THE B N A ARRANGED AS AN OUTLINE OF REGIONAL AND SYSTEMATIC ANATOMY THE B N A ARRANGED AS AN OUTLINE OF REGIONAL AND SYSTEMATIC ANATOMY By VICTOR E. EMMEL ASSOCIATE PROFESSOR OF ANATOMY IN THE UNIVERSITY OF CALIFORNIA UNIVERSITY OF CALIFORNIA PRESS BERKELEY, CALIFORNIA 1921 University of California Syllabus Series No. 135 COPYRIGHT, 1921, BY VICTOR, E. EMMEL PREFACE The Basle Anatomical Nomenclature (the B N A) has been pre- eminently successful in the simplification of anatomical terminology. From a total of 50,000 anatomical terms about 45,000 have been eliminated as unnecessary synonyms. As a consequence, anatomical terminology as represented by the B N A now consists of a list of some 5000 simple, unambiguous terms for the macroscopic structures of the human body. This list of terms, intended for common use in the medical schools, is arranged on the basis of systematic anatomy. Doubtless such an arrangement was best adapted to the purpose of bringing about a revision of terminology. On the other hand, it appears obvious that, from the standpoint of practical anatomy, a regional arrangement of these terms in conjunction with their systematic tabulation would greatly extend the usefulness of the B N A. In dissecting laboratories and surgical clinics, the structures represented by the B N A terms are encountered in the various regions of the body not as anatomical systems, but as segments of these systems grouped together in certain definite regional relationships. In attempting to correlate systematic text and cadaver, the one proves almost as difficult to dissect as the other. It appears important, therefore, that the present systematic B N A should be expanded to include a correlated regional arrangement of anatomical terms; an arrangement based upon the sequence in which the structures indicated by these terms may be exposed and demon- strated to the naked eye in actual dissection, thus securing a direct association of the term with the visualization of the structure to which it refers. The present work represents such an attempt and is the outgrowth of several years of laboratory experience in which a regional arrangement of B N A terms in mimeograph form has been given a thorough trial and its usefulness clearly demonstrated. The work is presented in two parts dealing with the B N A terms as arranged, first, on the basis of regional anatomy, and, second, on the basis of systematic anatomy, with numeral indices facilitating cross-references from the one to the other. The regional arrangement is given precedence since it is in their regional relations that anatom- ical structures are first encountered in practical study. The work also includes a complete series of figures for the surface anatomy and the surface projection of the skeleton for the various regions of the body. VI REGIONAL ANATOMY Part I constitutes a regional resume of anatomical structures. A tabulation for any given region necessarily involves only those struc- tures or segments of structures which are embraced within the con- fines of that region. Structures such as the larger nerves or vessels extending through two or more regions would be re-listed for each region in which they occur. In general the terms have been arranged with a view to greatest utility for student and clinical reference in practical work. In presenting the subject of human anatomy it is frequently difficult to steer a course between the Scylla of too great detail and the Charybdis of a paucity of subject matter, but in any event the present tabulation may serve as a basis from which devia- tion may be made in either direction as the requirements of the special case may dictate. In a few instances, in the interest of the student but subject to possible criticism on pedagogical grounds, the terms for structures such as some of the smaller rami of blood vessels or nerve plexuses which may be relatively of secondary importance or especially difficult to demonstrate, are indicated by affixed double asterisks. With the exception of such osteological elements as are encountered in surface anatomy, terms relative to skeletal structures have been largely omitted in Part I. In this connection, the figures showing the surface projection of the skeleton should prove of value for purposes of general reference and orientation. Concise statements are given for the more important or more difficult incisions and dissections involved in the demonstration of the structures as listed for each region. The order in which these regions and their component structures are dealt with is based primarily upon the sequence of dissection developed in Cunningham's Manual of Practical Anatomy, which may be regarded as representing a method of procedure prevalent in the majority of American and English anatomical laboratories. The sequence of primary subdivisions such as superior extremity, thorax, abdomen, etc., is obviously a more flexible matter readily adjusted to any given method of study. From the standpoint of systematic anatomy, it may not be a matter of such great importance what order may be followed in dissection so long as the structures in question are really exposed and observed. From the standpoint of regional anatomy, however, the subject presents quite a different aspect. In the latter case, the structures should be exposed in the sequence most favorable for the observation of those structural relationships which are of greatest practical significance. Toward this end, therefore, the methods of dissection in general should represent the culmination of the best available anatomical and sur- gical experience; and this finds perhaps its best expression at the present time in the work of the British and more especially of the PREFACE VII Edinburgh school of anatomists. Barkers' Laboratory Manual of Hitman Anatomy, 1904, which in method is in close agreement with that of the Edinburgh school, has also been a source of valuable suggestions, especially in the case of the brain and sense organs. Part II constitutes a systematic resume of anatomical structures and, with the exception of certain minor changes is based upon the systematic arrangement of the B N A terms, including text figures 11 to 13 and plates 14 and 15, as originally published by His, Archiv filr Anatomie und Entwicklungsges chichi e, Supplemental Band, 1895. This arrangement, as emphasized by Dr. F. T. Lewis (Stohr's Text- book of Histology, ed. 6, p. vi), is such as to furnish "an excellent means by which students may review anatomy." In Part I some of the terms are in Latin while others are anglicized. In a few instances it has been necessary to employ a term not listed in the B N A, as, for example, in the case of the surgical triangles of the neck. Such terms can, however, always be recognized through the absence of cross-reference numerals. In Part II all the B N A terms have been retained in their original Latin form. In Part I, that form of the term has been used which appears most prevalent in the majority of the standard English and American anatomical texts and in the conversational language of the laboratory and clinic. Where this is not clear, the Latin term is given. In the event of differences in different texts regarding the terms which are anglicized, the cross- references to Part II facilitate a ready reference to the equivajent Latin form, as, for example, in the case of stomach and ventriculus, or spleen and lien. In this connection it must be recognized that as yet there is no authoritative list of English equivalents for the B N A and no unanimity of agreement as to the usage of Latin or anglicized forms-a problem toward the solution of which an authoritative decision by proper representatives from English-speaking countries would render an important contribution in the interests of medical science.* A thorough understanding and an adequate command of ana- tomical terms constitute an important objective in anatomical study. The same is equally true of dexterity in dissection, independence of observation, and the verification of textbook statements. In the last analysis, however, perhaps the matter of greatest importance is the student's own efforts toward the interpretation and organization of the facts and observations thus acquired. Instructors, cadavers, text- books, atlases, and laboratory manuals are only means to an end. If the student is lacking in this ability or fails to develop it, all these accessories will be of little avail. A mere memory of anatomical * Relative to this subject may be noted E. B. Jamieson's work on The Basle Anatomical Nomenclature (London, W. Green and Son, 1916). VIII REGIONAL ANATOMY terms, and all the minutiae of structure, do not in themselves consti- tute a working knowledge. It is only as these data become organized in such a way that when confronted with the living body we can visualize the form, position, relations, and functions of its various structures as component parts of a living, working machine and at the same time have a ready command of the terms by which these structures are designated, that we can regard ourselves as having- made any great degree of progress toward a mastery of human anatomy. Toward the realization of this end the present work is necessarily only one of many factors. It has been undertaken with a keen appreciation of the almost discouraging character of some of the perplexing problems it involves and with the realization that at best it must represent a beginning which only the cumulative data acquired with more extended experience and criticism can bring to perfection. Its immediate purpose will, however, be attained if it proves to be of real utility in the establishment of a basis for a more direct correlation of anatomical terminology and structure in the practical study of the cadaver and in the presentation of a resume of regional and systematic anatomy for anatomical and clinical refer- ence which will materially facilitate the attainment of such a working knowledge of the human mechanism. The decision as to the final form of the present work has been materially facilitated by valuable suggestions from students and laboratory assistants. It is also a pleasure to acknowledge indebted- ness to Mr. W. C. Shepard, of the anatomical department of the University of Illinois, where the work was begun, for his careful delineation of the figures illustrating surface anatomy and surface projections of the skeleton. CONTENTS PART I. REGIONAL ANATOMY THE SUPERIOR EXTREMITY PAGE Structures of the back; with reference primarily to structures in relation to the superior extremity ; 1 Surface anatomy , 1 Regions of the back ...... 1 £ Fascia, cutaneous nerves, and vessels 2 Muscles, nerves, and vessels i 2 Muscles: first layer 2 Structures in relation to superior margin of scapula 2 Muscles: second layer 2 Nerves and vessels 3 Anterior thoracic region and axillary fossa 3 Surface anatomy 3 Pectoral regions 3 Anterior thoracic wall: superficial structures.... 5 Superficial fascia, cutaneous nerves, and blood vessels 5 Mamma 5 Anterior thoracic wall: deep fascia and pectoralis major muscle 5 Axillary fossa and structures subjacent to the pectoralis major muscle 5 Structures in relation to base of axillary fossa 5 Structures exposed by reflection of clavicular part of pectoralis major muscle 6 Structures exposed by reflection of sternocostal part of pectoralis major muscle 6 Contents of superior part of axillary fossa 6 Contents of inferior part of axillary fossa 6 Structures in relation to medial wall of axillary fossa 6 Structures in relation to posterior wall of axillary fossa 6 Axillary vessels 7 Subclavius muscle 7 Brachial plexus 7 Serratus anterior muscle 7 Superior extremity, general characteristics : 8 Subdivisions 8 Regions of the superior extremity 8 Region of shoulder 8 Fascia, cutaneous nerves, and cephalic vein 8 Muscles, nerves, vessels, and ligaments of the shoulder 9 Arm, and superficial structures of forearm, and dorsum of hand 10 Surface anatomy of arm and forearm 10 Arm (anterior aspect) and forearm: superficial structures 10 Cutaneous nerves 10 Veins and lymphatics 10 X REGIONAL ANATOMY Arm (anterior aspect): deep structures 10 Deep fascia 10 Arteries * 11 Veins 11 Nerves 11 Muscles 11 Cubital fossa 11 Arm (posterior aspect) 11 Dorsum of hand, superficial structures 12 Forearm: volar aspect and ulnar margin 12 Deep fascia and cutaneous nerves piercing it 12 Radial artery and nerve 12 Superficial muscles 12 Ulnar vessels apd median nerve 13 Deep structures on volar aspect of forearm 13 Wrist and hand: volar aspect 13 Surface anatomy 13 Fascia and cutaneous nerves 14 Muscles, nerves, vessels, and ligaments 14 Nerves and vessels superficial to the muscles and flexor tendons of the palm 14 Ligaments and mucous sheaths of flexor tendons 14 Muscles 14 Nerves and vessels internal to the flexor tendons and muscles of the palm 15 Forearm: dorsal aspect and radial margin 15 Fascia, muscles, nerves, and vessels 15 Deep fascia 15 Superficial muscles : 15 Nerves and vessels 15 Deep muscles 16 Wrist and hand: dorsal aspect 16 Muscles, nerves, and vessels 16 Vessels ; 16 Muscles, nerves, and ligaments 16 Articulations of superior extremity 16 Shoulder joint 16 Elbow joint 16 Joint of the hand 17 Radiocarpal articulation 17 Intercarpal articulation 17 Pisiform articulation 17 Radioulnar articulation 17 Carpometacarpal articulations 17 Intermetacarpal articulations 17 Metacarpophalangeal articulations 17 Articulations of the digits 17 PAGE THORAX AND DEEP STRUCTURES OF THE BACK General characteristics 19 Subdivisions of thorax and back 19 Surface anatomy 19 General osteological characteristics of the thorax 19 Regions of thorax and back 19 CONTENTS XI Thoracic wall: anterior and lateral parts 19 Intercostal muscles, ligaments, and nerves 19 Blood vessels 20 Thoracic cavity and viscera 20 Pleura and pleural cavities 20 Lungs 21 Surface anatomy 21 Internal structure of lung 21 Root of lung and related structures 21 Structures in relation to the right and left roots 21 Structures within the pulmonary roots 22 Phrenic nerve and nerves to the superficial part of the cardiac plexus 22 Thymus 22 Pericardium 22 Great veins of the thorax and their tributaries 23 Heart and aorta 23 Surface anatomy 23 Nerve and vascular supply 23 Cavities of the heart. Pulmonary vessels 24 Aorta and its branches 25 Myocardium and fibrous rings of the heart 25 Cardiac plexus 25 Trachea and bronchi 26 Posterior mediastinal cavity and structures within it 26 Thoracic wall: posterior part 26 Thoracic part of the sympathetic system 26 Structures in relation to internal surface of posterior thoracic wall 27 Deep structures of back 27 Posterior serrati muscles and lumbodorsal fascia 27 Intrinsic muscles of back 27 Nerves and blood vessels 29 Vertebral canal: blood vessels and meninges 29 Spinal cord: nerves, blood vessels, and surface anatomy 30 Spinal nerves 30 Blood vessels 30 Surface anatomy 30 Spinal cord: internal structure 31 Gray matter 31 White matter 31 Articulations of the thorax 31 Sternocostal articulations 31 Costovertebral articulations 31 Synchondrosis sternalis 31 Capitular articulations 31 Costotransverse articulations 32 Articulations of the vertebral column 32 PAGE HEAD AND NECK Structures in relation to scalp and temporal region 35 General characteristics of the cranium 35 Subdivisions of the cranium 35 Regions of the head 35 Scalp and temporal regions: superficial blood vessels and nerves 35 XII REGIONAL ANATOMY Frontal region ; 35 Temporal region 35 Mastoid and occipital regions 35 Scalp: deeper structures 37 Muscles 37 Lymphatics 37 Auricle or external ear 37 Intracranial structures in relation to brain and cranial wall 38 Structures exposed by removal of calvaria 38 Structures exposed by removal of brain 38 Roots of cerebral nerves 38 General structural characteristics of exposed base of cranium and re- lated dura mater 39 Sinuses of the dura mater 39 Arteries ' 39 Hypophysis 40 Structures in the lateral and anterior regions of neck 40 Surface anatomy 40 Regions of the neck 40 Superficial fascia, platysma, veins, and cutaneous nerves 40 Cervical fascia and sternocleidomastoid muscle 41 Posterior triangle * 41 Occipital triangle.... 41 Supraclavicular triangle 42 Supraclavicular part of brachial plexus 42 Muscles in floor of posterior triangle 42 Anterior triangle.. 42 Submaxillary or digastric triangle 42 Carotid triangle 43 Muscular triangle 44 Structures in relation to anterior median line of neck 44 Suprahyoid region 44 Infrahyoid region 44 Muscles of neck: second and third layers 44 Sternoclavicular articulation 44 Root of neck 45 Muscles 45 Blood vessels and lymphatics . 45 'Nerves 45 Remaining structures at root of neck 46 Cervical plexus and viscera of neck 46 Back of head and neck 46 Regions of back of head and neck 46 Fascia, superficial nerves, and muscles 46 Muscles in relation to back of neck 46 Deeper blood vessels and nerves of back of neck 48 Face and frontal region of head 48 Surface anatomy 48 Regions of face 49 Fascia and parotid gland 49 Superficial nerves of face 49 Superficial blood vessels of face 50 PAGE CONTENTS XIII Muscles of face and front of head 50 Structures in relation to temporal and infratemporal fossae 51 Fascia, muscles, and vessels 51 Mandibular articulation 52 Nerves 52- Mandibular canal • •••• 53 Submaxillary region 53 Superficial structures in submaxillary region 53 Deeper structures in submaxillary region 53 Structures in relation to deeper regions of neck and base of cranium 54 Otic ganglion, tensor veli palatini, stylopharyngeus muscles 54 Blood vessels , 54 Nerves 55 Sympathetic trunk 56 Structures in relation to cervical part of vertebral column, and posterior part of base of skull 56 Muscles, nerves, and blood vessels 56 Articulations of cervical vertebrae III-VII 57 Articulations of epistropheus, atlas, and occipital bone 57 Cervical portion of vertebral canal and spinal cord 57 Remaining structures in anterior part of head and neck 58 Pharynx 58 Muscles and fascia of pharynx 58 Cavity of pharynx 58 Mouth and fauces 59 General characteristics of cavity of mouth 59 Mucous membrane of mouth 59 Glands of mouth 59 Teeth.................................................................................................................... 60 Tongue 60 Fauces , 60 Soft palate and related structures 60 Muscles 60 Arteries 61 Nerves 61 Auditory tube 61 Nasal cavity 61 Nasal septum 61 Cavity and lateral walls of nose 62 Paranasal sinuses 62 Nerves and vessels in lateral wall of nasal cavity 62 Nasal cartilages 63 Larynx 63 Cavity of larynx 63 Laryngeal muscles, hyothyreoid, and elastic membrane 63 Laryngeal nerves and vessels 64 . Laryngeal cartilages and ligaments 64 Tongue ........................................................ 65 General characteristics and surface anatomy 65 Muscles of tongue 66 Nerves and vessels of the tongue 66 Structures in middle cranial fossa . 66 PAGE XIV REGIONAL ANATOMY Eyelids and lacrimal apparatus 67 Eyelids 67 Lacrimal apparatus 67 Structures in relation to orbit 68 Structures in superior part of orbit and fascia of eyeball 68 Optic nerve, nasociliary nerve and ciliary ganglion 69 Blood vessels of orbit 69 Remaining structures of orbit 69 Structures in carotid and infraorbital canals and pterygopalatine fossa 70 Carotid canal 70 Maxillary nerve and infraorbital canal 70 Sphenopalatine ganglion 70 Internal maxillary artery 71 Auditory apparatus: external and middle ear 71 Walls of tympanic cavity 71 Auditory ossicles, articulations, ligaments and muscles 72 External acoustic meatus 73 Intraosseous course of facial, intermediate, and acoustic nerves 73 Auditory apparatus: internal ear 73 Osseous labyrinth 73 Membranous labyrinth 74 Vessels 75 Brain: general characteristics, meninges, blood vessels, and cerebral nerves 76 Larger subdivisions of brain 76 Meninges and blood vessels of brain 76 Meninges 76 Blood vessels 77 Base of brain and cerebral nerves 77 Base of brain 77 Cerebral nerves 78 Brain: surface anatomy of rhombencephalon and mesencephalon 78 Rhombencephalon 78 Medulla oblongata 78 Pons 79 Isthmus of rhombencephalon 79 Cerebellum 79 Fourth ventricle 80 Floor of fourth ventricle 80 Roof of fourth ventricle 80 Mesencephalon 80 Brain: surface anatomy of prosencephalon 80 .General subdivisions of prosencephalon 80 Telencephalon 81 Pallium: general characteristics 81 Lobes of cerebrum 81 Medial surface of hemisphere 82 Rhinencephalon 83 Hypothalamus 83 Corpus callosum 83 Ventriculus lateralis 84 Septum pellucidum, fornix, and tela chorioidea 85 Thalamencephalon ; 85 PAGE CONTENTS XV Thalamus 85 Metathalamus 85 Epithalamus 86 Ventriculus tertius 86 Brain: sections through brain 86 Structures in sections of medulla oblongata 86 Structures in sections of pons 86 Structures in sections of cerebellum 86 Structures in sections of rhombencephalic isthmus and mesencephalon 86 Sections of isthmus rhombencephali 86 Sections of pedunculus cerebri 86 Sections of corpora quadrigemina 86 Structures in sections through prosencephalon 87 Sections of hypothalamus 87 Sections of thalamencephalon 87 Sections of telencephalon 87 Organ of vision 87 Optic nerve 87 Bulbus oculi 87 Tunica fibrosa oculi 88 Sclera 88 Cornea 88 Tunica vasculosa oculi 88 Chorioidea 88 Corpus ciliare 88 Iris 89 Ciliary nerves and vessels 89 Pigment layer 89 Retina 89 Vitreous body 90 Zonula ciliaris 90 Crystalline lens 90 Chambers of eyeball 90 PAGE ABDOMEN AND PELVIS General characteristics 93 Subdivisions of abdomen and pelvis 93 Surface anatomy 93 Regions 93 Perineal region 94 Surface anatomy 94 Perineal region in general 94 Pudendal region in the male 94 Pudendal region in the female 94 Urogenital region: structures external to urogenital diaphragm 95 In the male 95 In the female 95 Urogenital diaphragm 97 Inferior fascia of the urogenital diaphragm 97 Structures in the urogenital diaphragm in the male 97 Structures in the urogenital diaphragm in the female 97 Anal region................................................................................................................ 98 XVI REGIONAL ANATOMY Anterior abdominal wall 98 Fascia, cutaneous nerves, and vessels.. > 98 Deeper structures of anterior abdominal wall 99 Muscles and related structures 99 Internal surface of anterior abdominal wall 100 Inguinal canal, scrotum spermatic cord, and testis 100 Inguinal canal ; 100 Scrotum and spermatic cord 100 Testis ; 100 Abdominal cavity, peritoneum, and viscera 101 Abdominal cavity and peritoneum 101 General characteristics of abdominal cavity, viscera, and peritoneum 101 Peritoneal folds and fossa in relation to small and large intestine 101 Peritoneal ligaments in relation to liver, stomach, and spleen 102 Omental bursa 102 Relations of pelvic peritoneum 102 Peritoneal relations in general 102 Mesenteric blood vessels, nerves, and lymphatics 102 Mesenterial small intestine and the large intestine 103 Mesenterial small intestine 103 Large intestine : 104 Structures in relation to the wall of the omental bursa 104 Biliary ducts and vessels in the lesser omentum 104 Remaining vessels in relation to walls of omental bursa 105 Duodenum and pancreas 105 Duodenum 105 Pancreas 105 Stomach and spleen 106 Stomach 106 Spleen 106 Sympathethic plexuses in relation to coeliac ganglion and ceoliac plexus 106 Liver 107 Suprarenal gland, kidney, and ureter 108 Suprarenal gland 108 Vascular supply of the kidney and suprarenal gland 108 Kidney 108 Ureter 109 Diaphragm 109 Structures in relation to the posterior abdominal wall 109 Blood vessels and lymphatics 109 Arteries 109 Veins and lymphatics 110 Fascia and muscles of posterior abdominal wall 110 Nerves of the posterior abdominal wall 110 Pelvis Ill Osteology Ill Peritoneum and fascia in relation to the pelvis Ill Peritoneal folds in male pelvis Ill Peritoneum of female pelvis 112 Fascia 112 Pelvic viscera 112 In the male pelvis 112 PAGE CONTENTS XVII In the female pelvis 114 Pelvic blood vessels (male and female) 115 Arteries ; 115 Veins 116 Pelvic muscles and nerves 116 Pelvic articulations 116 PAGE THE INFERIOR EXTREMITY General characteristics of inferior extremity 121 Subdivisions 121 Regions 121 Gluteal region 121 Surface anatomy 121 Fascia and cutaneous nerves 122 Glutaeus maximus muscle 122 Structures exposed by reflection of glutaeus maximus muscle 122 Bursae in relation to the glutaeus maximus muscle 122 Structures distal to the piriformis muscle 122 Structures proximal and lateral to the piriformis muscle 123 Structures exposed by reflection of glutaeus minimus muscle 123 Popliteal space 123 Surface anatomy 123 Fascia, superficial nerves, and vessels . 123 Popliteal space: large nerves and vessels 123 Popliteal space: medial and lateral boundaries 125 Contents of popliteal space 125 Nerves 125 Blood vessels and lymphatics 125 Floor of popliteal space 125 Posterior part of thigh 125 Fascia and cutaneous nerves 125 Muscles 125 Nerves and blood vessels 126 Anterior part of thigh . 126 Surface anatomy . 126 Regions in relation to anterior aspect of thigh 126 Fascia, superficial vessels, lymphatics, and cutaneous nerves 126 Superficial fascia, blood vessels, and lymphatics 126 Fossa ovalis 127 Cutaneous nerves, superficial praepatellar bursae 127 Deep fascia and related ligaments 127 Femoral sheath 127 Femoral trigone and its contents 127 Adductor canal and its contents 128 Muscles of the front of thigh 128 Medial side of thigh 129 Muscles, nerves, and vessels 129 Hip joint 130 Structures in relation to hip joint 130 Leg and foot 130 General characteristics 130 Subdivisions 130 XVIII REGIONAL ANATOMY Surface anatomy 130 Regions . 131 Anterior region of leg and dorsum of foot 131 Superficial fascia, cutaneous nerves, and vessels 131 Deep fascia 131 Muscles in anterior region of leg 132 Arteries 132 Nerves 132 Muscles of dorsum of foot 132 Lateral or peroneal region of leg 133 Deep fascia and muscles 133 Nerves 133 Medial region of leg 133 Posterior region of leg and heel 133 Fascia, superficial vessels, and cutaneous nerves 133 Muscles: superficial group 134 Muscles: deep group •. 134 Arteries 134 Nerves : 135 Laciniate ligament 135 Plantar region of foot 135 Fascia and superficial veins 135 Muscles: superficial layer 135 Plantar arteries 135 Plantar nerves 135 Muscles: second layer of muscles and tendons 135 Muscles: third layer 136 Plantar arch and deep division of plantar nerve 136 Interosseous muscles and deep tendons 136 Articulations of leg and foot 136 Knee joint 136 Ankle joint 137 Tibiofibular joints 137 Intertarsal articulations 137 Tarsometartarsal articulations 138 Intermetatarsal articulations 138 Metatarsophalangeal articulations 138 Articulations of toes 138 PAGE CONTENTS XIX PART II. SYSTEMATIC ANATOMY ANATOMICAL TERMS Terms indicating the position and direction of parts of the body 139 Anatomical terms 140 PAGE Head 142 Cranium 142 Face 142 Eye 142 Nose 142 Mouth 142 Neck 142 Trunk 142 Thorax 142 Back 142 Abdomen 142 Pelvis 143 Superior extremities 143 Inferior extremities 143 PARTS OF THE HUMAN BODY Vertebral column, or spine 144 Atlas 144 Epistropheus 145 Sacrum 145 Coccyx 145 Thorax 145 Ribs 145 Sternum 145 Thorax (general characteristics) 145 Bones of the cranium 145 Basilar bone 145 Occipital bone 145 Sphenoid bone 146 Temporal bone 146 Parietal bone 147 Frontal bone... 148 Ethmoid bone 148 Inferior nasal concha 148 Lacrimal bone •. 148 Nasal bone 148 Vomer 148 Bones of the face 148 Maxilla 148 Palate bone 149 Zygomatic bone 149 OSTEOLOGY SYSTEMATIC ANATOMY XX Mandible 149 Hyoid bone 150 Cranium 150 Sutures of the cranium : 150 Synchondroses of the cranium 151 Bones of the superior extremity 151 Shoulder girdle 151 Scapula 151 Clavicle 151 Skeleton of free upper extremity 151 Humerus • 151 Radius 152 Ulna 152 Carpus 152 Metacarpus 152 Phalanges 152 Bones of the inferior extremity 153 Pelvic girdle 153 Hip bone 153 Ilium 153 Ischium 153 Pubis 153 Pelvis 153 Skeleton of free lower extremity 153 Femur 153 Tibia 154 Fibula 154 Patella 154 Tarsus 154 Talus154 Calcaneus 155 Navicular bone 155 Cuneiform bones 155 Cuboid bone 155 Metatarsus 155 Phalanges 155 PAGE SYNDESMOLOGY Ligaments of the vertebral column and cranium 156 Atlantooccipital articulation 157 Atlantoepistrophic articulation 157 Costovertebral articulations 157 Capitular articulations 157 Costotransverse articulations 157 Sternocostal articulations 157 Mandibular articulation 157 Ligaments of the shoulder girdle 157 Acromioclavicular articulation 157 Sternoclavicular articulation 157 Shoulder joint 157 Elbow joint 157 Distal radioulnar articulation . 158 Articulation of the hand 158 CONTENTS XXI PAGE Articulation of the pisiform bone 158 Carpometacarpal articulations 158 Carpometacarpal articulation of the thumb 158 Intermetacarpal articulations 158 Metacarpophalangeal articulations 158 Articulations of the fingers 158 Ligaments of the pelvic girdle 158 Sacro-iliac articulation '. 158 Symphysis of pubic bones 158 Hip joint 158 Knee joint 159 Tibiofibular articulation 159 Tibiofibular syndesmosis 159 Articulations of the foot 159 Talocrural articulation (ankle joint) 159 Intertarsal articulations 159 Talocalcaneonavicular articulation 159 Talocalcanean articulation 159 Chopart's transverse articulation of the tarsus 159 Talonavicular articulation 159 Calcaneocuboid articulation .• 159 Cuneonavicular articulation 159 Interosseous ligaments of tarsus 159 Dorsal ligaments of tarsus 159 Plantar ligaments of tarsus 159 Tarsometatarsal articulations 160 Intermetatarsal articulations ; 160 Metatarsophalangeal articulations 160 Articulations of the toes 160 MYOLOGY OR MUSCULATURE Muscles of back 161 Muscles of the head 162 Muscles of the hyoid bone 162 Muscles of the neck 162 Muscles of the thorax 162 Muscles of the abdomen 163 Coccygeal muscles..'. 163 Muscles of the superior extremity 163 Muscles of the inferior extremity 164 Bursae and Mucous Sheaths ; 166 BURSAE AND MUCOUS SHEATHS SPLANCHNOLOGY DIGESTIVE SYSTEM Oral cavity 168 Oral mucous membrane 168 Oral glands 169 Teeth 169 Tongue 169 Fauces 170 Muscles of the palate and fauces 170 Pharynx 170 Digestive tube 170 XXII SYSTEMATIC ANATOMY Oesophagus 170 Stomach 170 Small intestine 171 Large intestine 171 Rectum 172 Pancreas - 172 Liver 172 Spleen 173 PAGE Nasal cavity 173 External nose 173 Larynx 174 Laryngeal muscles 174 Laryngeal cavity 175 Trachea and bronchi 175 Lung 175 Thoracic cavity 176 Thyreoid gland 176 Glomus caroticum 176 Thymus 176 RESPIRATORY SYSTEM Uropoietic organs 176 Kidney 176 Renal arteries 177 Renal veins 177 Ureter 177 Urinary bladder 177 Suprarenal gland 177 Genital or reproductive organs 177 Male genital organs 177 Testis 177 Seminal vesicle 178 Spermatic cord and tunics of the testis and spermatic cord 178 Prostrate 178 Bulbo-urethral gland 178 External genital structures 178 Penis 178 Male urethra 179 Scrotum ; 179 Female genital organs 179 Ovary 179 Uterine tube 179 Uterus 179 Vagina 180 Epoophoron 180 Paroophoron 180 External genital parts 180 Greater vestibular gland (of Bartholin) 180 Clitoris 180 Female urethra 180 Perineum 181 Peritoneum 181 UROGENITAL SYSTEM CONTENTS XXIII ANGIOLOGY Heart 183 Right atrium ,.... 184 Right ventricle 184 Left atrium 184 Left ventricle 184 Arteries 184 Pulmonary artery 184 Aorta 184 Innominate artery 184 Common carotid artery 184 External carotid artery 184 Superior thyreoid artery 184 Ascending pharyngeal artery 185 Lingual artery 185 External maxillary artery 185 Sternocleidomastoid artery 185 Occipital artery 185 Posterior auricular artery 185 Superficial temporal artery 185 Internal maxillary artery 185 Internal carotid artery 185 Opthalmic artery.................................................................................................. 185 Cerebral arteries 186 Subclavian artery 186 Vertebral artery 186 Basilar artery 186 Internal mammary artery 186 Thyreocervical trunk 186 Inferior thyreoid artery 186 Ascending cervical artery 186 Transverse scapular artery 186 Costocervical trunk 186 Transverse cervical artery 186 Axillary artery '. 186 Highest thoracid artery 187 Thoracoacrominal artery 187 Lateral thoracic artery 187 Subscapular artery 187 Anterior circumflex humeral artery 187 Posterior circumflex humeral artery 187 Brachial artery 187 Profunda brachii artery 187 Superior ulnar collateral artery 187 Inferior ulnar collateral artery 187 Radial artery 187 Ulnar artery 187 Thoracic aorta 187 Intercostal arteries 187 Abdominal aorta 188 Inferior phrenic artery 188 Lumbar arteries 188 XXIV SYSTEMATIC ANATOMY Middle sacral artery 188 Coeliac artery 188 Superior mesenteric artery 188 Inferior mesenteric artery 188 Middle suprarenal artery 188 Renal artery 188 Internal spermatic artery . 188 Testicular artery 188 Ovarian artery 188 Common iliac artery 188 Hypogastric artery 188 Iliolumbar artery 188 Lateral sacral artery 188 Obturator artery 188 Superior gluteal artery 189 Inferior gluteal artery 189 Umbilical artery 189 Inferior vesical artery 189 Deferential artery 189 Uterine artery 189 Middle hemorrhoidal artery 189 Internal pudendal artery 189 External iliac artery 189 Inferior epigastric artery 189 Deep circumflex 189 Femoral artery i 189 Popliteal artery 189 Anterior tibial artery 190 Posterior tibial artery 190 Veins , ; 190 Pulmonary veins 190 Cardiac veins 190 Superior vena cava 190 Right and left innominate veins 190 Internal jugular vein 190 Sinuses of the dura mater 191 Cerebral veins 191 Superior ophthalmic vein 191 Common facial vein 191 Anterior facial vein 191 Posterior facial vein 192 External jugular vein 192 Subclavian vein 192 Axillary vein 192 Azygos vein 192 Inferior vena cava 193 Portal vein 193 Common iliac vein 193 Hypogastric vein 193 External iliac veins 193 Lymphatic system 194 Lymphatic vessels 194 PAGE CONTENTS XXV Thoracic duct 194 Lymph glands 194 Lymphatic plexuses 195 PAGE CENTRAL NERVOUS SYSTEM NEUROLOGY Spinal cord 196 Sections of spinal cord 196 Encephalon (brain) 197 Rhombencephalon 197 Myelencephalon (medulla oblongata) 197 Sections of medulla oblongata 197 Metencephalon (hind-brain) 198 Pons 198 Sections of pons 198 Cerebellum ........................... 198 Sections of cerebellum 199 Isthmus of rhombencephalon 199 Sections of isthmus 199 Cerebrum 199 Mesencephalon (mid-brain) ' 199 Sections of cerebral peduncle 199 Sections of quadrigeminal bodies 200 Prosencephalon (fore-brain) 200 Diencephalon (inter-brain) 200 Hypothalamus 200 Sections of hypothalamus 200 Thalamencephalon 200 Thalamus 200 Metathalamus 200 Epithalamus 200 Sections of thalamencephalon 200 Telencephalon (end-brain) 201 Hemisphere 201 Pallium 201 Medial surface of hemisphere .■ 201 Corpus callosum : 202 Fornix 202 Septum pellucidum 202 Lateral ventricle 202 Rhinencephalon 202 Sections of telencephalon 202 Meninges 203 Cerebral nerves 204 Olfactory nerves 204 Optic nerves 204 Oculomotor nerve 204 Trochlear nerve 204 Trigeminal nerve 204 Opthalmic nerve 204 PERIPHERAL NERVOUS SYSTEM SYSTEMATIC ANATOMY XXVI Maxillary nerve 204 Mandibular nerve 205 Abducent nerve 205 Facial nerve 205 Acoustic nerve 205 Glossopharyngeal nerve 206 Vagus nerve 206 Accessory nerve 206 Hypoglossal nerve 206 Spinal nerves 206 Cervical nerves 207 Brachial plexus 207 Median nerve 207 Ulnar nerve 207 Radial nerve 207 Thoracic nerves 207 Lumbar, sacral, and coccygeal nerves 208 Lumbosacral plexus 208 Lumbar plexus 208 Iliohypogastric nerve 208 Ilioinguinal nerve 208 Genitofemoral 208 Lateral femoral cutaneous nerve 208 Obturator nerve 208 Femoral nerve 208 Sacral plexus 208 Sciatic nerve 208 Pudendal plexus 209 Coccygeal nerve 209 PAGE SYMPATHETIC NERVOUS SYSTEM Cephalic and cervical parts of the sympathetic system 209 Thoracic part of the sympathetic system 210 Abdominal and pelvic parts of the sympathetic system 210 SENSE ORGANS AND COMMON INTEGUMENT Organ of vision 211 Eye 211 Optic nerve 211 Eyeball 211 Fibrous tunic of eye 211 Sclera 211 Cornea 211 Vascular coat of eye 211 Chorioid 211 Ciliary 211 Iris 211 Pigment layer. 212 Retina 212 Anterior chamber of the eye 212 Posterior chamber of the eye 212 CONTENTS XXVII PAGE Vitreous body 212 Crystalline 212 Ciliary zonule 212 Accessory organs of the eye 212 Eye muscles, orbital fasciae 212 Eyebrow 213 Eyelids 213 Conjunctiva 213 Lacrimal apparatus 213 Organ of hearing 213 Internal ear 213 Membranous labyrinth 213 Osseous labyrinth 214 Vestibule 214 Cochlea 214 Internal acoustic meatus 214 Tympanic cavity 214 Tympanic membrane 215 Auditory ossicles 215 Joints of the auditory ossicles 215 Ligaments of the auditory ossicles 215 Muscles of the auditory ossicles 215 Tympanic mucous coat 216 Auditory or Eustachian tube 216 External acoustic meatus 216 External ear 216 Organ of smell 217 Organ of taste 217 Common integument 217 Skin 217 Epidermis 217 Corium 217 Subcutaneous tissue (tela subcutanea) 217 Terminal corpuscles of nerves 217 Hair 217 Nails 217 Glands of the skin 217 Glomiform glands 217 Sebaceous glands 218 Breast 218 REGIONS OF THE HUMAN BODY Regions of the head 220 Regions of the face ; 220 Regions of the neck 220 Regions of the breast 221 Regions of the abdomen 221 Regions of the back 221 Regions of the superior extremity 221 Regions of the inferior extremity 222 XXVIII PLATES LIST OP PLATES FACING PAGE I. Posterior aspect of superior extremity xxx II. Anterior aspect of superior extremity 4 III. Anterior aspect of the trunk 18 IV. Posterior aspect of the trunk 28 V. Anterior aspect of the head and neck 34 VI. Lateral aspect of the head and neck 36 VII. Male perineum 92 VIII. Female perineum 96 IX. Posterior aspect of inferior extremity 120 X. Anterior aspect of inferior extremity 124 XI. Anterior aspect of regions of the human body 224 XII. Posterior aspect of regions of the human body 226 PART I REGIONAL ANATOMY SUPERIOR EXTREMITY Plate I* Posterior aspect of the superior extremity showing surface anatomy and sur- face projection of the bones of the girdle and free extremity. * In plates I-IX only such structures are labeled as can be identified by inspection and palpation. XXXII [EMMEL] B N A PLATE I zAngulus medialis Spina scapulae Acromion -Caput humeri -Tuberculum maius humeri -Margo vertebralis scapulae -Margo axillaris scapulae ■Angulus inferior scapulae Margo medialis humeri Epicondylus medialis hum -Margo lateralis humeri Epicondylus lateralis humeri Sulcus n. ulnaris Capitulum radii Olecranon Margo dorsalis ulnae Processus s+yloideus radii Processus styloideus ulnae 05 naviculare manus Ossa metacarpalia I-V PART I. REGIONAL ANATOMY1 SUPERIOR EXTREMITY I. Structures of the Back; with Reference Primarily to Structures in Relation to the Superior Extremity. 1. SURFACE ANATOMY. (Pls. 1, 4.) Structures which may be identified by inspection and palpation. Spinous processes-6 :37. Vertebra prominens-6:38. Medial angle of the scapula-13 :52. Inferior angle of the scapula-13 :50. Spine of the scapula-13 :42. Acromion-13 :45. Iliac crest-15 :18. For the osteolegy of the girdle of the superior extremity, see 13:36-65. 2. REGIONS OF THE BACK. (Pl. 12.) Median region of the back-83 :24. Interscapular region-83 :25. Scapular region-83 :26. Suprascapular region-83 :27. Infrascapular region-83 :28. Lumbar region-83 :29. Region of the hip-83 :30. Sacral region-83:31. Gluteal region-83 :32. Perineal region-83 :33. i In conformity with the Basle Anatomical Nomenclature (B N A) all brackets relating to anatomical terms are used in the following sense: Oval brackets ( ) indicate variations (varietates anatomicae). Angular brackets [ ] contain explanatory additions, among which are included double names and personal names. One affixed asterisk* is used to indicate ontogenetic expressions (e.g. Membranae deciduae*-43:5, Vena umbilicalis*-55:34, etc.). Two affixed asterisks** are used to indicate structures which may be either especially difficult to demonstrate by ordinary methods of dissection or which appear to be relatively of secondary importance. The numerals affixed to each term in the regional anatomy (Part I) cite the page (indicated by numeral at bottom of page) and number of the same term in its systematic position in the outline of systematic anatomy (Part II). In con- nection with these cross-references, it will be observed that the terms in Part I are anglicized in some instances and given in their Latin form in other instances, whereas in Part II the terms appear exclusively in Latin. In the latter ease, the term corresponds with the original BN A; in the former case the term has been used in the form which appears to coincide with the usage common to the majority of standard American and English anatomical texts, but it is to be recognized that as yet there is no authoritative English list based on the B N A and that for the present decisions upon this point are necessarily largely dependent upon the individual preferences of author and student. (See also Preface.) 2 REGIONAL ANATOMY 3. FASCIA, CUTANEOUS NERVES, AND VESSELS. Skin incisions: (a) in the midline from the vertebra prominens to the tip of the coccyx; (6) from the tip of the coccyx to the posterior superior iliac spine, thence along the iliac crest to within about 25 cm. of the anterior superior iliac spine; (c) from the vertebra prominens to the medial margin of the acromion; (d) from the spinous process of the first lumbar vertebra to the lateral margin of the acromion. Superficial fascia-23 :36. Medial cutaneous rami of posterior rami of thoracic nerves- 69 :77. Lateral cutaneous rami of posterior rami of thoracic nerves- 69:76. Posterior rami of lateral cutaneous rami of intercostal nerves- 70 :4. Medial rami of posterior rami of lumbar, sacral and coccygeal nerves-70 :13, 19. Lateral rami of posterior rami of lumbar nerves-70 :14. Medial cutaneous rami of posterior rami of intercostal arteries- 49 :63. Dorsal rami of lumbar arteries-50 :10. Posterior rami of lateral cutaneous rami of anterior rami of intercostal arteries-49 :68. 4. MUSCLES, NERVES, AND VESSELS. a. Muscles: first layer. Exposed by removing both superficial and deep layers of fascia. Trapezius muscle-23 :15. Latissimus dorsi muscle-23 :17. (Not including its inser- tion.) Trigonum lumbale-25 :48. b. Structures in relation to the superior margin of the scapula. May be demonstrated by detaching the thoracic part of the trapezius muscle at its origin, separating it from the cervical part of the muscle by a transverse incision at the level of the vertebra prominens, and reflecting the thoracic portion toward its insertion, exposing at the same time the external ramus of the accessory nerve-68:59, and the muscular rami from the third and fourth cervical nerves supply- ing it. Inferior belly of the omohyoid muscle-24:59. Suprascapular nerve-69 :31. Transverse scapular artery-48 :60. Superior transverse scapular ligament-19 :43. c. Muscles: second layer. Rhomboideus major muscle-23 :18. Rhomboideus minor muscle-23 :19. Levator scapulae muscle-23:20. (Insertion only.) The descending ramus of the transverse cervical artery-48:69 may be observed in the interval between the rhomboideus minor and the levator scapulae muscles. SVPEEIOE EXTREMITY 3 d. Nerves and vessels. The following nerves and artery may be exposed by detaching the levator scapulae muscle at its insertion and the rhomboid muscles at their origins, and reflecting the latter muscles toward their inser- tions. Dorsal scapular nerve-69 :27. Descending ramus of the transverse cervical artery-48 :69. The following structures may be demonstrated by detaching the latissimus dorsi muscle at its origin and reflecting the muscle toward its insertion. Thoracodorsal nerve-69:33. (Termination only.) Thoracodorsal artery-49:10. (Termination only.) II. Anterior Thoracic Region and Axillary Fossa. 1. SURFACE ANATOMY. (Pls. 2, 3.) Structures which may be identified by inspection and palpation. Clavicle-13 :59. Sternal extremity-.13 :60. Acromial extremity-13 :63. Sternum-7 :46. Manubrium-7 :47. Jugular notch-7 :54. Body of sternum-7 :50. Angle of sternum-7 :48. Xiphoid process-7 :52. Ribs I-XII-7 :28. Costal cartilages-7 :32. Coracoid process of the scapula-13 :58. Mamma-4:50, 80:5. Papilla mammae-80 :6. Corpus mammae-80 :7. Areola mammae-80 :14. Accessory mammae-80 :18. Axilla-5 :10. Anterior axillary fold--5 :11. Posterior axillary fold-5 :12. Humerus-13 :67. 2. PECTORAL REGIONS-83 :2. (Pl. 11 and fig. 1.) Anterior pectoral region-83 :3. Sternal region-83 :4. Clavicular region-83:5. Infraclavicular region-83 :6. Deltoideopectoral triangle-83 :7. Mammary region-83 :8. Inframammary region-83 :9. Lateral pectoral region-83 :10. Axillary region-83 :11. Axillary fossa-83 :12. Lateral costal region-83 :13. Plate II Anterior aspect of the superior extremity showing surface anatomy and. surface projection of the bones of the girdle and free extremity. 4 [ EMMEL] B N A PLATE II Clavicu la Acromion Caput humeri.- Tuberculum majus humeri Processus coracoideus Plica axillaris anterior Sulcus bicipitalis medialis Sulcus bicipitalis lateralis Epicondylus lateralis humeri 'Margo medialis humeri Capitulum radii £picondylus medialis hum. Tossa cubitalis Processus styloideus radii Os naviculare manus Thenar -Os pisiforme Hypothenar Ossa metacarpalia I-V SUPERIOR EXTREMITY 5 3. ANTERIOR THORACIC WALL: SUPERFICIAL STRUCTURES. a. Superficial fascia, cutaneous nerves and blood vessels. Skin incisions: (a) longitudinally from the jugular notch to the xiphoid process; (b) from the xiphoid process transversely around to the back; (c) from the jugular notch laterally, along the clavicle, to the tip of the acromion; (d) from the xiphoid process obliquely upward and laterally along the anterior axillary fold to the arm, encircling the areola mammae and leaving it in situ. Superficial fascia-23 :36. Platysma muscle-24:54. Supraclavicular nerves-69 :17. Anterior supraclavicular nerves-69 :18. Middle supraclavicular nerves-69 :19. Posterior supraclavicular nerves-69 :20. Anterior cutaneous rami of intercostal nerves-70 :8. Medial mammary rami-70:9. Anterior rami of lateral cutaneous rami of intercostal nerves IV to VI-70:5. Posterior rami of lateral cutaneous rami of intercostal nerves IV to VI-70 :4. Lateral mammary rami of lateral cutaneous rami of inter- costal nerves-70 :6. Perforating rami of internal mammary artery-48 :40-43. Lateral cutaneous rami of anterior rami of intercostal arteries IV to VI-49 :67. Tributaries of internal mammary vein. b. Mamma--80:5-18. 4. ANTERIOR THORACIC WALL: DEEP FASCIA AND PECTORALIS MAJOR MUSCLES. Pectoralis fascia-25 :22. (Sternalis muscle)-24:73. Pectoral major muscle-24:74-77. (Not including its inser- tion. ) Exposed by removing the pectoral fascia but leaving intact the axillary fascia. 5. AXILLARY FOSSA, AND STRUCTURES SUBJACENT TO THE PEC- TORALIS MAJOR MUSCLE. a. Structures in relation to the base of the axillary fossa. Axillary fascia-26 :40. Intercostobrachial nerves-70:7. Thoracodorsal nerve-69 :33. Thoracodorsal artery-49 :10. Lateral thoracic artery-49 :7. Long Thoracic nerve-69 :28. Axillary lymph glands-56 :45. 