Atlas of Anatomy Latin nomenclature edition

Citation preview

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