u sp r o s t a t i c u s1 9 0 ,1 9 2 ,1 9 8 '190, - a p p e n d i c u [ a r i1s6 9 ,1 8 0 198 U v u l av e s i c a e lndex Vena{-ael - a r c u a t ac r u r i s p o s t e r i o r3 6 5 - a t r i a t e ss i n i s t r a e 7 5 - a u r i c u t a r i ps o s t e r i o r3 8 - 3 9 - a x i [ [ a r i s5 4 , 1 1 3 ,1 2 0 ,1 2 2 ,i 2 4 - a z y g o s6 3 ,7 5 ,9 9 , 1 0 5 - 1 0 7i ,1 2 , t t / ^ ^ ^ t - d^ ^ l , , ^ - : ^ ^ t : - l Venal-aelgtutea - t ^r )-/l Vena[ -ae) portaehepatis v cr ta | c t vsJ,Ldr,5i - - superior 213,254,380 - - - ultrasound - - superior 227 image 148 - h e m i a z y g o s6 3 ,1 0 6 ,1 1 6 ,1 1 9 , - p o s t e r i o{rV p u t m o n a t idse x t r a V en t e r - o c c i p i t a t i3 1 8 1, 2 / + 5 , 2 4 9 s u p e r i o r J9 8 s9 - - a c c e s s o r i a1 0 6 , 1 1 3 , 1 1 6 - p r e p y t o r i c a1 7 2 - p o s t e r i o r3 1 , 3 3 - 3 4 - h e p a t i c a e6 3 ,8 9 , 1 2 0 - 1 2 1 1 - profunda[-ae - s u p e r i o r1 1 0 , 43, b )r a c h i i3 7 115 - 116 , 1 2 1 , 1 2 4 - 1 2 71,8 1 , 2 4 9 - - femoris 261,352,358 14 8 ,16 7 , 16 9 ,1 7 9- 1 8 1 ,2 1 7_ 2 1 8 Ventricu[us(-iJ - b a s a t i si n f e r i o r1 2 7 - - d e x t r a e1 4 6 , 1 / 1 8 , 2 4 3 , 2 4 6 , 2 / + 8- - i n t e r n a2 1 3 , 2 2 7 - 2 2 8 - c o r d i sd e x t e r 7 4 - 7 6 , 7 8 ,8 0 - 8 2 , - basivertebraIi4 - - i n t e r m e d i a e1 4 6 , 1 4 8 s 2 , 1 1 9 ,2 4 2 - p u d e n d a [ - a e Jx t e r n a e6 6 , 1 9 7 , 8 5 , 9 8 - 9 9 ,114 , 1 2 0 - 1 2 1 , - b r a c h i o c e p h a l i c7a5 ,8 9 ,9 8 , - - p r o l e c t i o n1 4 6 238,353-355 1 2 6 - 1 2,72 4 4 '105-106, - - s i n i s t r a e 1 1 + 6 , 1 4 8 , 2 4 3 - 2 L 4 - - i n t e r n a2 2 7 , 2 3 1 , 2 3 4 , 2 3 6 , 11 0 - 1 ' 1 311, 6 ,11 8 - 11 9 - - s i n i s t e r7 4 - 7 6 , 7 9 - 8 2 , 8 5 , 9 8 , - b r o n c h i a t i1s1 2 - - u t t r a s o u n idm a g e 1 4 8 2 4 0 - 2 4 1, 2 s 6 - 2 5 8 ,2 6 0 - 2 6 1, 1 0 1 ,1 0 5 ,1 2 0 - 1 2 11, 2 6 - 1 2 7 - b u t b ip e n i s 2 3 4 - i t e a [ e s 1 6 9 ,1 7 5 ,1 8 0 ,2 5 1 363-364 V e r s i o( U t e r u s l 2 0 3 - - vestibut2 i 41 - p u l m o n a t i s l - e s1)1 2 ,1 2 0 i l e o c o l i c a1 6 9 ,1 8 0 V er t ebr a[ - a e ] - c a T d r a cm - i t i a c ac o m m u n i s1 6 7 , 1 7 9 , 1 8 1 , - - d e x t r a ( - a e l7 5 - 7 6 , 7 8 - 7 9 , 8 5 , a agna 74-75,79-80, - c e r v i c a [ e s3 - 5 , 7 , 1 2 - 1 3 ,1 7 - 1 9 , 84-85,127 2 1 0 ,2 1 3 . 