6 REGIONAL ANATOMY b. Structures exposed by the reflection of the clavicular part of the pectoralis major muscle. Demonstrated by detaching the clavicular part of the pectoralis major muscle at its origin and reflecting it toward its insertion. Coracoclavicular fascia-25 :23. Thoracoacromial artery-49 :2. Acromial ramus-49 :3. Acromial network-49 :4. Deltoid ramus-49 :5. Pectoral rami-49 :6. Thoracoacromial vein-54:27. Cephalic vein-54:37. Anterior thoracic nerves-69 :29. c. Structures exposed by the reflection of the sternocostal part of the pectoralis major muscle. Demonstrated by dividing the sternocostal part of the pectoralis major muscle midway between its origin and insertion and reflecting the two parts medially and laterally respectively. Coracoclavicular fascia-25 :23. Pectoralis minor muscle-24:78. d. Contents of the superior part of the axillary fossa. Exposed by removing the portion of the coracoclavicular fascia ex- tending between the clavicle and the superior margin of the pectoralis minor muscle. Axillary artery-48:70. (Its first part.) Axillary veins-54:29. Brachial plexus-69 :24. Medial cord-69 :39. Lateral cord-69 :38. Posterior cord-69 :40. Lymph glands. e. Contents of the inferior part of the axillary fossa. Exposed by removing the fascia and adipose tissue inferior to the pectoralis minor muscle. Axillary artery-48:70. (Its third part.) Median nerve-69 :48. Musculocutaneous nerve-69 :41. Medial antibrachial cutaneous nerve-69 :45. Axillary vein-54:29. Medial brachial cutaneous nerve-69 :44. Ulnar nerve-69 :55. f. Structures in relation to the medial wall of the axillary fossa. Intercostobrachial nerves-70:7. Long thoracic nerve-69 :28. Lateral thoracic artery-49 :7. Pectoral lymph glands-56 :47. g. Structures in relation to the posterior wall of the axillary fossa. Thoracodorsal nerve-69 :33. Subscapular artery-49 :9. Thoracodorsal artery-49 :10. Circumflex scapular artery-49:11. (Origin only.) SUPERIOR EXTREMITY 7 Subscapular nerves-69 :32. Subscapular lymph glands-56 :46. h. Axillary vessels. The exposure of the entire extent of these vessels may be completed by the reflection of the pectoralis minor muscle. Axillary artery-48:70. Highest thoracic artery-49 :1. Thoracoacromial artery-49 :2. Lateral thoracic artery-49 :7. External mammary rami-49 :8. Subscapular artery-49 :9. Thoracodorsal artery-49 :10. Circumflex scapular artery-49 :11. Anterior circumflex humeral artery-49 :12. Posterior circumflex humeral artery-49 :13. Axillary vein-54:29. Lateral thoracic vein-54:30. Thoracoepigastric veins-54:32. Costoaxillary veins-54:31. Cephalic vein-54:37. i. Subclavius muscle-24:79. J. Brachial plexus. Its exposure may be completed-i.e., so far as it is related to the axillary fossa-by detaching the subclavius muscle at its insertion, removing the middle third of the clavicle, and dividing the axillary artery and vein at the level of the clavicle and reflecting them dis- tally. Lateral cord-69 :38. Anterior thoracic nerve-69 :29. Musculocutaneous nerve-69 :41. Median nerve-69 :48. (Lateral head.) Medial cord-69 :39. Anterior thoracic nerve-69:29. Median nerve-69:48. (Medial head.) Ulnar nerve-69 :55. Medial antibrachial cutaneous nerve-69 :45. Medial brachial cutaneous nerve-69 :44. Posterior cord-69 :40. Subscapular nerves-69 :32. Thoracodorsal nerve-69 :33. Axillary nerve-69 :34. Radial nerve-69 :65. Subclavian nerve-69 :30. Long thoracic nerve-69 :28. k. Serratus anterior muscle-25 :1. 8 REGIONAL ANATOMY 1. SUBDIVISIONS. Axilla-5:10. (Cf. Superior Extremity, 11:1.) Anterior and posterior axillary folds-5:11, 12. Acromion-5 :13. Arm-5 :14. Anterior and posterior surfaces-5 :15, 16. Lateral and medial surfaces-5 :17, 18. Lateral and medial bicipital sulci-5 :19, 20. Elbow-5 :21. Forearm-5 :22. Dorsal and volar surfaces-5 :23, 24. Radial and ulnar margins-5 :25, 26. Hand-5 :27. Carpus or wrist-5 :20. Metacarpus-5 :29. Dorsum of hand-5 :30. Palm or volar aspect of hand-5 :31. Thenar-5 :32. Hypothenar-5 :33. Digits of hand-5 :34. Thumb of pollex-5 :35. Index-5 :36. Middle digit-5 :37. Ring digit-5 :38. Smallest digit-5 :39. Dorsal and volar surfaces-5 :40, 41. Radial and ulnar margins-5 :42, 43. For the osteology of the free part of the superior extremity see 13:66-15:4. III. Superior Extremity: General Characteristics. 2. REGIONS OF THE SUPERIOR EXTREMITY-83:37. (Pls. 11, 12.) Acromial region-83 :38. Deltoid region-83 :39. Lateral and medial regions of arm-83 :40, 41. Anterior and posterior regions of arm-83 :42, 43. Anterior region of elbow-83 :44. Cubital fossa-83 :45. Posterior region of elbow-84:1. Olecranon region-84:2. Lateral and medial regions of elbow-84:3, 4. Volar and dorsal regions of forearm-84:5, 6. Radial and ulnar margins of forearm-84:7, 8. Dorsal and volar regions of hand-84:9, 10. Digital regions of hand-84:11. Dorsal, unguicular and volar regions of digits-84:12-14. 1. FASCIA, CUTANEOUS NERVES, AND CEPHALIC VEIN. Superficial fascia-23 :36. Exposed by reflecting the skin of the shoulder distally as far as the insertion of the deltoid muscle. Posterior supraclavicular nerves-69 :20. IV. Region of the Shoulder. SUPERIOR EXTREMITY 9 Lateral brachial cutaneous nerves-69 :36. Cephalic vein-54:37. Deep fascia. Subscapular fascia-26 :41. Supraspinous fascia-26 :42. Infraspinous fascia-26 :43. 2. MUSCLES, NERVES, VESSELS, AND LIGAMENTS OF THE SHOULDER. Deltoid muscle-25 :63. Subcutaneous acromial bursa-28 :22. The subsequent structures are exposed by detaching the deltoid muscle at its origin and reflecting the muscle toward its insertion. Subdeltoid bursa-28:24. Subacromial bursa-28 :23. Anterior humeral circumflex artery-49 :12. Posterior humeral circumflex artery-49 :13. Axillary nerve-69 :34. Muscular rami-69 :35. Lateral cutaneous nerve of the arm-69 :36. Teres major muscle-25 :67. Bursa of the teres major muscle-28 :28. Pectoralis major muscle-24:74. (Insertion only.) Latissimus dorsi muscle-23:17. (Insertion only.) Bursa of the teres major muscle-28 :28. Coracoacromial ligament-19 :42. Acromioclavicular articulation-19 :45. Articular capsule-19 :46. Acromioclavicular ligament-19 :47. Articular disc-19 :48. Coracoclavicular ligament-19 :49. Trapezoid ligament-19 :50. Conoid ligament-19 :51. The following muscles may be exposed by sawing through the acromion at its junction with the spine of the scapula, dividing the fascia covering the teres, minor muscle and reflecting it medially, but guarding at the same time the circumflex artery of the scapula. Supraspinatous muscle-25 :64. Teres minor muscle-25 :66. Infraspinatous muscle-25 :65. Subscapularis muscle-25 :68. Bursa of the subscapularis muscle-28 :27. In demonstrating the following structures the infraspinatous and supra- spinatous muscles are divided near their insertions, and both muscles re- flected toward their origins. Bursa of the infraspinatous muscle-28 :26. Transverse scapular artery-48 :60. Acromial ramus-48 :61. Transverse scapular vein-54:25. Suprascapular nerve-69 :31. Circumflex scapular artery-49 :11. Superior transverse scapular ligament-19 :43. Inferior transverse scapular ligament-19:44. 10 REGIONAL ANATOMY V. Arm and Superficial Structures of the Forearm and Dorsum of the Hand. 1. SURFACE ANATOMY OF ARM AND FOREARM. (Pls. 1, 2.) Lateral bicipital sulcus-5 :19. Medial bicipital sulcus-5 :20. Medial margin of the humerus-14:4. Medial epicondyle-14:11. Groove for the ulnar nerve-14:8. Lateral margin of the humerus-14:5. Lateral epicondyle-14:12. Olecranon-14:19. Styloid process of the radius-14:30. Dorsal margin of the ulna-14:44. Styloid process of the ulna-14 :49. 2. ARM (ANTERIOR ASPECT) AND FOREARM: SUPERFICIAL STRUC- TURES. a. Cutaneous nerves. Skin incisions: (a) along the mid-line of the anterior surface of the arm and the volar surface of the forearm to the level of the radio- carpal articulation; (b) transversely around the forearm just prox- imal to the radiocarpal articulation. Intercostobrachial nerves-70:7. Medial antibrachial cutaneous nerve-69 :45. Ulnar ramus-69 :47. Volar ramus-69 :46. Medial brachial cutaneous nerve-69 :44. Posterior brachial cutaneous nerve-69 :66. Dorsal antibrachial cutaneous nerve-69 :68. Lateral antibrachial cutaneous nerve-69 :43. 6. Veins and lymphatics. Basilic vein-54:38. Cephalic vein-54:37. Median vein of the elbow-54:40. In cases where the preceding vein is absent, the following veins may take its place: Median vein of the forearm-54:41. Median basilic vein--54:42. Median cephalic vein-54:43. Superficial lymph glands of the elbow-56 :49. 3. ARM (ANTERIOR ASPECT) : DEEP STRUCTURES. a. Deep fascia. Brachial fascia-26 :44. Lacertus fibrosus-25 :73. The following fascial septa may be demonstrated by dividing the brachial fascia by a longitudinal incision along the median line of the front of the arm and reflecting the medial and lateral flaps of deep fascia, leaving intact, however, the lacertus fibrosus. Medial intermuscular septum-26 :45. Lateral intermuscular septum-26 :46. SUPERIOR EXTREMITY 11 1). Arteries. Brachial artery-49 :14. Deep brachial artery-49 :15. Superior ulnar collateral artery-49 :20. Inferior ulnar collateral artery-49 :21. c. Veins. Brachial veins-54:34. Basilic vein-54:39. Cephalic vein-54:37. d. Nerves. Medial brachial cutaneous nerve-69 :44. Medial antibrachial cutaneous nerve-69 :45. Median nerve-69 :48. Ulnar nerve-69 :55. Musculocutaneous nerve-69 :41. Muscular rami-69 :42. Lateral antibrachial cutaneous nerve-69 :43. e. Muscles. Biceps brachii muscle-25 :69. Long head-25:70. (Not including its origin.) . Short head-25 :72. Coracobrachialis muscle-25 :74. Brachialis muscle-25:75. 4. CUBITAL FOSSA-83:45. The following structures are dealt with here only in so far as they are related to the cubital fossa. Lacertus fibrosus-25 :73. Brachial artery-49 :14. Radial artery-49 :22. Ulnar artery-49 :36. Tendon of biceps brachii muscle. Median nerve-69 :48. Brachialis muscle-25 :75. Pronator teres muscle-26 :3. Supinator muscle-26 :24. The following structures are exposed by dividing the lacertus fibrosus and widening the space between the pronator teres and brachioradialis muscles. Radial nerve-69 :65. Deep ramus-69 :69. Superficial ramus-60:71. Radial recurrent artery-49 :23. Inferior ulnar collateral artery-49 :21. Ulnar recurrent artery-49:47. (Volar.) 5. ARM: POSTERIOR ASPECT. Triceps brachii muscle-25 :76. Long head-25 :77. Lateral head-25:78. Medial head-25:79. Radial nerve-69 :65. Exposed by dividing the lateral head of the triceps muscle along the course of the radial nerve. 12 REGIONAL ANATOMY Posterior brachial cutaneous nerve-69 :66. Muscular rami-69 :67. Dorsal antibrachial cutaneous nerve-69 :68. Deep brachial artery-49 :15. Deltoid ramus-49 :17. Middle collateral artery-49 :18. Radial collateral artery-49 :19. Nutrient arteries of the humerus-49 :16. Ulnar nerve-69 :55. Superior ulnar collateral artery-49 :20. Inferior ulnar collateral artery-49 :21. Subtendinous bursa of the olecranon-28 :32. 6. DORSUM OF THE HAND: SUPERFICIAL STRUCTURES. Skin incisions: (a) along the radial and ulnar margins of the hand; (&) along the middle line of the dorsal aspect of each digit. Superficial ramus of the radial nerve-69 :71. Ulnar anastomotic ramus-69 :72. Dorsal digital nerves-69 :73. Dorsal ramus of the hand from the ulnar nerve-69 :57. Dorsal digital nerves-69 :58. Venous network of the back of the hand-54:44. Dorsal metacarpal veins-54 :49. Digital venous arch-54:52. Dorsal fascia of the hand-26 :50. Dorsal carpal ligament-26 :51. 7. FOREARM: VOLAR ASPECT AND ULNAR MARGIN. •a. Deep fascia and cutaneous nerves piercing it. For the superficial fascia and certain cutaneous nerves of the fore- arm, see Superior Extremity, V :2. Fascia of the forearm-26 :49. Palmar cutaneous ramus of the ulnar nerve-69 :56. Palmar ramus of the median nerve-69 :51. Superficial ramus of the radial nerve-69 :71. Volar carpal ligament-26:55. b. Radial artery and nerve. Exposed by turning aside the volar ramus of the medial cutaneous nerve of the forearm, the lateral cutaneous nerve of the forearm, the superficial veins, and removing the deep fascia of the forearm except where it gives origin to underlying muscles. Radial artery-49 :22. Radial recurrent artery-49 :23. Superficial volar ramus-49 :26. Muscular rami-49 :24. Volar carpal ramus-49 :25. Radial nerve-69 :65. Deep ramus-69 :69. (Origin only.) Superficial ramus-69 :71. c. Superficial mibscles. Brachioradialis muscle-26 :17. Palmaris longus muscle-26 :7. SUPERIOR EXTREMITY 13 Pronator teres muscle-26 :3. Humeral head-26 :4. Ulnar head-26 :5. Flexor carpi radialis muscle-26 :6. Flexor carpi ulnaris muscle-26 :8. Humeral head-26 :9. Ulnar head-26 :10. Flexor digitorum sublimis-26 :11. Humeral head-26 :12. Ulnar head-26:13. d. Ulnar vessels and median nerve. Ulnar artery-49 :36. Recurrent ulnar arteries-49 :37. Common interosseous artery-49 :39. Volar interosseous artery-49:42. (Origin only.) Dorsal interosseous artery-49 :40. (Origin only.) Volar carpal ramus-49 :46. Dorsal carpal ramus-49 :45. Muscular rami-49 :44. Ulnar veins-54:36. Ulnar nerve-69 :55. Palmar cutaneous rami-69 :56. Dorsal ramus of the hand-69 :57. Volar ramus of the hand-69:59. (Origin only.) Muscular rami-60 :64. Median nerve'-69 :48. Exposed by reflecting the humeral head of the pronator teres muscle and the radial head of the flexor digitorum sublimis muscle. Muscular rami-69 :49. Volar interosseous nerve of the forearm-69 :50. (Origin only.) Palmar ramus of the median nerve-69:51. (Origin only.) e. Deep structures on the volar aspect of the forearm. Flexor digitorum profundus muscle-26 :14. Flexor pollicis longus muscle-26 :15. Pronator quadratus muscle-26 :16. Volar interosseous artery-49 :42. Median artery-49 :43. Muscular rami-49 :44. Volar interosseous nerve-69 :50. VI. Wrist and Hand: Volar Aspect. 1. SURFACE ANATOMY. (Pls. 1, 2.) Thenar eminence-5 :32. Hypothenar eminence-5 :33. Tubercule of the navicular bone-14:54. Tubercle of the greater multangular bone-14:59. Pisiform bone-14:57. Metacarpal bones-14:68. Phalanges-14:74. 14 REGIONAL ANATOMY 2. FASCIA AND CUTANEOUS NERVES. Skin incisions: (a) longitudinally along the middle line of the palm; (&) transversely at the level of the proximal ends of the interdigital clefts from the radial to the ulnar margin of the hand; (c) longitudinally along the middle line of each digit. Superficial fascia-23 :36. Palmaris brevis muscle-26 :29. Palmar branch of the median nerve-69 :51. Palmar cutaneous branch of the ulnar nerve-69:56. Superficial branch of the radial nerve-69 :71. Palmar aponeurosis-26 :52. Transverse fasciculi-26 :53. Volar carpal ligament-26:55. 3. MUSCLES, NERVES, VESSELS, AND LIGAMENTS. a. Nerves and vessels superficial to the muscles and flexor ten- dons of the palm. Exposed by dividing the proximal part of the palmar aponeurosis transversely, reflecting it distally and then removing the entire aponeurosis together with the palmaris brevis muscle and the volar carpal ligament. Superficial volar arch-49 :48. Superficial volar ramus of the radial artery-49 :26. Common volar digital arteries-49 :49. Proper volar digital arteries--49 :50. Median nerve-69 :48. Muscular rami-69 :49. Common volar digital nerves-69 :53. Proper volar digital nerves-69 :54. Volar ramus of the ulnar nerve in the hand-69 :59. Deep ramus-69:63. (Origin only.) Superficial ramus-69 :60. Common volar digital nerves-69 :61. Proper volar digital nerves-69 :62. 1). Ligaments and mucous sheaths of the flexor tendons. Transverse carpal ligament-26 :54. Vagina tendinum mm. flexorum communium--28 :48. Vagina tendinis m. flexoris pollicis longi-28 :49. Vaginal ligaments of the digits-26:59. Annular ligaments of the digits-26 :60. Cruciate ligaments of the digits-26 :61. Vinculum tendinum-26 :57. Carpal canal-20:24. Chiasma tendinum-26 :56. c. Muscles. Lumbricales muscles-26 :37. Exposed by dividing the superficial volar arch just distal to the deep ramus of the ulnar artery and also at its junction with the superficial volar ramus of the radial artery and reflecting the arch distally, dividing the median nerve at the level of the wrist and reflecting it distally, and dividing the flexor digitorum sublimis muscle at the middle of the forearm and reflecting the distal part toward its insertion. SUPERIOR EXTREMITY 15 The demonstration of the following structures may be completed by dividing the flexor digitorum profundus in the forearm and reflect- ing it and the lumbricales muscles toward their insertions, noting at the same time the muscular rami from the deep branch of the ulnar nerve to the two (ulnar) lumbrical muscles. Abductor pollicis brevis muscle-26 :30. Flexor pollicis brevis muscle-26 :3. Opponens pollicis muscle-26 :32. Adductor pollicis muscle-26 :33. Abductor pollicis muscle-26 :33. Flexor digiti quinti brevis muscle-26 :35. Opponens digiti quinti muscle-26 :36. d. Nerves and vessels, internal to the flexor tendons and muscles of the palm. Deep ramus of the ulnar nerve-69 :63. Muscular rami-69 :64. Deep volar arch-49 :33. Volar metacarpal arteries-49:34. Perforating rami-49 :35. Princeps pollicis artery-49 :31. Demonstrated by detaching the adductor pollicis muscle at its origin and reflecting it toward its insertion. Volar radial artery of the index digit-49:32. VII. Forearm: Dorsal Aspect and Radial Margin. 1. FASCIA, MUSCLES, NERVES, AND VESSELS. a. Deep fascia of forearm. For the superficial fascia, cutaneous nerves and superficial vessels, see Superior Extremity, V: 2. Fascia of forearm-26 :49. Dorsal carpal ligament-26 :51. 1). Superficial muscles. Exposed by removing the deep fascia from the dorsum of the fore- arm, except where it gives origin to subjacent muscles as in the region of the elbow (retaining intact, however, the dorsal carpal ligament). Brachioraclialis muscle-26 :17. Extensor carpi raclialis longus muscle-26 :18. Extensor carpi radialis brevis muscle-26 :19. Vagina of the extensor carpi raclialis brevis muscle- 28 :38. Extensor digitorum communis muscle-26 :20. Extensor digiti quinti proprius muscle-26 :22. Anconaeus muscle-26 :1. Extensor carpi ulnaris muscle--26 :23. c. Nerves and vessels. Exposed by dividing the extensor digitorum communis and extensor digiti quinti muscles at the middle of the forearm, and reflecting the proximal and distal segments of the divided muscles toward their origin and insertion, respectively. Dorsal interosseous artery-49 :40. Recurrent interosseous artery-49 :41. Arterial network of the elbow-49 :38. 16 REGIONAL ANATOMY Volar interosseous artery-49 :42. Deep ramus of the radial nerve-69 :69. Dorsal interosseous nerve-69 :70. d. Deep muscles. Abductor pollicis longus muscle-26 :25. Extensor pollicis brevis muscle-26 :26. Vagina tendinum mm. abductor longi et extensoris pollicis brevis-28 :37. Extensor pollicis longus muscle-26 :27. Vagina tendinis m. extensoris pollicis longi-28 :39. Extensor indicis proprius muscle-26 :28. Supinator muscle-26 :24. VIII. Wrist and Hand:Dorsal Aspect. 1. MUSCLES, NERVES, AND VESSELS. a. Vessels. For the cutaneous nerves and superficial vessels see Superior Extrem- ity, V:6. Radial artery--49 :22. Dorsal carpal ramus-49:27. Dorsal carpal rete-49 :28. Dorsal metacarpal arteries-49 :29. Dorsal digital arteries-49 :30. Perforating rami-49 :35. 6. Muscles, nerves, and ligaments. Dorsal carpal ligament-26 :51. Juncturae tendinum-26 :21. Dorsal interosseous nerve-69 :70. Transverse ligaments of the heads of the metacarpal bones -20 :41. Volar interosseous muscles-26 :39. Dorsal interosseous muscles-26 :38. Flexor pollicis brevis muscle-26:31. (Deep head.) Demonstrated by reflecting the radial head of the first dorsal interosseous muscle. IX. Articulations of the Superior Extremity. 1. SHOULDER JOINT-19:58. Articular capsule-19 :59. Coracohumeral ligament-19 :61. Glenoid lip-19 :60. Long head of the biceps muscle-25 :70. Synovial membrane-18 :32. Intertubercular mucous sheath-25 :71. Bursa subscapularis-28 :28. 2. ELBOW JOINT-19:62. Articular capsule-19 :66. Ulnar collateral ligament-19 :67. Radial collateral ligament-19 :68. Synovial membrane-18 :32. Humeroulnar articulation-19 :63. Humeroradial articulation-19 :64. SUPERIOR EXTREMITY 17 3. JOINT OF THE HAND-20:8. a. Radiocarpal articulation-20 :9. Articular capsule-20 :11. Dorsal radiocarpal ligament-20 :12. Volar radiocarpal ligament-20:13. Ulnar collateral carpal ligament-20:15. Radial collateral carpal ligament-20 :16. 6. Intercarpal articulation-20:10. Articular capsule-20 :11. Radiate carpal ligament-20 :14. Dorsal intercarpal ligaments-20:17. Volar intercarpal ligaments-20 :18. Interosseous intercarpal ligaments-20:19. 4. PISIFORM ARTICULATION-20:20. Articular capsule-20:21. Pisohamate ligament-20:22. Pisometacarpal ligament-20:23. Carpal canal-20 :24. 5. RADIOULNAR ARTICULATIONS. Proximal radioulnar articulation-19 :65. Annular ligament of the radius-19 :69. Recessus sacciformis-20 :1. Distal radioulnar articulation-20 :4. Articular disc-20:6. Articular capsule-20 :5. Recessus sacciformis-20 :7. Interosseous membrane of forearm-20 :2. Oblique cord-20:3. 6. CARPOMETACARPAL ARTICULATIONS-20:25. Articular capsules--20 :32. Dorsal carpometacarpal ligaments-20 :27. Volar carpometacarpal ligaments-20 :28. Carpometacarpal articulation of the thumb-20:29. Articular capsule-20 :30. 7. INTERMETACARP AL ARTICULATIONS-20 :31. Articular capsules-20:32. Dorsal basal ligaments-20 :33. Volar basal ligaments-20:34. Interosseous basal ligaments-20 :35. 8. METACARPOPHALANGEAL ARTICULATIONS-20 :37. Articular capsules-20 :38. Collateral ligaments-20 :39. Volar accessory ligaments-20:40. Transverse ligaments of the heads of the metacarpal bones- 20 :41. 9. ARTICULATIONS OF THE DIGITS-20:42. Articular capsules-20 :43. Collateral ligaments-20:44. Plate III Anterior aspect of the trunk showing surface anatomy and. surface projection of the skeleton in relation to the thorax, abdomen and pelvis. 18 [ EMMEL ] B N A PLATE III M. sternocleidomastoideus zlncisura jugularis Angulus sterni Clavicula Caput humeris Acromion. ,Processus coracoideus Tuberculum majus Angulus infrasternalis Costa XI- '-Processus xiphoideus Crista iliaca -Umbilicus Spina iliaca anterior superior- 5pina iliaca anterior inferior- Ligamentum inguinale ■Symphysis ossium pubis -Tuberculum pubicum THORAX AND DEEP STRUCTURES OF THE BACK THORAX AND DEEP STRUCTURES OF THE BACK I. General Characteristics. 1. SUBDIVISIONS OF THORAX AND BACK. Thorax-4:47. (For osteology of the thorax see 7:27-64.) Thoracic cavity-4:48. Breast-4:49. Mamma-4:50. Mammary papilla-4:51. Back-4:52. Vertebral column-4:53. Spinal canal-4:54. 2. SURFACE ANATOMY. For the surface anatomy of the thorax and back see Superior Extremity, 1:1, and 11:1. 3. GENERAL OSTEOLOGICAL CHARACTERISTICS OF THORAX. Thoracic cavity-7 :58. Superior aperture of the thorax-7 :59. Inferior aperture of the thorax-7 :60. Costal arches-7 :61. Intercostal spaces-7 :62. Infrasternal angle-7 :63. 4. REGIONS OF THORAX AND BACK. For regions of the thorax and back refer to Superior Extremity, 1:2 and 11:2, and plates 11 and 12. II. Thoracic Wall: Anterior and Lateral Parts. 1. INTERCOSTAL MUSCLES, LIGAMENTS, AND NERVES. For structures of the thoracic wall external to the costal arches and inter- costal muscles see Superior Extremity, II: 3, 4. External intercostal muscles-25 :5. External intercostal ligaments--19 :32. Internal intercostal muscles-25 :6. Exposed by dividing the external intercostal muscles and external inter- costal ligaments along the inferior margins of the intercostal spaces and reflecting the muscles and ligaments upward. Internal intercostal ligaments-19 :33. Anterior rami (intercostal nerves) of thoracic nerves-70 :1. Muscular rami-70:2. Lateral cutaneous rami-70 :3. Posterior and anterior rami-70 :4, 5. Lateral mammary rami-70:6. Intercostobrachial nerves-70 :7. Anterior cutaneous rami-70:8. Medial mammary rami--70 :9. 19 20 REGIONAL ANATOMY 2. BLOOD VESSELS. Highest intercostal artery-48 :63. Intercostal arteries-48 :59. Anterior rami-49 :65. Muscular rami-49 :66. Lateral cutaneous rami-49 :67. Posterior rami-49 :68. Anterior rami-50:1. Lateral mammary rami-50 :2. Anterior cutaneous rami-50 :3. Medial mammary rami-50:4. Posterior rami-49:60. (See also Superior Extremity, 1:3.) Intercostal veins-54:56. Internal mammary artery-48 :34. Exposed by removing the intercostal muscles and ligaments from the anterior ends of the intercostal spaces, guarding against injury to the pleura. Sternal rami-48 :39. Perforating rami--48 :40. Mammary rami-48 :41. Muscular rami--48 :42. Cutaneous rami-48 :43. Intercostal rami-44:45. Musculophrenic artery-44:46. Exposed by cutting away the medial end of the sixth costal car- tilage. Superior epigastric artery-44:47. (Its origin only.) Internal mammary vein-52:65. Transverse thoracic muscle-25 :8. III. Thoracic Cavity and Viscera 1. PLEURA AND PLEURAL CAVITIES. The pleura may be exposed by removing the intercostal muscles, separating the pleura from the internal surfaces of the sternum and ribs, and with a saw and bone-forceps, removing the sternum and costal arches by the follow- ing incisions, but retaining the pleura intact: (a) transversely through the sternum at the level of the lower margin of the first costosternal junction; (b) transversely through the sternum at the level of the upper margin of the sixth costosternal junction; (c) dividing the second, third, fourth, and fifth ribs at the junction of the middle and posterior thirds of each. Endothoracic fascia-38 :2. The pericardium may be identified by inserting the finger between the lines of sternal reflection of the right and left pleurae and passing it through the areolar tissue of the anterior mediastinal cavity. Incisions through the pleura exposing the pleural cavity: (a) longitudinally through the costal pleura midway between the sternum and vertebral column extending from the first to the sixth rib; (&) transversely along the inferior margin of the first rib and along the superior margin of the sixth rib, ex- tending medially to within about 2 cm. of the line of sternal reflection of the pleura and laterally to the line of the cut ends of the second to fifth ribs. Pulmonary ligament-38 :16. Cupula of pleura-38 :5. Pulmonary pleura--38 :6. THORAX 21 Parietal pleura-38:7. Costal pleura-38 :11. Mediastinal pleura->38 :8. Mediastinal layers-38 :9. Pericardial pleura-38 :10. Diaphragmatic pleura-38 :12. Pleural sinuses-38 :13. Phrenicocostal sinus-38 :14. Costomediastinal sinus-38 :15. Adipose folds->38 :17. Pleural villi-38 :18. Mediastinal septum-38 :19. Anterior mediastinal cavity-38 :20. Posterior mediastinal cavity-38 :21. 2. LUNGS. The lung may be removed by dividing its root close to the medial surface of the lung. a. Surface anatomy of lungs. Base of lung-37 :57. Apex of lung-37 :58. Costal surface-37 :60. Mediastinal surface-37 :61. Diaphragmatic surface-37 :62. Anterior margin-37 :63. Inferior margin-37 :64. Hilus of lung-37 :65. Root of lung-37 :66. Subclavian groove-37 :59. Interlobar incisure-37 :71. Superior lobe-37 :68. Middle lobe-37:69. Inferior lobe-37 :70. Cardiac notch-37 :67. b. Internal struct tire of lungs. Bronchi-37 :41. May be demonstrated by tearing and removing parts of the pulmonary tissue and following the bronchi and blood vessels and their subdivisions as far as possible into the substance of the lung. Bronchioles-37 -.74. Respiratory bronchioles-37 :75. Alveolar ductules-37 :76. Pulmonary alveoli-37 :77. Bronchial lymph glands-37 :78. Bronchial lymphatic nodules-37 :79. Pulmonary lymph glands-37 :80. 3. ROOT OF LUNG AND RELATED STRUCTURES. a. Structures in relation to the right and left roots. Anterior: Anterior pulmonary plexus of the vagus nerve-68 :45. Phrenic nerve-69 :21, Pericardiacophrenic artery-48 :38. 22 REGIONAL ANATOMY Posterior: Vagus nerve-68:22. Posterior pulmonary plexus of the vagus nerve-68 :46. Inferior: Pulmonary ligament-38 :16. In relation to the left root only: Azygos vein-54:53. Superior vena cava-52 :50. In relation to the left root only: Aortic arch-46 :49. Descending aorta-46 :51. b. Structures within the root of each lung. Bronchial arteries-49 :53. Pulmonary artery-46 :40. Right and left rami-46 :41, 42. Pulmonary veins-52 :37. Right and left pulmonary veins-52 :38, 39. Bronchus, right and left-37 :47. Bronchial rami-37 :48. Eparterial bronchial ramus-37 :49. Hyparterial bronchial rami-37 :50. Bronchial lymph glands-56 :52. 4. PHRENIC NERVE AND NERVES TO THE SUPERFICIAL PART OF THE CARDIAC PLEXUS. Phrenic nerve--69 :21. Pericardiac ramus-69 :22. Phrenicoabdominal rami-69 :23. Nerves in relation to the superficial part of the cardiac plexus: Superior cardiac nerve-71:59. (From the cervical sympathetic.) Superior cardiac ramus-68:34. (Inferior cervical cardiac ramus. From the left vagus nerve.) Cardiac ganglion-72 :11. 5. THYMUS-38:31. Usually in a condition of atrophy in the adult, but showing the following structures in the child: Right and left lobes-38 :32. Central tract->38 :33. Lobules of the thymus-38 :34. 6. PERICARDIUM. Sternopericardial ligaments-45 :43. Incisions exposing the pericardial cavity: (a) longitudinally through the pericardium from the aorta to the diaphragm; (&) transversely from the middle of the right to the middle of the left root of the lung. Pericardium-45 :41. Epicardium-45 :45. Pericardial fluid-45:42. Transverse sinus of the pericardium-45 :44. T HOE AX 23 7. GREAT VEINS OF THE THORAX AND THEIR TRIBUTARIES. Superior vena cava-52 :50. Right and left innominate veins-52:51. Inferior thyreoid veins-52:52. (Termination only.) Thyreoidea ima vein-52 :53. The first five of the following tributaries are small and usually difficult to demonstrate: Thymic veins-52 ;56. Pericardiac veins-52:57. Superior phrenic veins-52:58. Anterior mediastinal veins-52 :59. Anterior bronchial veins-52 :60. Vertebral vein-52:63. (Termination only.) Internal mammary vein-52 :65. Highest intercostal vein-52 :68. Azygos vein-54:53. Inferior vena cava-55 :3. 8. HEART AND AORTA. a. Surface anatomy. Apex of heart-45 :36. Sternocostal surface--45 :34. Diaphragmatic surface-45:35. Right atrium-46 :1. Right auricle-46 :7. Left atrium-46 :26. Left auricle-46 :27. Right ventricle-46 :13. Left ventricle-46 :29. Coronary sulcus-45 :40. Anterior longitudinal sulcus-45 :38. Posterior longitudinal sulcus-45 :39. Notch at apex of heart-45 :37. b. Nerve and vascular supply. Right coronary artery of the heart-46:52. Posterior descending ramus-46 :53. Left coronary artery of the heart-46 :54. Circumflex ramus-46 :55. Anterior descending ramus-46 :56. Coronary sinus-52:41. Its exposure may sometimes be facilitated by severing the in- ferior vena cava at its termination. Great cardiac vein-52 :42. Posterior vein of left ventricle--52:43. Oblique vein of left atrium-52 :44. Middle cardiac vein-52:46. Small cardiac vein-52 :47. Anterior veins of the heart-52 :48. Smallest veins of the heart-52 :49. Anterior coronary plexus-72 :10. Posterior coronary plexus-72 :12. 24 REGIONAL ANATOMY c. Cavities of the heart. Pulmonary vessels. Right atrium-46 :1. Incisions exposing the cavity of the right atrium: (a) longi- tudinally from a point just anterior to the superior vena cava, downward and backward to the inferior vena cava; (b) from the middle point of the preceding incision obliquely upward to the tip of the right auricle. Epicardium-45 :45. Myocardium-45 :46. Endocardium-45 :47. Sulcus terminalis of right atrium-46 :3. Crista terminalis-46 :4. Sinus venarum [cavarum]-46:5. Pectinate muscles-46 :2. Intervenous tubercle-46 :8. Septum of the atria-45 :54. Membranous part-45 :55. Fossa ovalis-46 :10. Limbus fossae ovalis-46 :6. Valve of the inferior vena cava-46 :9. Valve of the coronary sinus-46:11. Venous orifice-45 :56. Foramina of the smallest cardiac veins-46 :12. Right ventricle-46 :13. Incisions exposing the cavity of the right ventricle: (a) from the diaphragmatic surface of the heart upward % cm. to the right of and parallel with the anterior longitudinal sulcus to the origin of the pulmonary artery; (b) from the upper end of the pre- ceding incision transversely to the right, parallel with and 1 cm. inferior to the coronary sulcus. Conus arteriosus-46 :19. Supraventricular crest-46 :18. Venous orifice--45 :56. Tricuspid valve-46 :14. Anterior cusp-46 :15. Posterior cusp-46 :16. Medial cusp-46 :17. Papillary muscles-45 :60. Chordae tendinae-45 :61. Trabeculae carneae-45 :58. Pulmonary artery-46 :40. Right and left ramus-46 :41, 42. Ligamentum arteriosum-46 :44. Ductus arteriosus*-46 :43. Arterial orifice [of right ventricle]-45:57. Semilunar valves of pulmonary artery-46 :20. Anterior, right, and left semilunar valves- 46 :21, 23. Nodules of the semilunar valves--46 :24. Lunulae of the semilunar valves-46 :25. Left atrium-46 :26. The cavity and vascular communications of the left atrium may be exposed by dividing the inferior vena cava, turning the heart THOU AX 25 upward and making an incision through the left atrial wall ex- tending from the middle of its posterior margin forward to the tip of the left auricle. Valve of the foramen ovalis-46 :28. Left ventricle-46 :29. Incisions exposing the cavity of the left ventricle: (a) beginning near the coronary sulcus anteriorly and extending parallel and 1 cm. to the left of the anterior longitudinal sulcus to the apex of the heart; (6) beginning posteriorly near the coronary sulcus and extending parallel and 1 cm. to the left of the posterior longitudinal sulcus and joining the end of the first incision at the apex of the heart. Trabeculae carneae-45 :58. Papillary muscles-45 :60. Chordae tendineae-45 :61. Venous orifice-45:56. Arterial orifice-45 :57. Bicuspid valve-46 :30. Anterior and posterior cusps-46 :31, 32. Ventricular septum-45 :49. Muscular septum of ventricle-45 :50. Membranous septum of ventricle-45:51. d. Aorta and its branches. Ascending aorta-46 :46. Bulb of aorta-46 :47. Sinus of aorta-46 :48. Right and left coronary arteries-46 :52, 54. Aortic arch-46 :49. Isthmus of aorta-46 :50. Innominate artery-46 :57. (Thyreoidea ima artery)-46:58. Common carotid artery [left]-46:59. Subclavian artery [left]-48 :20. Descending aorta [thoracic portion]-46:51. (Origin only.) Semilunar valves of aorta-46 :33. Right, left and posterior semilunar valves-46 :34-36. Nodules and lunulae of the semilunar valves-46 :37, 38. e. Myocardium and fibrous rings of the heart. The subsequent structures are exposed to better advantage after the great blood vessels have been divided near their juncture with the heart and the heart removed. Atrioventricular bundle of His. Demonstrated more favorably in a sheep or ox heart. Fibrous rings-45 :63. Exposed by removing the atria of the heart. Fibrous trigones-45 -.62. f. Cardiac plexus. For the superficial part of the cardiac plexus, see III: 4. The following nerves entering into the formation of the deep part of the cardiac plexus may be exposed by dividing the aortic arch at its junction ■with the descending aorta and turning aside the aortic arch. 26 REGIONAL ANATOMY Middle cardiac nerve of sympathetic system-71:61. Inferior cardiac nerve of sympathetic system-71:64. Superior cardiac nerves of vagus-68 :34. (Depressor nerve)•-68:35. Inferior cardiac rami of the recurrent nerve-68 :37. Cardiac plexus-72 :9. 9. TRACHEA AND BRONCHI. Bronchial lymph glands-56 :52. Trachea-37 :41. Bifurcation of the trachea-37 :46. Right and left bronchi-37 :47. Bronchooesophageal muscle**-32 :72. 10. POSTERIOR MEDIASTINAL CAVITY AND STRUCTURES WITHIN IT. Posterior mediastinal cavity-38 :21. The following structures may be exposed, so far as they are in relation to the posterior mediastinal cavity, by making a longitudinal incision through the posterior wall of the pericardial cavity and reflecting the pericardium. Vagus nerve-68 :22. Recurrent nerve'-68 :36. Anterior and posterior bronchial rami-68 :43, 44. Anterior and posterior pulmonary plexuses-68 :45, 46. Cf. Thorax, III:3. Oesophageal rami-68 :47. Anterior and posterior oesophageal plexuses-68 :48, 49. Thoracic part of oesophagus-32 :68. Thoracic aorta-59 :51. Visceral rami-49 :52. Bronchial arteries-49 :53. Oesophageal arteries-49 :54. Pericardiac rami-49 :55. Parietal rami-49 :56. Mediastinal rami-49 :57. Superior phrenic arteries-49 :58. Intercostal arteries-49 :59. Thoracic duct-56 :25. Posterior mediastinal lymph glands-56 :54. IV. Thoracic Wall: Posterior Part. 1. THORACIC PART OF THE SYMPATHETIC NERVOUS SYSTEM. Exposed by removing the parietal pleura from the posterior part of the thoracic 'wall. Sympathetic trunk--71:30. Thoracic ganglia-72:2. Rami communicantes-68 :72. Great splanchnic nerve-72 :3. Splanchnic ganglion-72:4. Small splanchnic nerve-72:5. (Lowest splanchnic nerve)-72:7. THORAX 27 2. STRUCTURES IN RELATION TO THE INTERNAL SURFACE OF THE POSTERIOR THORACIC WALL. Subcostal muscles-25 :7. (Not constant in degree of develop- ment. ) Internal intercostal muscles-25 :6. Intercostal arteries-49 :59. Highest intercostal artery-48 :63. Intercostal nerves-70 :1. Intercostal veins-54:56. Azygos vein-54:53. Hemiazygos vein-54 :54. The following veins are variable in their relationship and degree of development: Accessory hemiazygos vein-54:55. Oesophageal veins--54:59. Posterior bronchial veins-54:60. V. Deep Structures of the Back. 1. POSTERIOR SERRATI MUSCLES AND THE LUMBODORSAL FASCIA. For the muscles and related structures external to the posterior serrati muscles, see Superior Extremity, 1:3, 4. For the structures of the back of the neck, see Head and Neck, IV :2-4. Serratus posterior superior muscle-23 :22. Serratus posterior inferior muscle-23 :21. Lumbodorsal fascia-24:5. A longitudinal incision through its posterior layer and a medial dis- placement of the subjacent sacrospinalis muscle exposes its anterior layer. A longitudinal incision through this anterior (designated middle by some authors) layer close to its attachment to the tips of the trans- verse processes and a medial displacement of the lateral margin of the subjacent quadratus lumborum muscle exposes the transversalis fascia. 2. INTRINSIC MUSCLES OF THE BACK. 2 For the corresponding muscles of the neck see Head and Neck, IV: 3. Sacrospinalis muscle-23 :25. Iliocostalis muscle-23 :26. Demonstrated by successive lateral eversions of its inferior, middle and superior subdivisions, guarding the nerves and vessels emerging between the iliocostalis and the longissimus dorsi muscles. Iliocostalis lumborum muscle-23 :27. Iliocostalis dorsi muscle-23 :28. Iliocostalis cervicis muscle-23:29, (Origin only.) Longissimus muscle-23 :30. Longissimus dorsi muscle-23 :31. Longissimus cervicis muscle-23:32. (Origin only.) Longissimus capitis muscle-23:44. (Thoracic origin only.) Spinalis muscle-23 :45. Spinalis dorsi muscle-23 :46. 2 Many of the structures indicated in sections 2 to 6 may also be demonstrated as exposed in a cross-section of the posterior thoracic wall made at about the level of the fourth thoracic vertebra. Plate IV Posterior aspect of the trunk showing surface anatomy and surface projection of the skeleton in relation to the thorax, abdomen and pelvis. 28 [ EMMEL j B N A PLATE IV Vertebra prominens .Angulus medialis scapulae Margo axillaris scapulae. Spina scapulae. /Margo vertebralis scap /Acromion Plica axillaris posterior Tuberculum majus hum Processus spinosus [Vertebra thoracalisXII] 'Angulus inferior scapulae ■Crista iliaca Spina iliaca posterior superior- Os sacrum Os coccygis ■Trochanter majus ■Tuber ischiadicum Sulcus glutoeus THORAX 29 Semispinalis muscle-23 :49. Exposed by removing the spinalis dorsi muscle and reflecting the longis- simus dorsi muscle laterally. Semispinalis dorsi muscle-23 :50. Semispinalis cervicis muscle-23 :51. (Thoracic portion only.) Multifidus muscle-23 :53. Demonstrated by detaching the semispinalis muscle at its insertion and reflecting it laterally. Rotatores muscle-23 :54. Exposed by removing the multifidus muscle, guarding against injury to thoracic and lumbar nerves and vessels. Rotatores longi muscle-23 :55. Rotatores breves muscle-23 :56. The following muscles are not so well developed in the back as in the neck: Interspinalis muscles-23 :57. Intertransversarii muscles-23 :58. Intertransversarii mediales muscles-23 :60. Intertransversarii laterales muscles-23 :59. 3. NERVES AND BLOOD VESSELS. Posterior rami of thoracic nerves-69:75. Lateral cutaneous rami-69:76. Medial cutaneous rami-69 :77. Posterior rami of lumbar nerves-70 :12. Medial ramus-70 :13. Lateral ramus-70 :14. Posterior rami of sacral and coccygeal nerves-70 :18. Posterior rami of intercostal arteries-49 :60. Muscular rami-49 :62. Medial cutaneous rami-49 :63. Lateral cutaneous rami-49 :64. Dorsal rami of the highest intercostal artery-48 :64. Dorsal ramus of lumbar arteries-50 :10. Dorsal ramus of intercostal veins-54:57. The lumbar veins also have dorsal tributaries from the back comparable to the dorsal rami of the lumbar arteries. 4. VERTEBRAL CANAL: BLOOD VESSELS AND MENINGES. The contents of the vertebral canal may be exposed, by cutting through the laminae of the vertebral arches close to the articular processes, dividing the ligamentum flava and removing the posterior wall of the vertebral canal. Ligamenta flava-18 :40. Supraspinous ligament-18 :44. Interspinous ligaments-18 :43. Arteries supplying the vertebral column: Spinal ramus of posterior rami of intercostal arteries-49 :61. Spinal ramus of lumbar arteries-50:11. Cavum epidurale-65 :42. Dura mater spinalis-65:40. Filum durae matris spinalis-*65 :41. 30 REGIONAL ANATOMY The following structures may be exposed by makiug a median incision through the dura, guarding against injury to the subjacent arachnoidea. Cavum subdurale-65 :43. Pia mater spinalis-65 :54. Arachnoidea spinalis-65 :44. Cavum subarachnoideale-65 :46. Ligamentum denticulatum-65 :55. 5. SPINAL CORD: NERVES, BLOOD VESSELS, AND SURFACE ANATOMY. For the cervical part of the spinal cord see Head and Neck, IX :4. a. Spinal nerves. Thoracic nerves-69 :74. Lumbar nerves-70:10. Sacral nerves--70:17. Coccygeal nerves-70:17. Cauda equina-68 :74. Anterior root-68 :67. Posterior root-68 :68. Filia radicularia-68 :66. Spinal ganglion-68 :69. Anterior ramus-68 :70. Posterior ramus-68 :71. Ramus meningeus-68 :73. (Difficult to demonstrate.) In demonstrating the remaining structures of the spinal cord, the spinal nerve trunks may be cut, the cord divided transversely at about the level of the first thoracic vertebra, and the cord, and its membranes removed from the vertebral canal. 5. Blood vessels of the spinal cord. (Usually difficult to demon- strate.) Spinal rami of posterior rami of intercostal arteries-49 :61. Spinal rami of lumbar arteries-50 :11. Spinal ramus of iliolumbar artery-50 -.60. Spinal rami of lateral sacral artery-50 :63. Internal spinal veins-55:2. Posterior external spinal veins-55 :1. Anterior external spinal veins-54:70. Intervertebral veins-54:69. c. Surface anatomy of the spinal cord. Thoracic part-58 :23. Lumbar part-58 :24. Lumbar enlargement-58 :25. Medullary cone-58 :26. Ventriculus terminalis-58:28. Filum terminale-58 :27. Anterior median fissure-58 :29. Posterior median sulcus--58 :30. Anterior lateral culcus-58 :31. Posterior lateral sulcus-58 :32. Posterior intermediate sulcus-58 :33. (Anterior intermediate sulcus)-58:34. THORAX 31 Funiculi of the spinal cord-58 :45. Anterior funiculus-58 :36. Lateral funiculus-58:37. Posterior funiculus-58 :38. 6. SPINAL CORD: INTERNAL STRUCTURE. Demonstrated by making transverse sections through the spinal cord at various levels, and in some instances requiring the aid of a hand lens. a. Gray matter. Central canal-58 :40. Central gray matter-58 :41. Anterior gray commissure-58 :43. Posterior commissure-58 :44. Gray columns-58 :45. Anterior column-48 :46. Lateral column-58 :47. Reticular formation-58 :53. Posterior column-58 :48. Neck of posterior column-58 :49. Apex of posterior column-58 :50. Gelatinous substance-58 :51. 1). White matter. Anterior white commissure-58 :42. Anterior funiculus-58 :54. Anterior cerebrospinal or pyramidal fasciculus-58 :55. Lateral funiculus-59 :2. Lateral cerebrospinal or pyramidal fasciculus-59 :3. Cerebellospinal fasciculus-59 :4. Posterior funiculus-59 :7. Fasiculus gracilis-59 :8. Fasiculus cuneatus-59 :9. VI. Articulations of the Thorax. 1. STERNOCOSTAL ARTICULATIONS-19:25. Articular capsule-19 :26. Interarticular sternocostal ligament-19 :27. Radiate sternocostal ligaments-19 :28. Membrane of sternum-19 :29. Costoxiphoid ligaments-19 :30. Interchondral articulations-19 :34. 2. SYNCHONDROSIS STERN ALIS-7:49. 3. COSTOVERTEBRAL ARTICULATIONS-19:12. a. Capitular articulations-19 :13. Articular capsules-19 :14. Radiate ligament of head of rib-19 :15. Interarticular ligament of head of rib-19 :16. 32 REGIONAL ANATOMY b. Costotransverse articulations-19 :17. Articular capsules-19 :18. Ligament of neck of rib-19 :20. Anterior costotransverse ligament-19 :21. Posterior costotransverse ligament-19 :22. Lumbocostal ligament-19 :23. Costotransverse foramen-19 :24. 4. ARTICULATIONS OF THE VERTEBRAL COLUMN. For the ligaments in relation to the vertebral arches, see Thorax, V: 4. Anterior longitudinal ligament-18 :46. Posterior longitudinal ligament-18 :47. Intervertebral fibrocartilages-18 :37. The following structures may be demonstrated by dividing the thorax at about the level of the fourth thoracic intervertebral disc, and making in- cisions through the disc: Annulus fibrosus-18 :38. Nucleus puplosus-18 :39. t HEAD AND NECK Anterior aspect of the head, and neck showing surface anatomy and surface projection of the bones of the cranium and. cervical vertebrae. Plate V 34 [ EMMEL] SNA PLATE V Glabella Incisura supraorbitalis Os zygomaticum •Foramen infraorbitale Famus mandibulae -Foramen mentale Juberculum caroticum Incisura jugularis HEAD AND NECK I. Structures in Relation to the Scalp and Temporal Region. 1. GENERAL CHARACTERISTICS OF CRANIUM. a. Subdivisions of cranium. Cranium-4:7. For bones of the cranium see 7:65, 12:14. Vertex--4:8. Sinciput-4:9. Forehead-4:10. Occiput-4:11. Temples-4:12. Ear-4:13. Auricles-4:14. b. Regions of head-82:1. (Fig. 1 and pls. 11, 12.) Frontal region-82 :2. Supraorbital region-82 :3. Parietal region-82 :4. Occipital region-82:5. Temporal region-82:6. Auricular region-82 :7. Mastoid region-82 :8. 2. SCALP AND TEMPORAL REGIONS: SUPERFICIAL BLOOD VESSELS AND NERVES. a. Frontal region. Incisions for skin reflection: (a) median longitudinal from the glabella to the external occipital protuberance; (&) frontal over the vertex from the right to the left mastoid processes; (c) from a point on the latter incision just above the ear, downward and slightly anteriorly to the root of the zygomatic arch. Supratrochlear nerve-66 :22. Supraorbital nerve-66 :20. Frontal artery-48 :12. Supraorbital artery-48 :5. Angular vein-53 :71. 5. Temporal region. Temporal branches of facial nerve--67 :58. Auriculotemporal nerve-67 :16. Zygomaticotemporal branch of zygomatic nerve-66 :41. Superficial temporal artery-47 :36. Frontal ramus-47 :42. Parietal ramus-47 :43. Superficial temporal veins-54:7. c. Mastoid and occipital regions. Posterior auricular nerve-67 :52. Occipital ramus**-67 :33, Posterior ramus of great auricula.r nerve**-69 :12. Lesser occipital nerve-69 :10. 35 Plate VI Lateral aspect of the head and neck showing surface anatomy and surface projections of the bones of the cranium, cervical vertebrae, and girdle of the superior extremity. 36 [ EMMEL] B* N A PLATE VI ■Glabella Arcus zygomaticus Protuberant! a occipitalis externa Processus mastoideus' Foramen mentale Tuberculum caroticum Vertebra prominens Acromion Clavicula HEAD AND NECK 37 Great occipital nerve-69 :6. Posterior auricular artery-47 :29. Occipital artery-47 -.22. Posterior auricular vein-54:21. Occipital vein-54:20. 3. SCALP: DEEPER STRUCTURES. a. Muscles. Epicranius muscle-24:8. Frontal muscle-24:9. Procerus muscle-24:11. Occipitalis muscle-24:10. Auricularis anterior muscle-24:20. Auricularis superior muscle-24:21. Auricularis posterior muscle-24:22. Galea aponeurotiea-24:42. Pericranium-12:16. Exposed by dividing the galea aponeurotiea by two incisions, about 4 cm. in length, intersecting each other at right angles at the vertex and reflecting the flaps, identifying at the same time the loose areolar connective tissue external to it. &. Lymphatics. Occipital lymph glands-56 :35. Posterior auricular glands-56 :36. Anterior auricular glands-56 :37. 4. AURICLE OR EXTERNAL EAR. Lobule of the auricle-78:33. Tragus-78 :46. Incisura intertragica-78:49. Incisura anterior-78:45. Concha of auricle-78 :43. Cymba of concha-78:44. Cavity of concha-78:45. Helix-78 :35. Crus helicis**-78 :36. Spina helicis**-78:37. Cauda Helicis**-78:38. Anthelix-78 :39. Crura anthelicis**-78:41. Fossa triangularis**-78:40. (Tuberculum auriculae)**-78:50. Fossa anthelix**-78:59. Eminentia conchae**-78 :60. Eminentia scaphae**-78 :61. Eminentia fossae triangularis**-78:62. The muscles and ligaments of the external ear-78:67-74-may be exposed by removing the skin from the auricle. 