9,955 6,072 189MB
Pages 673 Page size 486 x 594 pts Year 2011
Edited by
Based on the work of
Anne M. Gilroy Brian R. MacPherson Lawrence M. Ross
Michael Schuenke Erik Schulte Udo Schumacher Consulting Editors
jonas Broman Anna josephson Illustrations by
MarkusVoll Karl Wesker
I
Thieme
Atlas of Anatomy
(!Thieme
Atlas of Anatomy Edited by
Based on the work of
Anne M. Gilroy Brian R. MacPherson Lawrence M. Ross
Michael Schuenke Erik Schulte Udo Schumacher
Consulting Editors
Illustrations by
jonas Broman Anna josephson
Markus Voll KariWesker
Thieme New York· Stuttgart
New York. New York 1 0001
Developmenml Editor: Bridget N.Queenan Editorial DirectDr, Eduartionol PrDducts: Cathrin Weinstein, MD Senior PrDductlon Editor: Adelaide Elsie Starbecker
Based on the woric of Michael Schuenke, MD, PhD,
Notional Soles Manager: james Nunn
Enk Schulte, MD, and Udo Schumacher, MD
VIce President, PrDductlon and Electronic Publishing: Anne T.VInnlcombe VIce Preslden~ lntemotlonal Marketing ond Sales: Cornelia Schulze Chief Financial Officer: Peter van Woerden President: Brian D.Scanlan
Thieme Medical Publishers, Inc. 333 Seventh Avenue
Director of Soles: Ross Lumpkin
Anne M. Gilroy, MA Dept. of Cell Biology and Dept. of Surgery University of MaSSilchusetts Medical School
Consulting Editors
55 lake Avenue North Worcesb!r, MA 0165~333
jonas Broman, PhD
Bnan R. MacPherson, PhD
Department of Neuroscience
Department of Anatomy and Neurobiology
Kilrolinska lnstitutet
Anna josephson, MD, PhD
MN225 Chandler Medical Center University of Kentucky College of Medicine Lexington, KY 40536-0298
5-17177 Stockholm
lllustrotors MarkusVoll
Lawrence M. Ross, MD, PhD
Karl Wesker
Department of Neurobiology and Anatomy
Compositor: ICC Macmillan, Inc., Beverly, MA Printer: Appl, Wemding, Germany
University ofTexas Medical School at Houston 6431 Fannin, Suite 7.046 Houston, TX 77030
Librory ofCongress Cat:aloging-in-Publirotion Datu is available from the publisher.
Michael Schuenke, MD, PhD
Referenas: Detailed references are available from the publisher
lnstitub! of Anatomy
upon request.
Christian Albrecht University Kiel Olshausenstrasse 40 D·24098Kiel
Important note:
Medical knowledge is ever- all!ml
f1J. 5. J J
lrl,..,,-;.7JI'
M. lriii'ISYei'IUii thorildi
M.SCIIonus~
Anterior view with tl1oracrc age opened ID expose posb!rfor surface of intel'lorwall.
.>&- - M.SCIIonusmodlus
•"'-1~- M. ""'"""' 1nll!rfor
Mm. lntBalotlles -~r.'f'-:-~J!II"~
'"'"'""
Mm. 'hlltfmstlie>
ertmol
Mm. ~re. ~
Pnlc.
ldpholdeuo
Chondn>Oil!eJS jundlon
!11
Diaphragm fig. S.l2 Dfaphragma The dl;~phragma, which Hp;~rms tile thorax from ttle abdomen, h;ss two asymmetlfc domes and ttlree apertun!S (for ttle i!Oit!, \OI!na cava, and esophagus;; see Ag. 5.138).
~~~~_J~~~~~~--Qm~m tl!ndlneum Dlaphragma (left dame)
Proc.
M~).,....-.=...,-,.......-;.- fonlmen
ldphoidM
-cawe
A Antmor¥few.
Centrum
unctrneum
B Posll!lfor view. Olaphragn;~.
rfghtdarne
ernus abdomlnls M. cbliquus ~~ llbdooinls
1.-a'an of • chest tiM Ahnorm.1l fllld collection In the pleul'll ~(e.g~ pleul'll effusion clle to brondltal ~noma) nw n~the ln~rtlon of a chest tube. (';c:net;Jiy, tile opllmal puncll.lrulle In a sllllng p.Kient 'Is at the IeYe! of the 7th or 8111
Ao:uralt:ffuolon
lntm:mtll SjWI! on tile posteslor the pectoralis minor (T~ble 5.7). The medial pottion of the breast is drained by nil. p;nastl:!m~lu, which are i!S50tiated with ttle lntemil thcnclcw:ssels.
Fig. s.1J Axlll;ny lymph
nodes
A Lymphatic draln;tge of the bre
A. and v. s.bclwla slnlstn
V. « semnunar valves (valva aortae and valva trunci pulmonalls} loc.1ted at tfle base oftfle two gre.tt artl!fles of
the heart regulate ~liage of blood from the ven!l1des to the aorta and wnaa pulmonalis. The two valva atriovenbia.daris (sinistr.a and dextra) He at the lnterf.lce between tfle atria ~nd ~des.