2 1 7 - 2 1 82, 2 1, 2 2 5 , 8 8 - 8 9 ,9 5 ,9 8 , 1 0 0 ,1 0 5 ,1 0 7 , 3 5 ,4 0 ,4 8 ,s s , 10 3 , 119 - - media75,84-85,99,119 - - AP-radiograp1 2 2 7- 2 2 8 , 2 3 1, 2 4 2 - 2 4 3 ,2 5 4 1 1 2 ,1 2 1, 2 4 5 h3 - - p a r v a 7 4 ,8 5 - - e x t e r n a7 1 , 1 7 9 , 1 9 6 , 2 1 0 , l^l^-^t -^ti^^-^-L 1a - - - i n f e r i o r9 9 , 1 2 6 - 1 2 7 dr tdutugtdPil tz - c a v ai n f e r i o r3 5 , 6 3 , 7 5 - 7 6 , T 8 , - - - s u p e r i o r9 8 - 9 9 , 1 2 0 , 1 2 4 , - coccygeae 2 1 3 ,2 2 1 ,2 2 6 - 2 2 9 ,2 3 1 ,2 3 6 , s 0 s { - s a lc o c c y g i s 8 3 ,8 5 ,8 9 ,9 9 , 1 0 1 , 1 0 5 - 1 0 7 , 1 1 1 + , - d e v e t o p m e n t5 , 2 4 2 5 3 - 2 5 4 , 3 1 ,73 5 4 , 3 5 6 3 , 58 126 1 16 , 1 2 1 ,14 2 - 1 4 3 ,1 4 6 - 1/ + 8 ,1 5 2 , - - i n t e r n a 1 8 1 , 2 1 0 , 2 1 3 , 2 1 7 , - - s i n i s t r a [ - a e7J5 - 7 6 ,8 5 ,8 9 , - e p i p h y s e s5 , 2 5 1 5 4 - 15 5 , 16 7 , 16 9 ,1 7 2 _ 1 7 3 , - [ u m b a t e s1 , 3 - 5 , 8 - 9 1, 5 - 1 6 , 2 2 6- 2 2 8 , 2 31 , 2 5l r , 2 5 8 ,3 51 105,107,113,119,245 - i t i o L u m b a t2i s1 7 1 7 9- 1 8 1 , 1 8 5 ,1 8 7 - 18 9 , 2 1 0 ,2 1 3 , - - - i n f e r i o r7 9 , 8 8 , 9 5 , 9 8 - 9 9 , 2 3 - 2 4 , 3 2 ,4 1 ,4 4 , 4 8 , 6 2 - 6 3 , 7 2 , - i n t e r c o s t a t i se[ -s ) 7 0 , 12 6 - 1 2 7 2 1 7- 2 1 8 , 2 2 1, 2 4 3 - 2 1 + /2+4,8 - 2 5 1 126-127 1 5 4 ,1 7 8 , 2 1 6,249-252,254, - - s u p e r i o r7 4 - 7 8 , 8 2 , 8 4 - 8 5 , 8 9 , - - a n t e r i o r e s - - - s u p e r i o r7 9 , 9 8 , 9 5 , 9 8 - 9 9 , 247 2 6 8 - 2 6 9 , 2 7 -12 7 3 , 3 1 7 9 8 - 9 9 ,1 0 1 ,1 0 5 - 1 0 71, 1 1 _ 1 1 2 , - - p o s t e r i o r e s5 1 , , 7 3 , 1 0 6 , - - AP-radiograp1 107,125 h6 114 , 116 , 1 1 8 ,1 2 0 ,1 2 1 _ 1 2 6 - r e c t a t i s l - e si nl f e r i o r e s1 6 9 ,1 8 1 , - - [ a t e r a I r a d i o g r a p1h5 112-113,115-116 - c e n t r a l i s1 4 5 ,1 8 9 - i n t e r l o b u [ a r i1s 4 5 - ossification 2 1 0 , 2 1 3 , 2 2-72 2 8 centres 5 - - [ G t a n d u tsau p r a r e n a t i s1l 8 9 - i n t e r v e n t r i c u l a