38 REGIONAL ANATOMY II. Intracranial Structures in Relation to the Brain and Cranial Wall 1. STRUCTURES EXPOSED BY THE REMOVAL OF THE CALVARIA. The calvaria may be removed by: (a) making a median longitudinal incision through the galea aponeurotica and pericranium, extending from the glabella to the external occipital protuberance, and reflecting the two flaps laterally to the level of the temporal lines; (h) detaching the temporal muscle and temporal fascia from the bone and completing the reflection of the galea aponeurotica, pericranium, temporal fascia, and muscle downward to the level of the ears; (c) with a saw making a cut along the largest horizontal circumference of the cranium passing just superior to the glabella anteriorly and a little above the external occipital protuberance posteriorly, sawing through the outer table of the skull only; (d) with a mallet and chisel splitting the inner table of the bone along the line of the preceding cut, inserting a hook or other instrument into the cut in front and forcibly wrenching off the skull cap. Dura mater of the brain-65 :33. Middle meningeal artery-47 :50. Arachnoideal granulations-65:53. The following structures may be exposed: (a) by making two sagittal incisions through the dura mater, one on each side of the superior sagittal sinus, along its entire length anteriorly and posteriorly; (b) from the middle of each of the preceding incisions, cutting lateralward through the dura mater down to the cut margins of the skull and reflecting the four flaps of the dura mater. Subdural cave-65 :43. Arachnoid of the brain-65 :45. Pia mater of the brain-65 :67. Venae cerebri-53 :41. Superior sagittal sinus-53 :19. Its interior may be exposed by an incision extending throughout its entire length. Falx cerebri-65 :34. 2. STRUCTURES EXPOSED BY THE REMOVAL OF THE BRAIN. a. Roots of cerebral nerves. As preliminary to the removal of the brains the roots of the cerebral nerves may be exposed by: («) detaching the falx cerebri from the crista galli and pulling it backward; (&) raising the frontal lobes of the brain from the floor of the cranium (facilitated by letting the head hang backward over a head block) and detaching the olfactory bulbs from the lamina cribrosa of the ethmoid bone and thus at the same time severing the olfactory nerves; (c) dividing (preferably with a scissors) the optic nerves, internal carotid arteries, infundibulum oculomoter nerves and the trochlear nerves (the latter being found in relation to the free margin of the tentorium cere- belli); (d) exposing the tentorium from the middle cranial fossae, dividing the tentorium along its attachment to the superior angle of the temporal bone on each side; and (e) identifying and dividing in succession the following cerebral nerves: Trigeminal nerve-66 :11. Abducent nerve-67 :46. 3 A second method for the removal of the brain which may be adopted at stage (d) in the above procedure is to displace the temporal lobes of the cerebrum, divid- ing the mid-brain, removing the cerebrum and studying the structures thus exposed within the base of the cranium. Next divide the tentorium along its attached border, study the exposed surface of the cerebellum and then proceed as in stages (e) and (/). The former method is the one usually adopted in an autopsy; the latter method is perhaps more instructive, although it does not leave the brain intact. HEAD AND NECK 39 Facial nerve-67 :47. Acoustic nerve-67 :65. Glossopharyngeal nerve-68 :8. Vagus nerve-68:22. Accessory nerve-68 :57. Hypoglossal nerve-68 :60. (/) The detachment of the brain may then be completed by divid- ing the vertebral arteries and spinal cord just below the level of the foramen magnum and removing the organ. b. General structural characteristics of the exposed base of the cranium and related dura mater. The following structures may be identified by inspection: Anterior, middle, and posterior cranial fossae-12 :29-31. Crista galli-10 :38. Small wing of the sphenoid bone-8:41. Anterior clinoid process-8 :44. Opthalmic artery-47 :70. Posterior clinoid process-8 :31. Diaphragm sellae-65 :37. Cisterna interpeduncularis-65 :51. Falx cerebellum-65 :36. Great cerebral veins-53 :48. Basal vein-53:51. The foramina transmitting the cerebral nerves may be demonstrated in a skeletal preparation of the skull. c. Sinuses of the dura mater-53:13. In opening and demonstrating the following sinuses, the dura should be left in situ in the floor of the cranium. Transverse sinus-53 :14. Confluence of the sinuses-53 :15. Occipital sinus-53 :17. Superior sagittal sinus-53 :19. Inferior sagittal sinus-53 :20. Straight sinus-53 :21. Inferior petrosal sinus-53 :22. Superior petrosal sinus-53 :23. Cavernosus sinus-53:24. (Its walls and contents should be left intact.) Anterior and posterior intercavernosus sinuses-53 :25-26. Circular sinus-53 :28. Sphenoparietal sinus-53 :28. Basilar plexus-53 :18. Diploic veins-53 :29-33. Emissary veins-53 :34-37. d. Arteries. The cut ends of the following arteries may be identified by inspec- tion of the floor of the cranium and the base of the brain, and their osseous relations in the cranium demonstrated in a skeletal preparation of the skull. Internal carotid artery-47 :68. Vertebral artery-48:21. Middle meningeal artery-47 :50. 40 REGIONAL ANATOMY e. Hypophysis-62 :30. May be isolated for study by detaching the diaphragma sellae and removing the hypophysis from the sella turcica. Anterior and posterior lobes-62:31, 32. The relations of its lobes may be further examined by dividing the hypophysis in the sagittal plane. To retain the structure in the floor of the cranium for later study the cranial cavity may be filled with tow or gauze soaked with preserva- tive fluid, the calvarium replaced and the scalp flaps stitched in position over it. III. Structures in the Lateral and Anterior Regions of the Neck. 1. SURFACE ANATOMY. (Pls. 5, 6.) Hyoid bone-12:10. Greater cornua-12 :13. Laryngeal prominence-36 :19. Thyreoid cartilage-36 :21. Cricoid cartilage-36 :35. Trachea-37 :41. Carotid tubercle of the 6th cervical vertebra-6 :42. Jugular notch-7 :54. Clavicle-13 :59. Mandible-11:60. (Its inferior margin.) Mastoid process-8 :78. Sternocleidomastoid muscle-24:55. 2. REGIONS OF THE NECK. (Fig. 1 and pls. 11, 12.) Anterior regions of the neck-82:24. Submental region-82 :25. Hyoid region-82 :26. Subhyoid region-82 :27. Laryngeal region-82 :28. Thyreoid region-82 :29. Suprasternal region-82 :30. Jugular fossa-82:31. Submaxillary region-82:32. Carotid fossa-82 :33. Sternocleidomastoid region-82 :34. Lesser supraclavicular fossa-82 :35. Lateral regions of the neck-82 :36. Larger supraclavicular fossa-82 :37. Omoclavicular triangle-82 :38. Posterior regions of the neck-82 :39. Nuchal region-82 :40. 3. SUPERFICIAL FASCIA, PLATYSMA, VEINS, AND CUTANEOUS NERVES. Incisions for skin reflection: (a) in the middle line from the chin to the manubrium; (&) from the middle of the superior margin of the manubrium obliquely upward and backward along the sternocleidomastoid muscle to the mastoid process; (c) from the middle of the superior margin of the manubrium laterally along the clavicle to the acromion. Superficial fascia-23 :36. Platysma muscle-24:54. HEAD AND NECK 41 The following structures may be exposed by reflecting the platysma up- ward, confining the dissection only to the superficial region of the neck and thus guarding against disturbance of the deeper structures listed in the following sections. External jugular vein-54:19. Posterior auricular vein-54:21. Anterior jugular vein-54:22. Superficial cervical lymph glands-56 :41. Lesser occipital nerve-69 :10. Great auricular nerve-69 :11. Cutaneous nerve of the neck-69 :14. Superior rami-69 :15. Inferior rami-69 :16. Supraclavicular nerves-69 :17. Anterior supraclavicular nerves-69 :18. Middle supraclavicular nerves-69 :19. Posterior supraclavicular nerves-69 :20. Cervical branch of the facial nerve-67 :62. 4. CERVICAL FASCIA AND STERNOCLEIDOMASTOID MUSCLE. Cervical fascia-24:70. The various subdivisions and certain deeper relations of the fascia can as yet not be completely exposed. In the region of the sternum the superficial or investing layer of the cervical fascia divides into two layers and encloses a suprasternal space (sometimes called the space of Burns) which may be exposed by making a transverse incision through the fascia immediately above the sternum and a second incision about 2 cm. in length along the anterior border of each sternocleido- mastoid muscle, reflecting the fascial flap upwards and demonstrating the areolar tissue, content of the space and the lower parts of the anterior jugular veins and their anastomoses. Sternocleidomastoid muscle-24:55. 5. POSTERIOR TRIANGLE OF THE NECK. The following contents of the posterior triangle of the neck may be exposed by carefully removing the cervical fascia, noting its relations to the omohyoid muscle and the chain of deep cervical lymph glands along the posterior margin of the sternocleidomastoid muscle and con- fining the dissection to the triangle and its two subdivisions. All nerves and vessels must be carefully noted and guarded during the progress of the dissection of this complex region. a. Occipital triangle. Occipital artery-47 :22. Transverse cervical artery-48 :67. Occipital vein-54:20. Transverse cervical veins-54:28. Supraclavicular nerves-69 :17-20. Accessory nerve-68 :57. Muscular rami of the cervical nerves to the trapezius and levator scapulae muscles. Superior deep cervical lymph glands-56 :42. 42 REGIONAL ANATOMY b. Supraclavicular triangle. This triangle has also been designated the subclavius triangle. Cf. omoclavicular trigone-82:38. Inferior belly of the omohyoid muscle-24:59. Prevertebral fascia-24:71. The following structures are exposed by removing the prevertebral fascia. Transverse cervical artery-48 :67. Transverse scapular artery-48 :60. Slightly inferior to the level of the triangle, strictly speaking. Subclavian artery-48:20. (Its third part.) External jugular vein-54:19. Anterior jugular vein-54:22. Transverse cervical veins-54:28. Transverse scapular vein-54:25. Subclavian vein-54:26. Slightly inferior to the level of the triangle, strictly speaking. Inferior deep cervical lymph glands--56 :43. c. Supraclavicular part of the brachial plexus-69 :25. Posterior thoracic nerves-69 :26. Dorsal scapular nerve-69 :27. Long thoracic nerve-69 :28. Anterior thoracic nerves-69 :29. Subclavian nerve-69 :30. Suprascapular nerve-69 :31. Thoracodorsal nerve-69 :33. Axillary nerve-69 :34. d. Muscles in floor of posterior triangle. Splenius capitis muscle-23 :24. Levator scapulae muscle-23 :20. Scalenus medius muscle-24:67. Scalenus posterior muscle-24:68. 6. ANTERIOR TRIANGLE. The following structures should be dissected with reference to both their continuity throughout the anterior triangle as a whole as well as their relations to its three subdivisions (the submaxillary, carotid, and muscular triangles), removing at the same time the cervical fascia but guarding against injury to nerves. a. Submaxillary or digastric triangle. The following structures may be identified with very little if any dissection: Submaxillary lymph glands-56 :38. Submaxillary gland-31:11. External maxillary artery-47 :13. Submental artery**-47 :16. Mylohyoid ramus of the internal maxillary artery**-■ 47 :48. Anterior facial vein-53 :70. Lingual vein**-53 :6. HEAD AND NECK 43 Hypoglossal nerve-68 :60. Mylohyoid nerve-67 :32. Mylohyoid muscle-24:51. Hyoglossus muscle-32:3. By making a short vertical slit in the hyoglossus muscle between the hypoglossal nerve and the tendon of the digastric muscle, the lingual artery may be exposed at a point where it is frequently ligated. b. Carotid triangle. Common carotid artery-46 :59. In determining the relations of the carotid artery to the carotid sheath of the cervical fascia it will be observed that throughout the greater part of their course the structures within the carotid sheath together with the cervical part of the sympathetic nerve trunk are strictly speaking internal to the sternocleidomastoid muscle rather than within the carotid triangle, and that their exposure consequently involves a lateral retraction of this muscle. External carotid artery-46 :60. Superior thyreoid artery-46 :61. Hyoid ramus-46 :62. Sternocleidomastoid ramus-46 :63. Superior laryngeal artery-46 :64. Lingual artery-47 :8. External maxillary artery-47 :13. Sternocleidomastoid artery-47 :21. Occipital artery-47 :22. Ascending pharyngeal artery-47 :4. Internal carotid artery-47 :68. Internal jugular vein-52:69. Lingual vein-53 :6. (Superior thyreoid veins)-53:10. Common facial vein-53 :69. Anterior facial vein-53 :70. Posterior facial vein-54:6. Hypoglossal nerve-68 :60. Descending ramus-68 :61. Ansa hypoglossi-68 :62. Thyreohyoid ramus-68 :63. Accessory nerve-68:57. (Its external ramus-68:59.) Vagus nerve-68 :22. Superior laryngeal nerve-68 :30. External ramus-68 :31. Internal ramus-68 :32. Cervical part of the sympathetic trunk-71:34. Superior cervical ganglion-71:35. External carotid nerves-71:45. External carotid plexus-71:46. Superior deep cervical lymph glands-56 :42. Larynx-36:18. (Identified without dissection.) Pharynx-32:99. (Identified without dissection.) Glomus caroticum-38 :30. 44 REGIONAL ANATOMY c. Muscular triangle. Sternohyoid muscle-24:56. Sternothreoid muscle-24:60. Nerves to the sternothyreoid and sternohyoid muscles. External ramus of the superior laryngeal nerve-68 :31. Inferior laryngeal nerve-68 :40. The following structures should be identified without dissection: Larynx-36 :18. Trachea-37 :41. Thyreoid gland-38 :22. Oesophagus-32 :66. 7. STRUCTURES IN RELATION TO THE ANTERIOR MEDIAN LINE OF THE NECK. The relations of the following structures should be observed with very little, if any, dissection: a. Suprahyoid region. Platysma muscle-24:54. (Already exposed, 111:3.) Superficial fascia-23 :36. Anterior bellies of the digastric muscles-24:48. The submental triangle and its contents are situated between them. Mylohyoid muscles-24:51. (Separated by a raphe.) b. Infrahyoid region. Hyothyreoid membrane-36 :34. Thyreoid cartilage-36 :21. Cricothyreoid ligament-36 :45. Cricoid cartilage-36 :35. Cricothyreoid muscles-36:78. Trachea-37 :41. Isthmus of thyreoid gland-38':23. (Pyramidal lobe of thyreoid gland)-38:24. Inferior thyreoid veins-52 :52. 8. MUSCLES OF THE NECK: SECOND AND THIRD LAYERS. Digastric muscle-24:47. Stylohyoid muscle-24:50. Omohyoid muscle-24:57. Sternohyoid muscle-24:56. Sternothyreoid muscle-24:60. Thyreohyoid muscle-24:61. 9. STERNOCLAVICULAR ARTICULATION-19:52. May be exposed by dividing the sternal and clavicular heads of the sterno- cleidomastoid muscle and reflecting the muscle toward its insertion. Sternoclavicular ligament-19 :55. Inter clavicular ligament-19 :57. Costoclavicular ligament-19 :56. Articular capsule-19 :53. Articular disc-19 :54. HEAD AND NECK 45 10. ROOT OF THE NECK. a. Muscles. The exposure of the scalene muscles may be gradually completed as the following nerves and vessels are demonstrated. Anterior scalene muscle-24:66. Middle scalene muscle-24:67. Posterior scalene muscle-24:68. I). Blood vessels and lymphatics. Many of the following structures have already been partly exposed in preceding dissections and are here re-listed with more especial reference to their relations to the root of the neck. Subclavian artery-48 :20. In demonstrating the following blood vessels care should be taken to g-uard against injury to the cervical nerves and sympathetic trunk listed under subhead c. Vertebral artery-48:21. Internal mammary artery-48 :34. Thyreocervical trunk-48 :48. Inferior thyreoid artery-49 :49. Ascending cervical artery-48 :55. Superficial cervical artery-48 :59. Transverse scapular artery-48 :60. Costocervical trunk-48 :62. Highest intercostal artery-48 :63. Deep cervical artery-48 :66. Transverse cervical artery-48 :67. Right and left innominate veins-52:51. Inferior thyreoid veins-52 :52. Inferior laryngeal vein**-52 :55. Lowest thyreoid vein-52 :53. Unpaired thyreoid plexus**-52 :54. Vertebral vein-52:63. Deep cervical vein**-52:64. Internal jugular vein-52:69. Inferior bulb of the jugular vein-52:70. Subclavian vein-54:26. Thoracoacromial vein-54:27. Transverse cervical veins-54:28. Thoracic duct-56 :25. Right lymphatic duct-56 :24. c. Nerves. Phrenic nerve-69 :21. Vagus nerve-68:22. Cervical sympathetic trunk-71:34. (Its inferior part.) Middle cervical ganglion-71:60. Inferior cervical ganglion-71:62. Superior cardiac nerve-71:59. Middle cardiac nerve-71:61. Inferior cardiac nerve-71:64. Ansa subclavia-71:63. 46 REGIONAL ANATOMY d. Remaining structures at the root of the neck. Structures identified without dissection. Summit of pleura-38 :5. Trachea-37 :41. Oesophagus-32:66. 11. CERVICAL PLEXUS AND VISCERA OF THE NECK. Cervical plexus-69 :9. The following organs should be left in situ for later reference: Thyreoid gland-38:22. Isthmus-38 :23. (Pyramidal lobe)-38:24. Right and left lobes-38 :25. (Accessory thyreoid glands)-38 :28. (Also designated para- thyreoid glands.) Trachea-37 :41. Tracheal cartilages-37 :42. Membranous wall-37 :44. Cervical part of oesophagus-32:67. IV. Back of the Head and Neck. 1. REGIONS OF THE BACK OF THE HEAD AND NECK. (Pl. 12.) Parietal region-82 :4. Occipital region-82 :5. Posterior region of the neck-82:39. Nuchal region-82 :40. Fovea nuchae-83 :1. 2. FASCIA, SUPERFICIAL NERVES AND VESSELS. Incisions for skin reflection: (a) from the external occipital protuberance to the spine of the vertebra prominens; (&) from the spine of the vertebra prominens laterally on each side to the medial border of the acromion; (c) from the external occipital protuberance laterally on each side for about 6 cm. Superficial fascia-23 :36. Great occipital nerve-69 :6. Small occipital nerve-69 :10. Occipital vein-54:20. (Third occipital nerve)-69 :7. Posterior rami of cervical nerves IV-VIII-69 :2. Posterior ramus of great auricular nerve-69 :12. For the relation of the first cervical nerve and vertebral artery to the sub- occipital space see end of following section. 3. MUSCLES IN RELATION TO THE BACK OF THE NECK. Trapezius muscle-23:15. (Its cervical part only.) Levator scapulae muscle-23 :20. May be exposed by dividing the trapezius muscle at its origin from the superior nuchal line and external occipital protuberance, and cutting through the muscle about 1 cm. from the cervical vertebral spines and reflecting the cervical part of the muscle laterally, guarding against injury to underlying structures. HEAD AND NECK 47 The following structures are either internal to the levator scapulae muscle or in relation to the superior margin of the scapula. Descending ramus of the transverse cervical artery-48 :69. Dorsal scapular nerve-69 :27. Inferior belly of omohyoid muscle-24:59. Transverse scapular artery-48 :60. Suprascapular nerve-69 :31. Rhomboideus minor muscle-23:19. (Its origin only.) In demonstrating the following structures the rhomboideus minor muscle should be detached at its origin and reflected laterally. Fascia nuchae-24:6. Ligamentum nuchae-18 :45. Serratus posterior superior muscle-23 :22. In demonstrating the following two muscles, the serratus posterior superior muscle should be detached at its origin and reflected laterally. Splenius capitis muscle-23 :24. Splenius cervicis muscle-23 :23. The following muscles are exposed by dividing the attachments of the splenius capitis and splenius cervicis muscles close to the spines of the vertebrae and reflecting the muscles. Tliocostalis cervicis muscle-23 :29. Longissimus capitis muscle-23 :44. Spinalis cervicis muscle-23 :47. Spinalis capitis muscle-23 :48. In demonstrating the following two muscles the longissimus capitis should be detached at its origin and reflected toward its insertion. Semispinalis cervicis muscle-23 :51. Semispinalis capitis muscle-23 :52. Multifidus muscle-23:53. May be exposed by detaching the semispinalis capitis muscle from the transverse processes of the cervical vertebrae and reflecting the muscle toward its insertion. Guard the vessels and nerves internal to the muscle. Rotatores muscles-23 :54. May be exposed by removing the multifidus muscle. Rotatores longi muscles-23 :56. Rotatores breves muscles-23 :57. Interspinales muscles-23 :58. Rectus capitis posterior major muscle-23 :64. Rectus capitis posterior minor muscle-24:1. Obliquus capitis superior muscle-24:3. Obliquus capitis inferior muscle-24:4. The following structures are in relation to the suboccipital space or triangle formed by rectus capitis posterior major and the oblique capitis superior and inferior muscles. Suboccipital nerve-69:5. (Ite posterior ramus.) Vertebral artery-48:21. (Its third part only.) Posterior arch of atlas-6 :59. 48 REGIONAL ANATOMY 4. DEEPER BLOOD VESSELS AND NERVES OF THE BACK OF THE NECK. For the more superficial vessels and nerves see 1:2c. Occipital artery-47 :22. Muscular rami**-47 :25. Ramus descendens**-47 :26. Mastoid ramus**-47 :23. Auricular ramus**-47 :24. Occipital rami**-47 :28. Ascending cervical artery-48 :55. Deep cervical artery-48 :66. Occipital vein-54:20. Mastoid emissary vein-53 :35. Deep cervical vein-52 :64. Posterior rami of cervical nerves-69 :2. Medial rami-69 :3. Lateral rami-69 4. V. Face and Frontal Region of the Head. 1. SURFACE ANATOMY. (Pls. 5, 6.) Glabella-10:21. Supraorbital margin of frontal bone-10:9. Infraorbital margin of maxillary bone-10:74. Zygomatic arch-12 40. Temporal fossa-12 :39. Ramus of the mandible-11:72. Body of the mandible-11:61. Fossa retromandibularis-82 :22. Nose-4:23. Dorsum-4:24. Apex-4:25. Ala-4:26. Septum-35 :39. Nares-35 :37. Mouth-4:27. Superior and inferior lips-4:30, 31. Rima oris-4:32. Angle of the mouth-30:38. Nasolabial sulcus-4:28. Cheek-4:36. Chin-4:38. Mentolabial sulcus-4:37. Eye-4:16. Superior and inferior eyelids-4:17, 18; 75:12, 13. Rima palpebrarum-4:19, 75:16. Medial and lateral palpebral commissures-75:17, 18. Angulus oculi medialis and lateralis-7 ': 19, 20. Bulbus oculi-4:20. Infrapalpebral sulcus-4:22. Supercilium-4:21. Anterior and posterior palpebral surfaces-75:14, 15. HEAD AND NECK 49 Anterior and posterior palpebral margins-75:21, 22. Tarsal glands-75:27. (Their openings only.) Sebum palpebrale-75:28. Tunica conjunctive palpebrarum-75:35. Tunica conjunctive oculi-75:34. Fornix conjunctive superior and inferior-75:36, 37. Lacus lacrimalis-75:47. Caruncula lacrimalis-75:33. Plica semilunares conjunctivae-75:32. Papilla lacrimalis-75:50. Puncta lacrimalia-75 :48. Ductus lacrimales-75:49. 2. REGIONS OF THE FACE-82:9-21. (Fig. 1 and pl. 11.) Nasal region-82 :10. Oral region-82:11. Superior and inferior labial regions-82:16, 17. Mental region-82:14. Orbital region-82:15. Superior and inferior palpebral regions-82:16, 17. Infraorbital region-82 :18. Infraorbital region-82 :20. Buccal region-82 :19. Zygomatic region-82 :20. Parotideomasseteric region-82:21. Retromandibular fossa-82 :22. 3. FASCIA AND PAROTID GLAND. Incisions for skin reflection: (a) median longitudinal from the forehead to the tip of the chin; (b) from the anterior median line transversely at the level of the rima palpebrarum, encircling the eye, and extending posteriorly to the ear; (c) transversely from the angle of the mouth to the posterior border of the ramus of the mandible. Parotid gland-31:13. May be exposed by removing the parotideomasseteric fascia, but guard- ing all nerves from injury. Retromandibular process-31:14. Accessory parotid gland-31:15. Parotid duct-31:16. 4. SUPERFICIAL NERVES OF THE FACE. Anterior ramus of the great auricular nerve**-69 :13. Branches of the Facial Nerve: Exposed by carefully removing the parotid gland, a part at a time. The exit of the facial nerve from the stylomastoid foramen may be exposed by cutting away (with saw and chisel) the free projecting part of the mastoid process, guarding against injury to the posterior auricu- lar nerve. Parotid plexus-67 :57. Temporal rami-67 :58. Zygomatic rami-67 :59. Buccal rami-67 :60. Marginal mandibular ramus-67 :61. Digastric ramus-67 :54. Stylohyoid ramus-67 :55. 50 REGIONAL ANATOMY Branches of the Ophthalmic Division of the Trigeminal Nerve: Supraorbital nerve-66 :20. Frontal ramus-66:21. (Of the frontal nerve.) Supratrochlear nerve-66 :22. Anterior nasal rami of the nasociliary nerve**-66 :28. Superior and inferior palpebral rami of the infratrochlear nerve**-66 :34, 35. Branches of the Maxillary Division of the Trigeminal Nerve: Zygomaticotemporal ramus of the zygomatic nerve-66 :41. Zygomaticofacial ramus of the zygomatic nerve-66 :42. Inferior palpebral rami of the infraorbital nerve-66 :52. External nasal rami of the infraorbital nerve-66 :53. Superior labial rami of the infraorbital nerve-66 :55. Branches of the Mandibular Division of the Trigeminal Nerve: Buccinator nerve--67 :13. May be identified at this stage of the dissection through its anasto- moses with the facial nerve. Auriculotemporal nerve-67 :16. Mental nerve-67 :33. 5. SUPERFICIAL BLOOD VESSELS OF THE FACE. Branches of the External Carotid Artery: Superficial temporal artery-47 :36. Parotid rami-47 :37. Transverse artery of face-47 :38. Anterior auricular rami-47 :39. Zygomaticoorbital artery-47 :40. Middle temporal artery-47 :41. Internal maxillary artery-47 :44. (Its origin only.) External maxillary artery--47 :13. Inferior labial artery-47 :18. Superior labial artery-47 :19. Angular artery-47 :20. Posterior facial vein and its tributaries-54:6-9, 13, 14. Anterior facial vein and its tributaries-53:70-77, 54:1-5. 6. MUSCLES OF THE FACE AND FRONT OF HEAD. Platysma muscle-24:54. Frontalis muscle-24:9. Procerus muscle-24:11. Orbicularis oculi muscle-24:16. Pars palpebralis-24:17. Pars orbitalis-24:18. Pars lacrimalis-24:19. Nasalis muscle-24:12. Pars transversa-24:13. Pars alaris-24:14. Depressor septi nasi muscle-24:15. Orbicularis oris muscle-24:23. Quadratus labii superioris muscle-24:28. Caput zygomaticum-24:29. Caput infraorbitale-24:30. Caput angulare-24:31. HEAD AND NECK 51 Zygomatic muscle-24:27. Risorius muscle-24:26. Triangularis muscle-24:24. Quadratus labii inferioris muscle-24:32. Caninus muscle-24:33. Buccinator muscle-24:34. Buccopharyngeal fascia-24:43. Ineisivi labii superioris and inferioris muscles-24:35, 36. VI. Structures in Relation to the Temporal and Infratemporal Fossae. 1. FASCIA, MUSCLES, AND VESSELS. Temporal fascia-24:45. Zygomatic and temporal rami of the facial nerve-67 :59, 58. Zygomaticofacial and zygomaticotemporal rami of the zygomatic nerve-66 :42, 41. Middle temporal artery-47 :41. Masseter muscle-24:38. The following nerve and artery may be exposed as they pass through the mandibular notch by detaching the temporal fascia from the zygomatie arch, with a saw and bone forceps dividing the zygomatie arch immediately anterior and posterior to the origin of the masseter muscle (the anterior saw-cut being made obliquely downward and anteriorly connecting the an- terior ends of the superior and inferior margins of the arch), and carefully reflecting the detached segment of the zygomatic arch and masseter muscle (the dissection may be complicated by a union of the masseter and temporal muscles). Masseter nerve-67 :9. Masseteric artery-47 :54. Temporal muscle-24:39. Exposed by dividing the masseteric nerve and artery and completing the reflection of the masseter muscle toward its insertion. The deeper structures of the temporal fossa are demonstrated by removing the coronoid process of the mandible by a cut extending from the middle of the incisura mandibulae downward and anteriorly to the junction of the anterior margins of the coronoid process and ramus of the mandible (mak- ing the incision partially with a saw and completing the division with a bone forceps), reflecting the coronoid process and the attached temporal muscle upward (guarding at the same time against cutting the buccinator nerve), and with the handle of a scalpel detaching the deeper portion of the temporal muscle at its origin. Anterior and posterior deep temporal nerves-67 :11, 12. Anterior and posterior deep temporal arteries**-47 :56, 55. Median temporal artery-47 :41. Zygomaticotemporal branch of the zygomatic nerve**-66 :41. The following structures in the infratemporal fossa may be more fully ex- posed by removing a segment of the ramus of the mandible. To this end two incisions may be made, one through the neck of the condyloid process of the mandible and a second transversely through the ramus of the mandible immediately superior to the level of the mandibular foramen (locating the level of the foramen by inserting the handle of a scalpel between the ramus and the subjacent structures and carrying it downwards until its progress is arrested by the vessels and nerves entering the fora- men). In the case of both incisions the cut should be made through the lateral table of the bone with a saw and the incision completed with a bone 52 REGIONAL ANATOMY forceps; the isolated segment of the mandicular ramus is removed and the subjacent nerves, vessels and muscles exposed. External pterygoid muscle-24:40. Internal pterygoid muscle-24:41. Buccinator muscle-24:34. Buccopharyngeal fascia-24:43. Pterygomandibular raphe-32 :52. Internal maxillary artery-47 :44. (Its first and second parts.) Deep auricular artery**--47 :45. (Its origin only.) Anterior tympanic artery**-47:46. (Its origin only.) Inferior alveolar artery-47 :47. Mylohyoid ramus-47 :48. Middle meningeal artery-47 :50. (Accessory menigeal ramus)-47 :51. Masseteric artery-47 :54. Posterior and anterior deep temporal artery-47 :55, 56. Pterygoid rami**-47 :57. Buccinator artery**-47 :58. Posterior superior alveolar artery-47 :59. The following tributaries of the posterior fascial vein are seldom well enough preserved to be satisfactorily demonstrated by dissection: Articular mandibular veins**-54:10. Stylomastoid vein**-54:12. Pterygoid plexus-54:13. Transverse facial vein**-54:13. 2. MANDIBULAR ARTICULATION-19:35. Articular capsule-19 :36. Temporomandibular ligament-19 :38. Sphenomandibular ligament-19 :39. Stylomandibular ligament-19 :40. Articular disc-19 :37. Exposed by removing the temporomandibular ligament. 3. NERVES. The demonstration of the following nerves may be completed by disarticu- lating the condyloid process and reflecting it together with the external pterygoid muscle anteriorly, guarding at the same time against cutting the auriculotemporal nerve. Mandibular nerve--67 :6. Spinosus nerve-67 :7. Masticator nerve-67 :8. Masseteric nerve-67 :8. Anterior and posterior deep temporal nerves-67 :11, 12. Buccinator nerve-67 :13. External pterygoid nerve-67 :14. Internal pterygoid nerve-67 :15. Auriculotemporal nerve-67 :16. Nerve of the external auditory meatus**-67 :17. Ramus to the tympanic membrane**-67 :8. Lingual nerve-67 :23. Inferior alveolar nerve-67 :32. Mylohyoid nerve-67 :32. Chorda tympani-67 :64. HEAD AND NECK 53 4. MANDIBULAR CANAL^12:3. May be exposed by removing (by means of a saw, chisel, and bone forceps) the outer compact layer of the mandible. Inferior alveolar artery-47 :47. Mylohyoid ramus--47 :48. Mental artery-47 :49. Inferior alveolar nerve-67 :28. Inferior dental plexus-67 :29. Inferior dental rami-67 :29. Inferior gingival rami--67 :31. Mylohyoid nerve-67 :32. Mental nerve-67 :33. . Mental rami-67 :33. Mental rami-67 :34. Inferior labial rami-67 :35. VII. Submaxillary Region. 1. SUPERFICIAL STRUCTURES IN THE SUBMAXILLARY REGION. With the exception of the following structures the more superficial struc- tures in this region have already been listed in connection with the sub- maxillary or digastric triangle, III: Ga. Digastric muscle-24:47-49. Stylohyoid muscle-24:50. Submaxillary gland-31:11. (Its superficial part only.) 2. DEEPER STRUCTURES IN THE SUBMAXILLARY REGION. Mylohyoid muscle-24:51. Exposed by dividing the anterior belly of the digastric muscle near its attachment to the mandible, sawing through the mandible slightly lateral to the median plane on each side (so as to leave intact the attachments of the geniohyoid and genioglossus muscles), and everting the inferior border of the lateral part of the mandible. Lingual nerve-67 :23. May be exposed by dividing the mylohyoid muscle slightly below its origin from the mylohyoid line of the mandible and along the median raphe, and reflecting the muscle downward over the hyoid bone, guard- ing at the same time against cutting the mucous membrane of the mouth. Sublingual nerve**-67 :26. Lingual rami**-67 :27. Hypoglossal nerve-68 :60. Lingual rami**-68 :64. Submaxillary ganglion-67 :43. Rami communicating with the lingual nerve-67 :44. Submaxillary rami-67 :45. Glossopharyngeal nerve-68 :8. Submaxillary gland-31:11. (Its deep part.) Submaxillary duct-31:12. Sublingual gland-31:8. Major and minor sublingual ducts-31:9, 10. Hyoglossus muscle-32 :3. Styloglossus muscle-32:5. Chondroglossus muscle**-32 :4. 54 REGIONAL ANATOMY Genioglossus muscle-32:2. Geniohyoid muscle-24:52. Lingual artery-47 :8. Exposed by detaching the hyoglossus muscle from the hyoid bone and reflecting it upward. Dorsal rami of the tongue**-47 :11. Sublingual artery**-47 :10. Deep artery of the tongue**-47 :12. Lingual vein-53 :6. . Stylohyoid ligament-18 :54. VIII. Structures in Relation to the Deeper Regions of the Neck and Base of the Cranium. 1. OTIC GANGLION, TENSOR VELI PALATINI, STYLOPHARYNGEUS MUSCLES. Otic ganglion-67 :36. Exposed by dividing the lingual and inferior alveolar nerves immediately inferior to their origins and carefully displacing the mandibular nerve. Roots: A short root from the mandibular nerve:** A long root, the lesser superficial petrosal nerve**-67 :37. A sympathetic root from the plexus of the middle menin- geal artery.** Branches of Distribution: Tensor veli palatini nerve**-67 :38. Tensor tympani nerve**-67 :39. Communicating Rami: Anastomotic ramus with the spinous nerve**-67 :40. Anastomotic ramus with the auriculotemporal nerve**- 67 :41. Anastomotic ramus with the chorda tympani**-67 :42. Tensor veli palatini muscle-32:25. May be exposed by detaching the internal pterygoid muscle from the posterior border of the lateral lamina of the pterygoid process-8:61. Stylopharyngeus muscle-32 :32. May be exposed by dividing the posterior belly of the digastric muscle near its origin and reflecting it toward its attachment to the hyoid bone, cutting through the external carotid artery just inferior to its termina- tion, dividing the posterior auricular and occipital arteries at their origins and displacing the external carotid artery anteriorly (guarding against injury to the glossopharyngeal nerve). 2. BLOOD VESSELS. Internal carotid artery-47 :68. In completing its exposure the base of the styloid process may .be divided (with a bone forceps) and the styloid process together with the attached muscles reflected downward and anteriorly. The correlation of the structures at the base of the cranium with the structures previously ex- posed in the floor of the cranium may be facilitated by removing the calvarium (guarding, however, against drying of the cranial floor). In demonstrating the superior portion of the cervical part of the internal carotid artery, the pharyngeal rami of the vagus nerve should first be HEAD AND NECK 55 secured and the following four nerves identified in the interval between the internal jugular vein, namely, the glossopharyngeal, vagus, accessory and hypoglossal nerves. Ascending pharyngeal artery**-47 :4. Ascending palatine artery**-47 :14. Tonsillar ramus of the external maxillary artery**-47 :15. Internal jugular vein-52 :69. Superior bulb of the jugular vein-52:70. Lingual vein-53 :6. (Superior thyreoid veins)-53:10. Common facial vein-53 :69. By slitting open the inferior part of the internal jugular vein the valve situated near the termination of the vein may be demonstrated. 3. NERVES. Glossopharyngeal nerve-68 :8. Lingual rami**-68:21. (Their origin only.) Tonsillar rami**-68 :20. Stylopharyngeal ramus**-68 :19. Pharyngeal rami**-68 :18. Superior ganglion-68 :9. Petrous ganglion-68 :10. Tympanic nerve-68 :11. The following nerve, in the middle cranial fossa, is in relation- ship with the tympanic nerve: Lesser superficial petrosal nerve-67 :37. Vagus nerve-68:22. Ganglion jugulare-68 :23. Ganglion nodosum-68 :24, The following rami cannot be satisfactorily demonstrated in an ordi- nary dissection. Meningeal ramus**-68 :25. Auricular ramus**-68 :26. Anastomotic ramus with the glossopharyngeal nerve**- 68 :27. In review the following rami may be noted: Pharyngeal rami-68 :28. Superior laryngeal nerve and its rami-68 :30-33. Superior cardiac rami-68 :34. (Depressor nerve)-68:35. Recurrent nerve-68 :36. Accessory nerve--68 :57. Internal ramus**-68 :58. External ramus-68 :59. Hypoglossal nerve-68 :60. The demonstration of its exit from the hypoglossal canal is facilitated by dividing the internal jugular vein 5 cm. below the base of the skull and reflecting it upward. The following rami have already been exposed in preceding dissections: Ramus descendens-68 :61. Ansa hypoglossi-68 :62. Thyreohyoid ramus-68 :63. Lingual rami-68 :64. 56 REGIONAL ANATOMY 4. SYMPATHETIC TRUNK. Cervical part of the sympathetic trunk-71:34. Superior cervical ganglion-71:35. Jugular nerve**-71:36. Internal carotid nerve**-71:38. Internal carotid plexus**-71:38. External carotid nerves**-71:45. External carotid plexus**-71:46. Laryngopharyngeal rami**-71:57. Superior cardiac nerve-71:59. Middle cervical ganglion-71:60. Inferior cervical ganglion-71:62. The remaining rami and plexuses of the cervical part of the sympa- thetic system are indicated in -71-47-54, 56, 58, 65-68. Rectus capitis lateralis muscle**-24:2. IX. Structures in Relation to the Cervical Part of the Vertebral Column and the Posterior Part of the Base of the Skull. The head and neck may be divided into anterior and posterior parts by: (a) forcibly displacing the nerves and vessels of the neck together with the oesophagus and trachea anteriorly, away from the cervical vertebrae, and exposing the periosteum investing the base of the skull between the pharynx and prevertebral muscles; (h) with a chisel and mallet making a transverse incision through the pars basilaris of the occipital bone (directing the chisel as nearly as possible at right angles to the plane of the bone; (c) making two saw-cuts through the skull, one on each side, beginning at a point 2 cm. posterior to the mastoid process and extending obliquely anteromedially to a point immediately posterior to the jugular foramen; (d) with a chisel completing the division of the base of the skull by an incision on each side uniting the end of the preceding chisel-cut (h) with the adjacent end of the saw-cut (the incision in each case passing medialward between the jugular foramen and the hypoglossal canal); (e) dividing any remaining intervening soft parts and completing the separation of the anterior and posterior parts of the head and neck. The hypoglossal nerve will be divided close to the base of the skull and superior to the ganglion nodosum of the vagus nerve, but all other cerebral nerves should remain intact and be carried away with the anterior part of the skull. 1. MUSCLES, NERVES, AND BLOOD VESSELS. Rectus capitis lateralis muscle**-24:2. (Previously listed in Section VIII :4.) Rectus capitis anterior muscle**-24:65. Longus capitis muscle**-24:64. Longus colli muscle**-24:63. Anterior, middle and posterior scalene muscles-24:66-68. (Their attachments only.) Anterior and posterior intertransverse muscles**-23 :62, 63. Cervical nerves, I-VIII-69 :1. May be exposed by removing the prevertebral and scalene muscles. Anterior rami-69 :8. Posterior rami-69 :2. Vertebral artery-48 :21. May be exposed by removing the intertransverse muscles, the rectus capitis lateralis, the obliquus capitis superior and the obliquus capitis inferior muscles, and with a bone forceps cutting away the anterior tubercles and costal portions of the transverse processes of the third to sixth cervical vertebral. Spinal rami**-48 :22. Vertebral vein-52:63. HEAD AND NECK 57 2. ARTICULATIONS OF THE CERVICAL VERTEBRAE III-VII. Intervertebral fibrocartilages-18 :37. Fibrous ring-18 :38. Nucleus pulposus-18 :38. Ligamehta flava-18 :40. Articular capsules-18 :41. Intertransverse ligaments**-18 :42. (Not well developed in the neck.) Intersp inous ligaments-18 :43. Ligamentum nuchae-18 :45. Anterior longitudinal ligament-18 :46. Posterior longitudinal ligament-18 :47. 3. ARTICULATIONS OF THE EPISTROPHEUS, ATLAS, AND OCCIPITAL BONE. Atlantooccipital articulation-19 :1. Articular capsule-19 :2. Anterior atlantooccipital membrane-19 :3. Posterior atlantooccipital membrane-19 :4. Atlantoepistropheal articulation-19 :5. Articular capsule-19 :6. Tectorial membrane-19 :11. Demonstrated by removing (with a bone forceps) the posterior arches of the atlas and epistropheus, making a saw-cut on each side of the occipital bone, extending from just posterior to the jugular process and occipital condyle to the foramen magnum, detaching the squamous por- tion of the occipital bone and removing the exposed portion of the dura mater. Cruciate ligament of atlas-19 :10. Exposed by detaching the tectorial membrane from the epistropheus and reflecting it upward. Transverse ligament of the atlqs-19 :9. Alar ligaments-19 :7. Demonstrated by detaching the vertical part of the cruciate ligament at its superior attachment to the occipital bone and reflecting it down- ward. Apical ligament of the dens-19 :8. 4. CERVICAL PORTION OF THE VERTEBRAL CANAL AND SPINAL CORD. The contents of the cervical portion of the vertebral canal may be exposed by cutting away all the muscles still, remaining attached to the spinous processes and arches of the cervical vertebrae and removing the laminae of the vertebral arches. For the meninges and related structures, see Thorax, V:4. Cervical nerves-69 :1. Anterior roots-68 :67. Posterior roots-68 :68. Spinal ganglia-68 :69. Anterior rami-68 :70. Posterior rami--68 :71. Spinal rami of the vertebral artery-48 :22. Posterior spinal artery-48 :23. Anterior spinal artery-48 :24. 58 REGIONAL ANATOMY Cervical part of spinal cord-58 :21. Cervical enlargement-58 :22. For surface anatomy and internal structure of the spinal cord see Thorax, V :5. X. Remaining Structures in the Anterior Part of the Head and Neck. For division of the head and neck into anterior and posterior parts see Sec- tion IX. 1. PHARYNX-32:29, 4:43. a. Muscles and fascia of the pharynx. Buccopharyngeal fascia-24 -.43. Pterygomandibular raphe-32 :52. Tunica muscularis of the pharynx-32 :50. Constrictor pharyngeus inferior muscle-32 :62-64. Constrictor pharyngeus medius muscle'-32 :59-61. Constrictor pharyngeus superior muscle-32 :53-57. Exposed by dividing the pterygoideus internus muscle trans- versely at its middle and reflecting the two ends toward their origin and insertion, guarding against cutting the tensor veli palatini muscle. Fascia pharyngobasilaris-32 :44. b. Cavity of the pharynx-32 :30. May be exposed by making the following incisions: (a) longitudin- ally in the middle line throughout the entire extent of the posterior wall of the pharynx; (&) from the superior extremity of the pre- ceding incision, transversely through the fascia pharyngobasilaris, close to the base of the cranium and extending laterally as far as the cartilage of the Eustachian tube. The following structures may be identified by inspection: Pars nasalis-32:22. Fornix pharyngis-32:31. Pharyngeal opening of the Eustachian tube-32:35. Anterior lip-32 :36. Posterior lip-32:37. Torus tubarius-32 :38. Salpingopharyngeal fold-32 :39. Pharyngeal recess--32 :40. Pharyngeal tonsil-32 :47. Tonsillar crypts-32 :48. (Pharyngeal bursa)-32:41. Soft palate-30 :41. Uvula-32 :13. Pars oralis-32:33. Glossopalatine arch-32:15. Pharyngopalatine arch-32 :16. Lateral glossoepiglottic fold-37 :27. Median glossoepiglottic fold-37 :26. Epiglottic vallecula-37 :12. Pars laryngis-32 :34. Aryepiglottic fold-37 :28. Aditus laryngis-37 :13. Piriform recess-32 :42. Fold of the laryngeal nerve-37 :29. ELEAD AND NECK 59 Looking anteriorly from the nasal part of the pharynx the following are visible in relation to the posterior part of the nasal cavity: Nasal septum-35 :39. Nasopharyngeal meatus-35 :59. Inferior nasal meatus-35 :57. Middle nasal meatus-35 :55. Inferior nasal concha-35 :48. Middle nasal concha-35 :47. 2. MOUTH AND FAUCES. To facilitate the demonstration of the following structures the anterior part of the head and neck may be divided into two lateral halves by making the following incisions: (a) with a knife dividing the uvula and soft palate in the median sagittal plane; (b) in a similar manner dividing the cartilaginous part of the nose as far as the nasal bone as nearly as possible in the mid-sagittal plane, (before making this incision it should be ascertained whether the nasal septum deviates to either the right or left of the mid-plane, and if so, making the cut through the cartilage close to the concave side of the septum, thus guarding against cutting the septum itself) ; (c) with a saw cutting through the floor of the anterior part of the skull, beginning posteriorly and sawing forward, making the cut pass through the hard palate and root of the nose just lateral to the nasal septum and, in line with preceding incision, through the cartilaginous part of the nose; (d) with a knife dividing the tongue and soft structures in the floor of the mouth, the pharynx, larynx, trachea, and any other remaining soft structures in the median sagittal plane; (e) completing the division by sawing through the anterior part of the mandible in the same plane. a. General characteristics of the oral cavity. Cheek-30 :29. Fat body of the cheek**-30 :30. Vestibule of the mouth-30 :31. Mouth cavity proper-30:32. Oral fissure-30 :33. Lips-30 :34-36. Labial commissure-30 :37. Angles of the mouth-30 :38. Palate-30 :39. Hard palate-30 :40. Soft palate-30:41. Raphe of the palate-30:42. b. Mucous membrane of the mouth-30 :43. Frenulum of the upper and lower lips-30 :44, 45. Gum-30 :46.. Sublingual caruncle--30:47. Sublingual fold-30 :48. Transverse palatine folds-30 :49. Incisor papilla-30 :50. c. Glands of the mouth-31:1. Only the openings of the ducts of the following glands can be demon- strated at this stage of the dissection. Sublingual gland-31:8. Major and minor ducts-31:9, 10. 60 REGIONAL ANATOMY Submaxillary gland-31:11. Submaxillary duct-31:12. Parotid gland-31:13-15. Parotid duct-31:16. The following structures are usually difficult to demonstrate in an ordinary dissection: Labial glands-31:2. Buccal glands-31:3. Molar glands-31:4. Palatine glands-31:5. Lingual glands-31:6. Anterior lingual gland-31:7. d. Teeth-31:18. Superior and inferior dental arches-31:45, 46. Incisor teeth-31:47. Canine teeth--31:48. Premolar teeth-31:49. Molar teeth-31:50. Dens serotinus-31:51. Permanent and deciduous teeth-31:52, 53. e. Tongue-31:54. Dorsum of the tongue-31:55. Root of the tongue-31:56. Body of the tongue-31:57. Inferior surface-31:58, 59. Lateral margin-31:60. Apex-31:61. Mucous membrane-31:62. For the muscles and papillae of the tongue see X: 7. /. Fauces-32:10. Isthmus of the fauces-32:11. Velum palatinum-32:12. Uvula-32:13. Palatine arches-32 :12. Glossopalatine arches-32 :15. Pharyngopalatine arches-32 :16. Salpingopalatine fold**-32 :17. Palatine tonsil-32 :18. Tonsillar crypts-32 :19. Tonsillar sinus-32 :20. Plica triangularis-32 :21. Supratonsillar fossa-32 :22. 3. SOFT PALATE AND RELATED STRUCTURES. A satisfactory dissection of the soft palate is made with difficulty in the ordinary cadaver material; in demonstrating its structures the soft palate should be made tense by means of a hook and the mucous membrane removed from its oral and pharyngeal surfaces and from the surface of the glossopalatine and pharyngopalatine arches. a. Muscles. Glossopalatine muscle**-32 :27. Pharyngopalatine muscle**-32 :28. HEAD AND NECK 61 Salpingopharyngeus muscle**-32 :58. Uvulae muscle**-32 :26. Levator veli palatini muscle**-32:24. May be exposed by removing the wall of the pharynx between the auditory tube superiorly and the upper margin of the superior pharyngeal constrictor muscle inferiorly. Tensor veli palatini muscle-32 :25. b. Arteries. Ascending palatine artery**-47 :14. Pharyngeal rami of the ascending pharyngeal artery**- 47:6. Descending palatine from the internal maxillary artery** -47 :62. c. Nerves. Pharyngeal rami of the vagus nerve**-68 :28. Component fibres of these rami are derivatives of the accessory nerve. Nerve of the tensor veli palatini**-67 :38. Posterior palatine nerve**-67 :5. Middle palatine nerve**-67 :4. 4. AUDITORY TUBE-78:11. Osseous part of the auditory tube-78:13. Cartilaginous part of the auditory tube-78:16. Cartilage of the auditory tube-78:17. Medial cartilaginous lamina-78:18. Lateral cartilaginous lamina-78:19. Membranous lamina-78:20. Tunica mucosa-78:21-23. Pharyngeal opening of the auditory tube-78:24. 