Rg. 7.13 CiiRIIac:valves Plane ofc~rdlacwl-. $Uperfor view. Rmlowd: Alr!a ~nd gre
vegram, - s pilaR, antB!or view.
ortgilile hem stagnant blood it die wins of~ lower limb ond p8ya {venoLIIIIIrnrn'-"'boll). c.... lndude mmobllzltlort, dS'Yit-llt--~- Crllb smals
medlllna
,_,.,, __!:-_ Hlltlls slmlls
fig. f 0. 7
..·....... .
Fem~~le pelvis: Superior viNr
I .ln~s
spll!nlcus Llg. spiMOn!NI~
Hepar
Lll!n
V. CJNa
P.ar:sabdomJ.
lnfi!rfor
nalluata~
len slnlltl!f
C Tr;msverse section, Inferior view.
A An!J!rfor VIeW.
Fig. 13.34 Pancreas Anta1orvlew IM!h dlss:ectlon of the ductus p;IIlaeatla.!s.
> - - - --'=i.- - A.andv. mesenteriat srpe1or
caput
pant""'tls
~undnatu.
pantrutls
P.an; asanclens
duodenl
l'xt~mltts
~or
Rg. 13.35 lJI!n A. li!NIIs V. li!NIII
"-les
n!nalls. fltdM >1S.'..O.~"............................................
!Slaotum ·················································· of testis
i Coo.oe~ngs ol the testis
Rl!n dexter
Fig. J4.2 Male genital organs canalis Inguina lis
Uretl!r
Vesicil urinaria
Ductus deferens
Ureter dexter
vesica ---\---'11-'.-'l urlnarfil
Glandula vesiculosa
Penis (corpus A Seminiferous structures.
cawrnosum)
Pars spongiosa --+1---clf urethrae mosculinae
Bulbus penl• (corpus
Glans penis
•ponglosum)
Scrotum
Testis
Epididymis
B Urogenital system. Not!!: The male urethra serves as a common uri-
nary and genital passage.
187
Uterus & Ovaries
I
all
f1t. lsplna~
190
as mcqgls
Ellavalo rectDIIMfna
Ug. n!CID-
utmnum
Rg. f4. fD Femalr genlbll organs: Coron~l section ~view. The vagina ili both pelvic and perine.~l in location. It is also
-..
retroperitoneal. Cdon
Fund"' 111M
1 i
slglllllldoum
Osllum A.~ll*a-----~~~
exll!ml.demr
Ug.tranM!nLITI oorvlds (wtth s:edlons ah. 111M,. ond ploxla -..s~~ls)
Cervillubl!li. ----""'-'--7-=::-:-i~,....,.-~~..3!'::~
ostium ub!ri
~\'7~~7";"--':':..;;...~t----- Rr. Vilgtloles,plexus
...nasus wglnalis
M.trans...n... pemel
prdund"'
~ // ' •""!""--:
~
' •
Fascia lnwestiens pe;,el !llpridall! (Cdi&M' fllsda)
/
A pef1neolls
I
I
Ug. te'eS ub!ri
UbiLITI ma)Js
pudend
Vestlluklm vaginae. as!ILITI wgNe
B,jb"' vesllbul,
m. bulbaspongiDiliS
Rg. 14. n Vagina: l.ocidlon In the pelvic: floor lnfenor vtew. Ug. tranSWI'SI.Im pemel
V.dorsolls profundi dltoridls
A..n. donills dltoridls
Membra,. perinel
Vagina
191
Female External Genitalia Rg. '"' 72 Femalr stenW genbla. lithotomy position with labia minora separated.
Commissura lablonlm •rtslor
Cltals Ostklm Lrellu-.e l!ldl!mum
L>bl.lm minus -""il~t-~ pudendl L>b\Jm majus ---=~~~ pucllndl OpMng Dfgllnolull -~t---~ -'>uortsrNfor
(larthalln's 9•nols) bpht -~---=--4~~~-- ~bul.im v~ln H
c;landua -bulart. m•Ja (larthalln' s 9•1'101) Operlng of gllndJLa wstbUarlsiN{or, - m
192
- - -...:n.,.:;a
n,. 14.14 Erectlle muscles and tissue: rem•
IJ1tlOtllmy posftton. Remowd: IAibla, !ldn. and memb!ilna peflnel;
erectil~ muscles (left sld~).
M. tr.IAM!fSUS -
pemel superfldlils
_..;fl-:r-:-- - ''fil
M.lev.mlr
M. biJbo-
.,1
sponglosus
CNs
dltor!dls
M.lsdllo-
taYemasus
£pklotamy
Episiotomy Is~ Glmmon ~c ~u~ used to enlilroe me birth unaldl.lfnglheecpuls!vt'Jbgeoflabor. Tllep~rt'lsgenerallyusedto e N.dorsatsdlbxfdiS !pl)nglosus (n. puclencbs)
N.llolngulnollnnd n. genld'tmords.
r.gen'bh
D
N.puclencb
D
N. cut.lneus ftmo