rains t e r i o r7 4 , - - m e d i a e1 6 9 , 2 1 0 , 2 1 3 , - p r o m i n e n s1 - 4 , 7 , 2 6 , 3 4 , 1 0 13 1, 9 - c e p h a [ i c a5 8 , 6 6 , 1 2 2 - r e g i o n a Ic h a r a c t e r i s t i c s5 8 0 ,8 4 2 2 7- 2 2 9 - c e r v i c a L ipsr o f u n d a3 9 - - p o s t e r i o r 7 5 ,8 0 , 8 4 - 8 5 - - s u p e r i o r1 6 9 , 1 7 7 , 1 8 0 - 1 8 1 , - s a c r a l e s2 , 2 7 4 - - s u p e r f i c i a U6s6 - i n t e r v e r t e b r a t i s4 2 - s t r u c t u r ec h a r a c t e r i s t i c s8 2 1 0 ,2 1 3 ,2 2 7- 2 2 9 - c i r c u m f t e x fae m o r i sl a t e r a l i s2 6 1 - . l e j u n a l e s1 5 2 ,1 6 9 ,1 7 5 ,1 7 7 ,1 8 0 - r e n a t i s1 5 2 ,1 5 / +1, 8 1 - 1 8 5 , - t h o r a c i c a e3 - 5 , 8 - 9 , 2 0 , 2 6 , 4 8 , - - - m e d i a l i s2 5 6 , 2 6 0 - 2 6 1 - j u g u [ a r i sa n t e r i o r 119 18 7 -18 8 ,2 1 7, 2 2 1, 2 4 2 - 2 4 3 , 1 2 1 - 1 2 7 ,1 8 6 , 2 / + 8 - 2 4 9 - - h u m e r ip o s t e r i o r3 7 - - externa38 - - AP-radiograph 245-246,250 14 - - i t i u mp r o f u n d a1 7 9 , 2 2 1 , 2 2 7 , - - i n t e r n a - s a c r a I i sl a t e r a l i s 2 2 6 89,105-106,110, rdrsr dr I duru9r dPil r4 231 - - m e d i a n a1 7 9 , 2 1 0 , 2 1 7 , 2 2 1 , V e r t e b r a cl o t u m n 3 - 4 118,121-122 - - - s u p e r t i c i a t i6s 6 , 3 5 3 - 3 5 5 - L o bm - t i g a m e n t s2 0 - 2 1 i edii 98 229 - - s c a p u l a e3 7 - [ u m b a l e s 4 1 ,1 7 9 ,2 1 7 ,2 4 3 ,2 1 + 5 - s a p h e n aa c c e s s o r i laa t e r a l i s3 5 3 V e si c a - c o L i cdae x t r a1 5 2 , 1 6 9 , 1 7 5 , 1 8 0 - [ u m b a l i sa s c e n d e n s ---medialis354 - b i L i a r i s6 7 , 1 4 0 ,1 4 2 ,1 4 4 , 42, - - m e d i a 1 5 2 ,1 6 1 , 1 6 3 - 1 6 1 + , - - magna66,68,218,257,284, 115-116,221 146-1/+7, 149 -151, 15/1,160-161, - m a r g i n a t i cs o t i 1 6 9 169,175,177,180 3 0 6 ,3 5 2 - 3 5 63, 5 8 ,3 6 0 , 1 7 0 ,1 7 2 ,18 0 ,2 5 0 - - s i n i s t r a1 6 7 , 1 6 9 , 1 7 5 , 1 7 7 , - - l a t e r a l i s - - AP-radiograph 3 6 5 ,3 7 3 365-3663 , 7 3 ,3 7 9 ,3 8 1- 3 8 2 1 5 1 ,i 5 4 180-181 - - p a r v a 2 8 4 , 3 5 2 , 3 6 0 - 3 6 1 , 3 6 3 , - - t a p a r o s c o p1y 4 9 m e d i a l i s3 6 5 ,3 7 3 - c o r d i s8 5 - m e s e n t e r i c ai n