5. NASAL CAVITY. a. Nasal septum-35 :39. Cartilaginous septum-35 :40. May be exposed by removing the mucous membrane from the septum. Membranous septum-35 :41. The following structures may be demonstrated by carefully removing the cartilage and thin bony part of the septum (a small piece at a time), but retaining intact the mucous membrane of the opposite side. Olfactory nerves-66 :3. Medial superior posterior nasal rami-66 :62. Nasopalatine nerve-66 :63. Medial nasal rami of the internal branch of the anterior ethmoidal nerve--66 :31. Posterior nasal arteries of the septum-47 :67. Anterior and posterior ethmoidal arteries-48 :6, 7. Difficult to demonstrate in ordinary material. 62 REGIONAL ANATOMY b. Cavity and lateral walls of the nose. Nares-35 :37. Choanae-35 :38. Vestibule of the nose-35 :42. Vibrissae-79 :34. Limen nasi-35 :43. Olfactory sulcus-35 :44. Superior nasal concha-35 :46. Middle nasal concha-35 :47. Inferior nasal concha-35 :48. (Concha suprema)-35:45. Mucous membrane-35 :49. Cavernous plexus of the concha-35 :50. Agger nasi-35 :51. Sphenoethmoidal recess-35 :52. Meatuses of the nose-35 :53. Superior meatus-35 :54. Middle meatus-35 :55. Atrium of the middle meatus-35 :56. Inferior meatus-35 :57. Common meatus-35 :58. Nasopharyngeal meatus-35 :59. Respiratory region-35 :60. Olfactory region-35 :61. Olfactory glands-35 :62. Nasal glands-35 :71. Ethmoidal infundibulum-35 :68. Exposed by forcing the middle concha upwards. Hiatus semilunaris-35 :70. Bulla ethmoidalis-35 :68. Nasolacrimal duct-75:54. (Its inferior opening only.) Ethmoidal cells-35:67. (Only their openings are ex- posed.) c. Paranasal sinuses-35 :63. Maxillary sinus-35 :64. Its cavity may be exposed by sawing upwards through the base of the zygomatic process of the maxilla and removing its lateral wall. Sphenoidal sinus-35 :65. Frontal sinus-35 :66. d. Nerves and vessels in the lateral wall of the nasal cavity. Olfactory nerves-66 :3. Lateral nasal rami of the internal branch of the anterior ethmoidal nerve-66 :30. Branches from the sphenopalatine ganglion: Lateral superior posterior nasal rami-66 :61. Difficult to demonstrate in an ordinary dissection. [Lateral] inferior posterior nasal rami-67 :1. Sphenopalatine artery-47 :66. The descending palatine branch of the internal maxillary artery- 47:62, and the anterior and posterior ethmoidal arteries-48:6, 7, also contribute small twigs to the nasal muco-periosteum. HEAD AND NECK 63 e. Nasal cartilages-36 :6. Lateral nasal cartilage-36 :9. Cartilage of the nasal septum-36:7. (See also X:5a.) Greater alar cartilages-36 :10. Lateral crus-36 :12. Medial crus-31:12. Lesser alar cartilages-36:13. 6. LARYNX-36:18. a. Cavity of the larynx-37 -.11. The laryngeal cartilages constituting the ground plan of the larynx are listed under subhead 6d. Aperture of the larynx-37 :13. Aryepiglottic fold-37 :28. Cuneiform tubercle-36 :74. Corniculate tubercle-36:75. Interarytenoid notch-37 :35. Median glossoepiglottic fold-37 :26. Lateral glossoepiglottic fold-37 :27. Epiglottic vallecula-37 :12. Vestibule of the larynx-37 :14. Rima vestibuli-37 :15. Ventricular folds-37 :30. Superior aperture of the glottis-37 :34. Laryngeal ventricle-37 :21. Appendix of the laryngeal ventricle-37 :22. Vocal fold-37 :31. Macula flava-37 :32. The vocal and ventricular folds subdivide the laryngeal cavity into three subdivisions: a superior, or the vestibule; a middle sub- division, corresponding to the ventricles; and an inferior sub- division, inferior to the level of the vocal cords. Vocal lip-37 :16. Glottis-37 :17. Rima glottidis-37 :18. Intermembranous part-37 :19. Intercartilaginous part-37 :20. Inferior aperture of the glottis-37 :33. Laryngeal mucous membrane-37 :23. Laryngeal glands-37 :36-39. Lymphatic nodules of the larynx-37 :40. 5. Laryngeal muscles, hyothyreoid and elastic membranes. Having examined the relations of the thryeoid gland, the following structures may be exposed by removing this organ together with the omohyoid, sternohyoid, sternothyreoid, thyreohyoid, and inferior pharyngeal constrictor muscles, guarding against injury to the in- ternal and external rami of the superior laryngeal nerve, the inferior laryngeal nerve, and the superior and inferior laryngeal arteries. Hyothyreoid membrane-36 :34. Middle hyothyreoid ligament-36 :33. Lateral hyothyreoid ligament-36 :31. Triticeous cartilage-36 :32. Cricothyreoid muscle-36 :78. 64 REGIONAL ANATOMY Straight part-36 :79. Oblique part-37 :1. Posterior cricoarytaenoid muscle-37 :2. Exposed by removing the tunica mucosa from the posterior aspect of the cricoid and arytaenoid cartilages, retaining intact, how- ever, the superior and laryngeal artery and nerve. Oblique arytaenoid muscle-37 :9. Aryepiglottic muscle-36 :77. Transverse arytaenoid muscle-37 :10. It is preferable to demonstrate the following muscles and the elastic membrane in only one half of the larynx, reserving the other half for the demonstration of nerves and vessels. Lateral cricoarytaenoid muscle-37 :4. Exposed by removing the cricothyreoid muscle, making an in- cision through the lamina of the thyreoid cartilage parallel to and a little to the right of the anterior median line, dividing the right lateral hyothyreoid ligament, disarticulating the right in- ferior cornu of the thyreoid cartilage and completing the removal of the lamina. Thyreoarytaenoid muscle-37 :8. Vocal muscle-37 :6. May be exposed by carefully removing the lateral cricoarytaenoid muscle. Thyreoepiglottic muscle-37 :7. Ventricular muscle-37 :5. Difficult to demonstrate in an ordinary dissection. Elastic membrane of the larynx-37 :24. Exposed by removing the vocal muscle. Elastic cone-37 :25. Vocal ligament-36 :63. (Sesamoid cartilage)-36:64. Ventricular ligament-36:62. c. Laryngeal nerves and vessels. The following structures may be detnonstrated in the remaining half of the larynx: Internal ramus of the superior laryngeal nerve-68 :32. Its position in the piriform sinus may be determined by pro- ducing a traction on the nerve external to the hyothyreoid mem- brane and demonstrating the fold of the laryngeal nerve-37:29. Anastomotic ramus with the inferior laryngeal nerve- 68:33. Inferior laryngeal nerve-68 :40. Anterior ramus-68 :41. Posterior ramus--68 :42. Superior laryngeal artery-46 :64. Inferior laryngeal artery-48 :50. d. Laryngeal cartilages and ligaments. Epiglottis-36 -.67. Petiolus epiglottidis-36 :68. Epiglottic tubercle-36 :69. Epiglottic cartilage-36:70. Thyreoepiglottic ligament-36 :71. Hyoepiglottic ligament-36 :72. HEAD AND NECK 65 Thyreoid cartilage-36 :21. Right and left lamina-36 :22. Prominentia laryngea-36 :16. Superior thyreoid incisure-36 :23. Inferior thyreoid incisure-36 :24. Superior thyreoid tubercle-36 :25. Inferior thyreoid tubercle-36 :26. (Oblique line)-36:27. Superior cornu--.36 :28. Inferior cornu-36 :29. (Thyreoid foramen)-36:30. Cricothyreoid articulation-36 :40. Articular capsule-36 :41. Ceratocricoid ligaments**-36 :42-44. Cricoid cartillage-36 :35. The exposure of the cricoid cartilage may be completed by divid- ing the ligaments connecting the thyreoid and cricoid cartilages and removing the thyreoid cartilage. Arch-36 :36. Lamina-36 :37. Arytaenoid articular surface-36 :38. Thyreoid articular surface-36 :39. Cricotracheal ligament-36 :46. Corniculate cartilage-36 :57. Arycorniculate synchondrosis-36 :58. Corniculopharyngeal ligament**---36 :61. Cricopharyngeal ligament**-36 :60. Arytaenoid cartilage-36 :47. Apex-36 :54. Base-36:49. Articular surface-36 :48. Crista arcuata**-36 :50. Colliculus**-36 :51. Fovea oblongo**-36 :52. Fovea triangularis**-36 :53. Vocal process-36:55. Muscular process-36 :56. Cuneiform cartilage-36 :73. Cricoarytaenoid articulation-36 :59. Articular capsule-36 :65. Posterior cricoarytaenoid ligament**-36 :66. 7. TONGUE-31:54. a. General characteristics and siirface anatomy. Dorsum of tongue-31:55. Root of tongue-31:56. Body of tongue-31:57. Inferior surface-31:58. Fimbriated fold-31:59. Lateral margin-31:60. Apex of tongue-31:61. Mucous membrane of tongue-31:62. 66 REGIONAL ANATOMY Frenulum of tongue-31:63. Lingual papillae-31:64. Filiform papillae-31:65. Conical papillae-31:66. Fungiform papillae-31:67. Lenticular papillae-31:68. Vallate papillae-31:69. Foliate papillae-31:70. Medial sulcUs-31:71. Terminal sulcus-31:72. Foramen caecum-31:73. (Lingual duct)-31:74. Thyreoglossal duct-31:75. Lingual tonsil-31:76. Lingual follicles-31:77. 5. Muscles of the tongue-32:1. Preferably demonstrated in one half of the tongue only, retaining the other half for the demonstration of nerves and vessels. Genioglossus muscle-32:2. Hyoglossus muscle-32:3. Chondroglossus muscle-32:4. Styloglossus muscle-32:5. The four preceding muscles may be characterized as extrinsic and the next three as intrinsic muscles of the tongue: Longitudinalis superior muscle**-32 :6. Longitudinalis inferior muscle**-32:7. Transversus linguae muscle**-32:8. Verticalis linguae muscle**-32:9. Septum of tongue-31:78. c. Nerves and vessels of the tongue. Lingual rami of the glossopharyngeal nerve-68 :21. Lingual nerve-67 :23. Sublingual nerve-67 :26. Lingual rami-67 :27. Hypoglossal nerve-68 :60. Lingual rami-68 :64. Lingual artery--47 :8. Dorsal rami of tongue-47 :11. Deep artery of tongue-47 :12. 8. STRUCTURES IN THE MIDDLE CRANIAL FOSSA. Incisions for removal of the dura mater: (a) having secured the cut ends of the oculomotor, trochlear, and trigeminal nerves as they pierce the dura, an incision is made through the dura just lateral to these nerves from the anterior clinoid process to the apex of the petrous portion of the temporal bone (the cut should be made no deeper than the thickness of the dura), and then extended from the apex of the petrous bone backward and laterally along the superior petrosal sinus to the sigmoid sulcus; (&) a second incision is made through the dura from the clinoid process anterolaterally along the posterior margin of the small wing of the sphenoid bone; (c) the dura may then be reflected lateralward, carefully disengaging it from any underlying nerves or other structures which may be attached to it. Cavernous sinus-53 :24. Superior 'ophthalmic vein-53 :54. HEAD AND NECK 67 Inferior opthalmic vein-53 :68. Sphenoparietal sinus-53 :28. Trigeminal nerve-66 :11. Portio major-66 :12. Portio minor-66 :14. Semilunar ganglion-66 :13. Mandibular nerve-67 :6. (Origin and foramen of exit only.) An accessory meningeal artery-(47:51) is sometimes associated with it in its foramen of exit. Maxillary nerve-66:38. (Origin and foramen of exit.) Meningeal ramus-66 :39. Ophthalmalic nerve-66 :15. Lacrimal nerve-66:17. (Its origin only.) Nasociliary nerve-66:23. (Its origin only.) Frontal nerve-66:19. (Its origin only.) The following three nerves are listed with reference to the cavernous sinus only: Oculomotor nerve-66:5. Trochlear nerve-66 :9. Abducent nerve-67 :46. Cavernous plexus of the sympathetic-71:39. (Difficult to dem- onstrate. ) Internal carotid artery-47 :68. Ophthalmic artery-47 :70. (Its origin only.) Internal carotid plexus of the sympathetic-71:38. (Difficult to demonstrate in an ordinary dissection.) Greater superficial petrosal nerve-66 :59. Lesser superficial petrosal nerve-67 :37. Middle meningeal artery-47 :50. Superficial petrosal ramus**-47 :52. (Accessory meningeal ramus)-47 :51. 9. EYELIDS AND LACRIMAL APPARATUS. For the surface anatomy of the eye see Section V:l. a. Eyelids-75:11. In demonstrating the following structures the palpebral part of the orbicularis oculi muscle may be removed, guarding against injury to underlying nerves and vessels. Orbital septum-75:5. Superior tarsus-75 :23. Inferior tarsus-75:24. Tarsal glands-75 :27. Lateral palpebral raphe-75:26. Medial palpebral ligament-75:25. Levator palpebrae superioris muscle-75:3. (Its tendon of insertion only.) For nerves and vessels of the eyelids see 1:2a and V :4. 5. Lacrimal apparatus-75:41. Superior lacrimal gland-75:42. Should be identified with a minimum dissection. May be exposed by dividing the palpebral fascia at the upper and lateral angle of the orbit. 68 REGIONAL ANATOMY Inferior lacrimal gland-75:43. (Accessory lacrimal gland)-75:44. Excretory ductules-75:45. Lacrimal duct-75:49. Exposed by reflecting the medial palpebral ligament. Ampulla of the lacrimal duct-75:51. Lacrimal sac-75 :52. Fornix of the lacrimal sac-75:53. Nasolacrimal duct-75:54. The following muscles may be exposed by dividing the eyelids through the middle by a sagittal section and removing the conjunc- tiva at the medial angle of the eye. Tarsalis superior muscle**-75:29. Tarsalis inferior muscle**-75 :30. 10. STRUCTURES IN RELATION TO THE ORBIT. a. Structures in the superior part of the orbit and fascia of the eyeball. Exposed by removing (with a bone forceps, saw, and chisel) the thin roof or superior wall of the orbit (12:67), the thick cranial wall above the orbital opening (12:64), and the superior wall of the superior orbital fissure (12:71), retaining intact, however, the super- orbital margin (12:65) of the orbital opening and a ring of bone around the optic foramen (cutting away the anterior clinoid process will also facilitate the subsequent dissection), dividing the periosteum longitudinally midway between the medial and lateral walls of the orbit and also transversely close to the anterior margin of the superior orbital wall, and reflecting the two periosteal flaps laterally and medially. Frontal nerve-66 :19. Supraorbital nerve-66 :20. Frontal ramus-66 :21. Supratrochlear nerve-66 :22. Attention has already been directed to the peripheral distribution of these nerves. 1: 2a and V: 4. Corpus adiposum orbitae-75:9. To be removed gradually during the ensuing dissection. Trochlear nerve-66 :9. Lacrimal nerve-66 :17. Lacrimal glands-76:42-45. (See also 95.) Levator palpebrae superioris muscle-75:3. Fascia of eyeball-75:7. May be exposed by dividing the frontal nerve and levator palpe- brae superioris muscle in the middle of the orbit and reflecting their cut ends. Interfascial space-75 :8. Its extent may be determined by making an opening through fascia and introducing the handle of a scalpel or a blunt forceps into the opening. Rectus superior muscle-74:65. Obliquus superior muscle-74:71. Trochlea-75 :1. HEAD AND NECK 69 b. Optic nerve, nasociliary nerve, and ciliary ganglion. The following structures may be exposed by dividing superior rectus muscle midway between its origin and insertion, reflecting the cut ends (noting the superior division of the oculomotor nerve subjacent to its posterior part), and carefully removing the orbital fat. Optic nerve-66 :4. Nasociliary nerve-66 :23. Long root of the ciliary ganglion-66 :24. Long ciliary nerves-66 :25. Posterior ethmoidal nerve-66 :26. Anterior ethmoidal nerve-66 :27. Infratrochlear nerve-66 :33-35. Ciliary ganglion-66 :63. Short ciliary nerves-66 :37. c. Blood vessels of the orbit. Ophthalmic artery-47 :71. Central artery of retina-47 :72. Lacrimal artery-47 :72. Muscular rami-47 :74. Ciliary arteries-47:75, 76, 48:1-4. Supraorbital artery-48 :5. Anterior and posterior ethmoidal arteries-48 :6, 7. Medial palpebral arteries-48 :9-11. Frontal artery-48 :12. Dorsal artery of nose-48 :13. Superior ophthalmic vein-53 :54. Inferior ophthalmic vein-53 :68. Central vein of retina-53 :69. Tributaries of the ophthalmic veins are indicated in 53:55, 53:64-67. d. Remaining structures of the orbit. Rectus medialis muscle-74:67. Rectus inferior muscle-74:66. Rectus lateralis muscle-74:68. Lacertus of rectus lateralis muscle**-74:69. Common tendinous ring of Zinn-74:70. May be exposed by dividing the optic nerve close to the optic foramen and turning the eyeball anteriorly. Oculomotor nerve-66 :5. Superior ramus-66 :6. Inferior ramus-66 :7. Short root of ciliary ganglion-66 :8. Abducens nerve-67 :46. Obliquus inferior muscle-75:2. May be exposed by replacing the eyeball in its normal position, everting the lower eyelid, carefully removing the conjunctiva in * the region of the inferior fornix. Zygomatic nerve-66 :40. 70 REGIONAL ANATOMY 11. STRUCTURES IN THE CAROTID AND INFRAORBITAL CANALS, AND IN THE PTERYGOPALATINE FOSSA. a. Carotid canal-9 :41. The contents of the carotid canal may be exposed by removing (with a bone forceps) the inferior wall of the carotid canal, guarding against injury to the auditory tube. Internal carotid artery-47 :68. Caroticotympanic ramus**-47 :69. Internal carotid nerve of sympathetic system-71:37. Internal carotid plexus-71:38. Deep petrosal nerve-66:60. (Its origin only.) b. Maxillary nerve and infraorbital canal. The structures in relation to the infraorbital canal and pterygo- palatine fossa may be exposed by making the following dissections: (a) beginning at the cut margin of the skull just above the external acoustic meatus, saw through the squamous part of the temporal bone and great wing of the sphenoid bone in a plane passing obliquely downward and forward to the medial end of the superior orbital fissure, the saw-cut passing just lateral to the foramen rotundum; (b) make a second saw-cut extending from the cut margin of the cranial wall, just above the anterior margin of the great wing of the sphenoid, downward into the superior orbital fissure, joining the first saw-cut; (c) detach the wedge of bone included between the two saw-cuts and with a bone forceps remove what remains of the great wing of the sphenoid bone lateral to the foramen rotundum, retaining intact, however, the bony circumference of this aperture; (d) and, finally, with a bone forceps (and chisel if neces- sary) remove the superior wall of the infraorbital canal. Maxillary nerve--66 :38. Zygomatic nerve-66 :40. Sphenopalatine nerves-66 :43. Posterior superior alveolar rami-66 :45. Infraorbital nerve-66 :46. Middle superior alveolar ramus-66 :47. Anterior superior alveolar rami-66 :48. Superior dental plexus-66 :49. This plexus also includes the posterior superior alveolar rami. Superior dental rami-66 :50. Superior gingival rami-66 :51. Infraorbital artery-47 :60. Anterior superior alveolar arteries-47 :61. c. Sphenopalatine ganglion. The sphenopalatine ganglion may be located by following the lateral superior nasal rami, together with the nasopalatine nerve, back to the sphenopalatine foramen, and the lateral posterior inferior rami of the anterior palatine nerve back to the pterygopalatine canal, care- fully opening the canal and following the palatine nerves upward to the sphenopalatine ganglion which is situated in the pterygopalatine fossa; the exposure of the ganglion may also be facilitated by re- moving the orbital process of the palatine bone and a portion of the body of the sphenoid bone. Sphenopalatine ganglion-66 :56. Nerve of the pterygoid canal-66 :58. This nerve may be exposed by cutting away the sphenoidal process of the palate bone and carefully opening the ptery- goid process of the sphenoid bone, a dissection difficult, how- ever, to make. HEAD AND NECK 71 Greater superficial petrosal nerve-66 :59. Deep petrosal nerve-66 :60. Orbital rami-66 :57. Lateral superior posterior nasal rami-66 :61. Medial superior posterior nasal rami-66 :62. Nasopalatine nerve-66 :63. [Lateral] inferior posterior nasal rami-67 :1. Palatine nerve-67 :2. Anterior palatine nerve-67 :3. Middle palatine nerve-67 :4. Posterior palatine nerve-67 :5. d. Internal maxillary artery. The following terminal branches of the internal maxillary artery are in relation to the pterygopalatine fossa with reference to their origin only. Posterior superior alveolar artery-47 :59. Infraorbital artery-47 :60. Descending palatine artery-47 :62. Sphenopalatine artery--47 :66. 12. AUDITORY APPARATUS: EXTERNAL AND MIDDLE EAR. It will be observed that the incisions made through the skull in the course of the preceding dissections have resulted in the isolation of a somewhat wedge-shaped segment of theyranium including the greater part of the temporal bone and the organ of hearing. With reference to the three subdivisions of the organ of hearing, some of the struc- tures relative to the external ear have already been listed under Section 1:4, and attention directed to the auditory tube of the middle ear under Section X:4. a. Walls of the tympanic cavity. The tympanic cavity and its several walls may be demonstrated by removing the squamous part of the temporal bone by a horizontal saw-cut made just above the level of the petrous part of the temporal bone and making an opening through the tegmen tympani of the temporal bone (9:12) just lateral to the arcuate eminence (9:13), and about 1 cm. anterior to the superior angle (9:8) of the pars petrosa or pyramid (9:3), thus exposing the tympanic antrum of the mastoid wall of the tympanic cavity (77:17) ; this opening may then be carefully enlarged with a bone forceps and the entire roof or tegmental wall of the tympanic cavity removed. Tegmental wall-75:69. Epitympanic recess-77:1. Pars eupularis-77 :2. Jugular wall-77 :3. Styloid prominence**-77 :4. Mastoid wall-77 :16. Tympanic antrum-77 :17. Prominence of lateral semicircular canal-77 :18. Prominence of facial canal-77 :19. Pyramidal eminence-77 :20. Fossa of incus**-77 :21. Posterior sinus**-77 :22. Tympanic aperture of canaliculus of the chorda-77 :23. Carotid wall-77 :26. 72 REGIONAL ANATOMY Labyrinthic wall-77 :5. Fenestra vestibuli-77 :6, 7. Promontory-77 :8-10. Sinus of tympanum**-77 :11. Fenestra cochlae-77 :12-14. Processus cochleariformis**-77 :15. Mastoid cells-77 :24. Tympanic cells-77 :25. Membranous wall-77 :27. Tympanic membrane-77 :28. Pars flaccida-77 :29. Pars tensa-77 :30. Limbus membranae tympani-77 :31. Anterior malleolar fold--77:32. Posterior malleolar fold-77 :33. Malleolar prominence-77 :34. Malleolar stria-77 :35. Umbo membranae tympani-77 :36. Fibrocartilaginous ring-77 :38. Structurally the tympanic membrane consists of several tissue layers-77:37-41. Mucous membrane of the tympanic cavity-78 :1. ft. Auditory ossicles, articulations, ligaments, and muscles. Stapes-77 A3. Head-77 :44. Anterior limb--77 :45. Posterior limb-77 :46. Base-77 :47. Incus-77 :48. Body-77 :49. Long limb-77 :50. Lenticular process-77 :51. Short limb-77 :52. Malleus-77 :53. Manubrium 77 :54. Head-77 :55. Neck-77 :56. Lateral process-77 :57. Anterior process-77 :58. Articulations of the auditory ossicles-77 :59. Articulation between incus and malleus-77 :60. Articulation between incus and stapes-77 :61. Syndesmosis of stapes and tympanum-77 :62. Ligaments of the auditory ossicles-77 :63. The following ligaments are difficult to expose in an ordinary dissection: Anterior ligament of malleus-77 :64. Superior ligament of malleus-77 :65. Lateral ligament of malleus-77 :66. Superior ligament of incus-77 :67. Posterior ligament of incus-77 :68. HEAD AND NECK 73 Obturator membrane of stapes-77 :69. Annular ligament of base of stapes-77 :70. Muscles of auditory ossicles-77 :72. Tensor tympani muscle-77 :73. Stapedius muscle-77 :74. Auditory tube-78:11. (See also Section X:4.) c. External acoustic meatus-78 :25. Its interior is exposed by removing (with a bone forceps and chisel) the anterior wall of the external acoustic meatus, guarding against injury to the tympanic membrane. External acoustic porus--78 :26. Tympanic incisure-78:27. Cartilaginous external acoustic meatus-78 :28. Cartilage of acoustic meatus-78:29-31. The auricle of the external ear has been dealt with under Section 1:4. 13. INTRAOSSEOUS COURSE OF THE FACIAL, INTERMEDIATE, AND ACOUSTIC NERVES. The squamous portion of the temporal bone has already been removed, X:12a, and the upper part of the petrous part of the bone may now be removed by a horizontal saw-cut just above the roof of the internal acoustic meatus, the cut extending laterally into the tympanum. In relation to the mastoid wall of the tympanum attention has already been directed to the prominence of the facial canal in which runs the facial nerve, X:12a. This canal may now be opened with a bone forceps and chisel, followed into the labyrinthic wall of the tympanum, the roof of the internal acoustic meatus removed and the facial nerve exposed throughout the superior part of the facial canal. The inferior part of the facial canal may be demonstrated by removing the bone posterior and lateral to it by means of the two following saw-cuts: (a) a frontal (vertical transverse) cut in a plane just posterior to the stylomastoid foramen; (h) a sagittal (vertical anteroposterior) cut just lateral to the stylomastoid foramen to meet the first cut, removing the excised bone with a bone forceps and chisel. Facial nerve-67 :47. Genu of the facial nerve-67 :48. Geniculate ganglion-67 :49. Stapedius nerve-67 :50. Anastomosing ramus with the tympanic plexus-67 :51. Intermediate nerve-67 :63. Greater superficial petrosal nerve-66 :59. This nerve, while transmitting sensory fibers of the intermediate nerve, is classed systematically with the sphenopalatine ganglion and not as a branch of the intermediate nerve. Chorda tympani-67 :64. Acoustic nerve-67 :65. 14. AUDITORY APPARATUS: INTERNAL EAR. a. Osseous labyrinth-76:31. May either be exposed by carefully chiselling away parts of the tem- poral bone or by means of the following saw-cuts: (a) an antero- posterior cut extending from the superior surface of the petrous por- tion of the temporal bone downward to the floor of the tympanum, along the junction of its medial and posterior walls; (h) a horizontal cut extending from the apex of the petrous part of the temporal bone laterally to the tympanum, intersecting the vertical incision and entering the tympanic cavity at the level of the middle of the promon- tory. 74 REGIONAL ANATOMY Vestibulum-76 :32. Recessus sphaericus-76:33. Recessus ellipticus-76:34. Crista vestibuli-76:35. Pyramic vestibuli-76:36. Recessus cochlearis-76:37. Maculae cribrosae--76:38. Macula cribosa superior-76:39. Macula cribrosa media-76:40. Macula cribrosa inferior-76:41. Canales semicirculares ossei-76:42. Canalis semicircularis superior-76:43. Canalis semicircularis posterior-76 :44. Canalis semicircularis lateralis-76:45. Ampullae osseae-76:46. Ampullae ossea superior-76:47. Ampullae ossea posterior-76:48. Ampullae ossea lateralis-76:49. Crura ampullaria-76:50. Crus commune-76 :51. Crus simplex-76:52. Cochlea-76 :53. Cupula-76:54. Basis cochleae-76:55. Canalis spiralis cochleae-76:56. Modiolus-76 :57. Basis modioli-76:58. Lamina modioli-76:59. Lamina spiralis ossea-76:60. Hamulus laminae spiralis-76:61. Scala vestibuli-76:62. Scala tympani-76:63. Helicotrema-76 :64. Lamina spiralis secundaria-76:65. Canalis spiralis modioli-76:66. Canalis longitudinales modioli-76:67. Meatus acusticus internus-76:68. Porus acusticus internus-76:69. Fundus meatus acustici interni-76:70. Crista transversa-76:71. Area N. facialis--76:72. Area cochleae-76:73. Tractus spiralis foraminosus-76:74. Area vestibularis superior-76:75. Area vestibularis inferior-76:76. Foramen singulare-76:77. 5. Membranous labyrinth-75:59. An adequate demonstration of some of the following structures re- quires sections and the aid of a hand-lens or dissecting microscope. Ductus endolymphaticus-75:60. Saccus endolymphaticus-75:61. Ductus utriculosaccularis-75 :62. HEAD AND NECK 75 Utriculus-75 :63. Ductus semicirculares-75:64. Ductus semicircularis superior-75:65. Ductus semicircularis posterior-75:66. Ductus semicircularis lateralis-75:67. Ampullae membranaceae-75:68. Sulcus ampullaris-75:69. Crista ampullaris-75:70. Ampulla membranacea superior-75:71. Ampulla membranaceae posterior-75:72. Ampulla membranacea lateralis-75:73. Sacculus-75:74. Ductus reuniens [Henseni]-75:75. Maculae acusticae-75:76. Macula acustica utriculi-75:77. Macula acustica sacculi-75:78. Otoconia-76 :1. Endolympha-76 :2. Perilympha-76 :3. Spatium perilymphaticum-76:4. Ductus perilymphatici-76:5. Ductus cochlearis-76:6. Caecum cupulare-76:7. Caecum vestibulare-76:8. Lamina basilaris-76:9. Membrana vestibularis (Reissneri)-76:10. Lig. spirale cochleae-76:11. Prominentia spiralis-76:12. Stria vascularis-76:13. Sulcus spiralis-76:14. Labium tympanicum-76:15. Foramina nervosa--76:16. Labium vestibulare-76:17. Ganglion spirale cochleae-76:18. Organon spirale [Cortii]-76:19. c. Vessels of the internal ear-76:20. Internal auditory artery-76:21. Vestibular rami-76:22. Cochlear ramus-76:23. Arterial glomeruli of cochlea-76 :24. Internal auditory veins--76:25. Spiral vein of the modiolus-76:26. 'Vas prominens-76:27. Vestibular veins-76:28. Vein of aqueduct of vestibule-76:29. Vein of canaliculus of cochlea-76:30. 76 REGIONAL ANATOMY XI. Brain: General Characteristics, Meninges, Blood Vessels, and Cerebral Nerves. 1. LARGER SUBDIVISIONS OF THE BRAIN. For the removal of the brain see II: 2a. A demonstration of its structures can best be undertaken in a specimen which has been hardened in formalin. The following subdivisions of the brain may be identified by inspection without disturbing the meninges and blood vessels. Encephalon-59 :10. Rhombencephalon-59 :11. Myelencephalon-59 :12. Medulla oblongata-59 :13. Metencephalon--60:18. Pons-60 :19. Cerebellum-60 :53. Cerebrum-61:36. Mesencephalon-61:40. Prosencephalon-62 :12. Diencephalon-62 :13. Cannot be favorably demonstrated in the intact brain. Telencephalon-63 :5. Subdivided into hemispheres-63:6 separated by the longi- tudinal fissure of the cerebrum-63:8. 2. MENINGES AND BLOOD VESSELS OF THE BRAIN. Some of the following structures have already been listed in connec- tion with the removal of the brain II: 1. a. Meninges-65 :32. Dura mater of brain-65 :33. Falx cerebri-65 :34. Tentorium cerebelli-65 :35. Falx cerebelli-65 :36. Diaphragma sellae-65 :37. Foramen diaphragmatis-65 :38. Incisura tentorii-65 :39. Arachnoid of brain-65 :45. Subarachnoid cavity---65 :46. Subarachnoid cisterns-65 :47. The structural characteristics of the subarachnoid cisterns may be demonstrated by making a median sagittal incision through the arachnoid membrane in the region of the anterior surface of the medulla oblongata and pons, and carefully reflecting the two flaps of the arachnoid laterally. Cisterna cerebellomedullaris**-65 :48. Cisterna fossae lateralis cerebri sylvii**-65 :49. Cisterna chiasmatis**-65 :50. Cisterna interpeduncularis**-65 :51. Cisterna venae magnae cerebri**-65 :52. Arachnoidal granulations-65:53. (See also 11:1.) Pia mater of the brain-65 :54. .HEAD AND NECK 77 b. Blood vessels of the brain. Demonstrated by carefully removing the arachnoid membrane with scissors and forceps so far as this can be done without injuring or lacerating the brain itself. Vertebral artery-48:21. Posterior spinal artery**-48 :23. Anterior spinal artery**-48 :24. Posterior inferior cerebellar artery-48 :26. Basilar artery-48 :27. Anterior inferior cerebellar artery-48 :28. Internal auditory artery**-48 :29. Pontine rami**-48 :30. Superior cerebellar artery-48 :31. Posterior cerebral artery-48 :32. Arterial circle of willis-48 :33. Internal carotid artery-47 :68. Posterior communicating artery-48 :15. Chorioid artery**-48 :16. Anterior cerebral artery-48 :17. Anterior communicating artery-48 :18. Middle cerebral artery-48 :19. Veins of the brain-53 :41. For the sinuses of the dura mater, see II :2c. The cerebral veins are tributaries of these sinuses. The deeper veins cannot be favorably demonstrated at the present stage of the dissection; the following veins are superficial in position: Superior cerebral veins-53 :42. Middle cerebral vein-53 :43. Inferior cerebral veins-53 :44. Superior cerebellar veins-53 :45. Inferior cerebellar veins-53 :46. Basal vein-53 :51. 3. BASE OF THE BRAIN AND THE CEREBRAL NERVES. a. Base of the brain. Exposed by removing (with a forceps and scissors) the remaining parts of meninges and blood vessels from the base of the brain, care being taken to guard against the tearing away of the cerebral nerves. Cerebral peduncles-61:46. Optic chiasma-62 :36. Optic tract-62 :33. Interpenduncular fossa-61:42. Anterior recess**---61:43. Posterior recess**-61:44. Posterior perforated substance-61:45. Mamillary bodies-62 :26. Tuber cinereum-62 :28. Infundibulum-62 :29. Longitudinal fissure of cerebrum-63 :8. Lateral fissure of cerebrum-63 :16. Pons-60:19.- Medulla oblongata-59 :13. 78 REGIONAL ANATOMY b. Cerebral nerves. Olfactory nerves-66:3. Optic nerve-66 :4. Oculomotor nerve-66 :5. Trochlear nerve-66 :9. Trigeminal nerve-66 :11. Portio major-66 :12. Portio minor-66 :14. Abducens nerve-67 :46. Facial nerve-67 :47. Intermediate nerve-67 :63. Acoustic nerve-67 :65. Vestibular root-67 :66. Cochlear root--67 :67. Glossopharyngeal nerve-68 :8. Vagus nerve-68:22. Accessory nerve-68 :57. Hypoglossal nerve-68 :60. XII. Brain: Surface Anatomy of the Rhombencephalon and Mesencephalon. 1. RHOMBENCEPHALON-59:11. To facilitate the exposure of structures in the rhombencephalon and mesencephalon the following incisions may be made for the removal of the right hemisphere of the cerebrum and the right half of the cerebellum: (a) with a sharp, thin knife making a transverse incision through the right cerebral peduncle just behind the right corpus mamillare, pressing apart the two cerebral hemispheres, exposing the corpus callosum and beginning at the corpus callosum, making a nearly median sagittal incision through all the structures in the middle line of the prosencephalon; the latter incision should prefer- ably pass slightly to the left of the midline, leave the septum pellu- cidum attached to the right hemisphere, and then should be carried posteriorly until it meets the transverse incision just made through the cerebral peduncle, thus detaching the right cerebral hemisphere; (b) in the same manner a second median sagittal incision is made through the vermis of the cerebellum, guarding against cutting into the floor of the fourth ventricle but carrying the incision forward through the anterior medullary velum as far as the inferior colliculi of the mesencephalon; finally by cutting through the brachium con- junctivum, brachium pontis and the corpus restiforme on the right, the right half of the cerebellum is detached (both the right cerebral hemisphere and the right half of the cerebellum being transferred to preserving fluid for later reference). a. Medulla, oblongata,-59 :13. Posterior median fissure-59 :14. Anterior median fissure-59 :15. Foramen caecum-59 :16. Pyramid-59 :17. Decussation of pyramids-59 :18. Anterior lateral sulcus-59 :19. Posterior lateral sulcus-59 :20. Olive-59 :21. Restiform body-59 :22. READ AND NECK 79 Funiculus lateralis-59 :23. Funiculus cuneatus-59 :24. Tuberculum cinereum-59 :25. Funiculus gracilis-59 :26. Clava-59 :27. External arcuate fibres-59 :28. &. Pons-60:19. Basilar sulcus-60 :20. Brachium pontis-60 :23. c. Isthmus of rhombencephalon-61:25. Brachium conjunctivum-61:26. Lemniscus-61:27. Trigonum lemnisci-61:30. Anterior medullary velum-61:31. Frenulum of anterior medullary velum-61:32. d. Cerebellum. Gyri of the cerebellum-60 :54. Sulci of the cerebellum-60 :55. Vallecula cerebelli-60:56. Incisura cerebelli anterior-60:57. Incisura cerebelli posterior-60 :58. Horizontal sulcus-60 :59. Transverse fissure**-60 :60. Vermis-60:61. Lingula cerebelli-60 :62, 63. Central lobe-60 :64. Monticulus-60 :65. Culmen-60 :66. Declive-60 :67. Folium vermis-60 :68. Tuber vermis-60 :69. Uvula-60:71. Nodule-60:72. Hemisphere of cerebellum-60 :73. Superior surface-60 :14. Ala lobuli centralis-60:75. Lobulus quadrangularis-60:78. Pars anterior-60 :77. Pars posterior-60:78. Lobulus semilunaris superior-61:1. Inferior surface-61:2. Lobulus semilunaris inferior-61:3. Lobulus biventer-61:4. Tonsil of cerebellum-61:5. Flocculus-61:6. 80 REGIONAL ANATOMY 2. FOURTH VENTRICLE-59:58. a. Floor of the fourth ventricle. Rhomboid fossa-59 :59. Pars inferior [calamus scriptorius]-59:60. Pars intermedia-59 :62. Lateral recess-59 :63. Pars superior-59 :64. Sulcus limitans-59 :65. Fovea inferior-59 :66. Fovea superior-60 :1. Trigonum n. hypoglossi-60:2. Striae medullares-60 :3. Eminentia medialis-60:4. Folliculus facialis-60 :5. Ala cinerea-60 :6. Area acustica-60 :7. Locus caeruleus-60:8. &. Roof of the fourth ventricle-60 :9. Posterior medullary velum-60 :10. Taenia ventriculi quarti-60 :11. Obex-60 :12. Epithelial chorioid layer-60:13. Median aperture [foramen of magendie]-60:14. Lateral aperture-60 :16. Fastigium-60 :17. 3. MESENCEPHALON-61:40. For structures relative to the inferior surface of the mesencephalon- 61:41-45, see XI :3a. Cerebral peduncles-61:46. Aquaeductus cerebri-61:47. Sulcus lateralis-61:48. Sulcus n. oculomotorii-61:49. Quadrigeminal bodies-62 :1. Lamina quadrigemina-62:2. Colliculus superior-62:3. Colliculus inferior-62:4. Brachium quadrigeminum superius-62 :5. Brachium quadrigeminum inferius-62 :6. XIII. Brain: Surface Anatomy of the Prosencephalon. 1. GENERAL SUBDIVISIONS OF THE PROSENCEPHALON. The remaining cerebral hemisphere may be detached by carefully cutting through the left cerebral peduncle just posterior to the left mamillary body, the rhombencephalon and mesencephalon being transferred to preserving fluid for later reference. Prosencephalon-62 :12. Diencephalon-62 :13. Thalamencephalon-62:51. Pars mammillaris hypothalami-62:25. Telencephalon-63 :5. Hemisphere-63 :6. Pars optica hypothalami-62:27. HEAD AND NECK 81 2. TELENCEPHALON. a. Pallium: general characteristics. Longitudinal fissure of cerebrum-63 :8. Transverse fissure of cerebrum-63 :9. Sulci of the cerebrum-63 :13. Gyri of the cerebrum-63 :10. Gyri profundi-63 :11. Gyri transitivi-63 :12. Gray substance-58 :5. "White substance-58 :4. Petrosal impression-63 :14. Lateral cerebral fossa-63 :15. Lateral cerebral fissure sylvian-63 :16. Posterior ramus-63 :17. Ascending anterior ramus-63 :18. Horizontal anterior ramus-63 :19. The pallium as a whole is subdivided into the following five lobes and related fissures and sulci: Lateral cerebral fissure [Sylvian]-63:16. Central sulcus-63 :30. Parieto-occipital fissure-64:12. Collateral fissure-63 :60. Circular sulcus--63 :25. Frontal lobe-63 :33. Temporal lobe-63 :50. Occipital lobe-63 :63. Parietal lobe-63 :70. Insula-63 :21. b. Lobes of the cerebrum. Frontal lobe-63 :33. Frontal pole-63 :34. Anterior central gyrus-63 :31. Precentral sulcus-63 :35. Superior frontal gyrus-63 :36. Superior frontal sulcus-63 :37. Middle frontal gyrus--63 :38. Pars superior-63 :39. Pars inferior-63 :40. Inferior frontal sulcus-63 :41. Inferior frontal gyrus-63 :42. Pars opercularis-63 :43. Pars triangularis-63 :44. Pars orbitalis--63 :45. Straight gyrus-63 :46. Olfactory sulcus-63 :47. Orbital gyri-63 :48. Orbital sulci-63 :49. Parietal lobe-63:70. Posterior central gyrus-63 :32. Superior parietal lobule-63 :71. Interparietal sulcus-63 :72. 82 REGIONAL ANATOMY Inferior parietal lobule--63 :73. Supramarginal gyrus-63 :74. Angular gyrus-63 :75. Temporal lobe-63 :50. Temporal pole-63 :51. Transverse temporal sulci-63 :52. Transverse temporal gyri-63 :53. Superior temporal gyrus-63 :54. Superior temporal sulcus-63 :55. Middle temporal gyrus-63 :56. Middle temporal sulcus-63 :57. Inferior temporal gyrus-63 :58. Inferior temporal sulcus-63 :59. Collateral fissure-63 :60. Fusiform gyrus-63 :61. Lingual gyrus-63 :62. Occipital lobe-63 :62. Occipital pole-63 :64. Transverse occipital sulcus-63 :65. Superior occipital gyri-63 :66. Superior occipital sulci-63 :67. Lateral occipital gyri-63 :68. Lateral occipital sulci-63 :69. Insula-63 :21. Operculum-63 :26. Pars frontalis-63 :27. Pars parietalis-63 :28. Pars temporalis-63 :29. Gyri insulae-63 :22. Exposed by pulling apart the margins of the lateral fissure, cutting away a part of the operculum if necessary. Gyrus longus insulae-63 :23. Gyrus breves insulae-63 :24. Sulcus centralis-63 :30. Sulcus circularis-63 :25. c. Medial surface of the hemisphere-63:76. Sulcus corporis callosi-63 :77. Sulcus cinguli-63 :78. Pars subfrontalis-63:79. Pars marginalis-64:1. Sulcus subparietalis-64:2. Fissura hippocampi-64:3. In the fissura hippocampi the fascia dentata hippocampi-64:56, and the fimbria hippocampi-64:53, may be observed. Gyrus fornicatus-64:4. Gyrus cinguli-64:5. Isthmus gyri fornicati-64:6. Gyrus hippocampi-64:4. Uncus-64:8. Substantia reticularis alba-64:9. Lobulus paracentralis-64:10. Praecuneus-64:11. HEAD AND NECK 83 Fissura parietooccipitalis-64:12. Fissura calcarina-64:13. Cuneus-64:14. d. Rhinencephalon-64:58. Sulcus parolfactorius anterior-64:59. Pars anterior-64:60. Lobus olfactorius-64:61. Bulbus olfactorius-64:62. Tractus olfactorius-64:63. Trigonum olfactorium-64:64. Stria medialis-64:65. Stria intermedia-64:66. Area parolfactoria-64:67. Sulcus parolfactorius posterior-64:68. Pars posterior-64:69. Gyrus subcallosus-64:70. Substantia perforata anterior-64:71. Stria olfactoria lateralis-64:72. Linien insulae-64:73. e. Hypothalamus-62 :24. Pars optica hypothalami-62:27. Only the optic part of the hypothalamus is in relation to the telencephalon; the mamillary part-62:25 includes the corpus mamillare-62:26. Tuber cinereum-62:28. Infundibulum-62 :29. Hypophysis-62 :30. Lobus anterior-62:31. Lobus posterior-62 :32. Tractus opticus-62:33. Radix medialis-62 :34. Radix lateralis-62 :35. Chiasma opticum-62 :36. Lamina terminalis-62:37. f. Corpus callosum-64:15. The corpus callosum may be demonstrated by slicing off the upper part of the right hemisphere at the level of the sulcus einguli (inci- dentally exposing the centrum semiovale-64:76), cutting trans- versely through the middle of the gyrus einguli and carefully tearing away the anterior and posterior parts of the gyrus einguli, exposing at the same time parts of the radiatio corporis callosi-65:6-11, and the cingulum-65:2. Splenium corporis callosi-64:16. Truncus corporis callosi-64:17. Genu corporis callosi-64:18. Rostrum corporis callosi-64:19. Lamina rostralis-64:20. Striae transversae-64:21. Stria longitudinalis medialis-64:22. Stria longitudinalis lateralis-64:23. Fasciola cinerea-64:24. 84 REGIONAL ANATOMY g. Ventriculus lateralis-64:35. The lateral ventricle may be exposed by making the following dis- sections: (a) making a longitudinal incision through the corpus callosum about 1 cm. from the medial sagittal plane, reflect lateral- ward and detach the-part of the corpus callosum lateral from the incision, taking care to leave in situ the part of the corpus callosum medial to the incision and the pars occipitalis of the radiatio corporis callosi-65:10; (&) cutting backward and lateralward through the medullary substance forming the roof of the ventricular cavity, remove enough of the roof to expose the interior of the central part of the cavity; (c) to open the inferior cornu extend the preceding incision downward and forward through the lateral part of the tem- poral lobe toward the temporal pole, following the course of the cavity (which lies nearly parallel to the superior temporal sulcus), and remove the part of the temporal lobe superior to this incision together with the pars temporalis of the operculum-63:26, guarding the insula from injury. Cornu anterius-64:37. Caput nuclei caudati-64:42. Pars centralis-64:36. Nucleus caudatus-64:41. Stria terminalis-64:44. Terminal vein-53 :50. Lamina affixa-64:45. Lamina chorioidea epythelialis-64:47. Plexus chorioideus ventriculi lateralis-65 :62. Taenia chorioidea-64:64. Thalamus-62:52. Largely covered by the chorioid plexus. Taenia fornicis-64:28 Cornu posterius-64:38. Tapetum-65 :11. With reference only to the roof and lateral wall of the posterior cornu. Calcar avis-64:48. (Bulbus cornu posterioris)-64:49. Cornu inferius-64:39. The mutual relations of the inferior cornu and the insula may be more thoroughly examined by insinuating the fingers beneath the pars frontalis and pars parietalis of the operculum-63:27, 28, and carefully tearing away the cortex in an upward direction. The following two structures are in relation to the inferior wall: Eminentia collateralis-64:50. (Sometimes absent.) Trigonum collaterale-64:51. The following structures are in relation to the lateral and superior walls of the inferior cornu: Tapetum-65 :11. Nucleus amygdalae-65 :21. Stria terminalis-64:44. Cauda nuclei caudati-64:43. In relation to the medial wall the following structures may be observed: Hippocampus-64:52. Digitationes hippocampi-64:55. Fimbria hippocampi-64:53. Chorioid plexus-65 :62. Taenia fimbriae-64:54. HEAD AND NECK 85 h. Septibm pellucidibm, fornix, and tela chorioidea. The septum pellucidum and fornix may be exposed by cutting through the occipital part of the radiation of the corpus callosum (of the right hemisphere) and through the fimbria hippocampi at the point where it passes into the crus fornieis, then carrying the knife anteriorly from the anterior end of the inferior horn, above the level of the uncus, through the temporal pole, separating the temporal lobe, together with the hippocampal gyrus medial to it, from the remainder of the brain along the line of the transverse fissure of the cerebrum; finally paring away enough of the cut edge of the medial part of the corpus callosum necessary to satisfactorily demonstrate the septum pellucidum and fornix. Septum pellucidum-64:32. Lamina septi pellucidi-64:33. Cavum septi pellucidi-64:34. Exposed by cutting through the remaining medial part of the corpus callosum just posterior to the genu, carefully detach- ing it from the septum pellucidum and fornix, and separ- ating the two laminae of the septum. Fornix-64:25. Crus fornieis-64:26. Corpus fornieis-64:27. Taenia fornieis-64:28. Columna fornieis-64:29. Pars libera columnae fornieis-64:30. Pars tecta columnae fornieis-64:31. Tela chorioidea ventriculi tertii-65:60.- Exposed by cutting transversely through the middle of the corpus fornieis, carefully raising the two parts of the fornix and re- flecting them anteriorly and posteriorly, noting the commissura. hippocampi-64:57, situated between the crura of the fornix. Internal cerebral veins-53 :47. Vein of septum pellucidum-53 :49. Terminal vein-53 :50. Chorioid vein-53 :52. Plexus chorioideus ventriculi lateralis-65 :62. Glomus chorioideum-65 :63. Plexus chorioideus ventriculi tertii-65 :61. Exposed by dividing the terminal vein at its junction with the internal cerebral vein, seizing the apex of the tela chorioidea and pulling it backward exposing the cavity of the third ventricle, but guarding against injury to the attach- ments of the corpus pineale-62:62. 2. THALAMENCEPHALON-62:51. a. Thalamus-62:52. Pulvinar-62 :53. Tuberculum anterius thalami-62 :54. Taenia thalami-62:55. Stria medullaris-62:56. Lamina chorioidea epithelialis-62 :57. &. Metathalamus-62 :58. Corpus geniculatum mediate-62:59. Corpus geniculatum laterale-62 :60. 86 REGIONAL ANATOMY c. Epithalamus-62 :61. Corpus pineale-62 :62. Recessus pinealis-62 :63. Recessus suprapinealis-62 :64. Habenula-62:65. Commissura habenularum-62 :66. Trigonum habenulae-€2 :67. 3. VENTRICULUS TERTIUS-82:14. Aditus ad aquaeductum cerebri-62 :15. Commissura posterior-62 :16. Foramen ventriculare-62:17. Sulcus hypothalamicus-62 :18. Massa intermedia-62 :19. Recessus opticus-62 ;20. Recessus infundibuli-62 :21. Commissura anterior-62:22. Recessus triangularis-62 :23. XIV. Brain: Sections through the Brain. The majority of the structures to be observed in stained and unstained sections of the brain require a hand lens or microscope for their demon- stration. These structures have not been repeated in detail here, since they are given complete in Part II, as originally listed in the B N A. 1. STRUCTURES IN SECTIONS OF THE MEDULLA OBLONGATA- 59:29-57. Exposed in transverse sections made at (a) the level of the decussation of the pyramids; (6) between the decussation of the pyramids and the olives; and (c) through the middle of the olives. 2. STRUCTURES IN SECTIONS OF THE PONS-62:24-52. May be demonstrated in transverse sections made at (a) about the junction of the pons and medulla, passing through point of entrance of the acoustic nerve; (6) at the level of the roots of the facial and abducens nerves; (c) at the level of the roots of the trigeminal nerves, and (d) through the anterior medullary velum and the middle of the pons. 3. STRUCTURES IN SECTIONS OF THE CEREBELLUM-61:10-24. May be demonstrated in the following sections: (a) a median sagittal section through the vermis; (&) a frontal section through about the middle of one half the cerebellum; and (c) a horizontal section through the other half of the cerebellum in the plane of the brachium conjunctivum. 4. STRUCTURES IN SECTIONS OF THE RHOMBENCEPHALIC ISTHMUS AND THE MESENCEPHALON. May be demonstrated in transverse sections made (a) through the inferior colliculus at the level of the nucleus of the trochlear nerve; and (ft) through the superior colliculus and lateral geniculate body at the level of the roots of the oculomotor nerve and the nucleus ruber. a. Sections of the isthmus rhomb encephali-61:33-35. b. Sections of the pedunculus cerebri-61:50-65. c. Sections of the corpora quadrigemina-62 :7-ll. HEAD AND NECK 87 5. STRUCTURES IN SECTIONS THROUGH THE PROSENCEPHALON. For the demonstration of these structures, horizontal sections about % to 1 cm. thick should be made through the remainder of the right cerebral hemisphere. In the left hemisphere, which should have been retained intact, either vertical frontal or obliquely frontal sections may be made. The vertical frontal sections should pass through the following regions: (a) through the genu of the corpus callosum; (b) through the septum pellucidum between the body and rostrum of the corpus callosum; (c) through the tips of the temporal lobes; (d) through the foramen inter - ventriculare; (e) through the corpora mamillaria; (/) through the sub- thalamic region; (g) through the upper end of the aquaeductus cerebri. The obliquely frontal sections should all be parallel to the sulcus centralis and pass through the following regions (in accordance with the method of Pitris, 1877) : (a) through the lobus frontalis about 5 cm. anterior to the sulcus centralis; (b) through the pars opercularis of the gyrus frontalis inferior and the corresponding portions of the gyrus medius and gyrus frontalis superior; (c) through the middle of the gyrus centralis anterior; (d) through the middle of the gyrus centralis posterior; (e) through the anterior ends of the lobulus parietalis superior and lobulus parietalis in- ferior; (/) through the posterior part of the cerebrum about 1 cm. anterior to the fissura parietooccipitalis. In addition to the preceding horizontal and frontal sections, the following sections are especially instructive: (a) through the brain in a plane passing parallel to the course of the brachia conjunctiva and through them; and (h) through the brain in a plane parallel to the course of the cerebral peduncles and through them. a. Sections of the hypothalamus-62 :38-50. b. Sections of the thalamencephalon-62 :68-73, 63 :l-4. c. Sections of the telencephalon-64:75-77, 65:1-31. XV. Organ of Vision. 1. OPTIC NERVE-73:4. (See also X:10&.) Vaginae n. optici-73 :5. Spatia intervaginalis-73 :6. 2. BULBUS OCULI-73:7. As a rule, the ordinary cadaver material is not favorable for the present purpose and must consequently be supplemented by eyeballs obtained from the ox or pig, in which the various structures may be demonstrated in both fresh specimens and in material hardened in formalin. The conjunctiva and fascia bulbi are caught with a forceps, cut through close to and entirely around the cornea, and these structures, together with any other soft parts, removed from the surface of the sclera, and two hardened eyeballs cut into halves, the one by a sagittal, and the other by a coronal, section. Anterior pole-73 :8. Posterior pole-73 :9. Equator-73 :10. Meridians-73 :11. External axis of eyeball-73 :12. Internal axis of eyeball-73 :13. Optic axis-73 :14. [Line of vision]-73:15. Ophthalmic vesicle*-73 :16. Ophthalmic cup*-73 :17. 88 REGIONAL ANATOMY 3. TUNICA FIBROSA OCULI-73:18. a. Sclera-73 :19. May be exposed by cutting through the sclera at the equator with a sharp knife and with scissors carrying the incision completely around the eyeball along the line of the equator (carefully guarding against injury to the black chorioid coat); separating both parts of the sclera from the subjacent structures and reflecting the anterior part forward, breaking the attachment of the ciliary muscle to its deep surface, and separating the posterior part by dividing the fibers of the optic nerve in a plane corresponding to the inner surface of the sclera. Sulcus sclerae-73 :20. Rima cornealis-73 :21. Sinus venosus sclerae-73 :22. Lamina fusca-73 :23. Lamina cribrosa sclerae-73 :24. (Raphe sclerae)-73:25. (Funiculus sclerae)-73:26. b. Cornea-73 :27. Annulus conjunctivae-73 :28. Vertex corneae-73 :29. Limbus corneae-73 :30. Facies anterior-73 :31. 'Facies posterior--73 :32. The following structures can be adequately demonstrated only in thin sections by means of a hand lens and microscope. Epithelium corneae-73 :33. Lamina elastica anterior-73 :34. Substantia propria-73 :35. Lamina elastica posterior-73 :36. Endothelium camerae anterioris-73 :37. 4. TUNICA VASCULOSA OCULI-73:38. a. Chorioidea-73 :39. Lamina suprachorioidea-73 :40. Spatium perichorioideale-73 :41. Lamina vasculosa-73 :42. The vorticose veins-53:60, may be exposed by brushing away the pigment with a camel's hair brush. Lamina choriocapillaris-73 :43. Lamina basalis-73 :44. (Raphe chorioideae)-73:45. b. Corpses ciliare-73 :46. Corona ciliaris-73 :47. May be demonstrated by making a coronal section through an eyeball slightly anterior to the equator and. carefully removing the vitreous humor from the anterior segment of the eyeball. Processus ciliares-73 :48. Plicae ciliares-73 :49. Orbicularis ciliaris-73 :50. Ciliary muscle-73 :51. The following fibers require a microscope for their adequate demonstration: Fibrae meridionales-73 :52. Fibrae circulares-73 :53. Plexus gangliosus ciliaris-73 :54. READ AND NECK 89 c. Iris-73 :55. May be exposed by cutting around the sclerocorneal junction and removing the cornea, making several meridional incisions through the anterior part of the sclera; the strips of sclera may then be separated from the ciliary muscle, bent aside and pinned to the bottom of a cork-lined tray filled with water, the iris examined and then removed for a more complete demonstration of its structure. Margo pupillaris-73 :56. Margo ciliaris-73 :57. Facies anterior-73 :58. Facies posterior-74:1. Annulus iridis major-74:2. Annulus iridis minor-74:3. Plicae iridis-74:4. Pupilia-74:5. Sphincter muscle of pupil-74:6. Stroma iridis-74:7. Dilator muscle of pupil-74:8. Pectinate ligament of iris-74 :9. Spatia anguli iridis-74:10. Greater arterial circle-74:11. Lesser arterial circle-74:12. (Membrana pupillaris)*-74:13. d. Ciliary nerves and vessels. Short ciliary nerves-66 :37. Long ciliary nerves-66 :25. Short posterior ciliary arteries-47 :75. Long posterior ciliary arteries-47 :76. Anterior ciliary arteries-48 :1. Venae vorticosae-53:60. 5. PIGMENT LAYER-74:14. May be exposed by removing the chorioidea under water. Stratum pigmenti retinae-74:15. Stratum pigmenti corporis ciliaris-74:16. Stratum pigmenti iridis-74:17. 6. RETINA-74:18. May be exposed by removing the chorioidea from the eyeball from which the sclera and cornea have already been taken away. Pars optica retinae-74:19. Ora serrata-74:20. Pars ciliaris retinae-74:21. Papilla n. optici-74:22. Excavatio papillae n. optici-74:23. Macula lutea-74:24. Fovea centralis-74:25. Vasa sanguinea retinae-74:26-34. May be examined in the living eye with the ophthalmoscope. 90 REGIONAL ANATOMY 7. VITREOUS BODY-74:38. May be obtained from an. eyeball which has been kept for several days with- out preservatives, by dividing the coats of the eye at the equator, carefully turning back the cut edges and allowing the "eye-kernel" (vitreous body and crystalline lens) to slip out into a vessel of water; the demonstration of the hyaloid membrane, capsule of the lens, and the zonula ciliaris may also be facilitated by staining for a few minutes in strong picrocarmin solution and washing in water. Hyaloid artery*-74:39. Canalis hyaloidea-74:40. Fossa hyaloidea-74:41. Membrana hyaloidea-74:42. Stroma vitreum-74:43. Humor vitreus-74:44. 8. ZONULA CILIARIS-74:59. Fibrae zonulares-74:60. Spatia zonularia-74:61. Their structural characteristics may be demonstrated by inserting the point of a fine blowpipe into the spaces and inflating them with air. 9. CRYSTALLINE LENS-74:45. Isolated for observation by cutting through the zonular fibers of the zonula ciliaris and removing the lens. Capsula lentis-74:51. Polus anterior lentis-74:52. Polus posterior lentis-74:53. Facies anterior lentis-74:54. Facies posterior lentis-74:55. Axis lentis-74:56. Aequator lentis-74:57. Radii lentis-75:58. Substantia lentis-74:46. Exposed by cutting through the anterior wall of the capsule and press- ing the lens out through the opening. Substantia corticalis-74:47. Nucleus lentis-74:48. With the aid of a microscope the following structures may be demonstrated in a lens which has been hardened in alcohol and teased apart. Fibrae lentis-74:49. Epithelium lentis-74:50. 10. CHAMBERS OF THE EYEBALL. Camera oculi anterior-74:35. Angulus iridis--74:36. Camera oculi posterior--74:37. ABDOMEN AND PELVIS Plate VII Male perineum showing relations and surface projection of the inferior pelvic aperture as seen in the lithotomy position. 92 Ligamentum sacrotuberosum Tuber ischiodicum [ EMMEL] B N A symphysis ossium pubis Tuberculum pubicum PLATE VII -Os sacrum Os coccygis -Haphe perinei ABDOMEN AND PELVIS 1. SUBDIVISIONS OF ABDOMEN AND PELVIS. Abdomen-4:55. Abdominal cavity-4:56. Scrobiculus cordis-4:57. Umbilicus-4:58. Flank-4:59. Loin-4:60. Groin-4:61. Pelvis-5 :1. Pelvic cavity-5 :2. Mons pubis-5 :3. Hip-5 :4. Buttock-5 :5. Anus-5 :6. Anal cleft-5 :7. Perineum-5 :8. I. General Characteristics. 2. SURFACE ANATOMY. (Pls. 3, 4, 7, 8.) Xiphoid process-7 :52. Ribs-7 :28. (Anterior ends of 7th to 12th ribs.) Iliac crest-15 :18. Posterior superior iliac spine-15 :24 Crista sacralis media-7 :18. Anterior superior iliac spine-15 :22. Inguinal ligament-25 :41. Superior ramus of the pubic bone-15 :50. Symphysis pubis-15 :53. Pubic tubercle,-15 :44. Linea alba-25 :34. Linea semilunaris-25 :49. Subcutaneous inguinal ring-25 :44. Spermatic cord-40 :37. Round ligament of the uterus-42 :23. Tuber ischiadicum-15 :36. Inferior ramus of the ischium-15 :35. 3. REGIONS. (Pls. 11, 12, and figs. 2, 3.) Epigastric region-83 :15. Hypochondriac region-83 :16. Mesogastric region-83 :17. Umbilical region-83/18. Lateral abdominal region-83 :19. Hypogastric region-83 :20. Pubic region-83 :21. Inguinal region-83 :22. Regions of the back in relation to the pelvis: Perineal region-83 :33. Anal region-83 :34. Urogenital region-83 :35. Pudendal region-83 :36. 93 94 REGIONAL ANATOMY II. Perineal Region.4 1. SURFACE ANATOMY. (Pls. 7, 8.) a. Perineal region in general. Symphysis pubis-15 :53. Arcuate ligament-20 :61. Coccyx-7 :25. Inferior ramus of the pubis-15 :49. Inferior ramus of the ischium-15 :35. Sacrotuberous ligament-20 :49. Perineal raphe-43 :18. b. Pudendal region in the male. Corpus penis-40 :68. Dorsum of penis-40 :70. Urethral surface-40 :71. Glans penis-40 :72. Corona glandis-40 :73. Septum glandis-40 :74. Collum glandis-40:75. Prepuce-41:1. Frenulum of prepuce-41:2. External urethral orifice-41:28. Scrotum-41:31. Raphe of scrotum--41:32. c. Picdendal region in the female. Mons pubis-5 :s. Female pudendum-42 :45. Labium majus pudendi-42 :46. Anterior labial commissure-42 :47. Posterior labial commissure-42:48. Frenulum of pudendal labia-42:49. Rima pudendi-42 :50. Fossa navicularis-42 :51. Labium minus pudendi-42:52. Vestibulum vaginae-42:53. Orificium vaginae--42 :57. Clitoris-42 :59. Corpus clitoris-42 :61. Glans clitoris-42:62. Frenulum of clitoris-42 :63. Prepuce of clitoris-42 :64. External orifice of urethra-42:71. Hymen-42 :29. Hymen caruncles-42 :30. 4 For some purposes it may be an advantage to consider this region in more direct correlation with the pelvic structures; see Section VI:2. ABDOMEN AND PELVIS 95 2. UROGENITAL REGION: STRUCTURES EXTERNAL TO THE URO- GENITAL DIAPHRAGM. a. In the male. Skin incisions (the body being in the ligthotomy position) : (a) transversely between the anterior extremities of the ischial tuberosi- ties ; (&) median along the median raphe from the scrotum to the tip of the coccyx, encircling the anus. Superficial perineal fascia-43 :45. The following structures in the compartment between the superficial perineal fascia and the urogenital diaphragm are exposed by making an incision through the deeper layer of the superficial perineal fascia, beginning in the median line at the base of the scrotum and extend- ing to the ischial tuberosity on each side, and reflecting the fascial flaps. Superficial transverse perineal muscle-43 :42. Ischiocavernosus muscle-43 :43. Bulbocavernosus muscle-43 :44. Perineal artery-51:19. Posterior scrotal arteries-51:20. Perineal nerve-71:21. Posterior scrotal nerves-71:22. Perineal rami of the posterior femoral cutaneous nerve- 70:53. Lymphatic vessels. Root of penis-40 :67. Crura of penis-40 :69. Corpora cavernosa penis-41:4. The following structures are exposed by dividing the bulbocavernosus muscle in the midline and reflecting the muscle. Corpus cavernosum urethrae-41:5. Bulbus urethrae-41:6. Hemispheres of bulb of urethra-41:7. Septum of bulb of urethra-41:8. b. In the female. Skin incisions (the body being in the lithotomy position) : (a) trans- versely between the ischial tuberosities; (&) along the median line extending from the mons pubis to the tip of the coccyx, encircling the labia majora and the anal orifice. Superficial perineal fascia-43 :45. Perineal artery--51:19. Posterior labial arteries-51:21. Perineal nerve-71:21. Posterior labial nerves-71:23. Perineal rami of the posterior femoral cutaneous nerve- 70:53. Lymphatic vessels. Superficial transverse perineal muscle-43 :42. (Not con- stant in degree of development.) Ischiocavernosus muscle-43 :43. Bulbocavernosus muscle-43 :44. The following structures are exposed by reflecting the bulbo- cavernosus and ischiocavernosus muscles. Bulbus vestibuli--42 :54. Glandula vestibularis major-42:58. Plate VIII Female perineum showing relations and surface projection of the inferior pelvic aperture as seen in the lithotomy position. 96 Ligamentum sccrotuberosum Tuber ischiadicum [ EMMEL] B N A symphysis ossium pubis .Tuberculum pubicum PLATE VIII Os sacrum 'Os coccygis -"Raphe perinei ABDOMEN AND PELVIS 97 Crura clitoridis-42:60. Corpus clitoridis-42 :61. Corpora cavernosa clitoridis-42 :66. Septum corporum cavernosorum-42 :67. Fascia clitoridis-42 :68. Glans clitoridis-42:62. 3. UROGENITAL DIAPHRAGM. a. Inferior fascia of the urogenital diaphragm-43 :37, May be exposed by detaching the isehiocavernosus muscle and the crus penis (the crus clitoridis in the case of the female) from the pubic arch on each side; guarding against injury to the inferior fascia of the urogenital diaphragm, branches of the internal pudendal artery and the dorsal nerve of the penis (or of the clitoris in the female). The inferior fascia of the urogenital diaphragm is removed in ex- posing the following structures situated in the compartment between the inferior and the superior fascia of the urogenital diaphragm. 5. Structures in the urogenital diaphragm in the male. Transverse perinei profundus muscle-43 :34. Sphincter urethrae membranaceae muscle-43 :35. Artery of the penis-51:22. Artery of the bulb of urethra-51:24. Urethral artery-51:23. Deep artery of penis-51:26. Dorsal artery of penis-51:27. Dorsal vein of the penis-55 :49. Dorsal nerve of the penis-71:24. Bulbourethral glands-40 :62. Body of gland-40 :63. Excretory duct-40 :64. Membranous part of urethra-41:24. Superior fascia of urogenital diaphragm-43 :36. The following structures are in relationship to this fascia: Arcuate ligament of the pubis-20 :61. Transverse ligament of the pelvis-43 :38. c. Structures in the urogenital diaphragm in the female. Transverse perinei profundus muscle-43 :34. Sphincter urethrae membranaceae muscle-43 :35. Artery of clitoris-51:28. Artery of bulb of vestibule-51:25. Urethral artery-51:23. Deep artery of clitoris-51:29. Dorsal artery of clitoris-51:30. Dorsal veins of the clitoris-55 :51. Dorsal nerve of the clitoris-71:25. Glandula vestibularis major-42 :58. Urethra-42 :70. Superior fascia of the urogenital diaphragm-43 :36. The following structures are in relationship to this fascia: Arcuate ligament of the pubis-20:61. Transverse ligament of the pelvis-43 :38. 98 REGIONAL ANATOMY 4. ANAL REGION. •Superficial perineal fascia-43 :45. Sphincter ani externus muscle-43 :24. Anococcygeal ligament-43 :25. Inferior clunial nerve**-70 :52. Perineal branch of the posterior femoral cutaneous nerve**- 70:53. Ischiorectal fossa-43 :41. The fat in the ischiorectal fossa is removed in the demonstration of its contents. Inferior haemorrhoidal nerve-71:20. Inferior haemorrhoidal artery-51:18. The following structures are in relationship to the walls of the fossa: Inferior fascia of pelvic diaphragm-43 :32. Levator ani muscle-43 :21. Obturator fascia-43 :40. The following nerve and artery are in relation to the obturator fascia: Pudendal nerve-71:19. Internal pudendal artery-51:17. Tendinous arch of the levator ani muscle-43 :22. Situated at the angle of junction between the obturator fascia and the inferior fascia of the pelvic diaphragm. Obturator internus muscle-26 :72, Urogenital diaphragm-43:33. (Its posterior margin only.) Glutaeus maximus muscle-26:67. (Its posterior or distal margin only.) Sacrotuberous ligament-20 :49. III. Anterior Abdominal Wall. 1. FASCIA, CUTANEOUS NERVES AND BLOOD VESSELS. For the surface anatomy of the abdomen, see 1:2, and plates 3 and 4. Skin incisions: (a) longitudinally along the anterior median line from the xiphoid process to the mons pubis (encircling the umbilicus); (&) from the xiphoid process transversely around the thorax as far back as possible; (c) from the mons pubis laterally along the line of the inguinal ligament to the anterior superior iliac spine and then posteriorly along the iliac crest as far back as possible. In demonstrating the following structures the dissection should not extend distal to the inguinal ligament. Superficial fascia-23 :36. Divided into two layers toward the inferior part of the abdomen. Anterior cutaneous rami of intercostal nerves-70 :8. Anterior cutaneous ramus of iliohypogastric nerve-70:28. Ilioinguinal nerve-70 :29. Lateral cutaneous rami of intercostal nerves-70:3. Lateral cutaneous ramus of the iliohypogastric nerve-70:27. Superficial epigastric artery-51:39. Superficial circumflex iliac artery-51:40. External pudendal arteries-51:41. Parumbilical veins-55 :36. Thoracoepigastric veins-54:32. Superficial epigastric vein-55 :65. ABDOMEN AND PELVIS 99 2. DEEPER STRUCTURES OF THE ANTERIOR ABDOMINAL WALL. a. Muscles and related structures. Obliquus externus abdominis muscle-25 :38. Exposed by the removal of the deep fascia, guarding at the same time against injury to its aponeurosis and the structures in rela- tion to the subcutaneous inguinal ring. The following structures are in relationship with the external oblique muscle: Trigonum lumbale-25 :48. Inguinal ligament-25 :41. Lacunar ligament-25 :42. Subcutaneous inguinal ring-25 :44. Superior crus-25 :45. Inferior crus-25 :46. Intercrural fibers-25 :47. Obliquus internus abdominis muscle-25 :29. May be exposed by detaching the external oblique muscle at its origin, dividing the muscle, at its insertion into the iliac crest, from the superior iliac spine, carrying the incison medialward through the aponeurosis of the external oblique muscle to the lateral margin of the rectus abdominis muscle, and reflecting the external oblique muscle medialward.' Cremasteric muscle-25 :30. Transversus abdominis muscle-25 :31. May be exposed by detaching the internal oblique muscle at its origin and reflecting the muscle toward its insertion, at the same time guarding the subjacent nerves and vessels, and leaving intact the inguinal canal and its contents. Linea semilunaris-25 :49. The following nerves and vessels are in relationship throughout part of their course with the internal oblique and transversus abdominis muscles. Anterior rami of thoracic nerves-70:1. Iliohypogastric nerve-70 :25. Ilioinguinal nerve-70:29. Intercostal arteries-49 :59. Lumbar arteries-50 :9. Rectus abdominis muscle-25 :25. May be exposed by making a longitudinal incision through the aponeurotic sheath of the rectus abdominis muscle at a distance of about 3 cm. from the linea alba, the inferior end of each incision curving toward the symphysis pubis. Tendinous inscriptions-23 :37. Sheath of the rectus abdominis muscle-25 :39. Linea simicircularis-25 :40. The following arteries are in relationship to the rectus sheath: Inferior epigastric artery-51:32. Superior epigastric artery-48 :47. Pyramidalis muscle-25 :27. Linea alba-25 :34. Fascia transversalis-25 :50. Deep circumflex iliac artery-51:37. Peritoneum-43 :46. May be exposed by the removal of a small portion of the fascia transversalis. 100 REGIONAL ANATOMY b. Internal surface of the anterior abdominal wall. May be exposed by beginning at a point just above the umbilicus and making two incisions through the abdominal wall: (a) trans- versely from side to side; (b) longitudinally just to the left of the linea alba and extending to the superior ramus of the pubic bone. Urachus-39 :34. Plica umbilicalis media-44:22. Plica umbilicalis lateralis-44:23. Plica epigastrica-44:24. Fovea supravesicalis-25:57. Fovea inguinalis media-25 :56. Fovea inguinalis ' lateralis-25 :55. Abdominal inguinal ring-25 :52. 3. INGUINAL CANAL, SCROTUM, SPERMATIC CORD, AND TESTIS. a. Inguinal canal-25 :51. A demonstration of its boundaries involves the removal of the peri- toneum from the anterior abdominal wall in the region of the inguinal canal. Falx inguinalis-25 :26. Reflex inguinal ligament-25 :43. 5. Scrotum a/nd spermatic cord. For the pudendal region see Section II :1b, c. Scrotum-41:31. The scrotal sac may be opened and its contents exposed by making a longitudinal incision through the anterior wall of the scrotum. Raphe of the scrotum-41:32. Septum of the scrotum-41:33. Tunica dartos-41:34. Spermatic cord-40 :37. Cremasteric fascia-40 :47. Cremasteric muscle-40 :46. (Vaginal peritoneal process)-40:38. Tunica vaginalis communis-40 :45. Ductus deferens-40 :21. Internal spermatic artery-50 :52. External spermatic artery-51:35. Deferential artery-51:11. Pampiniform plexus of veins-55 :14. Spermatic vein-55 :11. External spermatic nerve-70:35. Deferential plexus-72:42. Lymphatics. c. Testis-39 :66. Tunica vaginalis propria testis-40 :39. Lamina parietalis--40 :40. Lamina visceralis-40 :41. Sinus epididymidis-40 :44. The testis may be exposed by making an incision through the anterior part of the lamina parietalis of the tunica vaginalis propria. Superior and inferior extremities of the testis-39 :67, 68. Lateral and medial surfaces-39 :69, 70. ABDOMEN AND PELVIS 101 Anterior and posterior margins-39 :71, 72. Epididymis-40:9. Head, body and tail of epididymis-40 :10-12. Appendix testis-40 :18. The following structures may be identified in cross-section of the testis: Tunica albuginea-39 :73. Mediastinum testis-39 :74. Septula testis-39:75. Lobules-40:1. Parenchyma-40:2. For the structures of the penis, see II :1b, 2a and VI :3a. IV. Abdominal Cavity, Peritoneum, and Viscera. 1. ABDOMINAL CAVITY AND THE PERITONEUM. a. General characteristics of the abdominal cavity, viscera and peritoneum. In completing the opening of the abdominal cavity and demonstrat- ing the abdominal and peritoneal relations of the following structures, the incision already made through the lower part of the anterior abdominal wall (Section III:26) is extended upward from the umbilicus to the xiphoid process, passing just to the left of the mid- sagittal plane. Liver-34:43. Gall bladder-35 :6. Stomach-32 :78. Greater omentum-43 :70. Small intestine-33 :29. Large intestine-33 :61. Lesser omentum-43 :64. Peritoneum-43 :46. Parietal peritoneum-43 :49. Visceral peritoneum-43 :50. Peritoneal cavity-43 :51. &. Peritoneal folds and fossa in relation to the small and large intestine. Mesentery-43 :53. Root of mesentery-43 :54. Duodenojejunal recess-44-:9. Duodenojejunal fold-44:10. Greater omentum-43 :70. Gastrocolic ligament-43 :69. Mesocolon-43 :56. Transverse mesocolon-43 :57. Ascending mesocolon-43 :58. Descending mesocolon-43 :59. Sigmoid mesocolon-43 :60. Mesorectum-43 :61. Mesentery of the vermiform process-43 :62. Ileocaecal fold-44:15. Superior ileocaecal recess-44:13. 102 REGIONAL ANATOMY Inferior ileocaecal recess-44:14. Caecal fold-44:18. Caecal fossa-44:16. Retrocaecal recess-44:17. Paracolic recess-44:19. Phrenicocolic ligament-44:1. c. Peritoneal ligaments in relation to the liver, stomach, and spleen. Faliciform ligament of liver-44:3. Ligamentum teres of the liver-34:56. Coronary ligament of the liver-44:4. Right and left triangular ligaments-44:5, 6. Lesser omentum-43 :64. Hepatogastric ligament-43 :65. Hepatoduodenal ligament-43 :66. Gastrosplenic ligament-43 :68. Phrenicosplenic ligament-44:2. Gastrocolic ligament-43 :69. d. Omental bursa-43 :71. Foramen epiploicum-43 :77. The extent and following subdivisions of the omental bursa may be determined by inserting the finger through the foramen epi- ploicum : Vestibule of bursa-43:72. Superior omental recess-43 :73. Inferior omental recess-43 :74. Splenic recess-43:75. e. Relations of the pelvic peritoneum. Rectovesical excavation or pouch-44:38. Pubovesical fold**-44:25. Transverse vesical fold-44 :26. The following structures relate to the female pelvis only: Broad ligament of the uterus-44:29. Rectouterine excavation or pouch-44:36. Vesicouterine excavation or pouch-44:37. f. Peritoneal relations in general. The relations of the peritoneum in general may be traced in trans- verse and sagittal planes of the abdomen. Some of the peritoneal relations of such retroperitoneal organs as the kidney, duodenum, and pancreas may be determined by palpation. 2. MESENTERIC BLOOD VESSELS, NERVES, AND LYMPHATICS. Superior mesenteric artery-50:36. (Not including its origin.) Exposed by removing the right layer of peritoneum of the mesen- tery, the inferior layer of the transverse mesocolon, and the peri- toneum of the posterior abdominal wall between the root of the mesentery and the ascending colon. Intestinal arteries-50 :37. Jejunal arteries-50 :39. Ileal arteries-50 :40. ABDOMEN AND PELVIS 103 Inferior pancreaticoduodenal artery-50 :38. Ileocolic artery-50 :41. Appendicular artery-50 :42. Right colic artery-50 :43. Middle colic artery-50 :44. Superior mesenteric vein-55 :17. The tributaries of the superior mesenteric vein-55:18:25, con- sist of vessels corresponding to the branches of the superior mesenteric artery, together with veins from the stomach and pancreas. Superior mesenteric sympathetic plexus-72 :32. Mesenteric lymph glands-56 :64. Mesocolic lymph glands-56 :65. Inferior mesenteric artery-50 :45. May be demonstrated by removing the peritoneum from the posterior abdominal wall between the root of the mesentery and the descending and iliac colon. Left colic artery-50 :46. Sigmoid arteries-50 :47. Superior haemorrhoidal artery-50 :48. (Exclusive of its termination.) Inferior mesenteric vein-55 :26. Left colic vein-55 :27. Sigmoid veins-55 :28. Superior haemorrhoidal vein-55 :29. Participates in an important anastomosis between the sys- tematic and portal circulation. Inferior mesenteric sympathetic plexus-72 :35. 3. MESENTERIAL SMALL INTESTINE AND THE LARGE INTESTINE. a. Mesenterial small intestine-33 :58. Jejenum-33 :59. Ileum-33 :60. Meckel's diverticulum. The following structures can best be demonstrated in the intestine which has been removed from the abdomen, opened along its mesen- teric border, and its contents washed out. For its removal, the small interstine may be divided between ligatures about 5 cm. below the duodenojejunal flexure and about 10 cm. above the ileocaecal junc- tion, and its connections severed with the mesentery and mesenterial blood vessels. Tunica serosa-33 :30. Tunica muscularis-33 :31. Longitudinal layer-33 :32. Circular layer-33 :33. Tela submucosa-33 :34. Tunica mucosa-33 :35, 36. Plicae circulares-33 :37. Intestinal villi-33 :38. (Demonstrated with a hand lens.) Intestinal glands-33 :40. (Demonstrated with a hand lens.) Aggregated lymph nodules-33 :41. Solitary lymph nodules-33 :40. Chyme-33 :42. Chyle-33 :43. Intestinal juice-33 :44. 104 REGIONAL ANATOMY b. Large intestine-33 :61. Caecum-33 :62. Vermiform process-33 :67. Colon-33 :70. Ascending colon-33 :71. Right colic flexure-33 :72. Transverse colon-33 :73. Left colon flexure-33 :74. Descending colon-33:75. Sigmoid colon-33:76. Taeniae coli-33 :82. Taenia mesocolica-34:1. Taenia omentalis-34:2. Taenia libera-34:3. Haustra coli-33 :78. Appendices epiploicae-33 :80. The following structures can be demonstrated to best advantage after1 the large intestine has been divided between ligatures at the junction of the sigmoid colon with the rectum, removed from the abdomen and its contents washed out. Valvula coli-33 :63. Inferior and superior lips-33 :64, 65. Frenula of the valve of the colon-33 :66. (Valve of the vermiform process)-33 :68. Aggregated nodules of the vermiform process-33 :69. Tunica serosa.-33:79. Tunica muscularis-33 :81. Tunica submucosa-34:4. Tunica mucosa-34:5, 6. Intestinal glands-34:7. Solitary lymphatic nodules-34:8. 4. STRUCTURES IN RELATION TO THE WALLS OF THE OMENTAL BURSA. a. Biliary ducts and vessels in the lesser omentum. The exposure of the structures in the lesser omentum may be facili- tated by the removal of the greater part of the left lobe of the liver. To this end an incision may be made through the left lobe in an anterior-posterior direction, beginning just at the left of the falci- form ligament and terminating near the left margin of the fossa for the ductus venosus (keeping the detached part of the liver wrapped in a damp cloth for later reference). Common bile duct->35 :16. Hepatic duct-35 :3. Cystic duct-35 :10. Portal vein-55 :15. Hepatic artery-50:19. Right gastric artery-50 :20. Proper hepatic artery-50 :21. Right ramus--50 :22. Cystic artery-50 :23. Left ramus-50 :24. Left gastric artery-50:17. ABDOMEN AND PELVIS 105 b. Remaining vessels in relation to the walls of the omental bursa. Gastroduodenal artery-50 :25. Right gastroepiploic artery-50 :29. In exposing the following structures any remaining parts of the lesser omentuma are removed, the right gastric artery, right gastro- epiploic artery, and stomach are divided just to the left of the pylorus, the stomach displaced toward the left side, and the posterior wall of the lesser omental bursa carefully removed, guarding against undue displacement of the pancreas. Superior pancreaticoduodenal artery-50 :26. Coeliac artery-50 :16. Left gastric artery-50:17. Hepatic artery-50 :19. (For its branches see the pre- ceding section, 4a.) Splenic artery-50:31. Pancreatic rami-50:32. Left gastroepiploic artery-50 :33. Short gastric arteries-50 :34. Splenic rami-50 :35. Portal vein-55 :15. Coronary vein of the stomach-55 :16. Superior mesenteric vein-55 :17. Inferior mesenteric vein-55 :26. Splenic vein-55 :30. Left gastroepiploic vein-55 :32. Cystic vein-55 :33. Parumbilical veins-55 :36. The portal vein also participates in important oesophageal, rectal, peritoneal, and umbilical anastomoses. 5. DUODENUM AND PANCREAS. a. Duodenum-33 :45. Pars superior-33 :46. Pars descendens-33 :47. Pars horizontalis-33 :49. Pars ascendens-33 :50. Suspensory muscle of the duodenum-33 -.54. Duodenal papilla-33 :56. Exposed by making a longitudinal incision through the anterior wall of the duodenum. Longitudinal fold of duodenum-33 :55. b. Pancreas-34:26. Head of pancreas-34:27. Uncinate process-34:28. Notch of the pancreas-34 :29. Body of pancreas-34:30. Anterior, posterior and inferior surfaces-34:31-33. Superior, anterior and posterior margins-34:34-36. Omental tuber-34:37. Tail of pancreas-34:38. Pancreatic duct-34:39. Accessory pancreatic duct-34:40. (Accessory pancreas-34:41. 106 REGIONAL ANATOMY 6. STOMACH AND SPLEEN. a. Stomach--32:78. Vagus nerve-68:22. (In its relation to the stomach and adjacent organs.) Anterior and posterior gastric plexuses-68 :51, 52. Hepatic rami-68 :53. Coeliac rami-68 :54. Stomach-32 :78. Anterior and posterior walls of stomach-32 :79, 80. Greater and lesser curvatures of stomach-32 :1, 2. Cardia-33 :3. Fundus of stomach-38 :4. Body of stomach-33 :5. Pylorus-33 :6. Cardiac part-33 :7. Pyloric part-33 :8. (Cardiac antrum)-33:9. Pyloric antrum-33 :10. The exposure of the following structures is facilitated by dividing the abdominal part of the oesophagus, removing the stomach, and opening the stomach by an incision along its greater curvature. Serous coat-33 :11. Muscular coat-33 :12. Longitudinal layer-33 :13. Circular layer-33 :15. Oblique fibers-33 :17. Sphincter muscle of pylorus-33 :16. Pyloric valve--33 :18. Tela submucosa-33 :19. Tunica mucosa-33 :20. Gastric pits-33 :24. 5. Spleen-35 :18. Diaphragmatic surface-35 :19. Renal surface-35 :20. Gastric surface-35 :21. Superior and inferior extremities-35 :2'2, 23. Posterior and anterior margins-35 :34, 25. Tunica serosa-35 :27. Tunica albuginea-35 :28. Splenic pulp-35 :30. Splenic rami of splenic artery-35 :31. (Accessory spleen)-35:34. 7. SYMPATHETIC PLEXUSES IN RELATION TO THE COELIAC GANG- LION AND COELAIC PLEXUS. Coeliac plexus-72 :19. Coeliac ganglion-72 :20. If the thorax has been previously dissected, these ganglia may be con- veniently located by tracing the great splanchnic nerves down to their junction with the ganglia. Superior gastric plexus-72 :26. Hepatic plexus-72 :24. Inferior gastric plexus-72:27. ABDOMEN AND PELVIS 107 Splenic plexus-72 :25. Renal plexus-72 :29. Suprarenal plexus-72 :28. Phrenic plexus-72 :22. Superior mesenteric plexus-72 :32. Abdominal aortic plexus-72:18. 8. LIVER-34:43. For the ligaments and peritoneal relation of the liver, see IV :1c. The removal of the liver involves the following incisions: (a) division of the portal vein at the level of the foramen epiploicum; (h) raising the liver as much as possible, cutting through the inferior vena cava vein at the point where it comes in contact with the inferior aspect of the liver, and to the right of the inferior vena cava cutting through the inferior layer of the coronary ligament; (c) in connection with the superior and posterior aspects of the liver dividing the ligamentum teres and the falciform liga- ment, the right and left triangular ligaments and superior layer of the coronary ligament; (d) separating the posterior surface of the liver from the diaphragm, making a second cut through the inferior vena cava just below the diaphragm and completing the detachment of the organ. Right lobe of liver-34:59. Quadrate lobe of liver-34:60. Caudate lobe of liver-34:61. Papillary process-34:62. Caudate process-34:63. Left lobe of liver-34 :64. Right sagittal fossa-34:49. Fossa for the gall bladder-34:50. Fossa for vena cava-34:51. Left sagittal fossa-34:52. Fossa for umbilical vein-34:53. Fossa for ductus venosus-34:54. Anterior margin-34 :47. Incisura umbilicalis--34:48. Superior surface-34:44. Posterior surface-34:45. Oesophageal impression-34:68. Suprarenal impression-34:73. Inferior surface-34:45. Porta hepatis-34:58. Omental tuber-34:67. Gastric impression-34:69. Duodenal impression-34:70. Colic impression-34:71. Renal impression-34:72. The following hepatic structures may be demonstrated in cut surfaces. of the liver, some of them requiring a hand lens or microscope for their identi- fication. Hepatic lobules-34:74. Fibrous capsule-34:75. Interlobular arteries-34:76. Interlobular veins-34:77. Central veins-34:78. Bile ducts-35 :1. 108 REGIONAL ANATOMY Interlobular ducts-35 :2. Vasa aberrantia hepatis-35:3. Bile-35 :5. Gall bladder-35 :6. Fundus of gall bladder-35 :7. Body of gall bladder-35 :8. Neck of gall bladder-35 :9. Cystic duct-35 :10. Spiral valve-35 :15. The following structures require a hand lens or a microscope for their adequate demonstration: Tunica serosa of gall bladder-35 :11. Tunica muscularis of gall bladder-35 :12. Tunica mucosa of gall bladder-35 :13. Plicae tunicae mucosae of gall bladder-35 :14. Glandulae mucosae biliosae-35 :17. 9. SUPRARENAL GLAND, KIDNEY, AND URETER. a. Suprarenal gland-39 :52. Hilus of suprarenal gland-39 :55. Anterior and posterior surfaces-39 :56, 57. Base-39 :58. Apex-39 :59. Superior and medial margins-39 :60, 61. (Accessory suprarenal glands)-39:63. Cortical substance-39 :53 Medullary substance-39:54. Central vein-39 :62. 6. Vascular supply of the kidney and suprarenal glands. Renal artery-50:50. (Cf. also-39:4.) Inferior suprarenal artery-50 :51. Middle suprarenal artery-50 :49. Renal veins-55 :9. Suprarenal veins-55 :10. c. Kidney-38 :37. Adipose capsule-38 :49. Lateral margin-38 :38. Medial margin-38 :39. Renal hilus-38 :40. Renal sinus--38 :41. Anterior and posterior surfaces-38 :42, 43. Superior and inferior extremities-38 :44, 45. (Hepatic impression)-38:46. Gastric impression)-38:47. The following structures may be demonstrated to best advantage by cutting through the kidney along its lateral margin and divid- ing the organ into symmetrical halves: Tunica fibrosa-38 :50. Cortical substance-38 :55. Medullary substance-38 :56. Renal pyramids-38 :58. ABDOMEN AND PELVIS 109 Renal papillae-38 :60. Renal columns-38 :63. Renal pelvis-38:70. Renal calyces-38 :71. d. Ureter-39 :19. Abdominal part-39 :20. 10. DIAPHRAGM. Diaphragm-25 :9. Lumbar part-25 :10. Medial crus-25 :11. Intermediate crus-25 :12. Lateral crus-25 :13. Costal part-25 :14. Sternal part-25:15. Aortic opening-25 :16. Oesophageal opening-25 :17. Central tendon-25 :18. Opening for vena cava-25:19. Medial lumbocostal arch-25 :20. Lateral lumbocostal arch-25 :21. V. Structures in Relation to the Posterior Abdominal Wall. 1. BLOOD VESSELS AND LYMPHATICS. a. Arteries. Abdominal aorta-50 :5. Parietal branches-50 :6. Inferior phrenic artery-50 :7. Superior suprarenal rami-50 :8. Lumbar arteries-50 :9-11. These arteries pass posterior to the sympathetic trunk which together with other nerves of the abdominal wall should be guarded from injury. Middle sacral artery-50:12. (Origin only.) Visceral branches-50 :15. For the rami of the first five of the following arteries see IV:2, 4b and 9b. Coeliac artery-50 :16. Superior mesenteric artery-50 :36. Inferior mesenteric artery-50 :45. Middle suprarenal artery-50 :49. Renal arteries-50 :50. Internal spermatic arteries-50 :52. Testicular artery:-50 :53. Ovarian artery-50 :54. Common iliac arteries-50 :55. Hypogastric artery-50:56. (Origin only.) External iliac artery-51:31. Inferior epigastric artery-51:32. Deep circumflex iliac artery-51:37. 110 REGIONAL ANATOMY b. Veins and lymphatics. Inferior vena cava-55 :3. Parietal roots-55 :4. Inferior phrenic vein-55 :5. Lumbar veins-55 :6. Visceral roots-55 :7. Hepatic veins-55 :8. Renal veins-55 :9. Suprarenal veins-55 :10. Spermatic vein--55:11. Testicular vein-55 :12. Ovarian vein-55 :13. Common iliac veins-55 :37. Middle sacral vein-55 :38. Hypogastric vein-55 :39. (Termination only.) External iliac veins-55 :58. Inferior epigastric veins-55 :59. Deep circumflex iliac vein-55 :50. Cisterna chyli-56 :28. Intestinal lymphatic trunk-56 :27. Lumbar lymphatic trunks-56 :26. Iliac lymph glands-56 :57. Lumbar lymph glands-56 :58. Coeliac lymph glands-56 :59. Azygos vein-56 :53. Hemiazygos vein-56 :54. 2. FASCIA AND MUSCLES OF POSTERIOR ABDOMINAL WALL. Iliac fascia-27 :55. Quadratus lumborum muscle-25 :32. Iliopsoas muscle-26 :63. Iliac muscle-26 :64. Psoas major muscle-26 :65. In the demonstration of this muscle the following nerves are . encountered and should be guarded from injury: the sympathetic trunk, medial to it, the genitofemoral nerve in relation to its an- terior surface, the ilioinguinal and lateral femoral cutaneous nerves in relation to its lateral margin, and the femoral nerve, situated between the psoas major and iliacus muscles. Psoas minor muscle-26 :66. 3. NERVES OF THE POSTERIOR ABDOMINAL WALL. Abdominal part of the sympathetic trunk-72 :15. Lumbar ganglion-72:16. Rami communicantes-68 :72. Twelfth intercostal nerve-70 :1. Lumbar nerves-70 :11. In demonstrating the lumbar nerves and lumbar plexus the psoas major muscle is removed by blunt dissection. Lumbar plexus-70:23. Muscular rami-70 :24. Iliohypogastric nerve-70 :25. ABDOMEN AND PELVIS 111 Ilioinguinal nerve-70 :29. Genitofemoral nerve-70 :33. Lumboinguinal nerve-70 :34. External spermatic nerve-70:35. Lateral femoral cutaneous nerve-70 :36. Femoral nerve-70 :41. Obturator nerve-70 :37. Lumbosacral trunk-70:22. (Origin only.) VI. Pelvis. 1. OSTEOLOGY. Coxal bone-15 :7. Obturator foramen-15 :8. Iliac bone-15 :14. Iliac crest-15 :18. Iliac fossa-15 :31. Ischial bone-15 :32. Superior ramus of the ischial bone-15 :34. Inferior ramus of the ischial bone-15 :35. Pubic bone-15 :40. Obturator sulcus-15 :46. Inferior and superior rami of the pubic bone-15 :49, 50. Sacrum-7 :5. Pelvic surface-7 :7. Promontory-7 :10. Anterior sacral foramina-7 :15. Apex of sacral bone-7 :24. Coccyx-7 :25. Pelvis-15 :52. Symphysis of pubic bone-15 :53. Pubic arch-15 :54. Major pelvis-15 :56. Minor pelvis-15 :57. Linea terminalis-15 :58. Superior aperture of the pelvis-15 :62. Inferior aperture of the pelvis-15 :63. Pelvic axis-15 :64. Conjugate, transverse and oblique diameters-15 :65-67. Pelvic inclination-15 :68. 2. PERITONEUM AND FASCIA IN RELATION TO THE PELVIS.5 a. Peritoneal folds in the male pelvis. Transverse vesical fold-44:26. Pubovesical fold**-44:25. Mesorectum-43 :61. Rectovesical excavation-44:38. 5 An alternative procedure as noted in Section II is to introduce here a study of the perineal region, the body being either placed in the lithotomy position or else divided transversely at the level of the articulation of one of the lower lumbar vertebrae and the pelvis carefully divided in the median sagittal plane (the latter method, however, is not to be especially recommended). 112 REGIONAL ANATOMY &. Peritoneum of the female pelvis. Rectouterine folds--44:35. Rectouterine excavation-44:36. Vesicouterine excavation-44:37. Fossa ovarica-44:33. Broad ligament of uterus-44:29. Mesometrium-44:30. Mesosalpinx-44:31. Mesovarium-44:32. Suspensory ligament of the ovary-44:34. c. Fascia. Pelvic fascia-43 :26. May be demonstrated by removing the pelvic peritoneum by blunt dissection, guarding at the same time against injury to nerves and vessels. Superior fascia of pelvic diaphragm-43 :28. Tendinous arch of pelvic fascia-43 :29. Endopelvic fascia-43 -.27. Middle puboprostatic ligament-43 :30. (In the male.) Middle pubovesical ligament-43:30. (In the female.) Lateral puboprostatic ligament-43 :31. (In the male.) Lateral pubovesical ligament-43:31. (In the female.) The demonstration of the anterior relations of the pelvic fascia may be completed and the subsequent exposure of pelvic viscera facilitated (i.e. if the pelvis has not already been previously divided in the median sagittal plane) by making the following dissections: (a) detaching the suspensory ligament of the penis from the front of the symphysis, guarding at the same time against injury to the dorsal vein of the penis; (b) detaching all muscles and fascia from the anterior surface of each pubic bone over a region extending about 2.5 cm. laterally from the sym- physis pubis; (c) sawing through the pubic bones by an incision on each side of the symphysis pubis extending from the pubic tubercle to a point just below the attachment of the arcuate ligament of the pubis; and (d) detaching the pelvic fascia from the posterior surface of this isolated segment of bone and care- fully removing the bone, retaining the latter for later reference. Inferior fascia of the pelvic diaphragm-43 :32. Obturator fascia-43 :40. Tendinous arch of the levator ani muscle-43 :22. Superior fascia of the urogenital diaphragm-43 :36. 3. PELVIC VISCERA. a. In the male pelvis. Urinary bladder-39 :29. Vertex of bladder-39 :30. Body of bladder-39 :31. Fundus of bladder-39 :32. Urachus*-39 :34. The following structures may be exposed by an incision beginning at the vertex of the bladder and extending through its wall in an anterior-posterior direction in the line of its median plane. Tunica serosa-39 :35. Tunica muscularis-39 :36-39. ABDOMEN AND PELVIS 113 Tela submucosa-39 :42. Tunica mucosa-39 :43. Trigone of the bladder-39 :46. Uvula of the bladder-39 :47. Urethral fold-39 :48. Orifice of ureter-39 :49. Internal urethral orifice-39 :50. Urethral ring-39 :51. Male urethra-41:19. Its internal structure may be exposed by introducing blunt pointed scissors into the internal urethral orifice and dividing the dorsal wall of the urethral canal throughout its entire extent. Prostatic part-41:20. Urethral crest-41:21. Seminal hillock-41:22. Prostatic utricle-41:23. Ejaculatory ducts--40:30. (Their openings only.) Prostatic ducts-40:59. (Their openings only.) Membranous part-41:24. Cavernous part-41:25. Excretory ducts of bulbourethral glands-40 :64. Navicular fossa of urethra-41:26. (Valvulva fossae navicularis)-41:27. External urethral orifice-41:28. Urethral lacunae-41:29. Penis-40 :66. The following structures may be demonstrated in cross-sections of the penis. For other structures of penis see 11:16 and 2a. Corpus cavernosum penis-41:4. Corpus cavernosum urethrae-41:5. Tunica albuginea-41:5. Septum penis-41:10. Trabeculae corporum cavernosorum-41:11. Cavernae corporum cavernosorum-41:12. The demonstration of the remaining pelvic structures may be facili- tated (if the possible alternative indicated in the footnote to the preceding section has not been followed) by detaching the fifth lumbar vertebra from the sacrum, dividing the sacrum, coccyx, and any remaining soft structures in the median sagittal plane, and sep- arating the two halves of the pelvis. Rectum-34:9. Sacral flexure-34:10. Perineal flexure-34:11. Rectal ampulla-34:12. Mucous membrane-34:17. Transverse rectal folds--34:21. Rectococcygeal muscle-34:15. Anal part of rectum-34:22. Rectal columns-34:23. Rectal sinuses->34:24. Hemorrhoidal ring-34:25. Sphincter ani internus muscle--34:14. 114 REGIONAL ANATOMY Pelvic part of ureter-39 :21. Prostate--40 :50. Base-40 :51. Apex-40 :52. Anterior and posterior surfaces-40 :53, 54. Right and left lobes-40:55. Isthmus-40 :56. (Middle lobe)-40:57. Seminal vesicles-40 :31. Body of seminal vesicle-40 :32. Excretory duct-40 :36. Ductus deferens-40 :21. Ampulla of ductus deferens-40 :22. Diverticula of ampulla-40 :23. Ejaculatory duct-40 :30. 5. In the fem-ale pelvis. The demonstration of the following structures may be facilitated (i.e., if the possible alternative indicated in the footnote to the preceding section has not been followed) by detaching the fifth lum- bar vertebra from the sacrum, dividing the sacrum, coccyx, sym- physis pubic, and any remaining soft structures in the median sagittal plane and separating the two halves of the pelvis. ' Peritoneum-43 :46. For structures relative to the peritoneum in the female pelvis, see VI:2&. Pelvic fascia-43 :26. (Cf. VI :2c.) Urinary bladder-39 :29. For structures relative to the urinary bladder, see VI :3a. Female urethra-42:70. External urethral orifice-42 :71. Crista urethralis-43 :2. Pelvic part of ureter-39 :21. Ovary-41:36. Hilus-41:37. Medial and lateral surfaces-41:38, 39. Free margin-41:40. •Mesovarian margin-41:41. Tubal extremity-41:42. Uterine extremity-41:43. Ovarian ligament-41:56. Corpus luteum-41:54. Corpus albicans-41:55. Paroophoron-42 :43. Epoophoron-42:39. Uterine tube-41:57. Ostium abdominale-41:58. Infundibulum-41:59. Fimbriae-41:60. Fimbria ovarica-41:61. Ampulla-41:62. Isthmus-41:63. ABDOMEN AND PELVIS 115 Uterus-41:76. Body of uterus-41:77. Fundus-42:1. Lateral margin-42 :2. Vesical surface-43 :3. Intestinal surface-42 A. Uterine cavity-42:5. Cervix-42:7. Supravaginal part-42 :8. Vaginal part-42:9. External orifice of uterus-42:10. Anterior lip-42 :11. Posterior lip-42 :12. Canal of the cervix-42 :13. Internal orifice of the uterus-42 :6. Ligamentum teres-42 :23. Vagina-42 :25. Fornix of vagina-42 :26. Anterior and posterior walls-42 :27, 28. Hymen-42:29. Hymeneal caruncles-42 :30. Rectum-34:9. For its structural characteristics, see VI: 3a. 4. PELVIC BLOOD VESSELS (MALE AND FEMALE). In the following tabulation vessels which are either male or female only are so indicated. All other vessels are common to both sexes. a. Arteries. Hypogastric artery-50 :56. Parietal rami of the hypogastric artery-50 :57. Iliolumbar artery-50 :58. Lumbar ramus**-50 :59. Spinal ramus**-50 :60. Iliac ramus**-50:61. Lateral sacral artery-50 :62. Spinal rami**-50 :63. Obturator artery-50 :64. Pubic ramus-50 :65. Superior gluteal artery-51:1. Inferior gluteal artery-51 A. Visceral rami of the hypogastric artery-51:6. Umbilical artery-51:7. Superior vesical arteries**-51:8. [Lateral umbilical ligament]**-51:9. Inferior vesical artery-51:10. Deferential artery**-51:11. (In the male only.) Uterine artery-51:12. (In the female only.) Vaginal artery-51:13. Ovarian ramus-51:14. Tubal ramus-51:15. Ovarian artery-50:54. (In the female only.) 116 REGIONAL ANATOM! Middle hemorrhoidal artery-51:16. Internal pudendal artery-51:17. For its perineal rami in both male and female, see II: 2-4. Superior hemorrhoidal artery-50:48. Middle sacral artery-50 :12. Lowest lumbar artery**-50:13. Glomus coccygeum**-50 :14. b. Veins of the pelvis. Hypogastric vein-55 :39. The tributaries of the hypogastric vein-55:40, 49:53, 49:55-57, correspond to a large degree with the branches of the hypogastric artery. Hemorrhoidal plexus-55 :46. Vesical plexus**-55 :47. Pudendal plexus**-55 :48. Uterovaginal plexus**-55:54. (In the female only.) Middle sacral vein**-55 :38. 