t e r i o r 1 5 2 ,1 6 7 , - f e l t e as V e s i c ab i t i a r i s 3 6 5 - 3 6 6 ,3 6 9 - 3 7 0 , 3 7 3 , - - m e d i as V e n ac a r d i a c a media - u r i n a r i a6 2 ,6 7 ,7 0 - 7 1 ,1 4 0 ,1 5 9 , 1 6 9 ,1 7 7, 1 7 9 - 1 8,12 1 3 3 81- 3 8 2 - cremasterica - - s u p e r i o r1 5 2 - 1 5 3 , 1 6 7 , 1 6 9 , - s i g m o i d e a e1 6 9 ,1 7 7 ,1 7 9 - 1 8 1 , 238 16 5 - 1 6 7, 1 7 9 ,1 8 5 ,1 9 0 - 1 9 2 ,1 9 6 , - c y s t i c a 1 4 9 ,1 6 9 ,1 7 2 ,1 8 0 - 1 8 1 1 7 3 ,1 7 5 ,1 7 7, 1 7 9 - 1 8,1 210,213 1 9 8 ,2 0 0 ,2 0 5 ,2 0 7, 2 0 9, 2 1 7, 2 2 2 , - d i g i t a t e sd o r s a [ e sp e d i s 3 7 3 - eninelic nnc+orinr l'l 242-244,251 226-229, 236-237, 242-243, - d o r s a [ i sp r o f u n d ac t i t o r i d i s2 3 1 , - m u s c u [ o p h r e n i c6a9 - s p [ e n i c a1 5 2 - 1 5 6 ,1 6 1 ,1 6 7 ,1 6 9 , 252-253, 256-257, 259-261,35/+ - o b t i q u aa t r i is i n i s t r i8 5 234 - - p u n c t u r e1 9 0 1 7 3 ,1 7 7, 1 7 9- 1 8 1 ,2 4 4 - 2 4 5 , ---penis199,227,234, - o b t u r a t o r i a7 1 ,2 1 3 ,2 2 7 ,2 2 9 , 248-2s0 Vestibu[um 238-239,252 - s u b c l a v i a8 9 , 1 0 5 - 1 0 61, 1 1 - 1 1 2 , - b u r s a eo m e n t a l i s1 6 1 , 1 6 6 2 3 1, 2 3 6 ,2 5 6 - 2 5 7, 2 6 1, 3 1 7, 3 5 5 - - s u p e r f i c i a Ipi e s n i s1 9 9 , 2 3 8 , - v a g i n a e2 3 5 o c c i p i t a t i3 s7-39 116,118,121,123 - o e s o p h a g e a 1e 0 6 , 1 6 91, 8 0 252 - s u b c o s t a L i1s1 5 - 11 6 V i t t ir n t e s t i n a t e1s3 6 - d u o d e n a t e s1 6 9 - o v a r i c a1 5 2 ,1 6 7 , 1 8 2 , 1 8 7 , 2 0 1 , - s u b c u t a n e aaeb d o m i n i s6 6 V is c er a - e p i g a s t r i cian f e r i o r6 0 ,6 6 ,6 9 , - s u p r a r e n a [ i s1 8 2 ,1 8 7 ,2 1 7 - o f t h e n e o n a t e15 9 2 0 9 , 2 2 8 - 2 2 ,92 5 3 - p a n c r e a t i c a 1e 6 9 7 1- 7 2 , 1 5 8 - 1 5 9, 1 7 3 ,1 7 5 ,1 7 9 , - suratis 370 - u p p e ra b d o m e n1 6 0 - 1 6 i 18 1 , 19 6 ,2 1 7 ,2 2 1 ,2 2 7 ,2 2 9 ,2 3 1 , - p a n c r e a t i c o d u o d e n a I i s ( - e s J - t e s t i c u t a r i s7 1 , 1 5 1 ,1 7 9 ,1 8 2 , V o r t e xc o r d i s 7 6 236,253 169,180 18 7 , 19 3 ,2 1 7, 2 2 1, 2 3 8 , 2 5 1 - - s u p e r f i c i a l i6s 6 ,1 8 1 , 3 5 3 - 3 5 5 - - s u