5. PELVIC MUSCLES AND NERVES. May be exposed by displacing the viscera from the lateral pelvic walls and removing any remains of the superior fascia of the pelvic diaphragm- 43:28, guarding at the same time against injury to the fifth sacral and the coccygeal nerves. Pelvic diaphragm-43 :20. Levator ani muscle-43 :21. Tendinous arch of the levator ani muscle-43 :22. Coccygeus muscle-43 :23, 25 :59. Sacral plexus-70:47. Lumbosacral trunk-70 :48. Superior gluteal nerve-70:49. Inferior gluteal nerve-70 :50. Posterior femoral cutaneous nerve-70:51. Sciatic nerve-70:54. Pudendal plexus-71:15. Middle hemorrhoidal nerves**-71:16. Inferior vesical nerves**-71:17. Vaginal nerves**-71:18. (In the female.) Pudendal nerve-71:19. Coccygeal nerve**-71:26. Pelvic part of the sympathetic system-72:15. Sacral ganglia-72 :17. Obturator fascia-43 :40. Obturator internus muscle-26 :72. Piriformis muscle-26 :71. 6. PELVIC ARTICULATIONS. Ligaments of the pelvic girdle-20 :45. Obturator membrane-20 :46. Obturator canal-20 :47. Iliolumbar ligament-20 :48. Sacrotuberous ligament-20 :49. Falciform process-20 :50. ABDOMEN AND PELVIS 117 Sacrospinous ligament-20:51. Greater sciatic foramen-20:52. Lesser sciatic foramen-20 :53. Sacro-iliac articulation-20 :54. Anterior sacro-iliac ligaments-20 :55. Interosseous sacro-iliac ligaments-20 :56. Long and short posterior sacro-iliac ligaments-20 :57, 58. Synovial cavity. Symphysis pubis-20 :59. Superior pubic ligaments-20 :60. Arcuate ligament of pubis-20 :61. Interpubic fibro-cartilage-20 :62. Demonstrated by removing a slice of bone from the front of the symphysis pubis. Sacro-coccygeal symphysis-18 :48. Superficial posterior sacro-coccygeal ligament-18 :49. Deep posterior sacro-coccygeal ligament-18 :50. Anterior sacro-coccygeal ligament-18 :51. Lateral sacro-coccygeal ligament-18 :52. INFERIOR EXTREMITY Plate IX Posterior aspect of the inferior extremity showing surface anatomy and surface projection of the bones of the girdle and free extremity. 120 [ EMMEL] B N A PLATE IX Crista iliaca Spina iliaca posterior superior- -Spina iliaca anterior superior Os coccygis -Trochanter major Sulcus glutaeus Tuber ischiadica Condylus medialis femoris- Condylus lateralisfemoris Condylus medialis tibiae -Condylus lateralis tibiae -•Capitulum fibulae Malleolus medialis tibiae ■Malleolus lateralis fibulae Tuberositas oss. metatarsalia V INFERIOR EXTREMITY I. General Characteristics of the Inferior Extremity. 1. SUBDIVISIONS. Thigh-5 :45. Anterior and posterior surface-5 :46, 47. Lateral and medial surface-5 :48, 49. Gluteal furrow-5 :50. Knee-5:51. Posterior surface of knee-5 :52. Patella-5:53. Leg-5 :54. Foot-5:60. For the remaining subdivisions of the leg and foot, see VII :1a. For the osteology of the inferior extremity see 15:5 to 17:45. 2. REGIONS. (Pls. 11, 12.) Regions of the inferior extremity-84:15. Anterior femoral region-84:16. Subinguinal fossa-84:17. Lateral femoral region-84:18. Trochanteric region-84:19. Posterior femoral region-84:20. Medial femoral region-84:21. Anterior region of the knee-84:22. Patellar region-84:23. Posterior region of the knee-84:24. Popliteal fossa-84:25. For the remaining regions of the inferior extremity, see VIII :1c. Regions of the back-83 :23. Only those regions of the back are listed here which are in direct rela- tion to the regions of the inferior extremity. Region of the hip-83 :30. Sacral region-83 :31. Gluteal region-83 :32. Perineal region-83 :33. II. Gluteal Region. 1. SURFACE ANATOMY. (Pls. 9, 10, 3, 4.) Nates-5 :5. Anal cleft-5 :7. Coccyx-7 :25. Sacrum-7 :5. Crest of the ilium-15 :18. Anterior superior iliac spine-15 :22. Posterior superior iliac spine-15 :24. Gluteal sulcus-5 :50. Tuberosity of ischium-15 :36. Greater trochanter-16 :2. 121 122 REGIONAL ANATOMY 2. FASCIA AND CUTANEOUS NERVES. Skin incisions: (a) from the posterior superior iliac spine along the iliac crest as far forward as possible; (&) from the posterior extremity of (a) obliquely distally and medially to the middle line of the sacral region, thence distally to the tip of the coccyx; (c) from the tip of the coccyx distally and laterally, crossing the middle point of the gluteal sulcus, to the junction of the middle and proximal thirds of the thigh. Superficial fascia-23 :36. Superior clunial nerves-70:15. Middle clunial nerves-70 :21. Lateral cutaneous ramus of the iliohypogastric nerve-70:27. Lateral cutaneous ramus of the twelfth thoracic nerve-69 :76. Inferior clunial nerves-70 :52. Perineal rami of the posterior femoral cutaneous nerve**-70:53. Deep fascia-43 :32. 3. GLUTAEUS MAXIMUS MUSCLE. Glutaeus maximus muscle-26 :67. 4. STRUCTURES EXPOSED BY THE REFLECTION OF THE GLUTAEUS MAXIMUS MUSCLE. Demonstrated by separating the glutaeus maximus muscle from the underlying structures, detaching it at its origin and reflecting it toward its insertion; at the same time exposing and cutting its nerve and vascular supply, but leaving intact the posterior femoral cutaneous nerve, sacrotuberous ligament, and perineal region. a. Bursae in relation to the glutaeus maximus muscle. Trochanteric bursa of the glutaeus maximus muscle-28 :53. Glutaeofemoral bursae-29 :5. Sciatic bursa of the glutaeus maximus muscle-29 :6. b. Structures distal to the piriformis muscle. Inferior gluteal nerve-70 :50. Inferior gluteal artery-51:4. Posterior femoral cutaneous nerve-70 :51. Sciatic nerve-70 :54. Internal pudendal artery-51:17. Pudendal nerve-71:19. Nerve to the obturator internus muscle. Piriformis muscle-26 :71. Obturator internus muscle-26 :72. Superior and inferior gemelli muscles-26 :73, 74. Quadratus femoris muscle-26:75. Nerve to the quadratus femoris muscle. May be exposed by detaching the two gemelli muscles at their origins, cutting the tendon of the obturator internus at its exit from the lesser sciatic foramen and reflecting these structures toward their insertions. The following structures may be demonstrated by detaching the quadratus femoris muscle at its origin and reflecting it toward its insertion. Obturator externus muscle-27 :10. Medial femoral circumflex artery-51:46. (Terminal branches only.) INFERIOR EXTREMITY 123 c. Structures proximal and lateral to the piriformis miiscle. Glutaeus medius muscle-26 :68. Nerve to the tensor fasciae latae muscle. Ascending branch of the lateral femoral circumflex artery -51:51. The following structures may be exposed by separating the glutaeus medius muscle from the glutaeus minimus muscle, dividing the gluteaus medius muscle about 5 cm. proximal to the greater trochan- ter and reflecting the two parts toward their origin and insertion, respectively. Superior gluteal artery-51:1. Superior gluteal nerve-70:49. Glutaeus minimus muscle-26 :69. 5. STRUCTURES EXPOSED BY THE REFLECTION OF THE GLUTAEUS MINIMUS MUSCLE. May be demonstrated by detaching the glutaeus minimus muscle at its origin and reflecting it toward its insertion. Articular capsule of hip-20 :64. Trochanteric bursa of glutaeus minimus muscle-29 :2. Reflected tendon of the rectus femoris muscle. III. Popliteal Space. 1. SURFACE ANATOMY. (Pls. 9, 10.) Tendon of the bisceps femoris muscle-27 :11. Tendons of the semitendinous and semimembranosus muscles- 27 :14, 15. Tendon of adductor magnus muscle-27 :8. Epicondyles of femur-16 :19, 20. Head of fibula-16 :54. Common peroneal nerve-70 :56. 2. FASCIA, SUPERFICIAL NERVES, AND VESSELS. Skin incisions: (a) longitudinally for about 20 cm. along the middle line of the posterior region of the knee, extending about 10 cm. distal and proximal to the line of the articulation of the knee; (b) transversely at each end of the preceding incision. Superficial fascia-23 :36. Posterior femoral cutaneous nerve-70 :51. Terminal branches only. Small saphenous vein-56 :1. Femoropopliteal vein-56 :2. Deep fascia-27 :70. 3. POPLITEAL SPACE; LARGE NERVES AND VESSELS. May be exposed by making a longitudinal incision through the deep fascia in the middle line of the popliteal space, reflecting the fascia and demon- strating the structures with a minimum of dissection. Tibial nerve-70:68. Common peroneal nerve-70 :56. Posterior femoral cutaneous nerve-70 :51. Popliteal artery-51:63. Popliteal veins-56 :4. Plate X Anterior aspect of the inferior extremity showing surface anatomy and surface projection of the bones of the girdle and free extremity. 124 [EMMEL] B N A PLATE X Crista iliaca Spina iliaca anterior superior- Trochanter major- Symphysis oss. pubis -Tuberculum pubicum Ramus inferior oss. ischii Condylus lateralis femoris Condylus medialis femoris -Patella Condylus lateralis tibiae Capitulum fibulae Tuberositas tibiae -Tacies medialis tibiae Crista anterior tibiae Malleolus lateralis fibulae Malleolus medialis fib Tuberositas oss. Metatarsalis V Tuberositas oss. navicularis INFERIOR EXTREMITY 125 4. POPLITEAL SPACE: MEDIAL AND LATERAL BOUNDARIES. Biceps muscle-27 :11. Semitendinosus muscle-27 :14. Semimembranosus muscle-27 :15. Lateral head of gastrocnemius muscle-27 :24. Medial head of gastrocnemius muscle-27 :25. Plantaris muscle-27 :29. 5. CONTENTS OF THE POPLITEAL SPACE. a. Nerves. Posterior femoral cutaneous nerve-70:51. Tibial nerve-70:68. Muscular rami-70 :69. Medial sural cutaneous nerve-71:2. Interosseous crural nerve**-71:1. Articular rami to knee joint. Common peroneal nerve-70:56. Lateral sural cutaneous nerve-70:58. Peroneal anastomotic ramus-70 :59. Articular rami to knee joint. A genicular ramus of the obtruator nerve may be present, d. Blood vessels and lymphatics. Popliteal artery-51:63. Superior lateral genicular artery-51:64. Superior medial genicular artery-51:65. Middle genicular artery-51:66. Inferior lateral genicular artery-51:68. Sural arteries-51:67. Popliteal veins-56 :4. Popliteal lymph glands-57 :5. 6. FLOOR OF THE POPLITEAL SPACE. Popliteal surface of femur-16 :15. Oblique popliteal ligament-21:15. Associated with it is the fascia of popliteus muscle. 1. FASCIA AND CUTANEOUS NERVES. Skin incision: longitudinally through the skin remaining on the back of the thigh. Superficial fascia-23 :36. Posterior femoral cutaneous nerve-70:51. (Terminal rami.) Anterior femoral cutaneous nerve-70:42. (Medial terminal rami only.) Cutaneous ramus of the obturator nerve-70 :39. Deep fascia-27 :49. IV. Posterior Part of the Thigh. 2. MUSCLES. Biceps femoris muscle-27 :11. Long head-27 :12. Short head-27 :13. Semimembranosus muscle-27 :15. Bursa of semimembranosus muscle-29 :26. 126 REGIONAL ANATOMY 3. NERVES AND BLOOD VESSELS. Posterior femoral cutaneous nerve-70:51. Ischiadic nerve-70:54. Muscular rami-70:55. First perforating artery-51:53. Second perforating artery-51:55. Third perforating artery-51:56. 'Perforating veins-55:73. Femoropopliteal vein-56 :2. V. Anterior Part of the Thigh. 1. SURFACE ANATOMY. (Pls. 3, 10.) Anterior superior iliac spine-15 :22. Symphysis pubis-20 :59. Inguinal ligament-25 :41. Pubic tubercle-15 :44. Pubic arch-15 :54. Inferior ramus of the pubis-15 :49. Inferior ramus of the ischium-15 :35. Tuberosity of the ischium-15 :36. Greater trochanter of the femur-16 :2. Patella-15 :69. Medial condyle of the femur-16 -.16. Lateral condyle of the femur-16 :17. 2. REGIONS IN RELATION TO THE ANTERIOR ASPECT OF THE THIGH. (Pl. 11.) Anterior femoral region-84:16. Subinguinal fossa-84:17. Lateral femoral region-84:18. Trochanteric region-84:19. Medial femoral region-84:21. 3. FASCIA, SUPERFICIAL VESSELS, LYMPHATICS, AND CUTANEOUS NERVES. a. Superficial fascia, blood vessels, and lymphatics. Skin incisions: (a) from the anterior superior iliac spine along the line of the inguinal ligament to the symphysis pubis; (b) from the median end of (a) distally, just lateral to the scrotum and along the medial aspect of the thigh for a distance of 10 cm.; (c) from the distal end of (b) anteriorly and transversely to the lateral aspect of the thigh; (d) from the end of incision (b) distally to the medial condyle of the tibia; (e) from the latter point anteriorly and transversely to the lateral condyle of the tibia. Superficial fascia-23 :36. Great saphenous vein-55 :66. Superficial epigastric vein-55 :65. Superficial circumflex iliac vein-55 :68. External pudendal veins-55 :64. Superficial epigastric artery-51:39. Superficial circumflex iliac artery-51:40. External pudendal arteries-51:41. Superficial subinguinal lymph glands-57 :3. INFERIOR EXTREMITY 127 b. Fossa ovalis. Fossa ovalis-27 :65. Falciform margin-27 :66. Superior cornu-27 :67. Inferior cornu-27 :68. Fascia cribrosa-27 :69. Some of the deep subinguinal lymph glands-57:4, may be in relation to the fossa ovalis. c. Cutaneous nerves, superficial praepatellar bursae. Ilioinguinal nerve-70:29. Lumboinguinal nerve-70:34. Lateral femoral cutaneous nerve-70:36. Anterior femoral cutaneous nerves-70:42. Infrapatellar ramus of the saphenous nerve-70 :45. Cutaneous rami of the obturator nerve-70:39. Bursa praepate.Uaris subcutanea-29 :12. Bursa praepatellaris subfascialis-29 :15. d. Deep fascia. Fascia lata-27 :49. Iliotibial tract-27 :50. Lateral intermuscular septum-27 :51. Medial intermuscular septum-27 :52. 4. FEMORAL SHEATH. May be demonstrated by making an incision through the fascia lata begin- ning at the superior cornu of the falciform margin of the fossa ovalis and extending laterally to -within about 2 cm. of the anterioi' superior iliac spine, reflecting the fascial flap laterally and removing the subjacent fat and deep subinguinal lymph glands; contents may be exposed by a longi- tudinal incision through the anterior wall of each of the three subdivisions or compartments of the sheath. Femoral artery-51:38. Lumboinguinal nerve-70 :34. Femoral vein-55 :61. Femoral canal-27 :62. The following structures may be palpated by introducing the little finger into the femoral canal. Femoral ring-27 :63. Femoral septum-27 :64. Lacunar ligament-25 :42. Inguinal ligament-25 :41. Femoral vein;-55 :61. Pubic bone-15 :40. Femoral hernia. 5. FEMORAL TRIGONE AND ITS CONTENTS. Exposed by removing the fascia lata from the anterior aspect of the prox- imal third of the thigh. Femoral trigone-27 :59. Fascia iliopectinea-27 :56. Lacuna musculorum-27 :57. Lacuna vasorum-27 :58. Femoral artery-51:38. 128 REGIONAL ANATOMY Superficial epigastric artery-51:39. Superficial circumflex iliac artery-51:40. External pudendal arteries-51:41. Inguinal rami**-51:44. Deep femoral artery-51:45. Medial circumflex femoral artery-51:46. Lateral circumflex femoral artery-51:50. Femoral vein-55 :61. Superficial epigastric vein-55 :65. Superficial circumflex iliac vein-55 :68. External pudendal veins-55 :64. Great saphenous vein-55 :66. Accessory saphenous vein-55 :67. Deep femoral veins-55 :72. Medial circumflex femoral veins-55 :69. Lateral circumflex femoral veins-55 :70. Lumboinguinal nerve-70 :34. Lateral femoral cutaneous nerve-70 :36. Femoral nerve-70:41. The following muscles are in relation to the floor and medial and lateral boundaries of the trigone: Adductor longus muscle-27 :5. Pectineus muscle-27 :4. Iliopsoas muscle-26 :63. Sartorius muscle-26:76. Fascia iliopectinea-27 :60. 6. ADDUCTOR CANAL AND ITS CONTENTS. Adductor canal-27 :53. May be exposed by making a longitudinal incision through the fascia lata remaining on the distal two-thirds of the anterior aspect of the thigh and reflecting the fascial flaps laterally and medially, but leaving intact the iliotibial tract; contents may be demonstrated by a longi- tudinal incision through the fibrous anterior wall of the canal. Femoral artery-51:38. Arteria genu suprema-51:59. Saphenous ramus-51:61. Muscular rami-51:60. Articular rami-51:62. Femoral vein-55 :611. Saphenous nerve-70 :44. Tendinous [adductor] opening-27:54. 7. MUSCLES OF THE FRONT OF THE THIGH. Sartorius muscle-26:76. Tensor fasciae latae muscle-26:70. Iliotibial tract-27 :50. Lateral intermuscular septum of the thigh-27 :51. Medial intermuscular septum of the thigh-27 :52. Quadriceps femoris muscle-26 :77. Rectus femoris muscle-26:78. Bursa of rectus femoris muscle**-29 :7. Vastus lateralis muscle-26:79. INFERIOR EXTREMITY 129 Vastus medialis muscle-27 :2. Vastus intermedins muscle-27 :1. May be exposed by making a transverse incision through the middle of the rectus femoris muscle and reflecting the distal end. Articularis genu muscle-27 :3. May be exposed by making a longitudinal incision through the vastus intermedius muscle. Common tendon of the quadriceps femoris muscle-26 :77. Medial patellar retinaculum-21:19. Lateral patellar retinaculum-21:20. VI. Medial • Side of the Thigh. 1. MUSCLES, NERVES, AND VESSELS. Adductor longus muscle-27 :5. Deep femoral artery-51:45. Exposed by detaching the pectineus muscle at its origin and reflecting it toward its insertion, guarding, at the same time, the anterior ramus of the obturator nerve. First perforating artery-51:53. Superior nutrient femoral artery-51:54. Second perforating artery-51:55. Third perforating artery-51:56. Inferior nutrient femoral artery-51:57. Pectineus muscle-27 :4. Pectineal fascia-27 :61. Bursa of pectineus muscle**-29 :10. Medial circumflex femoral artery-51:46. May be exposed by detaching the adductor longus muscle at its origin and reflecting it toward its insertion. Superficial ramus-51:47. Deep ramus-51:48. Acetabular ramus-51:49. Adductor brevis muscle-27 :7. Obturator nerve-70 :37. Posterior ramus-70 :40. May be exposed by detaching the adductor brevis muscle at its origin and reflecting it toward its insertion. Anterior ramus-70:38. Cutaneous ramus-70:39. Gracilis muscle-27 :6. Proper bursa of sartorius muscle-29 :19. Bursa anserina-29 :20. Adductor minimus muscle-27 :9. Adductor magnus muscle-27 :8. Tendinous" [adductor] opening-27 :54. The following structures may be demonstrated by detaching the adductor minimus and magnus muscles at their origins and reflecting them toward their insertions. Obturator externus muscle-27 :10. Psoas major muscle-26 :65. 130 REGIONAL ANATOMY Iliac muscle-26 :64. Obturator artery-50 :64. Demonstrated by the removal of the obturator externus muscle bit by bit. Anterior ramus-50:66. Posterior ramus-50:67. Artery of the acetabulum-50 :68. VII. Hip Joint. 1. STRUCTURES IN RELATION TO THE HIP JOINT. May be demonstrated by severing the femoral artery, vein, and nerve, detaching the iliopsoas muscle at its insertion, dividing the sartorius muscle near its origin and reflecting these structures together with the tensor fasciae latae muscle and exposing the capsule of the hip joint. Iliopectineal bursa-29 :8. Bursa of rectus femoris muscle**-29 :7. Subtendinous iliac bursa-29 :9. Articular capsule-20 :64. Iliofemoral ligament-20 :69. Ischiocapsular ligament-21:1. Pubocapsular ligament-21:2. Zona orbicularis-20 :68. Glenoid lip-20 :65. Transverse ligament of acetabulum-20 :66. Ligamentum teres femoris-20 :67. Synovial membrane-18 :32. VIII. Leg and Foot. 1. GENERAL CHARACTERISTICS. a. Sub divisions of leg and foot. Leg-5 :54. Anterior and posterior surfaces-5 :55, 56. Calf-5:57. Medial and lateral malleoli-5 :58, 59. Foot-5 :60. Tarsus-5 :61. Metatarsus-5 :62. Dorsum and sole of foot-5 :63, 64. Medial and lateral margins-5 :65, 66. Heel-5 :67. Digits of foot-5 :68. Hallux-5 :69. Digits II-IV-5 :70. Smallest digit-5 :71. Dorsal and plantar surfaces-5:72, 73. Medial and lateral margins-5:74, 75. b. Surface anatomy. (Pls. 9, 10.) Tuberosity of the tibia-16 :32. Anterior crest of the tibia-16 :37. Medial margin of the tibia-16 :36. INFERIOR EXTREMITY 131 Medial surface of the tibia-16 :33. Lateral malleolus-16 :57. Medial malleolus-16 :40. Tuberosity of the navicular bone-17 :23. Tuberosity of the fifth metatarsal bone-17 :36. c. Regions. (Pls. 11, 12.) Anterior crural region-84:26. Posterior crural region-84:27. Sural region-84:28. Lateral and medial crural regions-84:29, 30. Lateral malleolar region-84:31. Medial malleolar region-84:32. Lateral and medial retromalleolar regions-84:33, 34. Calcaneal region-84:35. Dorsal and plantar regions of foot-84:36, 37. Digital regions of foot-84:38. Dorsal digital regions-84:39. Unguicular regions-84:40. Plantar digital regions of foot-84:41. 2. ANTERIOR REGION OF LEG AND DORSUM OF FOOT. a. Superficial fascia, cutaneous nerves and veins. Skin incisions: (a) longitudinally along the medial line of the leg and dorsum of the foot to the base of the middle toe; (&) trans- versely across the ankle; (c) transversely across the dorsum of the foot at the bases of the toes; (cP) a medial• longitudinal incision along the dorsal surface of each digit. Superficial fascia-23 :36. Dorsal digital veins of foot-56 :15. Intercapitular veins-56 :11. Common digital veins of foot-56 :9. Dorsal venous arch of foot-56 :8. Dorsal cutaneous venous network of foot-56 :7. Small saphenous vein-56:1. (Origin only.) Great saphenous vein-55:66. (Origin only.) Saphenous nerve-70:44. Medial cutaneous rami of leg-70:46. Lateral sural cutaneous nerve-70:58. (Terminal rami only.) Superficial peroneal nerve-70:60. Dorsal digital nerves-70 :64. Deep peroneal nerve-70:65. (Terminal rami only.) Lateral dorsal cutaneous nerve-71:5. 1). Deep fascia. Deep fascia of the leg-27 :70. Transverse crural ligament-27 :73. Dorsal fascia of foot-28 :1. Cruciate ligament of the leg-27 :75. Superior peroneal retinaculum-27 :76. Inferior peroneal retinaculum-27 :77. Anterior fibular septum-27 :71. Posterior fibular septum-27 :72. 132 REGIONAL ANATOMY c. Muscles in the anterior region of leg. Exposed by making a longitudinal incision through the deep fascia on the front of the leg, extending from the knee to the transverse crural ligament and reflecting the deep fascia, but retaining intact the transverse and cruciate crural ligaments. Tibialis anterior muscle-27 :16. Extensor digitorum longus muscle-27 :17. Extensor hallucis longus muscle-27 :19. Peroneus tertius muscle-27 :18. Vagina tendinis musculi tibialis anterioris-29:29. Vagina tendinis musculi extensoris hallucis longus-29:30. Vagina tendinis musculi extensoris digitorum pedis longi -29 :31. d. Arteries. Anterior tibial artery-52 :1. Exposed by separating the extensor digitorum longus from the tibialis anterior muscle. Anterior tibial recurrent artery-52:3. (Origin only.) Lateral anterior malleolar artery-52 A. Medial anterior malleolar artery-52 :5. Medial malleolar network-52 :6. Lateral malleolar network-52 :7. Perforating ramus of the peroneal artery-52:20. (Ter- mination only.) Dorsal artery of foot-52 :8. Lateral tarsal artery-52 :9. Medial tarsal arteries-52 :10. Arcuate artery-52:11. Dorsal network of foot-52 :12. Dorsal metatarsal arteries-52 :13. Dorsal digital arteries-52:14. Deep plantar ramus-52 :15. e. Nerves. Deep peroneal nerve-70 :65. Muscular rami-70 :66. Dorsal digital nerves to lateral surface of hallux and to medial surface of digit II-70 :67. Superficial peroneal nerve-70 :60. Muscular rami-70:61. Medial dorsal cutaneous nerve-70 :62. Intermediate dorsal cutaneous nerve-70:63. Dorsal digital nerves of the foot-70 :64. f. Muscles of the dorsum of the foot. Extensor hallucis brevis muscle--27 :34. Extensor digitorum brevis muscle-27 :35. May be exposed by dividing the tendons of the muscles on the front of the leg at the level of the transverse cruciate ligament and reflecting the tendons toward their insertion. Dorsal interosseous muscles-27 :47. May be demonstrated by dividing the tendons of the extensor digitorum brevis muscle and reflecting the muscle toward its origin; completing, at the same time, the exposure of the lateral tarsal artery, arcuate artery, and terminal rami of the deep peroneal artery. INFERIOR EXTREMITY 133 3. LATERAL OR PERONEAL REGION OF LEG. a. Deep fascia and muscles. Anterior fibular intermuscular septum-27 :71. May be demonstrated by making a longitudinal incision through the deep fascia of this region and reflecting the fascia, retaining intact, however, the peroneal retinacula. Posterior fibular intermuscular septum-27 :72. Peroneus longus muscle-27 :20. Peroneus brevis muscle-27 :21. Superior retinaculum of the peroneal muscles-27 :76. Inferior retinaculum of the peroneal muscles-27 :77. Common sheath of tendons of the peroneal muscles-29 :35. Subcutaneous bursa of the lateral malleolus-29 :27. &. Nerves. Common peroneal nerve-70 :56. Superficial peroneal nerve-70:60. Muscular rami-70 :61. Deep peroneal nerve-70:65. 4. MEDIAL REGION OF LEG. Great saphenous veim-55 :66. Saphenous nerve-70 :44. Infrapatellar ramus-70 :45. Medial cutaneous rami of leg-71:46. Tendons of insertion of the sartorius, gracilis and semitendinosus muscles. . Tibial collateral ligament of knee joint-21:14. Medial inferior genicular artery-51:69. 5. POSTERIOR REGION OF LEG AND HEEL. a. Fascia, superficial veins, and cutaneous nerves. Skin incisions: (a) longitudinally in the middle line of the leg from the popliteal space to the heel; (&) transversely at the distal end (a) and extending 5 cm. along the medial and lateral margins of the foot. Small saphenous vein-56 :1. Great saphenous vein-55 :66. Sural nerve-71:3. Medial sural cutaneous nerve-71:2. Peroneal anastomotic ramus-70:59. Lateral sural cutaneous nerve-70:58. Posterior femoral cutaneous nerve-70 :51. Medial crural cutaneous rami of the saphenous nerve- 70 :46. Anterior femoral cutaneous nerves-70 :43. (Medial ter- minal rami only.) Deep fascia-27 :74. Laciniate ligament-27 :74. 134 REGIONAL ANATOMY b. Muscles; superficial group. May be exposed by dividing the deep fascia in the median line from the popliteal fossa to the heel and reflecting the fascia, but retaining intact the lacinate ligament. Triceps muscle of the calf-27 :22. Gastrocnemius muscle-27 :23. Lateral head-27 :24. Medial head-27 :25. Lateral bursa of gastrocnemius muscle-29 :24. Medial bursa of gastrocnemius muscle-29 :25. Soleus muscle-27 :26. May be exposed by detaching the gastrocnemius at its attach- ment to the calcaneal tendon and reflecting it proximally. Tendinous arch of the soleus muscle-27 :27. Plantaris muscle-27 :29. Calcaneal tendon (of Achilles)-27 :28. Subcutaneous calcaneal bursa-29 :29. Bursa of calcaneal tendon-29 :40. May be demonstrated by dividing the calcaneal tendon a few centimeters from its insertion and reflecting the tendon. c. Muscles; deep groibp. Structures exposed by detaching the soleus muscle at its origin from the tibia, separating it from the tendinous arch, reflecting the muscle laterally, and making a longitudinal incision through the deep trans- verse fascia or septum between the superficial and deep group of muscles of the back of the leg. Popliteus muscle-27 :30. Bursa of popliteus muscle-29 :22. Flexor digitorum longus muscle--27 :32. Sheath of tendons of flexor digitorum longus muscle- 29 :32. Tibialis posterior muscle-27 :31. Sheath of tendon of tibialis posterior muscle-29 :33. Flexor hallucis longus muscle-27 :33. Sheath of tendon of flexor hallucis longus muscle- 29 :34. d. Arteries. Popliteal artery-51:63. (Termination only.) Anterior tibial artery-52:1. (Origin only.) Posterior tibial recurrent artery-52 :2. Anterior tibial lymph gland-57 :6. . Posterior tibial artery-52 :16. Fibular ramus-52:17. Peroneal artery-52 :18. Nutrient artery of the fibula-52 :19. Perforating ramus-52 :20. Communicating ramus-52:21. Lateral posterior malleolar artery-52:22. Lateral calcaneal rami--52 :23. Nutrient artery of the tibia-52:24. Medial posterior malleolar artery-52 :25. Medial calcaneal rami-52 :26. Network of heel-52 :27. INFERIOR EXTREMITY 135 e. Nerves. Tibial nerve-70 :68. Muscular rami-70 :69. Interosseous nerve of leg-71:1. Medial sural cutaneous nerve-71:2. Sural nerve-71:3. /. Laciniate ligament-27 :74. 6. PLANTAR REGION OF THE FOOT. a. Fascia and superficial veins. Skin incisions: (a) longitudinally along the middle line of the sole; (&) transversely across the sole at the clefts of the toes; (c) longi- tudinally along the middle line of each toe. Superficial fascia-23 :36. Digital plantar veins-56 :16. Plantar venous arch-56 :13. Intercapitular veins-56 :11. Plantar venous network-56 :12. Medial calcaneal rami of the tibial nerve-71:6. Plantar aponeurosis-28 :2. Transverse fasiculi-28 :3. b. Muscles; superficial layer. Abductor hallucis muscle-27 :36. Flexor digitorum brevis muscle-27 :44. Vaginal ligament-28:6. Annular ligament-28 :5. Cruciate ligament-28 :7. Digital sheaths of tendons of foot-29 :44. Abductor digiti quinti muscle-27 :41. c. Plantar arteries. May be exposed by detaching the preceding muscles at their origins and reflecting them toward their insertions (noting at the same time their nerve supply). Medial plantar artery-52 :28. Superficial ramus-52 :30. Deep ramus-52 :29. Lateral plantar artery-52:31. d. Plamt ar nerves. Medial plantar nerve-71:7. Common digital plantar nerves-71:8. Proper digital plantar nerves-71:9. Lateral plantar nerve-71:10. Superficial ramus-71:11. Common digital plantar nerves-71:12. Proper digital plantar nerves-71:13. e. Muscles; second layer of muscles and tendons. Tendons of the flexor digitorum longus muscle-27 :32. Quadratus plantae muscle-27 :45. Lumbricales muscles-27 :46. Bursae of lumbricales muscles-29 :43. Tendon of the flexor hallucis longus muscle-27 :33. 136 LEGION AL ANATOMY f. Muscles; third layer. May be exposed by dividing the tendons of the flexor digitorum longus and flexor hallucis longus muscles, the heads of the quadratus plantae muscle, and the plantar vessels and nerves near the os cal- caneum and reflecting these structures distally (noting at the same time the nerve supply to the lumbricales muscles). Flexor hallucis brevis muscle-27 :37. Adductor hallucis muscle--27 :38. Oblique head-27 :39. Transverse head-27 :40. Flexor digiti quinti brevis muscle-27 :42. Opponens digiti quinti muscle-27:43. g. Plantar arch and deep division of the lateral plantar nerve. May be demonstrated by detaching the flexor hallucis brevis muscle and the oblique head of the adductor hallucis muscle at their origins and reflecting them distally (identifying at the same time the nerve supply of the latter muscle). Plantar arch-52 :32. Plantar metatarsal arteries-52 :33. Perforating rami-52 :34. Digital plantar arteries-52 :35. Deep branch of lateral plantar nerve-71:14. h. Interosseous muscles and deep tendons. Transverse ligament of the heads of the metatarsal bones -22 :21. Plantar interosseous muscles-27 :48. Dorsal interosseous muscles-27 :47. Tendon of tibialis posterior muscle-27 :31. Tendon of peroneus longus muscle-27 :20. Plantar sheath of tendon of peroneus longus muscle- 29 :41. 7. ARTICULATIONS OF THE LEG AND FOOT. a. Knee joint-21:3. Articular capsule-21:4. Fibular collateral ligament-21:13. Tibial collateral ligament-21:14. Oblique popliteal ligament-21:15. Arcuate popliteal ligament-21:16. Ligament of the patella-21:18. Medial patellar retinaculum-21:19. Lateral patellar retinaculum-21:20. The following structures may be exposed by making a longitudinal incision on either side of the patella and patellar ligament, dividing the quadriceps extensor muscle about 8 cm. above the patella, and reflecting the patella and common extensor tendon distally. Patellar synovial fold-21:11. Deep infrapatellar bursa-29 :17. Lateral meniscus-21:5. Medial meniscus-21 :6. Transverse ligament of the knee-21:7. Cruciate ligaments of the knee-21:8. Anterior cruciate ligament-21:9. Posterior cruciate ligament-21:10. Synovial membrane-18 :32. INFERIOR EXTREMITY 137 b. Ankle joint-21:29. Articular capsule-21:30. Deltoid ligament-21:31. Tibionavicular ligament-21:32. Calcaneotibial ligament-21:33. Anterior talotibial ligament-21:34. Posterior talotibial ligament-21:35. Anterior talofibular ligament-21:36. Posterior talofibular ligament-21:37. Calcaneofibular ligament-21:38. Synovial membrane-18 :32. c. Tibia fibular joints. Tibiofibular articulation-21:21. Articular capsule-21:22. Ligaments of the head of the fibula-21:23. Interosseous membrane-21:24. Tibiofibular syndesmosis-21:25. Anterior ligament of the lateral malleolus-21:26. Posterior ligament of the lateral malleolus-21:27. d. Intertarsal articulations-21:39. Talocalcaneal articulation-21:41. Articular capsule-21:42. Lateral talocalcaneal ligament-21:43. Medial talocalcaneal ligament-21 :44. Anterior talocalcaneal ligament-21:45. Posterior talocalcaneal ligament-21:46. Talocalcaneonavicular articulation-21:40. Dorsal talonavicular ligament-21:58. Articular capsule of the talonavicular part of the joint -21:49. The examination of the articulation may be completed by sever- ing the ligaments holding the talus in place and removing the talus. ' Interosseous talocalcaneal ligament-21:54. Plantar calcaneonavicular ligament-21:70. Calcaneonavicular part of the bifurcate ligament- 21 :62. Dorsal calcaneonavicular ligament-21:64. Chopart's transverse articulation of the tarsus-21:47. Talonavicular articulation-21:48. Note that this is a part of the talocalcaneonavicular articula- tion; attention has already been directed to its articular capsule in connection with the talocalcaneonavicular articu- lation. Calcaneocuboid articulation-21:50. Articular capsule-21:51. Plantar calcaneocuboid ligament-21:69. Long plantar ligament-21:67. Not confined entirely to this articulation. Cuneonavicular articulation-21:52. Dorsal navicular cuneiform ligaments-21:65. Plantar navicular cuneiform ligaments-22:2. 138 REGIONAL ANATOMY The following ligaments connect the cuboid, navicular and cuneiform bones: Dorsal cuboideonavicular ligament-21:60. Dorsal cuneocuboid ligament-21:59. Plantar cuboideonavicular ligament-22:3. Plantar cuneocuboid ligament--22 :5. Plantar intercuneiform ligaments-22:4. Interosseous cuneocuboid ligament-21:55. Interosseous intercuneiform ligaments-21:56. e. Tarsometatarsal articulations-22 :6. Articular capsules-22:7. Dorsal tarsametatarsal ligaments-22 :8. Plantar tarsometatarsal ligaments-22 :9. Interosseous cuneometatarsal ligaments-22:10. f. Intermetatarsal articulations-22:11. Articular capsules-22 :12. Dorsal ligaments of the bases of the metatarsal bones- 22:14. Plantar ligaments of the bases of the metatarsal bones- 22:15. Interosseous ligaments of the bases of the metatarsal bones -22:13. Interosseous spaces of metatarsus-22 :16. g. Metatarsophalangeal articulations-22:17. Articular capsules-22 :18. Collateral ligaments-22 :19. Plantar accessory ligaments-22 :20. Transverse ligaments of the heads of the metatarsal bones -22:21. h. Articulations of the toes-22 :22. Articular capsules-22 :23. Collateral ligaments-22:24. PART II SYSTEMATIC ANATOMY PART II. SYSTEMATIC ANATOMY1 1 NOMINA ANATOMICA 2 Termini, Situum et Directionem Partium Corporis Indicantes 3 TERMINI GENERALES 4 Verticalis 5 Horizontalis 6 Medianus 7 Sagittalis 8 Frontalis 9 Transversalis 10 Medialis 11 Intermedius 12 Lateralis 13 Anterior 14 Medius 15 Posterior 16 Ventralis 17 Dorsalis 18 Internus 19 Externus 20 Dexter 21 Sinister 22 Longitudinalis 23 Trans versus 24 Cranialis 25 Rostralis* 26 Caudalis 27 Superior 28 Inferior 29 Superficialis [sub- 30 Profundus limis] 32 Proximalis 33 Distalis 34 Radialis 31 TERMINI AD EXTREMITATES SPECTANTES 35 Ulnaris 36 Tibialis 37 Fibularis i The following arrangement of terms is based on that of the B N A system as published by His in the Archiv fur Anatomic und Entwiclclungsgeschichte, Sup- plemental Band, 1895. All the terms have been left in their original Latin form. Certain obvious errors in the original lists (cf. also Eycleshymer's Anatomical Names, p. 2, 1917) have been corrected as follows: P. 20, Nos. 34, 35 corrected to read Ligg. instead of Lig. P. 23, Nos. 55, 56, 57 corrected to read MM. instead of M. P. 25, No. 49, corrected to read [Spegeli] instead of [Spige]. P. 29, No. 4, corrected to read obturatoris instead of obturatorii. P. 34, No. 65, corrected to read fibrosa instead of fibrosus. P. 53, Nos. 74, 75, 76 corrected to read Vv. instead of V. P. 55, No. 71, corrected to read V. instead of Vv. P. 68, No. 65. corrected to read Nn. instead of N. For the significance of brackets and asterisks see footnote, Part I, page 1. The prefixed numerals in Part II merely indicate the serial position of each term for cross-reference purposes. [1] 140 SYSTEMATIC ANATOMY 1 TERMINI GENERALES 2 Accessorius 3 Acinus 4 Aditus 5 Ala 6 Alveolus 7 Ampulla 8 Angulus 9 Ansa 10 Antrum 11 Apertura 12 Apex 13 Appendix 14 Arcus 15 Area 16 Basis 17 Brachium 18 Canaliculus 19 Canalis 20 Capsula 21 Caput 22 Capitulum 23 Cartilago 24 Caruncula 25 Cauda 26 Caverna 27 Cavum 28 Cellula 29 Circulus 30 Cisterna 31 Collum 32 Columna 33 Commissura 34 Cornu 35 Corona 36 Corpus 37 Corpusculum 38 Crista 39 Crus 40 Decuissatio 41 Dorsum 42 Ductulus 43 Ductus 44 Eminentia 45 Endothelium 46 Epithelium 47 Extremitas 48 Facies 49 Fascia 50 Fasciculus 51 Fibra 52 Fibrocartilago 53 Filum 54 Fissura 55 Flexura 56 Folium 57 Folliculus 58 Foramen 59 Formatio 60 Fornix 61 Fossa 62 Fossula 63 Fovea 64 Foveola 65 Frenulum 66 Fundus 67 Funiculus 68 Geniculum 69 Genu 70 Glandula 71 Glomerulus 72 Glomus 73 Hilus 74 Humor 75 Junctura 76 Impressio 77 Incisura 78 Infundibulum 79 Intestinum 80 Isthmus 81 Labium 82 Lacuna 83 Lamina 84 Latus 85 Ligamentum 86 Limbus 87 Limen 88 Linea 89 Liquor 90 Lobulus 91 Lobus 92 Macula 93 Margo 94 Massa 95 Meatus 96 Medulla 97 Membrana 98 Membrum 99 Mucus 100 Musculus [2] GENERAL ANATOMICAL TERMS 141 1 Nervus 2 Nodulus 3 Nucleus 4 Organon 5 Orificium 6 Os [oris] 7 Os [ossis] 8 Ostium 9 Papilla 10 Parenchyma 11 Paries 12 Perichondrium 13 Periosteum 14 Plexus 15 Plica 16 Polus 17 Processus 18 Prominentia 19 Punctum 20 Radix 21 Ramulus 22 Ramus 23 Raphe 24 Recessus 25 Regio 26 Rete 27 Rima 28 Rundimentum 29 Septulum 30 Septum 31 Sinus 32 Spatium 33 Spina 34 Stratum 35 Stria 36 Stroma 37 Substantia 38 Succus 39 Sulcus 40 Taenia 41 Tegmen 42 Tela 43 Tela conjunctivi 44 Tela elastica 45 Torus 46 Trabecula 47 Tractus 48 Trigonum 49 Trochlea 50 Truncus 51 Tuber 52 Tuberculum 53 Tubulus 54 Tunica 55 Tunica propria 56 Umbo 57 Uvula 58 Vagina 59 Vallecula 60 Vallum 61 Valvula 62 Vas 63 Velum 64 Vertex 65 Vesica 66 Vesicula 67 Vestibulum 68 Villus 69 Viscus [viscera] 70 Vortex 71 Zona [3] 142 SYSTEMATIC ANATOMY 1 PARTES CORPORIS HUMANI 2 Caput 3 Collum 4 Truncus 5 Extremitates 6 Caput 7 CRANIUM 8 Vertex 9 Sinciput 10 Frons 11 Occiput 12 Tempora 13 Auris 14 Auricula 16 0 c u 1 u s 17 Palpebra superior 18 Palpebra inferior 19 Rima palpebrarum 20 Bulbus oculi 21 Super cilium 22 Sulcus infrapalpebralis 23 Nasus 24 Dorsum nasi 25 Apex nasi 26 Ala nasi 15 FACIES 27 Os 28 Sulcus nasolabialis 29 Philtrum 30 Labium superius 31 Labium inferius 32 Rima oris 33 Cavum oris 34 Lingua 35 Fauces 36 Bucca [mala] 37 Sulcus mentolabialis 38 Mentum 39 Collum 40 Cervix 41 Larynx 42 Prominentia laryngea 43 Pharynx 44 Trachea 45 Oesophagus 47 THORAX 48 Cavum thoracis 49 Pectus 50 Mamma 51 Papilla mammae 46 Truncus 52 DORSUM 53 Columna vertebralis 54 Canalis spinalis 56 Cavum abdominis 57 Scrobiculus cordis 58 Umbilicus 55 ABDOMEN 59 Latus 60 Lumbus 61 Inguen [4] PAETS OF THE HUMAN BODY 143 1 PELVIS 2 Cavum pelvis 3 Mons pubis 4 Coxa 5 Nates [Clunes] 6 Anus 7 Crena ani 8 Perineum 9 Extremitas superior 10 Axilla 11 Plica axillaris anterior 12 Plica axillaris posterior 13 Acromion 14 Brachium 15 Facies anterior 16 Facies posterior 17 Facies lateralis 18 Facies mediglis 19 Sulcus bicipitalis lateralis 20 Sulcus bicipitalis medialis 21 Cubitus 22 Antibrachium 23 Facies dorsalis 24 Facies volaris 25 Margo radialis 26 Margo ulnaris 27 Manus 28 Carpus 29 Metacarpus 30 Dorsum manus 31 Vola manus [Palma] 32 Thenar 33 Hypothenar 34 Digiti manus 35 Pollex [Digitus I] 36 Index [Digitus II] 37 Digitus medius [D. Ill] 38 Digitus annularis [D. IV] 39 Digitus minimus [D. V] 40 Facies dorsales 41 Facies volares 42 Margines radiales 43 Margines ulnares 44 Extremitas inferior 45 Femur 46 Facies anterior 47 Facies posterior 48 Facies lateralis 49 Facies medialis 50 Sulcus glutaeus 51 Genu 52 Poples 53 Patella 54 Crus 55 Facies anterior 56 Facies posterior 57 Sura 58 Malleolus lateralis 59 Malleolus medialis 60 Pes 61 Tarsus 62 Metatarsus 63 Dorsum pedis 64 Planta 65 Margo pedis lateralis 66 Margo pedis medialis 67 Calx 68 Digiti pedis 69 Hallux [Digitus I] 70 Digiti II-IV 71 Digitus minimus [D. V] 72 Facies dorsales 73 Facies plantares 74 Margines laterales 75 Margines mediales [5] 144 SYSTEMATIC ANATOMY 2 Os longum 3 Os breve 4 Os planum 5 Os pneumaticum 6 Epiphysis 7 Diaphysis 8 Synchondrosis epiphyseos* 9 Apophysis 10 Facies articularis 11 Substantia com- pacta 12 Substantia corti- calis 13 Substantia spongi- osa 1 OSTEOLOGIA 14 Cavum medullare 15 Medulla ossium 16 Medulla ossium flava 17 Medulla ossium rubra 18 Foramen nutricium 19 Canalis nutricius 20 COLUMNA VERTEBRALIS 21 Vertebrae cervicales 22 Vertebrae thoracales 23 Vertebrae lumbales 24 Vertebrae sacrales 25 Vertebrae coccygeae 26 Corpus vertebrae 27 Fovea costalis superior 28 Fovea costalis inferior 29 Canalis vertebralis 30 Foramen vertebrale 31 Arcus vertebrae 32 Radix arcus vertebrae 33 Incisura vertebralis superior 34 Incisura vertebralis inferior 35 Foramen intervertebrale 36 Sulcus n. spinalis 37 Processus spinosus 38 Vertebra prominens 39 Processus transversus 40 Fovea costalis transversalis 41 Tuberculum anterius [verte- brarum cervicalium] 42 Tuberculum caroticum [verte- brae cervicalis VI] 43 Foramen transversarium 44 Tuberculum posterius [verte- brarum cervicalium] 45 Processus articulares superiores 46 Facies articulares superiores 47 Processus articulares inferiores 48 Facies articulares inferiores 49 Processus costarius 50 Processus accessorius [verte- brarum lumbalium] 51 Processus mamillaris 52 ATLAS 53 Massa lateralis 54 Arcus anterior 55 Tuberculum anterius 56 Foveae articulares superiores 57 Facies articulares inferiores 58 Fovea dentis 59 Fovea posterior 60 Sulcus arteriae vertebralis 61 Tuberculum posterius [6] OSTEOLOGY 145 1 EPISTROPHEUS 2 Dens 3 Facies articularis anterior 4 Facies articularis posterior 39 Collum costae 40 Crista colli costae 41 Angulus costae 42 Tuberculum scaleni [Lisfranci] 43 Sulcus subclaviae 44 Tuberositas costae II 45 Sulcus costae 5 os SACRUM 6 Facies dorsalis 7 Facies pelvina 8 Basis oss. sacri 9 Processus articularis superior 10 Promontorium 11 Pars lateralis 12 Facies auricularis 13 Tuberositas sacralis 14 Foramina intervertebralia 15 Foramina sacralia anteriora 16 Lineae transversae 17 Foramina sacralia posteriora 18 Crista sacralis media 19 Cristae sacrales laterales 20 Cristae sacrales articulares 21 Cornua sacralia 22 Canalis sacralis 23 Hiatus sacralis 24 Apex oss. sacri 46 STERNUM 47 Manubrium sterni 48 Angulus sterni 49 Synchondrosis sternalis 50 Corpus sterni 51 Planum sternale 52 Processus xiphoideus 53 Incisura clavicularis 54 Incisura jugularis 55 Incisurae costales 56 (Ossa suprasternalis) 57 Thorax 58 Cavum thoracis 59 Apertura thoracis superior 60 Apertura thoracis inferior 61 Arcus costarum 62 Spatia intercostalia 63 Angulus infrasternalis 64 Sulcus pulmonalis 25 os COCCYGIS 26 Cornua coccygea 27 Thorax 28 COSTAE 65 Ossa CRANII 66 OS BASILARE 67 OS OCCIPITALE 29 Costae verae 30 Costae spuriae 31 Os costale 32 Cartilago costalis 33 Capitulum costae 34 Facies articularis capituli costae 35 Crista capituli 36 Corpus costae 37 Tuberculum costae 38 Facies articularis tuberculi costae 68 Foramen occipitale magnum 69 Pars basilaris 70 Sulcus petrosus inferior 71 Pars lateralis 72 Squama occipitalis 73 Margo mastoideus 74 Margo lambdoideus 75 (Os interparietale) [7] 146 SYSTEMATIC ANATOMY 1 Clivus 2 Tuberculum pharyngeum 3 Condylus occipitalis 4 Canalis condyloideus 5 Canalis hypoglossi 6 Tuberculum jugulare 7 Incisura jugularis 8 Processus jugularis . 9 Fossa condyloidea 10 Processus intrajugularis 11 Planum occipitale 12 Planum nuchal e 13 Protuberantia occipitalis externa 14 (Torus occipitalis) 15 Crista occipitalis externa 16 Linea nuchae suprema 17 Linea nuchae superior 18 Linea nuchae inferior 19 Eminentia cruciata 20 Protuberantia occipitalis interna 21 Sulcus sagittalis 22 Sulcus transversus 23 (Processus paramastoideus) 24 OS SPHENOIDALE 25 Corpus 26 Sella turcica 27 Fossa hypophyseos 28 Dorsum sellae 29 Tuberculum sellae 30 Processus clinoideus medius 31 Processus clinoideus posterior 32 Sulcus caroticus 33 Lingula sphenoidalis 34 Crista sphenoidalis 35 Rostrum sphenoidale . 36 Sinus sphenoidalis 37 Septum sinuum sphenoidalium 38 Apertura sinus sphenoidalis 39 Conchae sphenoidales 40 Clivus 41 Ala parva 42 Sulcus chiasmatis 43 Foramen opticum 44 Processus clinoideus anterior 45 Fissura orbitalis superior 46 Ala m a g n a 47 Facies cerebralis 48 Facies temporalis 49 Facies sphenomaxillaris 50 Facies orbitalis 51 Margo zygomaticus 52 Margo frontalis 53 Angulus parietalis 54 Margo squamosus 55 Crista infratemporalis 56 Foramen rotundum 57 Foramen ovale 58 Foramen spinosum 59 Spina angularis 60 Processus ptery- goid e u s 61 Lamina lateralis processus pterygoidei 62 Lamina medialis processus pterygoidei 63 Fissura pterygoidea 64 Fossa scaphoidea 65 Processus vaginalis 66 Hamulus pterygoideus 67 Sulcus hamuli pterygoidei 68 Fossa pterygoidea 69 Canalis pterygoideus [Vidii] 70 Canalis pharyngeus 71 Canalis basipharyngeus 72 Sulcus tubae auditivae 73 Sulcus pterygopalatinus 74 (Processus pterygospinosus [Civinini]) 75 OS TEMPORALE 76 Pars mastoidea 77 Margo occipitalis 78 Processus mastoideus 79 Incisura mastoidea 80 Sulcus sigmoideus [8] OSTEOLOGY 147 1 Sulcus a. occipitalis 2 Foramen mastoideum 3 Pars petrosa [Pyramis] 4 Facies anterior pyramidis 5 Facies posterior pyramidis 6 Facies inferior pyramidis 7 Apex pyramidis 8 Angulus superior pyramidis 9 Angulus anterior pyramidis 10 Angulus posterior pyramidis 11 Sulcus petrosus superior 12 Tegmen tympani 13 Eminentia arcuata 14 Canalis facialis [Falloppii] 15 Hiatus canalis facialis 16 Geniculum canalis facialis 17 Sulcus n. petrosi superficialis ma j oris 18 Sulcus n. petrosi superficialis minoris 19 Impressio trigemini 20 Porus acusticus internus 21 Meatus acusticus internus 22 Fossa subarcuata 23 Aquaeductus vestibuli 24 Apertura externa aquaeductus vestibuli 25 Sulcus petrosus inferior 26 Incisura jugularis 27 Processus intrajugularis 28 Fossa jugularis 29 Canaliculus mastoideus 30 Sulcus canaliculi mastoidei 31 Processus styloideus 32 Vagina processus styloidei 33 Foramen stylomastoideum 34 Fossula petrosa 35 Canaliculus tympanicus 36 Sulcus tympanicus 37 Apertura inferior canaliculi tympanici 38 Apertura superior canaliculi tympanici 39 Canaliculus cochleae 40 Apertura externa canaliculi cochleae 41 Canalis caroticus 42 Canaliculi caroticotympanici 43 Canalis musculotubarius 44 Semicanalis m. tensoris tympani 45 Semicanalis tubae auditivae 46 Septum canalis musculotubarii 47 Cavum tympani (v. Organon auditus) 48 Canaliculus chordae tympani 49 Fissura petrotympanica [Glaseri] 50 Fissura petrosquamosa 51 Pars tympanica 52 Annulus tympanicus* 53 Meatus acusticus externus 54 (Spina supra meatum) 55 Fissura tympanomastoidea 56 Spina tympanica major 57 Spina tympanica minor, 58 Porus acusticus externus 59 Squama temporalis 60 Margo parietalis 61 Incisura parietalis 62 Margo sphenoidalis 63 Facies temporalis 64 Processus zygomaticus 65 Fossa mandibularis 66 Facies articularis 67 Tuberculum articulare 68 Facies cerebralis 69 Sulcus a. temporalis mediae 71 Facies cerebralis 72 Facies parietalis 73 Margo occipitalis 74 Margo squamosus 75 Margo frontalis 76 Margo sagittalis , 77 Angulus frontalis 78 Angulus occipitalis 79 Angulus sphenoidalis 80 Angulus mastoideus 81 Foramen parietale 70 OS PARIETALE [9] 148 SYSTEMATIC ANATOMY 1 Tuber parietale 2 Linea temporalis inferior 3 Linea temporalis superior 4 Sulcus sagittalis 5 Sulcus transversus 42 Cellulae ethmoidales 43 Infundibulum ethmoidale 44 Hiatus semilunaris 45 Bulla ethmoidalis 46 Lamina papyracea 47 Foramina ethmoidalia 48 (Concha nasalis suprema) 49 Concha nasalis superior 50 Concha nasalis media 51 Processus uncinatus 7 Squama frontalis 8 Facies frontalis 9 Margo supraorbitalis 10 Pars orbitalis 11 Incisura ethmoidalis 12 Pars nasalis 13 Spina frontalis 14 Margo nasalis 15 Margo parietalis 16 Processus zygomaticus 17 Facies temporalis 18 Linea temporalis 19 Tuber frontale 20 Arcus superciliaris 21 Glabella 22 Foramen sive Incisura supra- orbitalis 23 Incisura sive Foramen front ale 24 Facies orbitalis 25 (Spina trochlearis) 26 Fovea trochlearis 27 Foramen ethmoidale anterius 28 Foramen ethmoidale posterius 29 Fossa glandulae lacrimalis 30 Facies cerebralis 31 Crista frontalis 32 Sulcus sagittalis 33 Foramen caecum 34 Sinus frontalis 35 Septum sinuum frontalium 6 OS FRONTALE 52 CONCHA NASALIS INFERIOR 53 Processus lacrimalis 54 Processus maxillaris 55 Processus ethmoidalis 56 OS LACRIMALE 57 Crista lacrimalis posterior 58 Sulcus lacrimalis 59 Hamulus lacrimalis 60 Fossa sacci lacrimalis 62 Foramina nasalia 63 Sulcus ethmoidalis 61 os NASALE 64 VOMER 65 Ala vomeris 66 Ossa faciei 67 MAXILLA 68 Corpus maxillae 69 Facies anterior 70 Facies nasalis 71 Facies orbitalis 72 Facies infratemporalis 73 Sinus maxillaris 74 Margo infraorbitalis 75 Canalis infraorbitalis 76 Sulcus infraorbitalis 77 Foramen infraorbitale 78 Sutura infraorbitalis 79 Fossa canina 36 OS ETHMOIDALE 37 Lamina cribrosa 38 Crista galli 39 Processus alaris 40 Lamina perpendicularis 41 Labyrinthus ethmoidalis [10] OSTEOLOGY 149 1 (Fossa praenasalis) 2 Incisura nasalis 3 Tuber maxillare 4 Foramina alveolaria 5 Canales alveolares 6 Planum orbitale 7 Margo lacrimalis 8 Sulcus lacrimalis 9 Canalis nasolacrimalis 10 Crista conchalis 11 Processus frontalis 12 Crista lacrimalis anterior 13 Incisura lacrimalis 14 Crista ethmoidalis 15 Processus zygomaticus 16 Processus palatinus 17 Crista nasalis 18 Spina nasalis anterior 19 Os incisivum* 20 Canalis incisivus 21 Sutura incisiva 22 Spinae palatinae 23 Sulci palatini 24 Processus alveolaris 25 Limbus alveolaris 26 Alveoli dentales 27 Septa interalveolaria 28 Juga alveolaria 29 Hiatus maxillaris 30 Foramen incisivum 44 Processus sphenoidalis 45 Pars horizontalis 46 Facies nasalis 47 Facies palatina 48 Spina nasalis posterior 49 Crista nasalis 50 OS ZYGOMATICUM 51 Facies malaris 52 Facies temporalis 53 Facies orbitalis 54 Processus temporalis 55 Processus frontosphenoidalis 56 (Processus marginalis) 57 Foramen zygomaticoorbitale 58 Foramen zygomaticofaciale 59 Foramen zygomaticotemporale 61 Corpus mandibulae 62 Basis mandibulae 63 Protuberantia mentalis 64 Tuberculum mentale 65 Spina mentalis 66 Foramen mentale 67 Linea obliqua 68 Fossa digastrica 69 Linea mylohyoidea 70 Sulcus mylohyoideus 71 Juga alveolaria 72 Ramus mandibulae 73 Angulus mandibulae 74 (Tuberositas masseterica) 75 (Tuberositas pterygoidea) 76 (Crista buccinatoria) 77 Incisura mandibulae 78 Processus condyloideus 79 Capitulum [proc, condyl.] mandibulae 80 Collum [proc, condyloidei] mandibulae 81 Fovea pterygoidea proc, condyloidei 82 Processus coronoideus 60 MANDIBULA 32 Pars perpendicularis 33 Facies nasalis 34 Facies maxillaris 35 Incisura sphenopalatina 36 Sulcus pterygopalatinus 37 Processus pyramidalis 38 Foramen palatinum ma jus 39 Foramina palatina minora 40 Canales palatini 41 Crista conchalis 42 Crista ethmoidalis 43 Processus orbitalis 31 OS PALATINUM [11] 150 SYSTEMATIC ANATOMY 1 Foramen mandibulare 2 Lingula mandibulae 3 Canalis mandibulae 4 Fovea sublingualis 5 (Fovea submaxillaris) 6 Pars alveolaris 7 Limbus alveolaris 8 Alveoli dentales 9 Septa interalveolaria 42 Fossa pterygopalatina 43 Canalis pterygopalatinus 44 Foramen sphenopalatinum 45 Apertura piriformis 46 Cavum nasi 47 Septum nasi osseum 48 Meatus nasi communis 49 Meatus nasi superior 50 Meatus nasi medius 51 Meatus nasi inferior 52 Meatus nasopharyngeus 53 Choanae 54 Recessus sphenoethmoidalis 55 Foramen jugulare 56 Fissura sphenopetrosa 57 Fissura petrooccipitalis 58 Fissura sphenooccipitalis 59 Foramen lacerum 60 Fibrocartilago basalis 61 Palatum durum 62 (Torus palatinus) 63 Orbita 64 Aditus orbitae 65 Margo supraorbitalis 66 Margo infraorbitalis 67 Paries superior 68 Paries inferior 69 Paries lateralis 70 Paries medialis 71 Fissura orbitalis superior 72 Fissura orbitalis inferior 10 OS HYOIDEUM 11 Corpus oss. hyoidei 12 Cornu minus 13 Cornu ma jus 14 Cranium 15 Calvaria 16 Pericranium 17 Lamina externa 18 Diploe 19 Canales diploici [Brescheti] 20 Lamina interna 21 Facies [ossea] 22 Cranium cerebrale 23 Cranium viscerale 24 Vertex 25 Frons 26 Occiput 27 Basis cranii interna 28 Basis cranii externa 29 Fossa cranii anterior 30 Fossa cranii media 31 Fossa cranii posterior 32 Juga cerebralia 33 Impressiones digitatae 34 Sulci venosi 35 Sulci arteriosi 36 (Foveolae granularesfPacchioni]) 37 (Ossa sututarum) 38 Planum temporale 39 Fossa temporalis 40 Arcus zygomaticus 41 Fossa infratemporalis 73 SUTURAE CRANII 74 Sutura coronalis 75 Sutura sagittalis 76 Sutura lambdoidea 77 Sutura occipitomastoidea 78 Sutura sphenofrontalis 79 Sutura sphenoorbitalis 80 Sutura sphenoethmoidalis 81 Sutura sphenosquamosa 82 Sutura sphenoparietalis [12] OSTEOLOGY 151 1 Sutura squamosa 2 (Sutura frontalis) 3 Sutura parietomastoidea 4 (Sutura squamosomastoidea) 5 Sutura nasofrontalis 6 Sutura frontoethmoidalis 7 Sutura frontomaxillaris 8 Sutura frontolacrimalis 9 Sutura zygomaticofrontalis 10 Sutura zygomaticomaxillaris 11 Sutura ethmoideomaxillaris 12 Sutura sphenozygomatica 13 (Sutura sphenomaxillaris) 14 Sutura zygomaticotemporalis 15 Sutura internasalis 16 Sutura nasomaxillaris 17 Sutura lacrimomaxillaris 18 Sutura lacrimoconchalis 19 Sutura intermaxillaris 20 Sutura palatomaxillaris 21 Sutura palatoethmoidalis 22 Sutura palatina mediana 23 Sutura palatina transversa 38 Facies costalis 39 Lineae musculares 40 Fossa subscapularis 41 Facies dorsalis 42 Spina scapulae 43 Fossa supraspinata 44 Fossa infraspinata 45 Acromion 46 Facies articularis acromii 47 Margo vertebralis 48 Margo axillaris 49 Margo superior 50 Angulus inferior 51 Angulus lateralis 52 Angulus medialis 53 Cavitas glenoidalis 54 Collum scapulae 55 Tuberositas infraglenoidalis 56 Tuberositas supraglenoidalis 57 Incisura scapulae 58 Processus coracoideus 37 SCAPULA 59 CLAVICULA 25 Synchondrosis sphenooccipitalis 26 Synchondrosis sphenppetrosa 27 Synchondrosis sphenopetrosa 28 Synchondrosis intraoccipitalis posterior* 29 Synchondrosis intraoccipitalis anterior* 30 Synchondrosis intersphenoidalis* 31 Fonticulus frontalis major* 32 Fonticulus occipitalis minor* 33 Fonticulus mastoideus* 34 Fonticulus sphenoidalis* 24 SYNCHONDROSES CRANII 60 Extremitas sternalis 61 Facies articularis sternalis 62 Tuberositas costalis 63 Extremitas acromialis 64 Facies articularis acromialis 65 Tuberositas coracoidea 66 Skeleton extremi- tatis perioris 1 i b e r a e 67 HUMERUS 68 Caput humeri 69 Collum anatomicum 70 Collum chirurgicum 71 Tuberculum majus 72 Tuberculum minus 73 Sulcus intertubercularis 74 Crista tuberculi majoris 75 Crista tuberculi minoris 76 Corpus humeri 35 Ossa EXTREMITATIS SUPERIORIS 36 Cingulum extremi- tatis superioris [13] 152 SYSTEMATIC ANATOMY 1 Facies anterior medialis 2 Facies anterior lateralis 3 Facies posterior 4 Margo medialis 5 Margo lateralis 6 Tuberositas deltoidea 7 Sulcus n. radialis 8 Sulcus n. ulnaris 9 Capitulum humeri 10 Trochlea humeri 11 Epicondylus medialis 12 Epicondylus lateralis 13 Fossa olecrani 14 Fossa coronoidea 15 Fossa radialis 16 (Processus supracondyloideus) 42 Facies volaris 43 Facies medialis 44 Margo dorsalis 45 Margo volaris 46 Crista m. supinatoris 47 Capitulum ulnae 48 Circumferentia articularis 49 Processus styloideus 50 CARPUS 51 Ossa carpi 52 (Os centrale) 53 Os naviculare manus 54 Tuberculum oss. navic- ularis 55 Os lunatum 56 Os triquetrum 57 Os pisiforme 58 Os multangulum majus 59 Tuberculum oss. multang. majoris 60 Os multangulum minus 61 Os capitatum 62 Os hamatum 63 Hamulus oss. hamati 64 Eminentia carpi radialis 65 Eminentia carpi ulnaris 66 Sulcus carpi 18 Corpus radii 19 Capitulum radii 20 Fovea capituli radii 21 Collum radii 22 Circumferentia articularis 23 Tuberositas radii 24 Crista interossea 25 Facies dorsalis 26 Facies volaris 27 Facies lateralis 28 Margo dorsalis 29 Margo volaris 30 Processus styloideus 31 Incisura ulnaris 32 Facies articularis carpea 17 RADIUS 68 Ossa metacarpalia I-V 69 Basis 70 Corpus 71 Capitulum 72 Os metacarpale III 73 Processus styloideus 67 METACARPUS 33 ULNA 34 Corpus ulnea 35 Olecranon 36 Processus coronoideus 37 Tuberositas ulnae 38 Incisura semilunaris 39 Incisura radialis 40 Crista interossea 41 Facies dorsalis 74 PHALANGES DIGITORUM MANUS 75 Phalanx prima 76 Phalanx secunda 77 Phalanx tertia 78 Basis phalangis [14] OSTEOLOGY 153 1 Corpus phalangis 2 Trochlea phalangis 3 Tuberositas unguicularis 4 Ossa sesamoidea 40 os PUBIS 41 Corpus oss. pubis 42 Pecten oss. pubis 43 Eminentia iliopectinea 44 Tuberculum pubicum 45 Crista obturatoria 46 Sulcus obturatorius 47 Tuberculum obturatorium anterius 48 (Tuberculum obturatorium posterius) 49 Ramus inferior oss. pubis 50 Ramus superior oss. pubis 51 Facies symphyseos 5 Ossa extremitatis in- ferioris 6 Cingulum extremitatis inferioris 7 os COXAE 8 Foramen obturatum 9 Acetabulum 10 Fossa acetabuli 11 Incisura acetabuli 12 Facies lunata 13 Sulci paraglenoidales 52 PELVIS 53 Symphysis ossium pubis 54 Arcus pubis 55 Angulus pubis 56 Pelvis major 57 Pelvis minor 58 Linea terminalis 59 Pars sacralis 60 Pars iliaca 61 Pars pubica 62 Apertura pelvis [minoris] superior 63 Apertura pelvis [minoris] inferior 64 Axis pelvis 65 Conjugata 66 Diameter transversa 67 Diameter obliqua 68 Inclinatio pelvis 15 Corpus oss. ilium 16 Ala oss. ilium 17 Linea arcuata 18 Crista iliaca 19 Labium externum 20 Linea intermedia 21 Labium internum 22 Spina iliaca anterior superior 23 Spina iliac anterior inferior 24 Spina iliaca posterior superior 25 Spina iliaca posterior inferior 26 Linea glutaea anterior 27 Linea glutaea posterior 28 Linea glutaea inferior 29 Facies auricularis 30 Tuberositas iliaca 31 Fossa iliaca 14 os ILIUM 69 Skeleton e x t r e m i - tatis inferioris 1 i b e r a e 32 os ischii 33 Corpus oss. ischii 34 Ramus superior oss. ischii 35 Ramus inferior oss. ischii 36 Tuber ischiadicum 37 Spina ischiadica 38 Incisura ischiadica major 39 Incisura ischiadica minor 70 FEMUR 71 Caput femoris 72 Fovea capitas femoris 73 Collum femoris [15] 154 SYSTEMATIC ANATOMY 1 Corpus femoris 2 Trochanter major 3 Fossa trochanterica 4 Trochanter minor 5 (Trochanter tertius) 6 Linea intertrochanterica 7 Crista intertrochanterica 8 Linea aspera 9 Labium laterale 10 Labium mediale 11 Linea pectinea 12 Tuberositas glutaea 13 Fossa intercondyloidea 14 Linea intercondyloidea 15 Planum popliteum 16 Condylus medialis 17 Condylus lateralis 18 Facies patellaris 19 Epicondylus lateralis ■ 20 Epicondylus medialis 40 Malleolus medialis 41 Incisura fibularis 42 Sulcus malleolaris 43 Facies articularis inferior 44 Facies articularis malleolaris 46 Corpus fibulae 47 Crista interossea 48 Crista anterior 49 Crista lateralis 50 Crista medialis 51 Facies medialis 52 Facies lateralis 53 Facies posterior 54 Capitulum fibulae 55 Facies articularis capituli 56 Apex capituli fibulae 57 Malleolus lateralis 58 Facies articularis malleoli 45 FIBULA 21 TIBIA 59 PATELLA 22 Facies articulans superior 23 Corpus tibiae 24 Condylus medialis 25 Condylus lateralis 26 Fossa intercondyloidea anterior 27 Fossa intercondyloidea posterior 28 Eminentia intercondyloidea 29 Tuberculum intercondyloideum mediale 30 Tuberculum intercondyloideum laterale 31 Margo infraglenoidalis 32 Tuberositas tibiae 33 Facies medialis 34 Facies posterior 35 Facies lateralis 36 Margo medialis 37 Crista anterior 38 Crista interossea 39 Linea poplitea 60 Basis patellae 61 Apex patellae 62 Facies articularis 63 TARSUS 64 Ossa tarsi 66 Caput tali 67 Corpus tali 68 Collum tali 69 Trochlea tali 70 Facies superior 71 Facies malleolaris medialis 72 Facies malleolaris lateralis 73 Sulcus tali 74 Processus lateralis tali 75 Facies articularis calcanea posterior 65 TALUS [16] OSTEOLOGY 155 1 Facies articularis calcanea media 2 Sulcus m. flexoris hallucis longi 3 Facies articularis navicularis 4 Facies articularis calcanea anterior 5 Processus posterior tali 6 (Os trigonum) 24 OS CUNEIFORMS PRIMUM 25 OS CUNEIFORMS SECUNDUM 26 OS CUNEIFORMS TERTIUM 27 OS CUBOIDEUM 28 Sulcus m. peronaei 29 Tuberositas oss. cuboidei 7 CALCANEUS 30 METATARSUS 8 Corpus calcanei 9 Tuber calcanei 10 Processus medialis tuberis calcanei 11 Processus lateralis tuberis calcanei 12 Sustentaculum tali 13 Sulcus m. flexoris hallucis longi 14 Sulcus calcanei 15 Sinus tarsi 16 Facies articularis anterior 17 Facies articularis media 18 Facies articularis posterior 19 Sulcus m. peronaei 20 (Processus trochlearis) 21 Facies articularis cuboidea 31 Ossa metatarsalis I-V 32 Basis 33 Corpus 34 Capitulum 35 Tuberositas oss. metatarsalis I 36 Tuberositas oss. metatarsalis V 37 PHALANGES DIGITORUM PEDIS 38 Phalanx prima 39 Phalanx secunda 40 Phalanx tertia 41 Tuberositas unguicularis 42 Basis phalangis 43 Corpus phalangis 44 Trochlea phalangis 45 Ossa sesamoidea 22 OS NAVICULARE PEDIS 23 Tuberositas oss. navicularis [17] 156 SYSTEMATIC ANATOMY 1 SYNDESMOLOGIA 2 Junctura ossium 3 Synarthrosis 4 Sutura 5 Sutura serrata 6 Sutura squamosa 7 Harmonia 8 Gomphosis 9 Synchondrosis 10 Symphysis 11 Diarthrosis 12 Articulatio 13 Articulatio simplex 14 Articulatio composita 15 Arthrodia 16 Articulatio sphaeroidea 17 Enarthrosis 18 Ginglymus 19 Articulatio cochlearis 20 Articulatio ellipsoidea 21 Articulatio trochoidea 22 Articulatio sellaris 23 Amphiarthrosis 24 Syndesmosis 25 Cartilago articularis 26 Cavum articulare 27 Discus articulare 28 Labrum glenoidale 29 Meniscus articularis 30 Capsula articularis 31 Stratum fibrosum 32 Stratum synoviale 33 Plica synovialis 34 Villi synoviales 35 Synovia 36 Ligamenta columnae verte- BRALIS ET CRANII 37 Fibrocartilagines interverte- 38 Annulus fibrosus [brales 39 Nucleus pulposus 40 Ligg. flava 41 Capsulae articulares 42 Ligg. intertransversaria 43 Ligg. interspinalia 44 Lig. supraspinale 45 Lig. nuchae 46 Lig. longitudinale anterius 47 Lig. longitudinale posterius 48 Symphysis sacrococcygea 49 Lig. sacrococcygeum posterius superficiale 50 Lig. sacrococcygeum posterius profundum 51 Lig. sacrococcygeum anterius 52 Lig. sacrococcygeum laterale 53 Lig. pterygospinosum 54 Lig. stylohyoideum [18] SYNDESMOLOGY 157 1 Articulatio atlantooc- cipitalis 34 Articulationes interchondrales 2 Capsulae articulares 3 Membrana atlantooccipitalis anterior 4 Membrana atlantooccipitalis posterior 35 Articulatio mandibularis 36 Capsula articularis 37 Discus articularis 38 Lig. temporomanclibulare 39 Lig. sphenomandibulare 40 Lig. stylomandibulare 5 Articulatio atlantoepis- trophica 41 Ligg. cinguli extremi- TATIS SUPERIORIS 6 Capsulae articulares 7 Ligg. alaria 8 Lig. apicis dentis 9 Lig. transversum atlantis 10 Lig. cruciatum atlantis 11 Membrana tectoria 42 Lig. coracoacromiale 43 Lig. transversum scapulae superius 44 Lig. transversum scapulae inferius 12 Articulationes costo- VERTEBRALES 45 Articulatio acromio- CLAVICULARIS 46 Capsula articularis 47 Lig. acromioclaviculare 48 (Discus articularis) 49 Lig. coracoclaviculare 50 Lig. trapezoideum 51 Lig. conoideum 13 Articulationes capitu- lorum 14 Capsulae articulares 15 Lig. capituli costae radiatum 16 Lig. capituli costae interarticulare 17 Articulationes costo- TRANSVERSARIAE 52 Articulatio sterno- CLAVICULARIS 18 Capsulae articulares 19 Lig. tuberculi costae 20 Lig. colli costae 21 Lig. costotransversarium anterius 22 Lig. costotransversarium posterius 23 Lig. lumbocostale 24 Foramen costotransversarium 53 Capsula articularis 54 Discus articularis 55 Lig. sternoclaviculare 56 Lig. costoclaviculare 57 Lig. interclaviculare 58 Articulatio humeri 59 Capsula articularis 60 Labrum glenoidale 61 Lig. coracohumerale 25 Articulationes sterno- costales 62 Articulatio cubiti 26 Capsulae articulares 63 27 Lig. sternocostale interarticulare64 28 Ligg. sternocostalis radiata 65 29 Membrana sterni 30 Ligg. costoxiphoidea 66 31 Ligg. intercostalia 67 32 Ligg. intercostalia externa68 33 Ligg. intercostalia interna 69 Articulatio humeroulnaris Articulatio humeroradialis Articulatio radioulnaris prox- imalis Capsula articularis Lig. collaterale ulnare Lig. collaterale radiale Lig. annulare radii [19] 158 SYSTEMATIC ANATOMY 1 Recessus sacciformis 2 Membrana interossea antibrachii 3 Chorda obliqua 35 Ligg. basium [oss. metacarp.] interossea 36 Spatia interossea metacarpi 4 Articulatio radioulnaris DISTALIS 37 Articulationes meta- CARPOPHALANGEAE 5 Capsula articularis 6 Discus articularis 7 Recessus sacciformis 38 Capsulae articulares 39 Ligg. collateralia 40 Ligg. accessoria volaria 41 Ligg. capitulorum [oss. meta- carpalium] transversa 8 Articulatio manus 9 Articulatio radiocarpea 10 Articulatio intercarpea 11 Capsula articularis 12 Lig. radiocarpeum dorsale 13 Lig. radiocarpeum volare 14 Lig. carpi radiatum 15 Lig. collaterale carpi ulnare 16 Lig. collaterale carpi radiale 17 Ligg. intercarpea dorsalia 18 Ligg. intercarpea volaria 19 Ligg. inter car pea interossea 42 Articulationes digitorum MANUS 43 Capsulae articulares 44 Ligg. collateralia 45 Ligg. cinguli extremi- TATIS INFERIORIS 46 Membrana obturatoria 47 Canalis obturatorius 48 Lig. iliolumbale 49 Lig. sacrotuberosum 50 Processus falciformis 51 Lig. sacrospinosum 52 Foramen ischiadicum majus 53 Foramen ischiadicum minus 20 Articulatio ossis pisi- formis 21 Capsula articularis 22 Lig. pisohamatum 23 Lig. pisometacarpeum 24 Canalis carpi 54 Articulatio sacroiliaca 25 Articulationes carpo- METACARPEAE 55 Ligg. sacroiliaca anteriora 56 Ligg. sacroiliaca interossea 57 Lig. sacroiliacum posterior breve 58 Lig. sacroiliacum posterius longum 26 Capsulae articulares 27 Ligg. carpometacarpea dorsalia 28 Ligg. carpometacarpea volaria 29 Articulatio carpometa- CARPEA POLLICIS 60 Lig. pubicum superius 61 Lig. arcuatum pubis 62 Lamina fibrocartilaginea inter- pubica 59 Symphysis ossium pubis 30 Capsula articularis 31 Articulationes inter- METACARPEAE 32 Capsulae articulares 33 Ligg. basium [oss. metacarp.] dorsalia 34 Ligg. basium [oss. metacarp.] volaria 63 Articulatio coxae 64 Capsula articularis 65 Labrum glenoidale 66 Lig. transversum acetabuli 67 Lig. teres femoris 68 Zona orbicularis 69 Lig. iliofemorale [20] SYNDESMOLOGY 159 1 Lig. ischiocapsulare 2 Lig. pubocapsulare 40 Articulatio talocal- CANEONAVICULARIS 3 Articulatio genu 41 Articulatio talocalcanea 4 Capsula articularis 5 Meniscus lateralis 6 Meniscus medialis 7 Lig. transversum genu 8 Ligg. cruciata genu 9 Lig. cruciatum anterius 10 Lig. cruciatum posterius 11 Plica synovialis patellaris 12 Plicae alares 13 Lig. collaterale fibulare 14 Lig. collaterale tibiale 15 Lig. popliteum obliquum 16 Lig. popliteum arcuatum 17 Retinaculum lig. arcuati 18 Lig. patellae 19 Retinaculum patellae mediale 20 Retinaculum patellae laterale 42 Capsula articularis 43 Lig. talocalcaneum laterale 44 Lig. talocalcaneum mediale 45 Lig. talocalcaneum anterius 46 Lig. talocalcaneum posterius 47 Articulatio tarsi trans- VERSA [CHOPARTl] 48 Articulatio talonavicu- laris 49 Capsula articularis 50 Articulatio calcaneo- cuboidea 51 Capsula articularis 52 Articulatio cuneo- NAVICULARIS 21 Articulatio tibiofib- ularis 53 Ligg. tarsi interossea 22 Capsula articularis 23 Ligg. capituli fibulae 24 Membrana interossea cruris 54 Lig. talocalcaneum interosseum 55 Lig. cuneocuboideum inter- osseum 56 Ligg. intercuneiformia interossea 25 Syndesmosis tibiofibu- laris 26 Lig. malleoli lateralis anterius 27 Lig. malleoli lateralis posterius 58 Lig. talonaviculare [dorsale] 59 Lig. cuneocuboideum dorsale 60 Lig. cuboideonaviculare dorsale 61 Lig. bifurcatum 62 Pars calcaneonavicularis 63 Pars calcaneocuboidea 64 Lig. calcaneonaviculare dorsale 65 Ligg. navicularicuneiformia dorsalia 57 Ligg. tarsi dorsalia 28 Articulationes pedis 29 Articulatio talocruralis 30 Capsula articularis 31 Lig. deltoideum 32 Lig. tibionaviculare 33 Lig. calcaneotibiale 34 Lig. talotibiale anterius 35 Lig. talotibiale posterius 36 Lig. talofibulare anterius 37 Lig. talofibulare posterius 38 Lig. calcaneofibulare 67 Lig. plantare longum 68 Ligg. tarsi profunda 69 Lig. calcaneocuboideum plantare 70 Lig. calcaneonaviculare plantare 66 Ligg. tarsi plantaria 39 Articulationes inter- TARSEAE [21] 160 SYSTEMATIC ANATOMY 1 Fibrocartilago navic- ularis 2 Ligg. navicularicunei- formia plantaria 3 Lig. cuboideonaviculare plantaria 4 Ligg. intercuneiformia plantaria 5 Lig. cuneocuboideum plantare 13 Ligg. basium [oss. metatars.] in- terossea 14 Ligg. basium [oss. metatars.] dorsalia 15 Ligg. basium [oss. metatars.] plantaria 16 Spatia interossea metatarsi 6 Articulationes tarso- metatarseae 17 Articulationes meta- tarsophalangeal 18 Capsulae articulares 19 Ligg. collateralia 20 Ligg. accessoria plantaria 21 Ligg. capitulorum [oss. meta- tars.] transversa 7 Capsulae articulares 8 Ligg. tarsometatarsea dorsalis 9 Ligg. tarsometatarsea plantaria 10 Ligg. cuneometatarsea inter- ossea 22 Articulationes digitorum PEDIS 11 Articulationes inter- METATARSEAE 12 Capsulae articulares 23 Capsulae articulares 24 Ligg. collateralia [22] MYOLOGY 161 1 MYOLOGIA 2 Musculus 3 Caput 4 Venter 5 Musculus fusiformis 6 Musculus unipennatus 7 Musculus bipennatus 8 Musculus sphincter 9 Musculus orbicularis 10 Musculus articularis 11 Musculus skeleti 12 Musculus cutaneus 13 Tendo 33 Aponeurosis 34 Perimysium 35 Fascia 36 Fascia superficialis 37 Inscriptio tendinea 38 Arcus tendineus 39 Ligamentum vaginale 40 Vagina fibrosa tendinis 41 Vagina mucosa tendinis 42 Trochlea muscularis 43 Bursa mucosa 14 Musculi dorsi 44 M. longissimus capitis 45 M. spinalis 46 M. spinalis dorsi 47 M. spinalis cervicis 48 M. spinalis capitis 49 M. semispinalis 50 M. semispinalis dorsi 51 M. semispinalis cervicis 52 M. semispinalis capitis 53 M. multifidus 54 Mm. rotatores 55 Mm. rotatores longi 56 Mm. rotatores breves 57 Mm. interspinales 58 Mm. intertransversarii 59 Mm. intertransversarii laterales 60 Mm. intertransversarii mediales 61 Mm. intertransversarii anteriores 62 Mm. intertransversarii posteriores 63 M. rectus capitis poste- rior major 15 M. trapezius 16 (M. transversus nuchae) 17 M. latissimus dorsi 18 M. rhomboideus major 19 M. rhomboideus minor 20 M. levator scapulae 21 M. serratus posterior inferior 22 M. serratus posterior superior 23 M. splenius cervicis 24 M. splenius capitis 25 M. sacrospinalis 26 M. iliocostalis 27 M. iliocostalis lumborum 28 M. iliocostalis dorsi 29 M. iliocostalis cervicis 30 M. longissimus 31 M. longissimus dorsi 32 M. longissimus cervicis [23] 162 SYSTEMATIC ANATOMY 1 M. rectus capitis posterior minor 42 2 M. rectus capitis lateralis 43 3 M. obliquus capitis superior 44 4 M. obliquus capitis inferior 45 5 Fascia lumbodorsalis 6 Fascia nuchae 47 Galea aponeurotica Fascia buccopharyngea Fascia parotideomasseterica Fascia temporalis 46 Musculi oss. hyoidei 7 Musculi capitis M. digastricus 48 Venter anterior 49 Venter posterior M.. stylohyoideus M. mylohyoideus M. genoihyoideus 8 M. epicranius 9 M. frontalis 50 10 M. occipitalis 51 11 M. procerus 52 12 M. nasalis 13 Pars trans versa 14 Pars alaris 54 15 M. depressor septi 55 16 M. orbicularis oculi 56 17 Pars palpebralis 57 18 Pars orbitalis 19 Pars lacrimalis [Horneri] 20 M. auricularis anterior 60 21 M. auricularis superior 61 22 M. auricularis posterior 62 23 M. orbicularis oris 63 24 M. triangularis 64 25 (M. transversus menti) 65 26 M. risorius 66 27 M. zygomaticus 67 28 M. quadratus labii superioris 68 29 Caput zygomaticum 69 30 Caput infraorbitale 70 31 Caput angulare 71 32 M. quadratus labii inferioris 33 M. caninus 34 M. buccinator 73 35 Mm. incisivi labii superioris 74 36 Mm. incisivi labii inferioris 37 M. mentalis 38 M. masseter 39 M. temporalis 7g 40 M. pterygoideus externus 7g 41 M. pterygoideus internus Platysma M. sternocleidomastoideus M. sternohyoideus M. omohyoideus 58 Venter superior 59 Venter inferior M. sternothyreoideus M. thyreohyoideus (M. levator glandulae thyreo- M. longus colli ideae) M. longus capitis M. rectus capitis anterior M. scalenus anterior M. scalenus medius M. scalenus posterior (M. scalenus minimus) Fascia colli Fascia praevertebralis 53. Musculi colli 72 Musculi thoracis (M. sternalis) M. pectoralis major 75 Pars clavicularis 76 Pars sternocostalis 77 Pars abdominalis M. pectoralis minor M. subclavius [24] MYOLOGY 163 1 M. serratus anterior 2 Mm. levatores costarum 3 Mm. levatores costarum longi 4 Mm. levatores costarum breves 5 Mm. intercostales externi 6 Mm. intercostales interni 7 Mm. subcostales 8 M. transversus thoracis 9 Diaphragma 10 Pars lumbalis 11 Crus mediale 12 Crus intermedium 13 Crus laterale 14 Pars costalis 15 Pars sternalis 16 Hiatus aorticus 17 Hiatus oesophageus 18 Centrum tendineum 19 Foramen venae cavae 20 Arcus lumbocostalis medialis [Halleri] 21 Arcus lumbocostalis lateralis [Halleri] 22 Fascia pectoralis 23 Fascia coracoclavicularis 40 Linea semicircularis [Douglasi] 41 Lig. inguinale [Pouparti] 42 Lig. lacunare [Gimbernati] 43 Lig. inguinale reflexum [Col- lesi] 44 Annulus inguinalis sub- cutaneus 45 Crus superius 46 Crus inferius 47 Fibrae intercrurales 48 Trigonum lumbale [Petiti] 49 Linea semilunaris [Spigeli] 50 Fascia transversalis 51 Canalis inguinalis 52 Annulus inguinalis abdominalis 53 Lig. interfoveolare [Hesselbachi] 54 Plica epigastrica 55 Fovea inguinalis lateralis 56 Fovea inguinalis medialis 57 Fovea supravesicalis 58 Musculi coccygei 59 M. coccygeus 60 M. sacrococcygeus anterior 61 M. sacrococcygeus posterior 62 Musculi extremitatis SUPERIORIS 24 Musculi abdominis 63 M. deltoideus 64 M. supraspinatus 65 M. infraspinatus 66 M. teres minor 67 M. teres major 68 M. subscapularis 69 M. biceps brachii 70 Caput longum 71 Vagina mucosa intertu- bercularis 72 Caput breve 73 Lacertus fibrosus 74 M. coracobrachialis 75 M. brachialis 76 M. triceps brachii 77 Caput longum 78 Caput laterale 79 Caput mediale 25 M. rectus abdominis 26 Falx [aponeurotica] inguinalis 27 M. pyramidalis 28 M. obliquus externus abdominis 29 M. obliquus interims abdominis 30 M. cremaster 31 M. transversus abdominis 32 M. quadratus lumborum 33 Annulus umbilicalis* 34 Linea alba 35 Adminiculum lineae albae 36 Inscriptiones tendineae 37 Lig. suspensorium penis s. clitoridis 38 Lig. fundiforme penis 39 Vagina m. recti abdominis [25] 164 SYSTEMATIC ANATOMY 1 M. anconaeus 2 (M. epitrochleoanconaeus) 3 M. pronator teres 4 Caput humerale 5 Caput ulnare 6 M. flexor carpi radialis 7 M. palmaris longus 8 M. flexor carpi ulnaris 9 Caput humerale 10 Caput ulnare 11 M. flexor digitorum sublimis 12 Caput humerale 13 Caput radiale 14 M. flexor digitorum profundus 15 M. flexor pollicis longus 16 M. pronator quaclratus 17 M. branchioradialis 18 M. extensor carpi radialis longus 19 M. extensor carpi radialis brevis 20 M. extensor digitorum communis 21 Juncturae tendinum 22 M. extensor digiti quinti proprius 23 M. extensor carpi ulnaris 24 M. supinator 25 M. abductor pollicis longus 26 M. extensor pollicis brevis 27 M. extensor pollicis longus 28 M. extensor indicis proprius 29 M. palmaris brevis 30 M. abductor pollicis brevis 31 M. flexor pollicis brevis 32 M. opponens pollicis 33 M. adductor pollicis 34 M. abductor digiti quinti 35 M. flexor digiti quinti brevis 36 M. opponens digiti quinti 37 Mm. lumbricales 38 Mm. interossei dorsales 39 Mm. interossei volares 40 Fasc a axillaris 41 Fascia subscapularis 42 Fascia supraspinata 43 Fascia infraspinata 44 Fascia brachii 45 Septum intermusculare [humeri] mediale 46 Septum intermusculare [humeri] laterale 47 Sulcus bicipitalis medialis 48 Sulcus bicipitalis lateralis 49 Fascia antibrachii 50 Fascia dorsalis manus 51 Lig. carpi dorsale 52 Aponeurosis palmaris 53 Fasciculi transversi 54 Lig. carpi trans versum 55 Lig. carpi volare 56 Chiasma tendinum 57 Vinculum tendinum 58 Vaginae mucosae 59 Ligg. vaginalia digitorum manus 60 Ligg. annularia digitorum manus 61 Ligg. cruciata digitorum manus 62 Musculi Extremitatis In- FERIORIS 63 M. ihopoas 64 M. iliacus 65 M. psoas major 66 M. psoas minor 67 M. glutaeus maximus 68 M. glutaeus medius 69 M. glutaeus minimus 70 M. tensor fasciae latae 71 M. piriformis 72 M. obturator internus 73 M. gemellus superior 74 M. gemellus inferior 75 M. quadratus femoris 76 M. sartorius 77 M. quadriceps femoris 78 M. rectus femoris 79 M. vastus lateralis [26] MYOLOGY 165 1 M. vastus intermedius 2 M. vastus medialis 3 M. articularis genu 4 M. pectineus 5 M. adductor longus 6 M. gracilis 7 M. adductor brevis 8 M. adductor magnus 9 M. adductor minimus 10 M. obturator externus 11 M. biceps femoris 12 Caput longum 13 Caput breve 14 M. semitendinosus 15 M. semimembranosus 16 M. tibialis anterior 17 M. extensor digitorum longus 18 M. peronaeus tertius 19 M. extensor hallucis longus 20 M. peronaeus longus 21 M. peronaeus brevis 22 M. triceps surae 23 M. gastrocnemius 24 Caput laterale 25 Caput mediale 26 M. soleus 27 Arcus tendineus m. solei 28 Tendo calcaneus [Achillis] 29 M. plantaris 30 M. popliteus 31 M. tibialis posterior 32 M. flexor digitorum longus 33 M. flexor hallucis longus 34 M. extensor hallucis brevis 35 M. extensor digitorum brevis 36 M. abductor hallucis 37 M. flexor hallqcis brevis 38 M. adductor hallucis 39 Caput obliquum 40 Caput transversum 41 M. abductor digiti quinti 42 M. flexor digiti quinti brevis 43 M. opponens digiti quinti 44 M. flexor digitorum brevis 45 M. quadratus plantae 46 Mm. lumbricales 47 Mm. interossei dorsales 48 Mm. interossei plantares 49 Fascia lata 50 Tractus iliotibialis [Maissiati] 51 Septum intermusculare [femoris] laterale 52 Septum intermusculare [femoris] mediale 53 Canalis adductorius [Hunteri] 54 Hiatus tendineus [adductorius] 55 Fascia iliaca 56 Fascia iliopectinea 57 Lacuna musculorum 58 Lacuna vasorum 59 Trigonum femorale [Fossa scarpae major] 60 Fossa iliopectinea 61 Fascia pectinea 62 Canalis femoralis 63 Annulus femoralis 64 Septum femorale [Cloqueti] 65 Fossa ovalis 66 Margo falciformis 67 Cornu superius 68 Cornu inferius 69 Fascia cribrosa 70 Fascia cruris 71 Septum intermusculare an- terius [fibulare] 72 Septum intermusculare poste- rius [fibulare] 73 Lig. transversum cruris 74 Lig. laciniatum 75 Lig. cruciatum cruris 76 Retinaculum mm. peronaeorum sup. 77 Retinaculum mm. peronaeorum inferius [27] 166 SYSTEMATIC ANATOMY 1 Fascia dorsalis pedis 2 Aponeurosis plantaris 3 Fasciculi transversi aponeurosis plantaris 4 Vaginae mucosae 5 Ligg. annularia 6 Ligg. vaginalia 7 Ligg. cruciata 8 BURSAE ET VAGINAE MUCOSAE 9 Bursa mucosa subcutanea 10 Bursa mucosa submuscularis 11 Bursa mucosa subfacialis 12 Bursa mucosa subtendinea 13 Vagina mucosa tendinis 14 B. musculi trochlearis 15 B. m. tensoris veli palatini 16 B. subcutanea praementalis 17 B. subcutanea prominentiae laryngeae 18 B. m. sternohyoidei 19 B. m. thyreohyoidei 20 B. subcutanea sacralis 21 B. coccygea 22 B. subcutanea acromialis 23 B. subacromialis 24 B. subdeltoidea 25 B. m. coracobrachialis 26 B. m. infraspinati 27 B. m. subscapularis 28 B. m. teretis majoris 29 B. m. latissimi dorsi 30 B. subcutanea olecrani 31 B. intratendinea olecrani 32 B. subtendinea olecrani 33 B. subcutanea epicondyli [humeri] lateralis 34 B. subcutanea epicondyli [humeri] medialis 35 B. bicipitoradialis 36 B. cubitalis interossea 37 Vagina tendinum mm. abduc- toris longi et extensoris brevis pollicis 38 Vagina tendinum mm. ex- tensorum carpi radialium 39 Vagina tendinis m. extensoris pollicis longi 40 Vagina tendinum mm. ex- tensoris digitorum com- munis et extensoris in- dicis 41 Vagina tendinis m. extensoris digiti minimi 42 Vagina tendinis m. extensori carpi ulnaris 43 B. m. extensoris carpi radialis brevis 44 Bursae subcutaneae metacar- pophalangeae dorsales 45 Bursae subcutaneae digitorum dorsales 46 B. m. flexoris carpi ulnaris 47 B. m. flexoris carpi radialis 48 Vagina tendinum mm. flexorum communium 49 Vag. tendinis m. flexoris pollicis longi 50 Bursae intermetacarpopha- langeae 51 Vaginae tendinum digit ales 52 B. trochanterica subcutanea 53 B. trochanterica m. glutaei maximi 54 B. troch. m. glutaei medii anterior [28] MYOLOGY 167 1 B. troch. m. glutaei medii posterior 2 B. troch. m. glutaei minimi 3 B. m. piriformis 4 B. m. obturatoris interni 5 Bursae glutaeofemorales 6 B. ischiadica m. glutaei maximi 7 B. m. recti femoris 8 B. iliopectinea 9 B. iliaca subtendinea 10 B. m. pectinei 11 B. m. bicipitis femoris superior 12 B. Praepatellaris subcutanea 13 B. praepatellaris subfascialis 14 B. praepatellaris subtendinea 15 B. suprapatellaris 16 B. infrapatellaris subcutanea 17 B. infrapatellaris profunda 18 B. subcutanea tuberositatis tibiae 19 B. m. sartorii propria 20 B. anserina 21 B. m. bicipitis femoris inferior 22 B. m. poplitei 23 B. bicipitogastrocnemialis 24 B. m. gastrocnemii lateralis 25 B. m. gastrocnemii medialis 26 B. m. semimembranosi 27 B. subcutanea malleoli lateralis 28 B. subcutanea malleoli medialis 29 Vag. tendinis m. tibialis an- terioris 30 Vag. tendinis m. extensoris hallucis longi 31 Vaginae tendinum m. extensoris digitorum pedis longi 32 Vaginae tendinum m. flexoris digitorum pedis longi 33 Vag. tendinis m. tibialis poste- rioris 34 Vag. tendinis m. flexoris hallucis longi 35 Vag. tendinum mm. peronae- orum communis 36 Bursa sinus tarsi 37 B. subtendinea m. tibialis anterioris 38 B. subtendinea m. tibialis posterioris 39 B. subcutanea calcanea 40 B. tendinis calcanei [Achillis] 41 Vag. tendinis m. peronaei longi plantaris 42 Bursae intermetatarsophalan- geae 43 Bursae mm. lumbricalium pedis 44 Vaginae tendinum digitales pedis [29] 168 SYSTEMATIC ANATOMY 1 SPLANCHNOLOGIA 2 Tunica albuginea 3 Tunica fibrosa 4 Tunica adventitia 5 Tunica mucosa 6 Lamina propria mucosae 7 Lamina muscularis mucosae 8 Tela submucosa 9 Plica mucosa 10 Mucus 11 Tunica muscularis 12 Tunica serosa 13 Tela subserosa 14 Plica serosa 15 Ligamentum serosum 16 Serum 17 Epithelium 18 Endothelium 19 Organon parenchymatosum 20 Parenchyma 21 Stroma 22 Glandula 23 Lobus 24 Lobulus 25 Glandula mucosa 26 Musculus viscerum 27 APPARATUS DIGESTORIUS 28 Cavum oris 40 Palatum durum 41 Palatum molle 42 Raphe palati 29 Bucca 30 Corpus adiposum buccae 31 Vestibulum oris 32 Cavum oris proprium 33 Rima oris 34 Labia oris 35 Labium superius 36 Labium inferius 37 Commissura labiorum 38 Angulus oris 39 Palatum 43 TUNICA MUCOSA ORIS 44 Frenulum labii superioris 45 Frenulum labii inferioris 46 Gingiva 47 Caruncula sublingualis • 48 Plica sublingualis 49 Plicae palatinae transversae 50 Papilla incisiva [30] SPLANCHNOLOGY 169 1 GLANDULAE ORIS 40 Canaliculi dentales 41 Spatia interglobularia 42 Prismata adamantina 43 Cuticula dentis 44 Periosteum alveolare 45 Arcus dentalis superior 46 Arcus dentalis inferior 47 Dentes incisivi 48 Dentes canini 49 Dentes praemolares 50 Dentes molares 51 Dens serotinus 52 Dentes permanentes 53 Dentes decidui 2 Gl. labiales 3 Gl. buccales 4 Gl. molares 5 Gl. palatinae 6 Gl. linguales 7 Gl. lingualis anterior [Blandini 8 Gl. sublingualis Nuhni] 9 Ductus sublingualis major 10 Ductus sublinguales minores 11 Gl. submaxillaris 12 Ductus submaxillaris [Whartoni] 13 Gl. parotis 14 Processus retromandibularis 15 Gl. parotis accessori 16 Ductus parotideus [Stenonis] 17 Saliva 54 LINGUA 55 Dorsum linguae 56 Radix linguae 57 Corpus linguae 58 Facies inferior [linguae] 59 Plica fimbriata 60 Margo lateralis [linguae] 61 Apex linguae 62 Tunica mucosa linguae 63 Frenulum linguae 64 Papillae linguales 65 Papillae filiformes 66 Papillae conicae 67 Papillae fungiformes 68 Papillae lenticulares 69 Papillae vallatae 70 Papillae foliatae 71 Sulcus medianus linguae 72 Sulcus terminalis 73 Foramen caecum linguae 74 (Ductus lingualis) 75 Ductus thyreoglossus* 76 Tonsilla lingualis 77 Folliculi linguales 78 Septum linguae 18 DENTES 19 Corona dentis 20 Tubercula [coronae] dentis 21 Collum dentis 22 Radix [Radices] dentis 23 Apex radicis dentis 24 Facies masticatoria 25 Facies labialis [buccalis] 26 Facies lingualis 27 Facies contactus 28 Facies medialis ' 29 Facies lateralis 30 Facies anterior 31 Facies posterior. dentium incisi- vorum et cani- -norum dentium praemolarium et molarium 32 Cavum dentis 33 Pulpa dentis 34 Papilla dentis* 35 Canalis radicis dentis 36 Foramen apicis dentis 37 Substantia eburnea 38 Substantia adamantina 39 Substantia ossea [Mor- gagnii] [31] 170 SYSTEMATIC ANATOMY 1 Musculi linguae 2 M. genioglossus 3 M. hyoglossus * 4 M. chondroglossus 5 M. styloglossus 6 M. longitudinalis superior 7 M. longitudinalis inferior 8 M. trans versus linguae 9 M. verticalis linguae 41 (Bursa pharyngea) 42 Recessus piriformis 43 M. stylopharyngeus 44 Fascia pharyngobasilaris 45 Tunica mucosa 46 Gl. pharyngeae 47 Tonsilla pharyngea 48 Fossulae tonsillares 49 Tela submucosa 50 Tunica muscularis pharyngis 51 Raphe pharyngis 52 Raphe pterygomandibularis 53 M. constrictor pharyngis superior 54 M. pterygopharyngeus 55 M. buccopharyngeus 56 M. mylopharyngeus 57 M. glossopharyngeus 58 M. salpingopharyngeus 59 M. constrictor pharyngis medius 60 M. chondropharyngeus 61 M. ceratopharyngeus 62 M. constrictor pharyngis inferior 63 M. thyreopharyngeus 64 M. cricopharyngeus 10 FAUCES 11 Isthmus faucium 12 Velum palatinum 13 Uvula [palatina] 14 Arcus palatini 15 Arcus glossopalatinus 16 Arcus pharyngopalatinus 1.7 Plica salpingopalatina 18 Tonsilla palatina 19 Fossulae tonsillares 20 Sinus tonsillaris 21 Plica triangularis 22 Fossa supratonsillaris 23 MUSCULI PALATI ET FAUCIUM 65 Tubus digestorius 24 M. levator veli palatini 25 M. tensor veli palatini 26 M. uvulae 27 M. glossopalatinus 28 M. pharyngopalatinus 66 OESOPHAGUS 67 Pars cervicalis 68 Pars thoracalis 69 Pars abdominalis 70 Tunica adventitia 71 Tunica muscularis 72 M. bronchooesophageus 73 M. pleurooesophageus 74 Tela submucosa 75 Tunica mucosa 76 Lam. muscularis mucosae 77 Gl. oesophageae 78 ventriculus [Gaster] 79 Paries anterior 80 Paries posterior 29 Pharynx 30 Cavum pharyngis 31 Fornix pharyngis 32 Pars nasalis 33 Pars oralis 34 Pars laryngea 35 Ostium pharyngeum tubae 36 Labium anterius 37 Labium posterius 38 Torus tubarius 39 Plica salpingopharyngea 40 Recessus pharyngeus [Rosen- muelleri] [32] SPLANCHNOLOGY 171 1 Curvatura ventriculi major 2 Curvatura ventriculi minor 3 Cardia 4 Fundus ventriculi 5 Corpus ventriculi 6 Pylorus 7 Pars cardiaca 8 Pars pylorica 9 (Antrum cardiacum) 10 Antrum pyloricum 11 Tunica serosa 12 Tunica muscularis 13 Stratum longitudinale 14 Ligg. pylori 15 Stratum circulare 16 M. sphincter pylori 17 Fibrae obliquae 18 Valvula pylori 19 Tela submucosa 20 Tunica muscosa 21 Lam. muscularis mucosae 22 Areae gastricae 23 Plicae villosae 24 Foveolae gastricae 25 Glandulae gastricae [propriae] 26 Glandulae pyloricae 27 Noduli lymphatici gastrici 28 Succus gastricus 43 Chylus 44 Succus entericus 45 Duodenum 46 Pars superior 47 Pars descendens 48 Pars inferior 49 Pars horizontalis [inferior] 50 Pars ascendens 51 Flexura duodeni superior 52 Flexura duodeni inferior 53 Flexura duodenojejunalis 54 M. suspensorius duodeni 55 Plica longitudinalis duodeni 56 Papilla duodeni [Santorini] 57 Gl. duodenales [Brunneri] 58 I n t e s t i n u m tenue mesenteriale 59 Intestinum jejunum 60 Intestinum ileum 61 INTESTINUM CRASSUM 62 Intestinum caecum 63 Valvula coli 64 Labium superius 65 Labium inferius 66 Frenula valvulae coli 67 Processus vermi- form i s 68 (Valvula processus vermiformis) 69 Noduli aggregati processus vermiformis 70 Colon 71 Colon ascendens 72 Flexura coli dextra 73 Colon trans versum 74 Flexura coli sinistra 75 Colon descendens 76 Colon sigmoideum 77 Plicae semilunares coli 78 Haustra coli 79 Tunica serosa 80 Appendices epiploicae 81 Tunica muscularis 82 Taeniae coli 29 INTESTINUM TENUE 30 Tunica serosa 31 Tunica muscularis 32 Stratum longitudinale 33 Stratum circulare 34 Tela submucosa 35 Tunica mucosa 36 Lam. muscularis mucosae 37 Plicae circulares [Kerkringi] 38 Villi intestinales 39 Gl. intestinales [Lieberkuehni] 40 Noduli lymphatici solitarii 41 Noduli lymphatici aggregati [Peyeri] 42 Chymus [33] 172 SYSTEMATIC ANATOMY 1 Taenia mesocolica 2 Taenia omentalis 3 Taenia libera 4 Tela submucosa 5 Tunica mucosa 6 Lam. muscularis mucosae 7 Gl. intestinales [Lieberkuehni] 8 Noduli lymphatici solitarii 40 Ductus pancreaticus accessorius [Santorini] 41 (Pancreas accessorium) 42 Succus pancreaticus 43 Hepar 44 Facies superior 45 Facies posterior 46 Facies inferior 47 Margo anterior 48 Incisura umbilicalis 49 Fossae sagittales dextrae 50 Fossa vesicae felleae 51 Fossa venae cavae 52 Fossa sagittalis sinistra 53 Fossa venae umbilicalis 54 Fossa ductus venosi 55 Tunica serosa 56 Lig. teres hepatis 57 Lig. venosum [Arantii] 58 Porta hepatis 59 Lobus hepatis dexter 60 Lobus quadratus 61 Lobus caudatus [Spigelii] 62 Processus papillaris 63 Processus caudatus 64 Lobus hepatis sinister 65 (Appendix fibrosa hepatis) 66 Impressio cardiaca 67 Tuber omentale 68 Impressio oesophagea '69 Impressio gastrica 70 Impressio duodenalis 71 Impressio colica 72 Impressio renalis 73 Impressio suprarenalis 74 Lobuli hepatis 75 Capsula fibrosa [Glissoni] 76 Rami arteriosi interlobulares 77 Venae interlobulares 78 Venae centrales 10 Flexura sacralis 11 Flexura perinealis 12 Ampulla recti 13 Tunica muscularis 14 M. sphincter ani internus 15 M. rectococcygeus 16 Tela submucosa 17 Tunica mucosa 18 Lam. m. mucosae 19 Gl. intestinales [Lieber- 20 Noduli lymphatici kuehni] 21 Plicae transversales recti 22 Pars analis recti 23 Columnae rectales [Morgagnii] 24 Sinus rectales 25 Annulus haemorrhoidalis 9 INTESTINUM RECTUM 27 Caput pancreatis 28 Processus uncinatus [Pancreas Winslowi] 29 Incisura pancreatis 30 Corpus pancreatis 31 Facies anterior 32 Facies posterior 33 Facies inferior 34 Margo superior 35 Margo anterior 36 Margo posterior 37 Tuber omentale 38 Cauda pancreatis 39 Ductus pancreaticus [Wirsungi] 26 Pancreas [34] SPLANCHNOLOGY 173 1 Ductus biliferi 2 Ductus interlobulares 3 Ductus hepaticus 4 Vasa aberrantia hepatis 5 Fei [Bilis] 6 Vesica fe 11 ea 7 Fundus vesicae felleae 8 Corpus vesicae felleae 9 Collum vesicae felleae 10 Ductus cysticus 11 Tunica serosa vesicae felleae 12 Tunica muscularis vesicae felleae 13 Tunica mucosa vesicae felleae 14 Plicae tun. mucosae v. felleae 15 Valvula spiralis [Heisteri] 16 Ductus choledochus 17 Gl. mucosae biliosae 18 Lien 19 Facies diaphragmatica 20 Facies renalis 21 Facies gastrica 22 Extremitas superior 23 Extremitas inferior 24 Margo posterior 25 Margo anterior 26 Hilus lienis 27 Tunica serosa 28 Tunica albuginea 29 Trabeculae lienis 30 Pulpa lienis 31 Rami lienales [arteriae lienalis] 32 Penicilli 33 Noduli lumphatici lienales [Mal- 34 (Lien accessorius) pighii] 35 APPARATUS RESPIRATORIUS 36 Cavum nasi 56 Atrium meatus medii 57 Meatus nasi inferior 58 Meatus nasi communis 59 Meatus nasopharyngeus 60 Regio respiratoria 61 Regio olfactoria 62 Gl. olfactoriae 63 Sinus paranasales 64 Sinus maxillaris [Highmori] 65 Sinus sphenoidalis 66 Sinus frontalis 67 Cellulae ethmoidales 68 Bulla ethmoidalis 69 Infundibulum ethmoidale 70 Hiatus semilunaris 71 Gl. nasales 37 Nares 38 Choanae 39 Septum nasi 40 Septum cartilagineum 41 Septum membranaceum 42 Vestibulum nasi 43 Limen nasi 44 Sulcus olfactorius 45 (Concha nasalis suprema [Santorini]) 46 Concha nasalis superior 47 Concha nasalis media 48 Concha nasalis inferior 49 Membrana mucosa nasi 50 Plexus cavernosi concharum 51 Agger nasi 52 Recessus sphenoethmoidalis 53 Meatus nasi 54 Meatus nasi superior 55 Meatus nasi medius 73 Basis nasi 74 Radix nasi 72 Nasus externus [35] 174 SYSTEMATIC ANATOMY 1 Dorsum nasi 2 Margo nasi 3 Apex nasi 4 Ala nasi 5 Septum mobile nasi 6 C a r t i 1 a g i n e s nasi 7 Cartilago septi nasi 8 Processus sphenoidalis septi cartilaginei 9 Cartilago nasi lateralis 10 Cartilago alaris major 11 Crus mediale 12 Crus laterale 13 Cartilagines alares minores 14 Cartilagines sesamoideae nasi 15 Organon vomeronasale [Jacob- soni] 16 Cartilago vomeronasalis [Jacobsoni] 17 (Ductus incisivus) 40 Articulatio cricothyreoidea 41 Capsula articularis cricothyreo- idea 42 Ligg. ceratocricoidea lateralia 43 Lig. ceratocricoideum anterius 44 Ligg. ceratocricoidea posteriora 45 Lig. cricothyreoideum [medium] 46 Lig. cricotracheale 47 Cartilago arytaenoidea 48 Facies articularis 49 Basis [cartilaginis arytae- 50 Crista arcuata noideae] 51 Colliculus 52 Fovea oblonga 53 Fovea triangularis 54 Apex [cartilaginis] arytaenoideae 55 Processus vocalis 56 Processus muscularis 57 Cartilago corniculata [Santorini] 58 Synchondrosis arycorniculata 59 Articulatio cricoarytaenoidea 60 Lig. cricopharyngeum 61 Lig. corniculopharyngeum 62 Lig. venticulare 63 Lig. vocale 64 (Cartilago sesamoidea) 65 Capsula articularis cricoarytaenoidea 66 Lig. cricoarytaenoideum poste- rius 67 Epiglottis 68 Petiolus epiglottidis 69 Tuberculum epiglotticum 70 Cartilago epiglottica 71 Lig. thyreoepiglotticum 72 Lig. hyoepiglotticum 73 Cartilago cuneiformis [Wrisbergi] 74 Tuberculum cuneiformis [Wris- bergi] 75 Tuberculum corniculatum [Santorini] 18 Larynx 19 Prominentia laryngea 20 Cartilagines laryngis 21 Cartilago thyreoidea 22 Lamina [dextra et sinistra] 23 Incisura thyreoidea superior 24 Incisura thyreoidea inferior 25 Tuberculum thyreoideum superius 26 Tuberculum thyreoideum inferius 27 (Linea obliqua) 28 Cornu superius 29 Cornu inferius 30 (Foramen thyreoideum) 31 Lig. hyothyreoideum laterale 32 Cartilago triticea 33 Lig. hyothyreoideum medium 34 Membrana hyothyreoidea 35 Cartilago cricoidea 36 Arcus [cartilaginis crico- ideae] 37 Lamina cartilaginis [crico- ideae] 38 Facies articularis arytaeno- idea 39 Facies articularis thyreoidea 76 MUSCULI LARYNGIS 77 M. aryepiglotticus 78 M. cricothyreoideus 79 Pars recta [36] SPLANCHNOLOGY 175 2 M. cricoarytaenoideus posterior 3 (M. ceratocricoideus) 4 M. cricoarytaenoideus lateralis 5 M. ventricularis 6 M. vocalis 7 M. thyreoepiglotticus 8 M. thyreoarytaenoideus [ex- ternus] 9 M. arytaenoideus obliquus 10 M. arytaenoideus trans versus 1 PARS OBLIQUA 41 Trachea et Bronchi 42 Cartilagines tracheales 43 Ligg. annularia [trachealia] 44 Paries membranacea 45 Gl. tracheales 46 Bifurcatio tracheae 47 Bronchus [dexter et sinister] 48 Rami bronchiales 49 Ramus bronchialis eparteri- alis 50 Rami bronchiales hyparte- riales 51 Tunica muscularis 52 Tela submucosa 53 Tunica mucosa 54 Gl. tracheales 55 Gl. bronchiales 11 CAVUM LARYNGIS 12 Vallecula epiglottica 13 Aditus laryngis 14 Vestibulum laryngis 15 Rima vestibuli 16 Labium vocale 17 Glottis 18 Rima glottidis 19 Pars intermembranacea 20 Pars intercartilaginea 21 Ventriculus laryngis [Morgagnii] 22 Appendix ventriculi laryngis 23 Tunica mucosa laryngis 24 Membrana elastica laryngis 25 Conus elasticus 26 Plica glossoepiglottica mediana 27 Plica glossoepiglottica lateralis 28 Plica aryepiglottica 29 Plica nervi laryngei 30 Plica ventricularis 31 Plica vocalis 32 Macula flava 33 Aditus glottidis inferior 34 Aditus glottidis superior 35 Incisura interarytaenoidea 36 Gl. laryngeae 37 Gl. laryngeae anteriores 38 Gl. laryngeae mediae 39 Gl. laryngeae posteriores 40 Noduli lymphatici laryngei 57 Basis pulmonis 58 Apex pulmonis 59 Sulcus subclavius 60 Facies costalis 61 Facies mediastinalis 62 Facies diaphragmatica 63 Margo anterior 64 Margo inferior 65 Hilus pulmonis 66 Radix pulmonis 67 Incisura cardiaca 68 Lobus superior 69 Lobus medius 70 Lobus inferior 71 Incisura interlobaris 72 Lobuli pulmonum 73 Rami bronchiales 74 Bronchioli 75 Bronchioli respiratorii 76 Ductuli alveolares 77 Alveoli pulmonum 78 Lymphoglandulae bronchiales 79 Noduli lymphatici bronchiales 80 Lymphoglandulae pulmonales 56 Pulmo [37] 176 SYSTEMATIC ANATOMY 2 Fascia endothoracica 3 Cavum pleurae 4 Pleura 5 Cupula pleurae 6 Pleura pulmonalis 7 Pleura parietalis 8 Pleura mediastinales 9 Laminae mediastinales 10 Pleura pericardiaca 11 Pleura costalis 12 Pleura diaphragmatica 13 Sinus pleurae 14 Sinus phrenicocostalis 15 Sinus costomediastinalis 16 Lig. pulmonale 17 Plicae adiposae 18 Villi pleurales 19 Septum mediastinale 1 Cavum thoracis 20 Cavum mediastinale ante- rius 21 Cavum mediastinale poste- rius 22 Gl. thyreoidea 23 Isthmus gl. thyreoideae 24 (Lobus pyramidalis) 25 Lobus [dexter et sinister] 26 Lobuli gl. thyreoideae 27 Stroma gl. thyreoideae 28 (Gl. thyreoideae accessoriae). 