p e r i o r p o s t e r i o r - thoracica 169 i n t e r n a6 3 ,6 6 ,6 9 , - - s u p e r i o r6 6 , 6 9 - 7 0 , 7 2 - paraumbiLicate 6 s6 , 7 2 ,1 8 1 8 8 - 8 9 ,9 8 , 1 1 0 - 1 1 1 ,1 2 4 - f e m o r a l i s 6 2 , 7 3 , 2 1 8 ,2 4 4 , 2 5 6 - p e r f o r a n t e s3 0 6 ,3 5 2 , 3 6 5 , 3 7 3 - - L a t e r a I i s5 6 - pericardiacophren8 2 5 7, 3 14 , 3 5 3 3 , 5 5 - 3 5 83, 8 0 - 3 8 - t h o r a c o e p i g a s t r i c6a6e 1 i c9a, WINSLoW F ,o r a m e no f 1 6 0 - f e m o r o p o p t i t e a3 6 6 - t h y r o i d e ai n f e r i o r 8 8 - 8 9 ,' 1 0 6 , 111-113,118 W I R S U ND Gu, c to f 1 5 2 - f i b u t a r i s3 6 6 - p e r i n e a [ i s2 3 4 110-111,116 W 0 L F F i adnu c t 1 9 2 ,2 0 0 - g a s t r i c a [ - a eb lr e v e s1 3 1 ,1 o o , - p h r e n i c a ien f e r i o r e s6 3 , 1 0 6 , - - s u p e r i o r1 1 0 169,180 - t i b i a t e sa n t e r i o r e s3 6 6 - 3 6 7 1 8 1, 2 1 7 - - d e x t r a 1 3 1 ,1 6 9 ,1 8 0 - p [ a n t a r i s[ a t e r a [ i s3 0 4 - - p o s t e r i o r e s3 6 6 , 3 7 0 - - s i n i s t r a1 0 6 , 1 3 1 , 1 5 2 , 1 6 0 , - - m e d i a t i s3 0 4 - t r a n s v e r s ac o t l i 3 8 - p o p t i t e a2 8 4 ,3 2 9 , 3 6 1 - 3 6 33, 6 6 , 16 9, 1 7 2 ,1 7 9 - 1 8,12 4 4 ,2 4 9 - umbiticati7 s 0 - 7 1 ,1 t 3 , 1 5 9 ,2 0 7 ZENKER D ,i v e r t i c u t u m of 109 - g a s t r o d u o d e n a t1i s5 2 - uterina 228-229 369-37 1 Zona - g a s t r o o m e n t a tdi se x t r a 1 3 1 - p o r t a eh e p a t i s1 0 6 ,1 3 1 , - v e n t r i c u tdi e x t na n t e r i o r e s8 4 - f a s c i c u t a t a1 8 9 16 0 ,16 7 , 16 9 , 1 7 2 - 1 7 3 1 , 80 - - s i n r s t r ip o s t e r i o r e s7 5 ,8 5 - o r b i c u t a r i s2 5 6 ,2 7 1 ,2 7 9 142-1431 , 4 6 , 14 8 , 1 5 2 - 1 5 1 1 , 6 7, - - s i n i s t r a1 0 6 , 1 3 1 , 1 6 0 , 1 6 9 , - v e r t e b r a t i s3 9 , 7 5 , 1 0 6 - r e t i c u t a r i s1 8 9 16 9- 1 7 0 ,1 7 2 - 1 7 31, 7 9- 1 8 1 , 172-173,180 - v e s i c a t i s { - e s7l 0 , 2 2 8 2 4 3 - 2 4 4 , 2 4 62, 4 8 - 2 5 0 Z y g a p o p h y s iss P r o c e s s u sa r t i c u - g t u t e ai n f e r i o r 2 1 3 ,2 5 6 ,3 6 / +3, 8 0 ---projectionl46 - - inferior 227 [ a r i s s u p e r i o r /ni f e r i o rl V e r t e b r a l w z