29 (Gl. thyreoidea accessoria suprahyoidea) 30 Glomus caroticum 31 Thymus 32 Lobus [dexter et sinister] 33 Tractus centralis 34 Lobuli thymi 36 Organa uropoetica 35 APPARATUS UROGENITALIS 54 Tubuli renales recti 55 Substantia corticalis 56 Substantia medullaris 57 Lobi renales 58 Pyramides renales [Malpighii] 59 Basis pyramidis 60 Papillae renales 61 Area cribrosa 62 Foramina papillaria 63 Columnae renales [Bertini] 64 Lobuli corticales 65 Pars radiata [Processus Fer- 66 Pars convoluta reini] 67 Corpuscula renis [Malpighii] 68 Glomerula 69 Capsula glomeruli 70 Pelvis renalis 71 Calyces renales 38 Margo lateralis 39 Margo medialis 40 Hilus renalis 41 Sinus renalis 42 Facies anterior 43 Facies posterior 44 Extremitas superior 45 Extremitas inferior 46 (Impressio muscularis) 47 (Impressio hepatica) 48 (Impressio gastrica) 49 Capsula adiposa 50 Tunica fibrosa 51 Tunica muscularis 52 Tubuli renales 53 Tubuli renales contorti 37 REN [38] SPLANCHNOLOGY 177 1 Calyces renales majores 2 Calyces renales minores 3 Gl. pelvis renalis 39 Stratum internum 40 M. pubovesicalis 41 M.'recto vesicalis 42 Tela submucosa 43 Tunica mucosa 44 Gl. vesicales 45 Noduli lymphatici vesicales 46 Trigonum vesicae [Lieutaudi] 47 Uvula vesicae 48 Plica ureterica 49 Orificium ureteris 50 Orificium urethrae internum 51 Annulus urethralis 5 Aa. interlobares renis 6 Arteriae arciformes 7 Arteriae interlobulares 8 Vas afferens 9 Vas efferens 10 Rami capsulares 11 Arteriolae rectae 12 Aa. nutriciae pelvis renalis 4 ARTERIAE RENIS 13 VENAE RENIS 52 Glandula suprarenalis 14 Vv. interlobares 15 Venae ar ciformes 16 Venae interlobulares 17 Venae interlobulares 18 Venae stellatae 53 Substantia corticalis 54 Substantia medullaris 55 Hilus gl. suprarenalis 56 Facies anterior 57 Facies posterior 58 Basis gl. suprarenalis 59 Apex suprarenalis [gl. dextrae] 60 Margo superior 61 Margo medialis 62 Vena centralis 63 (Gl. suprarenalis accessoriae) 19 Ureter 20 Pars abdominalis 21 Pars pelvina 22 Tunica adventitia 23 Tunica muscularis 24 Stratum externum 25 Stratum medium 26 Stratum internum 27 Tunica mucosa 28 Gl. mucosae ureteris 64 Organa genitalia 65 Organa genitalia virilia 29 Vesica urinaria 67 Extremitas superior 68 Extremitas inferior 69 Facies lateralis 70 Facies medialis 71 Margo anterior 72 Margo posterior 73 Tunica albuginea 74 Mediastinum testi [Corpus Highmori] 75 Septula testis 66 TESTIS 30 Vertex vesicae 31 Corpus vesicae 32 Fundus vesicae 33 Lig. umbilicale medium 34 Urachus* 35 Tunica serosa 36 Tunica muscularis 37 Stratum externum 38 Stratum medium [39] 178 SYSTEMATIC ANATOMY 1 Lobuli testis 2 Parenchyma testis 3 Tubuli seminiferi contorti 4 Tubuli seminiferi recti 5 Tunica propria 6 Rete testis [Halleri] 7 Ductuli efferentes testis 8 Sperma [Semen] 9 Epididymis 10 Caput epididymidis 11 Corpus epididymidis 12 Cauda epididymidis 13 Lobuli epididymidis 14 Ductus epididymidis 15 Ductuli aberrantes 16 (Ductulus aberrans superior) 17 Appendices testis 18 Appendix testis [Morgagnii] 19 (Appendix epididymis) 20 Paradidymis 21 Ductus deferens 22 Ampulla ductus deferentis 23 Diverticula ampullae 24 Tunica adventitia 25 Tunica muscularis 26 Stratum externum 27 Stratum medium 28 Stratum internum 29 Tunica mucosa 30 Ductus ejaculatorius 39 Tunica vaginalis propria testis 40 Lamina parietalis 41 Lamina visceralis 42 Lig. epididymidis superius 43 Lig. epididymidis inferius 44 Sinus epididymidis 45 Tunica vaginalis communis [testis et funiculi spermatid] 46 M. cremaster 47 Fascia cremasterica [Cooperi] 48 Descensus testis* 49 Gubernaculum testis [Hunteri]* 51 Basis prostatae 52 Apex prostatae 53 Facies anterior 54 Facies posterior 55 Lobus [dexter et sinister] 56 Isthmus prostatae 57 (Lobus medius) 58 Corpus glandulare 60 Succus prostaticus 61 M. prostaticus 50 PROSTATA 62 GLANDULA BULBOURETHRALIS [Cowperi] 63 Corpus gl. bulbourethral is 64 Ductus excretorius 65 Partes genitales ex- TERNAE 32 Corpus vesiculae seminalis 33 Tunica adventitia 34 Tunica muscularis 35 Tunica mucosa 36 Ductus excretorius 31 VESICULA SEMINALIS 67 Radix penis 68 Corpus penis 69 Crus penis 70 Dorsum penis 71 Facies urethralis 72 Glans penis 73 Corona glandis 74 Septum glandis 75 Collum glandis 66 PENIS 37 FUNICULUS SPERMATICUS ET TUNICAE TESTIS ET FUNIC- ULI SPERMATICI 38 (Rudimentum processus vag- inalis) [40] SPLANCHNOLOGY 179 1 Praeputium 2 Frenulum praeputii 3 Raphe penis 4 Corpus cavernosum penis 5 Corpus cavernosum urethrae 6 Bulbus urethrae 7 Hemisphaeria bulbi urethrae 8 Septum bulbi urethrae 9 Tunica albuginea corporum cavernosorum 10 Septum penis 11 Trabeculae corporum caverno- sorum 12 Cavernae corporum caverno- sorum 13 Arteriae helicinae 14 Venae cavernosae 15 Lig. suspensorium penis 16 Fascia penis 17 Gl. praeputiales 18 Smegma praeputii 38 Facies medialis 39 Facies lateralis 40 Margo liber 41 Margo meso various 42 Extremitas tubaria 43 Extremitas uterina 44 Stroma ovarii 45 Folliculi oophori primarii 46 Folliculi oophori vesiculosi [Graafi] 47 Theca folliculi 48 Tunica externa 49 Tunica interna 50 Liquor folliculi 51 Stratum granulosum 52 Cumulus oophorus 53 Ovulum 54 Corpus luteum 55 Corpus albicans 56 Lig. ovarii proprium 57 TUBA UTERINA [FALLOPPIl] 20 Pars prostatica 21 Crista urethralis 22 Colliculus seminalis 23 Utriculus prostaticus 24 Pars membranacea 25 Pars cavernosa 26 Fossa navicularis urethrae [Morgagnii] 27 (Valvula fossae navicularis) 28 Orificium urethrae externum 29 Lacunae urethrales [Morgagnii] 30 Gl. urethrales [Littrei] 19 Urethra virilis 58 Ostium abdominale tubae uter- inae 59 Infundibulum tubae uterinae 60 Fimbriae tubae 61 Fimbria ovarica 62 Ampulla tubae uterinae 63 Isthmus tubae uterinae 64 Pars uterina 65 Ostium uterinum tubae 66 Tunica serosa 67 Tunica adventitia 68 Tunica muscularis 69 Stratum longitudinale 70 Stratum circulare 71 Tela submucosa 72 Tunica mucosa 73 Plicae tubariae 74 Plicae ampullares 75 Plicae isthmicae 31 Scrotum 32 Raphe scroti 33 Septum scroti 34 Tunica dartos 35 Organa genitalia mu- LIEBRIA 77 Corpus uteri 76 UTERUS 37 Hilus ovarii 36 OVARIUM [41] 180 SYSTEMATIC ANATOMY 1 Fundus uteri 2 Margo lateralis * 3 Facies vesicalis 4 Facies intestinalis 5 Cavum uteri 6 Orificium internum uteri 7 Cervix [uteri] 8 Portio supravaginalis [cer- vicis] 9 Portio vaginalis [cervicis] 10 Orificium externum uteri 11 Labium anterius 12 Labium posterius 13 Canalis cervicis uteri 14 Plicae palmatae 15 Gl. cervicales [uteri] 16 Parametrium 17 Tunica serosa [Perimetrium] 18 Tunica muscularis 19 Tunica muscularis cervicis 20 Tunica mucosa 21 Gl. uterinae 22 M. rectouterinus 23 Lig. teres uteri 24 (Processus vaginalis peritonaei) 41 Ductuh transversi 42 Appendices vesiculosi [Morgag- nii] 43 PAROOPHORON 44 Partes genitales ex- TERNAE 45 Pudendum muliebre 46 Labium ma jus pudendi 47 Commissura labiorum anterior 48 Commissura labiorum posterior 49 Frenulum labiorum pudendi 50 Rima pudendi 51 Fossa navicularis [vestibuli vag- 52 Labium minus pudendi inae] 53 Vestibulum vaginae 54 Bulbus vestibuli 55 Gl. sebaceae 56 Gl. vestibulares minores 57 Orificium vaginae 58 GL. VESTIBULARIS MAJOR [Bartholini] 59 Clitoris 60 Crus clitoridis 61 Cornus clitoridis 62 Glans clitoridis 63 Frenulum clitoridis 64 Praeputium clitoridis 65 Smegma clitoridis 66 Corpus cavernosum clitoridis 67 Septum corporum cavernosorum 68 Fascia clitoridis 69 Lig. suspensorium clitoridis 25 VAGINA 26 Fornix vaginae 27 Paries anterior 28 Paries posterior 29 Hymen [femininus] 30 Carunculae hymenales 31 Tunica muscularis 32 Tunica mucosa 33 Noduli lymphatici vaginales 34 Rugae vaginales 35 Columnae rugarum 36 Columna rugarum posterior 37 Columna rugarum anterior 38 Carina urethralis [vaginae] 70 Urethra muliebris 71 Orificium urethrae externum 72 Corpus spongiosum urethrae 73 Tunica muscularis 74 Stratum circulare 75 Stratum longituclinale 76 Tunica submucosa 77 Tunica mucosa 39 EPOOPHORON 40 Ductus epoophori longitudinalis [Gartneri] [42] SPLANCHNOLOGY 181 1 Gl. urethrales 2 Crista urethralis 3 (Ductus paraurethrales) 4Termini ontogenetici 5 Membranae deciduae* 6 Decidua vera* 7 Decidua capsularis* 8 Decidua basalis* 9 Placenta* 10 Placenta uterina* 11 Placenta foetalis* 12 Funiculus umbilicalis* 13 Corpus Wolffi* 14 Ductus Wolffi* 15 Ductus Muelleri* 16 Sinus urogenitalis* 37 Fascia diaphragmatis uro- genitalis inferior 38 Lig. transversum pelvis 39 Fascia prostatae 40 Fascia obturatoria 41 Fossa ischiorectalis 42 M. transversus perinei superficialis 43 M. ischiocavernosus 44 M. bulbocavernosus 45 Fascia superficialis perinei 46 Peritonaeum 47 Tunica serosa 48 Tela subserosa 49 Peritonaeum parietale 50 Peritonaeum viscerale 51 Cavum peritonaei 52 Mesenterium commune* 53 Mesenterium 54 Radix mesenterii 55 Lamina mesenterii propria 56 Mesocolon 57 Mesocolon transversum 58 Mesocolon ascendens 59 Mesocolon descendens 60 Mesocolon sigmoideum 61 Mesorectum 62 Mesenteriolum processus vermiformis 63 Mesogastrium* 64 Omentum minus 65 Lig. hepatogastricum 66 Lig. hepatoduodenale 67 (Lig. hepatocolicum) 68 Lig. gastrolienale 69 Lig. gastrocolicum 70 Omentum majus 71 Bursa omentalis 72 Vestibulum bursae omentalis 73 Recessus superior omentalis 74 Recessus inferior omentalis 75 Recessus lienalis 76 Plica gastropancreatica 77 Foramen epiploicum [Wins- lowi] 18 Raphe perinei 19 M u s culi perinei 20Diaphragma pelvis 21 M. levator ani 22 Arcus tendineus m. levatoris ani 23 M. coccygeus [vide p. 163] 24 M. sphincter ani externus 25 Lig. anococcygeum 26 Fascia pelvis 27 Fascia endopelvina 28 Fascia diaphragmatis pelvis superior 29 Arcus tendineus fasciae pelvis 30 Lig. puboprostaticum [pubovesicale] medium 31 Lig. puboprostaticum [pubovesicale] laterale 32 Fascia diaphragmatis pelvis in- terior 33Diaphragma uro- gen i t a 1 e 34 M. transversus perinei pro- fundus 35 M. sphincter urethrae mem- branaceae 36 Fascia diaphragmatis uro- genitalis superior 17 Perineum [43] 182 SYSTEMATIC ANATOMY 1 Lig. phrenicocolicum 2 Lig. phrenicolienale 3 Lig. falciforme hepatis 4 Lig. coronarium hepatis 5 Lig. triangulare dextrum 6 Lig. triangulare sinistrum 7 Lig. hepatorenale 8 (Lig. duodenorenale) 9 Recessus duodenojejunalis 10 Plica duodenojejunalis 11 (Plica duodenomesocolica) 12 Recessus intersigmoideus 13 Recessus iliocaecalis superior 14 Recessus iliocaecalis inferior 15 Plica iliocaecalis 16 Fossa caecalis 17 Recessus retrocaecalis 18 Plica caecalis 19 Recessus paracolici 20 (Fossa iliacosubfascialis) 21 (Recessus phrenicohepatici) 22 Plica umbilicalis media 23 Plica umbilicalis lateralis 24 Plica epigastrica 25 Plica pubovesicalis 26 Plica vesicalis transversa 27 Mesorchium* 28 Processus vaginalis peritonaei* 29 Lig. latum uteri 30 Mesometrium 31 Mesosalpinx 32 Mesovarium 33 Bursa ovarica 34 Lig. suspensorium ovarii 35 Plica rectouterina [Douglasi] 36 Excavatio rectouterina [Cavum Douglasi] 37 Excavatio vesicouterina 38 Excavatio rectovesicalis 39 Spatium retroperitonaeale [44] ANGIOLOGY 183 1 ANGIOLOGIA 2 Vas collaterale 3 Vas anastomoticum 4 Ramus communicans 5 Plexus vasculosus 6 Rete vasculosum 7 Rete mirabile 8 Arteria 9 Arteriola 10 Vena 11 Vena cutanea 12 Vena comitans 13 Venula 14 Plexus venosus 15 Rete venosum 16 Sinus [venosus] 17 Emissarium 18 Corpus cavernosum 19 Vas capillare 20 Vas lymphaticum 21 Plexus lymphaticus 22 Lymphoglandula 23 Nodulus lymphaticus 24 Cisterna 25 Tunica externa [adventicia] 26 Tunica media 27 Tunica intima 28 Vasa vasorum 29 Vagina vasorum 30 Sanguis 31 Lympha 32 c o r 33 Basis cordis 34 Facies sternocostalis 35 Facies diaphragmatica 36 Apex cordis 37 Incisura [apicis] cordis 38 Sulcus longitudinalis anterior 39 Sulcus longitudinalis posterior 40 Sulcus coronarius 41 Pericardium 42 Liquor pericardii 43 Ligg. sternopericardiaca 44 Sinus transversus pericardii 45 Epicardium 46 Myocardium 47 Endocardium 48 Ventriculus cordis 49 Septum ventriculorum 50 Septum musculare ventricu- lorum 51 Septum membranaceum ventriculorum 52 Atrium cordis 53 Auricula cordis 54 Septum atriorum 55 Pars membranacea septi atriorum 56 Ostium venosum 57 Ostium arteriosum 58 Trabeculae carneae 59 Vortex cordis 60 Mm. papillares 61 Chordae tendineae - 62 Trigona fibrosa 63 Annuli fibrosi [45] 184 SYSTEMATIC ANATOMY 2 Mm. pectinati 3 Sulcus terminalis atrii dexti 4 Crista terminalis 5 Sinus venarum [cavarum] 6 Limbus fossae ovalis [Vieussenii] 7 Auricula dextra 8 Tuberculum intervenosum [Loweri] 9 Valvula venae cavae in- ferioris [Eustachii] 10 Fossa ovalis 11 Valvula sinus coronarii [Thebesii] 12 Foramina venarum minimarum [Thebesii] 1 Atrium dextrum 20 Valvulae semilunares a. pul- monalis 21 Valvula semilunaris anterior 22 Valvula semilunaris dextra 23 Valvula semilunaris sinistra 24 Noduli valvularum semi- lunarium 25 Lunulae valvularum semi- lunarium 26 Atrium sinistrum 27 Auricula sinistra 28 Valvula foraminis ovalis 29 Ventriculus sinister 30 Valvula bicuspidalis [mitralis] 31 Cuspis anterior 32 Cuspis posterior 33 Valvulae semilunares aortae 34 Valvula semilunaris posterior 35 Valvula semilunaris dextra 36 Valvula semilunaris sinistra 37 Noduli valvularum semilunar- ium [Arantii] 38 Lunulae valvularum semi- lunarium 13 Ventriculus dexter 14 Valvula tricuspidalis 15 Cuspis anterior 16 Cuspis posterior 17 Cuspis medialis 18 Crista superaventricularis 19 Conus arteriosus 39 ARTERIAE 40 A. PULMONALIS 54 A. coronaria [cordis] sinistra 55 Ramus circumflexus 56 Ramus descendens anterior 41 Ramus dexter 42 Ramus sinister 43 Ductus arteriosus [Botalli]* 44 Ligamentum arteriosum 57 A. ANONYMA 58 (A. thyreoidea ima) 46 Aorta ascendens 47 Bulbus aortae 48 Sinus aortae [Valsalvae] 49 Arcus aortae 50 Isthmus aortae 51 Aorta descendens 52 A. coronaria [cordis] dextra 53 Ramus descendens posterior 45 Aorta 59 A. CAROTIS COMMUNIS 60 A. CAROTIS EXTERNA 61 A. THYREOIDEA SUPERIOR 62 Ramus hyoideus 63 Ramus sternocleidomastoideus 64 A. laryngea superior 65 Ramus cricothyreoideus [46] ANGIOLOGY 185 1 Ramus anterior 2 Ramus posterior 3 Rami glandulares 38 A. transversa faciei 39 Rami auriculares anteriores 40 A. zygomaticoorbitalis 41 A. temporalis media 42 Ramus frontalis 43 Ramus parietalis 5 A. meningea posterior 6 Rami pharyngei 7 A. tympanica inferior 4 A. PHARYNGEA ASCENDENS 44 A. MAXILLARIS INTERNA 8 A. LINGUALIS 45 A. auricularis profunda 46 A. tympanica anterior 47 A. alveolaris inferior 48 R mylohyoideus 49 A. mentalis 50 A. meningea media 51 (Ramus meningeus accessorius) 52 Ramus petrosus superficialis 53 A. tympanica superior 54 A. masseterica 55 A. temporalis profunda posterior 56 A. temporalis profunda anterior 57 Rami pterygoidei 58 A. buccinatoria 59 A. alveolaris superior posterior 60 A. infraorbitalis 61 Aa. alveol. superiores anteriores 62 A. palatina descendens 63 A. canalis pterygoidei [Vidii] 64 A. palatina major 65 Aa. palatinae minores 66 A. sphenopalatina 67 Aa. nasales posteriores laterales et septi 9 Ramus hyoideus 10 A. sublingualis 11 Rami dorsales linguae 12 A. profunda linguae 14 A. palatina ascendens 15 Ramus tonsillaris 16 A. submentalis 17 Rami glandulares 18 A. labialis inferior 19 A. labialis superior 20 A. angular is 13 A. MAXILLARIS EXTERNA 21 A. STERNOCLEIDOMASTOIDEA 22 A. OCCIPITALIS 23 Ramus mastoideus 24 Ramus auricularis 25 Rami musculares 26 Ramus descendens 27 (Ramus meningeus) 28 Rami occipitales 29 A. AURICULARIS POSTERIOR 68 A. CAROTIS INTERNA 30 A. stylomastoidea 31 A. tympanica posterior 32 Rami mastoidei 33 Ramus'stapedius 34 Ramus auricularis 35 Ramus occipitalis 69 Ramus caroticotympanicus 70 A. OPTHALMICA 71 A. centralis retinae 72 A. lacrimalis 73 Aa. palpebrales laterales 74 Rami musculares 75 Aa. ciliares posteriores breves 76 Aa. ciliares posteriores longae 36 A. TEMPORALIS SUPERFICIALIS 37 Rami parotidei [47] 186 SYSTEMATIC ANATOMY 1 Aa. ciliares anteriores 2 Aa. conjunctivales anteriores 3 Aa. conjunctivales posteriores 4 Aa. episclerales 5 A. supraorbitalis 6 A. ethmoidalis posterior 7 A. ethmoidalis anterior 8 A. meningea anterior 9 Aa. palpebrales mediales 10 Arcus tarseus superior 11 Arcus tarseus inferior 12 A. frontalis 13 A. dorsalis nasi 39 Rami sternales 40 Rami perforantes 41 Rami mammarii 42 Rami musculares 43 Rami cutanei 44 (Ramus costal is lateralis) 45 Rami intercostales 46 A. musculophrenica 47 A. epigastrica superior 48 TRUNCUS THYREOCERVICALIS 50 A. laryngea inferior 51 Rami pharyngei 52 Rami oesophagei 53 Rami tracheales 54 Rami glandulares 49 A. THYREOIDEA INFERIOR 14 AA. CEREBRI 15 A. communicans posterior 16 A. chorioidea 17 A. cerebri anterior 18 A. communicans anterior 19 A. cerebri media 55 A. CERVICALIS ASCENDENS 56 Rami spinales 57 Rami musculares 58 Ramus profundus 20 A. SUBCLAVIA 21 A. VERTEBRALIS 22 Rami spinales 23 A. spinalis posterior 24 A. spinalis anterior 25 Ramus meningeus 26 A. cerebelli inferior posterior 59 A. CERVICALIS SUPERFICIALIS 61 Ramus acromialis 60 A. TRANSVERSA SCAPULAE 62 TRUNCUS COSTOCERVICALIS 27 A. BASILARIS 63 A. intercostalis suprema 64 Rami dorsales 65 Rami spinales 66 A. cervicalis profunda 28 A. cerebelli inferior anterior 29 A. auditiva interna 30 Rami ad pontem 31 A. cerebelli superior 32 A. cerebri posterior 33 Circulus arteriosus [Willisi] 68 Ramus ascendens 69 Ramus descendens 67 A. TRANSVERSA COLLI 34 A. MAMMARIA INTERNA 35 Aa. mediastinales anteriores 36 Aa. thymicae 37 Rami bronchiales 38 A. pericardiacophrenica 70 A. AXILLARIS 71 Rami subscapulares [48] ANGIOLOGY 187 1 A. THORACALIS SUPREMA 32 A. volaris indicis radialis 33 Arcus volaris profundus 34 Aa. metacarpeae volares 35 Rami perforantes 3 Ramus acromialis 4 Rete acromiale 5 Ramus deltiodeus 6 Rami pectorales 2 A. THORACOACROMIALIS 36 A. ULNARIS 37 Aa. recurrentes ulnares 38 Rete articulare cubiti 39 A. interossea communis 40 A. interossea dorsalis 41 A. interossea recurrens 42 A. interossea volaris 43 A. mediana 44 Rami musculares 45 Ramus carpeus dorsalis 46 Ramus carpeus volaris 47 Ramus volaris profundus 48 Arcus volaris superficialis 49 Aa. digitales volares communes 50 Aa. digitales volares propriae 7 A. THORACALIS LATERALIS 8 Rami mammarii externi 10 A. thoracodorsalis 11 A. circumflexa scapulae 9 A. SUBSCAPULARIS 12 A. CIRCUMFLEXA HUMERI ANTERIOR 13 A. CIRCUMFLEXA HUMERI POSTERIOR 15 A. PROFUNDA BRACHII 14 Branchialis 51 Aorta thoracalis 16 Aa. nutritiae humeri 17 R. deltoideus 18 A. collateralis media 19 A. collateralis radialis 52 Rami viscerales 53 Aa. bronchiales 54 Aa. oesophageae 55 Rami pericardiaci 20 A. COLLATERALIS ULNARIS SUPERIOR 56 Rami parietales 57 Rami mediastinales 58 Aa. phrenicae superiores 21 A. COLLATERALIS ULNARIS INFERIOR 22 A. RADIALIS 60 Rami posteriores 61 Ramus spinalis 62 Rami musculares 63 Ramus cutaneus medialis 64 Ramus cutaneus lateralis 65 Rami anteriores 66 Rami musculares 67 Rami cutanei laterales [pectorales et abdominales] 68 Ramus posterior 59 AA. INTERCOSTALES 23 A. recurrens radialis 24 Rami musculares 25 Ramus carpeus volaris 26 Ramus volaris superficialis 27 Ramus carpeus dorsalis 28 Rete carpi dorsale 29 Aa. metacarpeae dorsales 30 Aa. digitales dorsales 31 A. princeps pollicis [49] 188 SYSTEMATIC ANATOMY 1 Ramus anterior 2 Ramimammariilaterales 3 Rami cutanei anteriores [pectorales et abdominales] 4 Rami mammarii mediales 38 A. pancreaticoduodenalis in- ferior 39 Aa. jej unales 40 Aa. ileae 41 A. ileocolica 42 A. appendicularis 43 A. colica dextra 44 A. colica media 5 Aorta abdominalis 6 Rami parietales 45 A. MESENTERICA INFERIOR 8 Rami suprarenales superiores 7 A. PHRENICA INFERIOR 46 A. colica sinistra 47 Aa. sigmoideae 48 A haemorrhoidalis superior 9 AA. LUMBALES 10 Ramus dorsalis 11 Ramus spinalis 49 A. SUPRARENALIS MEDIA 50 A. RENALIS 13 A. lumbalis ima 14 Glomus coccygeum 12 A. SACRALIS MEDIA 51 A. suprarenalis inferior 52 A. SPERMATICA INTERNA 15 Ram viscerales 53 A TESTICULARIS 16 A. COELIACA 54 A. OVARICA 17 A. gastrica sinistra 18 Rami oesophagei 19 A. hepatica 20 A. gastrica dextra 21 A. hepatica propria 22 Ramus dexter 23 A. cystica 24 Ramus sinister 25 A gastroduodenalis 26 A. pancreaticoduodenalis superior 27 Rami pancreatici 28 Rami duodenales 29 A. gastroepiploica dextra 30 Rami epiploici 31 A . 1 i e n a 1 i s 32 Rami pancreatici 33 A. gastroepiploica sinistra 34 Aa. gastricae breves 35 Rami lienales 55 A. ILIACA COMMUNIS 56 A. HYPOGASTRICA 57 Rami parietales 58 A. ILIOLUMBALIS 59 Ramus lumbalis 60 Ramus spinal's 61 Ramus iliacus 62 A. SACRALIS LATERALIS 63 Rami spinales 64 A. OBTURATORIA 65 Ramus pubicus 66 Ramus anterior 67 Ramus posterior 68 A. acetabuli 36 A. MESENTERICA SUPERIOR 37 Aa. intestinales [50] ANGIOLOGY 189 2 Ramus superior 3 Ramus inferior 1 A. GLUTAEA SUPERIOR 35 A. spermatica externa 36 A. lig. teretis uteri 37 A. CIRCUMFLEXA ILIUM PRO- FUNDA 4 A. GLUTAEA INFERIOR 5 A. comitans n. ischiadici 38 A. FEMORALIS 6 Rami viscerales 39 A. epigastrica superficialis 40 A. circumflexa ilium superficialis 41 Aa. pudendae externae 42 Aa. scrotales anteriores 43 Aa. labiales anteriores 44 Rami inguinales 45 A. profunda femoris 46 A. circumflexa femoris medial's 47 Ramus superficialis 48 Ramus profundus 49 Ramus acetabuli 50 A. circumflexa femoris lateralis 51 Ramus ascendens 52 Ramus descendens 53 A. perforans prima 54 A. nutricia femoris superior 55 A. perforans secunda 56 A. perforans tertia 57 A. nutricia femoris inferior 58 Rami musculares 59 A. genu suprema 60 Rami musculares 61 Ramus saphenus 62 Rami articulares 7 A. UMBILICALIS 8 Aa. vesicales superiores 9 [Ligamentumumbilicalelaterale] 10 A. VESICALIS INFERIOR 11 A. DEFERENTIALIS 13 A. vaginalis 14 Ramus ovarii 15 Ramus tubarius 12 A. UTERINA 16 A. HAEMORRHOIDALIS MEDIA 18 A. haemorrhoidalis inferior 19 A. perinei 20 Aa. scrotales posteriores 21 Aa. labiales posteriores 22 A. penis 23 A. urethralis 24 A. bulbi urethrae 25 A. bulbi vestibuli [vaginae] 26 A. profunda penis 27 A. dorsalis penis 28 A. clitoridis 29 A. profunda clitoridis 30 A. dorsalis clitoridis 17 A. PUDENDA INTERNA 64 A. genu superior lateralis 65 A. genu superior medialis 66 A. genu media 67 Aa. surales 68 A. genu inferior lateralis 69 A. genu inferior medialis 70 Rete articulare genu 71 Rete patellae 63 A. POPLITEA 31 A. ILIACA EXTERNA 32 A. EPIGASTRICA INFERIOR 33 Ramus pubicus 34 Ramus obturatorius [51] 190 SYSTEMATIC ANATOMY 2 (A. recurrens tibialis posterior) 3 A. recurrens tibialis anterior 4 A. malleolaris anterior lateralis 5 A. malleolaris anterior medialis 6 Rete malleolare mediale 7 Rete malleolare laterale 8 A. dorsalis pedis 9 A. tarsea lateralis 10 Aa. tarseae mediales 11 A. arcuata 12 Rete dorsale pedis 13 Aa. metatarseae dorsales 14 Aa. digitales dorsales 15 Ramus plantaris profundus 1 A. TIBIALIS ANTERIOR 18 A. peronaea 19 A. nutricia fibulae 20 Ramus perforans 21 Ramus communicans 22 A. malleolaris posterior lateralis 23 Rami calcanei laterales 24 A. nutricia tibiae 25 A. malleolaris posterior medialis 26 Rami calcanei mediales 27 Rete calcaneum 28 A. plantaris medial's 29 Ramus profundus 30 Ramus superficialis 31 A. plantaris lateralis 32 Arcus plantaris 33 Aa. metatarseae plantares 34 Rami perforantes 35 Aa. digitales plantares 16 A. TIBIALIS POSTERIOR 17 Ramus fibularis 36 VENAE 37 Venae pulmonales 53 V. thyreoidea ima 54 Plexus thyreoideus impar 55 V. laryngea inferior 56 Vv. thymicae 57 Vv. pericardiacae 58 Vv. phrenicae superiores 59 Vv. mediastinales anteriores 60 Vv. bronchiales anteriores 61 Vv. tracheales 62 Vv. oesophageae 63 V. vertebralis 64 V. cervicalis profunda 65 V. mammaria interna 66 Vv. subcutaneae abdominis 67 V. epigastrica superior 68 V. intercostalis suprema 38 Vv. pulmonales dextrae 39 Vv. pulmonales sinistrae 40 Vv. CORDIS 41 Sinus coronarius 42 V. cordis magna 43 V. posterior ventriculi sinistri 44 V. obliqua atrii sinistri [Marshall!] 45 Lig. v. cavae sinistrae 46 V. cordis media 47 V. cordis parva 48 Vv. cordis anteriores 49 Vv. cordis minimae 50 Vena cava superior 69 V. JUGULARIS INTERNA 51 Vv. ANONYMAE DEXTRA ET Sinistra 70 Bulbus venae jugularis superior 71 V. canaliculi cochleae 52 Vv. thyreoideae inferiores [52] ANGIOLOGY 191 1 Bulbus v. jugularis inferior 2 Plexus pharyngeus 3 Vv. pharyngeae 4 Vv. meningeae 5 Vv. canalis pterygoidei [Vidii] 6 V. lingualis 7 Vv. dorsalis linguae 8 V. sublingualis 9 V. comitans n. hypoglossi 10 (Vv. thyreoideae superiores) 11 V. sternocleidomastoidea 12 V. laryngea superior 41 VENAE CEREBRI 42 Vv. cerebri superiores 43 V. cerebri media 44 Vv. cerebri inferiores 45 Vv. cerebelli superiores 46 Vv. cerebelli inferiores 47 Vv. cerebri internae 48 V. cerebri magna [Galeni] 49 V. septi pellucidi 50 V. terminalis 51 V. basalis [Rosenthali] 52 V. chorioidea 53 V. opthalmomeningea 14 Sinus transversus 15 Confluens sinuum 16 Vv. auditivae internae 17 Sinus occipitalis 18 Plexus basilaris 19 Sinus sagittalis superior 20 Sinus sagittalis inferior 21 Sinus rectus 22 Sinus petrosus inferior 23 Sinus petrosus superior 24 Sinus cavernosus 25 Sinus intercavernosus anterior 26 Sinus intercavernosus posterior 27 Sinus circularis 28 Sinus sphenoparietalis 29 Venae diploicae 30 V. diploica frontalis 31 V. diploica temporalis anterior 32 V. diploica temporalis posterior 33 V. diploica occipitalis 34 Emissarium parietale 35 Emissarium mastoideum 36 Emissarium condyloideum 37 Emissarium occipitale 38 Rete canalis hypoglossi 39 Rete foraminis ovalis 40 Plexus venosus caroticus in- ternus 13 SINUS DURAE MATRIS 54 V. OPTHALMICA SUPERIOR 55 V. nasofrontals 56 V. ethmoidalis anterior 57 V. ethmoidalis posterior 58 V. lacrimalis 59 Vv. musculares 60 Vv. vorticosae 61 Vv. ciliares posteriores 62 Vv. ciliares anteriores 63 V. centralis retinae 64 Vv. episclerales 65 Vv. palpebrales 66 Vv. conjunctivales anteriores 67 Vv. conjunctivales posteriores 68 V. opthalmica inferior 69 V. FACIALIS COMMUNIS 70 A. FACIALIS ANTERIOR 71 V. angularis 72 Vv. frontales 73 V. supraorbitalis 74 Vv. palpebrales superiores 75 Vv. nasales externae 76 Vv. palpebrales inferiores 77 V. labialis superior [531 192 SYSTEMATIC ANATOMY 1 V. labialis inferior 2 Vv. massetericae 3 Vv. parotideae anteriores 4 V. palatina 5 V. submentalis 36 Vv. ulnares 37 V. cephalica 38 V. cephalica accessoria 39 V. basilica 40 V. mediana cubiti 41 (V. mediana antibrachii) 42 (V. mediana basilica) 43 (V. mediana cephalica) 44 Rete venosum dorsale manus 45 Vv. intercapitulares 46 Arcus volaris venosus super- ficialis 47 Arcus volaris venosus profundus 48 Vv. digitales volares communes 49 Vv. metacarpeae dorsales 50 Vv. metacarpeae volares 51 Vv. digitales volares propriae 52 Arcus venosi digitales 6 V. FACIALIS POSTERIOR 7 Vv. temporales superficiales 8 Vv. auriculares anteriores 9 Vv. parotideae posteriores 10 Vv. articulares mandibulae 11 Vv. tympanicae 12 V. stylomastoidea 13 V. transversa faciei 14 V. temporalis media 15 Plexus pterygoideus 16 Vv. meningeae mediae 17 Vv. temporales profundae 18 V. thyreoidea superior 53 V. AZYGOS 20 V. occipitalis 21 V. auricularis posterior 22 V. jugularis anterior 23 Arcus venosus juguli 24 (V. mediana colli) 25 V. transversa scapulae 19 V. JUGULARIS EXTERNA 54 V. hemiazygos 55 V. hemiazygos accessoria 56 Vv. intercostales 57 Ramus dorsalis 58 Ramus spinalis 59 Vv. oesophageae 60 Vv. bronchiales posteriores 61 V. lumbalis ascendens 62 Vv. basivertebrales 63 Plexus venosi vertebrales ex- terni 64 Plexus venosi vertebrales anteriores 65 Plexus venosi vertebrales posteriores 66 Plexus venosi vertebrales interni 67 Retia venosa vertebrarum 68 Sinus vertebrales longitudinales 69 Vv. intervertebrales 70 Vv. spinales externae anteriores 26 V. SUBCLAVIA 27 V. thoracoacromialis 28 Vv. transversae colli 30 V. thoracalis lateralis 31 Vv. costoaxillares 32 Vv. thoracoepigastricae 33 Plexus venosus mamillae 34 Vv. brachiales 35 Vv. radiales 29 V. AXILLARIS [54] ANGIOLOGY 193 1 Vv. spinales externae posteriores 2 Vv. spinales internae 37 Vena iliaca communis 38 V. sacralis media 3 V. CAVA INFERIOR 39 V. HYPOGASTRICA 4 Radices parietales 5 V. phrenica inferior 6 Vv. lumbales 40 Vv. glutaeae superiores 41 Vv. glutaeae inferiores 42 Vv. obturatoriae 43 Vv. sacrales laterales 44 V. iliolumbab s 45 Plexus sacralis anterior 46 Plexus haemorrhoidalis 47 Plexus vesicalis 48 Plexus pudendalis 49 V. dorsalis penis 50 Vv. profundae penis 51 V. dorsalis clitoridis 52 Vv. profundae clitoridis 53 Vv. uterinae ' 54 Plexus uterovaginalis 55 V. haemorrhoidalis media 56 Vv. haemorrhoidales inferiores 57 Vv. scrotales posteriores 7Radices viscerales 8 Vv. hepaticae 9 Vv. renales ■ 10 Vv. suprarenales 11 V. spermatica 12 V. testicularis 13 V. ovarica 14 Plexus pampiniformis 15 Vena portae 16 V. coronaria ventriculi 17 V. mesenterica superior 18 Vv. intestinales 19 V. gastroepiploica dextra 20 Vv. pancreaticae 21 V. ileocolica 22 Vv. colicae dextrae 23 V. colica media 24 Vv. pancreaticoduodenales 25 Vv. duodenales 26 V. mesenterica inferior 27 V. colica sinistra 28 Vv. sigmoideae 29 V. haemorrhoidalis superior 30 V. lienalis 31 Vv. gastricae breves 32 V. gastroepiploica sinistra 33 V. cystica 34 Vena umbilicalis* 35 Ductus venosus [Arantii]* 36 Vv. parumbilicales [Sappeyi] 58 V. ILIACA EXTERNA 59 V. epigastrica inferior 60 V. circumflexa ilium profunda 61 V. femoralis 62 Vv. dorsales penis subcutaneae 63 Vv. scrotales anteriores 64 Vv. pudendae externae 65 V. epigastrica superficialis 66 V. saphena magna 67 V. saphena accessoria 68 V. circumflexa ilium superficialis 69 Vv. circumflexae femoris mediales 70 Vv. circumflexae femoris laterales 71 Vv. comitantes 72 Vv. profundae femoris 73 Vv. perforantes [55] 194 SYSTEMATIC ANATOMY 9 Vv. digitales communes pedis 10 Vv. metatarseae dorsales pedis 11 Vv. intercapitulares 12 Rete venosum plantare 13 Arcus venosus plantaris 14 Vv. metatarseae plantares 15 Vv. digitales pedis dorsales 16 Vv. digitales plantares 1 V. saphena parva 2 V. femoropoplitea 3 Vv. peronaeae 4 Vv. popliteae 5 Vv. tibiales posteriores 6 Vv. tibiales anteriores 7 Rete venosum dorsale pedis 8 Arcus venosus dorsalis pedis 17 SYSTEMA LYMPHATICUM 18 Vasa lymphatica 42 Lymphoglandulae cervicales profundae superiores 43 11 cervicales profundae in- feriores 44 " linguales 45 " axillares 46 " subscapulares 47 " pectorales 48 " epigastricae 49 " cubitales superficiales 50 " cubitales profundae 51 " tracheales 52 " bronchiales 53 " intercostales 54 " mediastinales posteriores 55 " mediastinales anteriores 56 " sternales 57 " iliacae 58 " lumbales 59 " coeliacae 60 " gastricae superiores 61 " gastricae inferiores 62 " hepaticae 63 " pancreaticolienales 64 " mesentericae 65 " mesocolicae 66 " hypogastricae 19 Vasa lymphatica superficialia 20 Vasa lymphatica profunda 21 Truncus jugularis 22 Truncus subclavius 23 Truncus bronchomediastinales dexter 24 Ductus lymphaticus dexter 25 DUCTUS THORACICUS 26 Trunci lumbales 27 Truncus intestinalis 28 Cisterna chyli 29 LYMPHOGLANDULAE 30 Vasa afferentia 31 Vasa efferentia 32 Substantia corticalis 33 Substantia medullaris 34 Hilus 35 Lymphoglandulae occipitales 36 " auriculares posteriores 37 " auriculares anteriores 38 " submaxillares 39 " faciales profundae 40 " parotideae 41 " cervicales superficiales [56] ANGIOLOGY 195 1 Lymphoglandulae sacrales 2 " inguinales 3 " sublinguinales superficiales 4 " subinguinales profundae 5 " popliteae 6 (Lymphoglandula tibialis ante- rior) 9 Plexus axillaris 10 Plexus mammarius 11 Plexus lumbalis 12 Plexus aorticus 13 Plexus sacralis medius 14 Plexus hypogastricus 15 Plexus coeliacus 16 Plexus iliacus externals 17 Plexus inguinalis 8 Plexus jugularis 7 Plexus lymphatici [57] 196 SYSTEMATIC ANATOMY 2 Nervus 3 Ganglion 4 Substantia alba 5 Substantia grisea 6 Substantia gelatinosa 7 Taenia telarum 8 Ependyma ventriculorum 9 Sulcus limitans ventriculorum 10 Nuclei nervorum cerebralium 1 NEUROLOGIA 11 Nuclei originis 12 Nuclei terminales 13 Ramus communicans 14 Ramus anastomoticus 15 Ramus muscularis 16 Nervus cutaneus 17 Nervus articularis 18 Plexus nervorum spinalium 19 SYSTEMA NERVORUM CENTRALE 21 Pars cervicalis 22 Intumescentia cervicalis 23 Pars thoracalis 24 Pars lumbalis 25 Intumescentia lumbalis 26 Conus medullaris 27 Filum terminale 28 Ventriculus terminalis 29 Fissura mediana anterior 30 Sulcus medianus posterior 31 Sulcus lateralis anterior 32 Sulcus lateralis posterior 33 Sulcus intermedins posterior 34 (Sulcus intermedius anterior) 35 Funiculi medullae spinalis 36 Funiculus anterior 37 Funiculus lateralis 38 Funiculus posterior 20 Medulla spinalis 39 SECTIONES MEDULLAE SPINALIS 40 Canalis centralis 41 Substantia grisea centralis 42 Commissura anterior alba 43 Commissura anterior grisea 44 Commissura posterior 45 Columnae griseae 46 Columna anterior 47 Columna lateralis 48 Columna posterior 49 Cervix columnae posterioris 50 Apex columnae posterioris 51 Substantia gelatinosa [Rolandi] 52 Nucleus dorsalis [Stillingi, Clarkii] 53 Fromatio reticularis 54 Funiculus anterior 55 Fasciculus cerebrospinalis anterior [pyramidalis ante- rior] [58] NEUROLOGY 197 1 Fasciculus anterior proprius [Flechsigi] 2 Funiculus lateralis 3 Fasciculus cerebrospinalis lateralis [pyramidalis lateralis] 4 Fasciculus cerebellospinalis 5 Fasciculus anterolateralis superficialis [Gowersi] 6 Fasciculus lateralis proprius [Flechsigi] 7 Funiculus posterior 8 Fasciculus gracilis [Golli] 9 Fasciculus cuneatus [Burdachi] 10 ENCEPHALON 11 RHOMBENCEPHALON 13 Medulla oblongata 14 Fissura mediana posterior 15 Fissura mediana anterior 16 Foramen caecum 17 Pyramis medullae oblongatae 18 Decussatio pyramidum 19 Sulcus lateralis anterior 20 Sulcus lateralis posterior 21 Oliva 22 Corpus restiforme 23 Funiculus lateralis 24 Funiculus cuneatus 25 Tuberculum cinereum 26 Funiculus gracilis 27 Clava 28 Fibrae arcuatae externae 12 Myelencephalon 41 Nuclei laterales 42 Nucleus olivaris inferior 43 Hilus nuclei olivaris 44 Nucleus olivaris accessorius medialis 45 Nucleus olivaris accessorius dorsalis 46 Nuclei arcuati 47 Fibrae arcuatae internae 48 Substantia reticularis grisea 49 Substantia reticularis alba 50 Fasciculus longitudinalis medialis 51 Stratum interolivare lemnisci 53 Corpus restiforme 54 Fasciculi corporis restiformis 55 Fibrae cerebelloolivares 56 Fasciculi pyramidales 57 Fibrae arcuatae externae 29 SECTIONES MEDULLAE OBLONGATAE 30 Raphe 31 Stratum nucleare 32 Nucleus n. hypoglossi 33 Nucleus ambiguus 34 Nucleus alae cinereae 35 Tractus solitarius 36 Nucleus tractus solitarii 37 Tractus spinalis n. trigemini 38 Nucleus tractus spinalis n. tri- gemini trigemini 39 Nucleus funiculi gracilis 40 Nucleus funiculi cuneati 58 Ventriculus q u a r t u s 59 Fossa rhomboidea 60 Pars inferior fossae rhomboideae 61 [Calamus scriptorius] 62 Pars intermedia [fossa rhom- boideae] 63 Recessus lateralis fossae rhomboideae 64 Pars superior fossae rhomboideae 65 Sulcus limitans [fossae rhom- boideae] 66 Fovea inferior [59] 198 SYSTEMATIC ANATOMY 1 Fovea superior 2 Trigonum n. hypoglossi 3 Striae medullares 4 Eminentia medialis 5 Colliculus facialis 6 Ala cinerea 7 Area acustica 8 Locus caeruleus 9 Tegmen ventriculi quarti 10 Velum medullare posterius 11 Taenia ventriculi quarti 12 Obex 13 Lamina chorioidea epithelialis 14 (Apertura medialis ventriculi quarti [Foramen Magendii]) 16 (Apertura lateralis ventriculi quarti) 17 Fastigium 39 Nuclei n. vestibularis 40 Nucleus olivaris superior 41 Nucleus lemnisci lateralis 42 Fasciculus longitudinalis medialis 43 Formatio reticularis 44 Corpus trapezoideum 45 Lemniscus 46 Lemniscus medialis [sensitivus] 47 Lemniscus lateralis [acusticus] 48 Pars basilaris pontis 49 Fibrae pontis profundae 50 Fasciculi longitudinales [pyramidales] 51 Nuclei pontis 52 Fibrae pontis superficialis 53 Cerebellum 54 Gyri cerebelli 55 Sulci cerebelli 56 Vallecula cerebelli 57 Incisura cerebelli anterior 58 Incisura cerebelli posterior 59 Sulcus horizontalis cerebelli 60 Fissura transversa cerebelli 61 Vermis 62 Lingula cerebelli 63 Vincula lingulae cerebelli 64 Lobulus centralis 65 Monticulus 66 Culmen 67 Declive 68 Folium vermis 69 Tuber vermis 70 Pyramis [vermis] 71 Uvula [vermis] 72 Nodulus 73 Hemisphaerium cerebelli 74 Facies superior 75 Ala lobuli centralis 76 Lobulus quadrangularis 77 Pars anterior 78 Pars posterior 18 Metencephalon 19 Pons [Varolii] 20 Sulcus basilaris 21 Fasciculus obliquus [pontis] 22 (Fila lateralia pontis) 23 Brachium pontis 24 SECTIONES PONTIS 25 Pars dorsalis pontis 26 Raphe 27 Nucleus n. abducentis 28 Nuclei motorii n. trigemini 29 Radix descendens [mesenceph- alica] n. trigemini 30 Tractus spinalis n. trigemini 31 Nucleus tractus spinalis n. trigemini 32 Nucleus n. facialis 33 Radix n. facialis 34 Pars prima 35 Genu [internum] 36 Pars secunda 37 Nuclei n. acustici 38 Nuclei n. cochlearis [60] NEUROLOGY 199 1 Lobulus semilunaris superior 2 Facies inferior 3 Lobulus semilunaris inferior 3 Lobulus gracilis 4 Lobulus biventer 5 Tonsilla cerebelli 6 Flocculus 7 (Flocculi secondarii) 8 Pedunculus flocculi 9 Nidus avis 20 Hilus nuclei dentati 21 Nucleus fastigii 22 Nucleus globosus 23 Nucleus emboliformis 24 Capsula nuclei dentati 25 ISTHMUS RHOMBENCEPHALI 26 Brachium conjunctivum [cere- belli] 27 Lemniscus 28 Lemniscus lateralis 29 Lemniscus medialis 30 Trigonum lemnisci 31 Velum medullare anterius 32 Frenulum veli medullaris anterioris 33 SECTIONES ISTHMI [vicle Pedunculus cerebri] 34 Ganglion interpedunculare 35 Nucleus n. trochlearis 11 Corpus medullare 12 Laminae medullares 13 Arbor vitae 14 Substantia corticalis 15 [Lamina basalis] 16 [Stratum cinereum] 17 [Stratum gangliosum] 18 Stratum granulosum 19 Nucleus dentatus 10 SECTIONES CEREBELLI 36 CEREBRUM 37 Facies convexa cerebri 38 Facies medialis cerebri 39 Basis cerebri 50 SECTIONES PEDUNCULI CERE- BRI 51 Tegmentum 52 Stratum griseum centrale 53 Formatio reticularis 54 Fasciculus longitudinalis medialis 55 Radix descendens n. trigemini 56 Nucleus radicis descendentis n. trigemini 57 Nucleus n. oculomotorii 58 Nuclei tegmenti 59 Nucleus ruber 60 Decussationes tegmentorum 61 Decussatio brachii con- junctivi 62 Lemniscus lateralis 63 Lemniscus medialis 64 Substantia nigra 65 Basis pedunculi 40 Mesencephalon 41 [Facies inferior] 42 Fossa interpeduncularis [Tarini] 43 Recessus anterior 44 Recessus posterior 45 Substantia perforata posterior 46 Pedunculus cerebri 47 Aquaeductus cerebri [Sylvii] 48 Sulcus lateralis 49 Sulcus n. oculomotorii [61] 200 SY ST EM AT IC ANATOMY 1 Corpora quadri- gem i n a 2 Lamina quadrigemina 3 Colliculus superior 4 Colliculus inferior 5 Brachium quadrigeminum superius 6 Brachium quadrigeminum inferius 7 SECTIONES CORPORUM QUADRI- 34 Radix medialis 35 Radix lateralis 36 Chiasma opticum 37 Lamina terminalis 38 SECTIONES HYPOTHALAMI 39 Nucleus hypothalamicus [Corpus Luysi] 40 Pars grisea hypothalami 41 Commissura superior [Meynerti] 42 Commissura inferior [Guddeni] 43 Nuclei corporis mamillaris 44 Fasciculus thalamomamillaris [Vicq' d'Azyri] 45 Fasciculi pedunculomamillares 46 Pars tegmentalis 47 Pars basilaris 48 Ansa peduncularis 49 Ansa lenticularis 50 Pedunculus thalami inferior GEMINORUM 8 Stratum zonale 9 Stratum griseum colliculi supe- rioris 10 Nucleus colliculi inferioris 11 Stratum album profundum 12 Prosencephalon 13 DIENCEPHALON 14 Ventriculus tertius 15 Aditus ad aquaeductum cerebri 16 Commissura posterior [cerebri] 17 Foramen inter ventriculare [Monroi] 18 Sulcus hypothalamicus [Monroi] 19 Massa intermedia 20 Recessus opticus. 21 Recessus infundibuli 22 Commissura anterior [cerebri] 23 Recessus triangularis 51 THALAMENCEPHALON 52 Thalamus 53 Pulvinar 54 Tuberculum anterius thalami 55 Taenia thalami 56 Stria medullaris 57 Lamina choriodea epithelialis 58 Metathalamus 59 Corpus geniculatum mediale 60 Corpus geniculatum laterale 24 HYPOTHALAMUS 61 Epithalamus 62 Corpus pineale 63 Recessus pinealis 64 Recessus suprapinealis 65 Habenula 66 Commissura habenularum 67 Trigonum habenulae 68 SECTIONES THALAMENCEPHALI 69 Stratum zonale 70 Nucleus anterior thalami 71 Nucleus medialis thalami 72 Nucleus lateralis thalami 73 Laminae medullares thalami 25 Pars mamillaris hypothalami 26 Corpus mamillare 27 Pars optica hypo- thalami 28 Tuber cinereum 29 Infundibulum 30 Hypophysis 31 Lobus anterior 32 Lobus posterior 33 Tractus opticus [62] NEUROLOGY 201 1 Nucleus corporis geniculati medialis 2 Nucleus corporis geniculati lateralis 3 Nucleus habenulae 4 Fasciculus retroflexus [Meynerti] 38 Gyrus frontalis medius 39 Pars superior 40 Pars inferior 41 Sulcus frontalis inferior 42 Gyrus frontalis inferior 43 Pars opercularis 44 Pars triangularis 45 Pars orbitalis 46 Gyrus rectus 47 Sulcus olfactorius 48 Gyri orbitales 49 Sulci orbitales 50 Lobustemporalis 51 Polus temporalis 52 Sulci temporales transversi 53 Gyri temporales transversi 54 Gyrus temporalis superior 55 Sulcus temporalis superior 56 Gyrus temporalis medius 57 Sulcus temporalis medius 58 Gyrus temporalis inferior 59 Sulcus temporalis inferior 60 Fissura collateralis 61 Gyrus fusiformis 62 Gyrus lingualis 63 L o b u s occipitalis 64 Polus occipitalis 65 Sulcus occipitalis transversus 66 Gyri occipitalis superiores 67 Sulci occipitalis superiores 68 Gyri occipitalis laterales 69 Sulci occipitales laterales 70 L o b u s parietalis 71 Lobulus parietalis superior 72 Sulcus interparietalis 73 Lobulus parietalis inferior 74 Gyrus supramarginalis 75 Gyrus angularis 5 TELENCEPHALON 6 HEMISPHAERIUM 7 Pallium 8 Fissura longitudinalis cerebri 9 Fissura transversa cerebri 10 Gyri cerebri 11 Gyri profundi 12 Gyri transitivi 13 Sulci cerebri 14 Impressio petrosa 15 Fossa cerebri lateralis [Sylvii] 16 Fissura cerebri lateralis [Sylvii] 17 Ramus posterior 18 Ramus anterior ascendens 19 Ramus anterior horizontalis 20Lobi cerebri 21 Insula 22 Gyri insulae 23 Gyrus longus insulae 24 Gyri breves insulae 25 Sulcus circularis [Reili] 26 Operculum 27 Pars frontalis 28 Pars parietalis 29 Pars temporalis 30 Sulcus centralis [Rolandi] 31 Gyrus centralis anterior 32 Gyrus centralis posterior 33 L o b u s frontalis 34 Polus frontalis 35 Sulcus praecentralis 36 Gyrus frontalis superior 37 Sulcus frontalis superior 76 FACIES MEDIALIS HEMI- SPHAERII 77 Sulcus corporis callosi 78 Sulcus cinguli 79 Pars subfrontalis [63] 202 SYSTEMATIC ANATOMY 1 Pars marginalis 2 Sulcus subparietalis 3 Fissura hippocampi 4 Gyrus fornicatus 5 Gyrus cinguli 6 Isthmus gyri fornicati 7 Gyrus hippocampi 8 Uncus [gyri hippocampi] 9 Substantia reticularis alba [Arnoldi] 10 Lobulus paracentralis 11 Praecuneus 12 Fissura parietooccipitalis 13 Fissura calcarina 14 Cuneus 37 Cornu anterius 38 Cornu posterius 39 Cornu inferius 40 Corpus striatum 41 Nucleus caudatus 42 Caput nuclei caudati 43 Cauda nuclei caudati 44 Stria terminalis 45 Lamina affixa 46 Taenia chorioidea 47 Lamina chorioidea epithelialis 48 Calcar avis 49 (Bulbus cornu posterioris) 50 Eminentia collateralis 51 Trigonum collaterale 52 Hippocampus 53 Fimbria hippocampi 54 Taenia fimbriae 55 Digitationes hippocampi 56 Fascia dentata hippocampi 57 Commissura hippocampi 15 Corpus callosum 16 Splenium corporis callosi 17 Truncus corporis callosi 18 Genu corporis callosi 19 Rostrum corporis callosi 20 Lamina rostralis 21 Striae transversae 22 Stria longitudinalis medialis 23 Stria longitudinalis lateralis 24 Fasciola cinerea 58 Rhinencephalon 59 Sulcus parolfactorius anterior 60 Pars anterior [rhinencephali] 61 Lobus olfactorius 62 Bulbus olfactorius 63 Tractus olfactorius 64 Trigonum olfactorium 65 Stria medialis 66 Stria intermedia 67 Area parolfactoria [Brocae] 68 Sulcus parolfactorius posterior 69 Pars posterior [rhinencephali] 70 Gyrus subcallosus [Pedunculus corporis callosi] 71 Substantia perforata anterior 72 Stria olfactoria lateralis 73 Limen insulae 25 Fornix 26 Crus fornicis 27 Corpus fornicis 28 Taenia fornicis 29 Columna fornicis 30 Pars libera columnae fornicis 31 Pars tecta columnae fornicis 32 Septum pel- lucid u m 33 Laminae septi pellucidi 34 Cavum septi pellucidi 35 Ventriculus lateralis 36 Pars centralis 75 Substantia corticalis 76 Centrum semiovale 77 Decursus fibraruni cerebralium 74 SECTIONES TELENCEPHALI [64] NEUROLOGY 203 1 Fibrae arcuatae cerebri 2 Cingulum 3 Fasciculus longitudinalis superior 3 Fasciculus longitudinalis inferior 5 Fasciculus uncinatus 6 Radiatio corporis callosi 7 Pars frontalis 8 Pars parietalis 9 Pars temporalis 10 Pars occipitalis 11 Tapetum 12 Nucleus lentiformis 13 Putamen 14 Globus pallidus 15 Claustrum 16 Capsula externa 17 Capsula interna 18 Genu capsulae internae 19 Pars frontalis capsulae internae 20 Pars occipitalis capsulae internae 21 Nucleus amygdalae 22 Corona radiata 23 Pars frontalis 24 Pars parietalis 25 Pars temporalis 26 Pars occipitalis 27 Radiatio corporis striati 28 Radiatio occipitothalamica [Gratioleti] 29 Commissura anterior [cerebri] 30 Pars anterior 31 Pars posterior 34 Falx cerebri 35 Tentorium cerebelli 36 Falx cerebelli 37 Diaphragma sellae 38 Foramen diaphragmatis [sellae] 39 Incisura tentorii 40 Dura mater spinalis 41 Filum durae matris spinalis 42 Cavum epidurale 43 Cavum subdurale 44 Arachnoidea spinalis 45 Arachnoidea encephali 46 Cavum subarachnoideale 47 Cisternae subarachnoidales 48 Cisterna cerebellomedullaris 49 Cisterna fossae lateralis cerebri [Sylvii] 50 Cisterna chiasmatis 51 Cisterna interpeduncularis 52 Cisterna venae magnae cerebri 53 Granulationes arachnoideales [Pacchioni] 54 Pia mater spinalis 55 Lig. denticulatum 56 Septum cervicale intermedium 57 Pia mater encephali 58 Tela choriodea ventriculi quarti 59 Plexus chorioideus ventriculi quarti 60 Tela chorioidea ventriculi tertii 61 Plexus chorioideus ventriculi tertii 62 Plexus chorioideus ventriculi lateralis 63 Glomus chorioideum 64 Acervulus 33 Dura mater encephali 32 Meninges [65] 204 SYSTEMATIC ANATOMY 1 SYSTEMA NERVORUM PERIPHERICUM 2 NERVI CEREBRALES 31 Rami nasales mediales 32 Ramus nasalis externus 33 N. infratrochlearis 34 Ramus palpebralis superior 35 R. palpebralis inferior 3 Nn. olfactorii 4 N. opticus 5 N. OCULOMOTORIUS 36 G . c i 1 i a r e 6 Ramus superior 7 Ramus inferior 8 Radix brevis ganglii ciliaris 37 Nn. ciliares breves 38 N. MAXILLARIS 39 N. meningeus [medius] 40 N. xygomaticus 41 Ramus zygomaticotemporalis 42 Ramus zygomaticofacialis 43 Nn. sphenopalatini 44 Nn. alveolares superiores 45 Rami alveolares superiores posteriores 46 N. infraorbitalis 47 R. alveolaris superior medius 48 Rami alveolares superiores anteriores 49 Plexus dentalis superior 50 Rami dentales superiores 51 Rami gingivales supe- riores 52 Rami palpebrales inferiores 53 Rami nasales externi 54 Rami nasales interni 55 Rami labiales superiores 56 Ganglion s p h e n - 4 opalatinum 57 Rami orbitales 58 N. canalis pterygoidei [Vidii] 59 N. petrosus superficialis major 60 N. petrosus profundus 61 Rami nasales posteriores superiores laterales 62 Rami nasales posteriores superiores mediales 63 N. nasopalatinus [Scarpae] 9 N. TROCHLEARIS 10 Decussatio nervorum troch- learium UN. TRIGEMINUS 12 Portio major 13 Ganglion semilunare [Ga'sseri] 14 Portio minor 15 N. OPTHALMICUS 16 N. tentorii 17 N. lacrimalis 18 Ramus anastomoticus cum n. zygomatico 19 N. frontalis 20 N. supraorbitalis 21 Ramus frontalis 22 N. supratrochlearis 23 N. nasociliaris 24 Radix longa ganglii ciliaris 25 Nn. ciliares longi 26 N. ethmoidalis posterior 27 N. ethmoidalis anterior 28 Rami nasales anteriores 29 Rami nasales interni 30 Rami nasales laterales [66] NEUROLOGY 205 1 Rami nasales posteriores in- feriores [laterales] 2 Nn. palatini 3 N. palatinus anterior 4 N. palatinus medius 5 N. palatinus posterior 37 N. petrosus superficial minor 38 N. tensoris veli palatini 39 N. tensoris tympani 40 Ramus anastomoticus cum n. spinoso 41 R. anastomoticus cum n. auriculotemporal! 42 Ramus anastomoticus cum chorda tympani 43 Ganglion submaxillare 44 Rami communicantes cum n. linguali 45 Rami submaxillares 6 N. MANDIBULARIS 7 N. spinosus 8 N. masticatorius 9 N. massetericus 10 Nn. temporales profundi 11 N. temporalis profundus posterior 12 N. temporalis profundus anterior 13 N. buccinatorius 14 N. pterygoideus externus 15 N. pterygoideus internus 16 N. auriculotemporalis 17 N. meatus auditorii externi 18 R. membranae tympani 19 Rami parotidei 20 Rami anastomotici cum n. faciali 21 Nn. auriculares anteriores 22 Rami temporales superfici- ales 23 N. lingualis 24 Rami isthmi faucium 25 Rami anastomotici cum n. hypoglosso 26 N. sublingualis 27 Rami linguales 28 N. alveolaris inferior 29 Plexus dentalis inferior 30 Rami dentales inferiores 31 Rami gingivales in- feriores 32 N. mylohyoideus 33 N. mentalis 34 Rami mentales 35 Rami labiales inferiores 36 Ganglion o t i c u m 46 N. ABDUCENS 47 N. FACIALIS 48 Geniculum n. facialis 49 Ganglion geniculi 50 N. stapedius 51 Ramus anastomoticus cum plexu tympanico 52 N. auricularis posterior 53 Ramus occipitalis 54 Ramus digastricus 55 Ramus stylohyoideus 56 Ramus anastomoticus cum n. glossopharyngeo 57 Plexus parotideus 58 Rami temporales 59 Rami zygomatici 60 Rami buccales 61 Ramus marginalis mandibulae 62 Ramus colli 63 N. intermedius 64 Chorda tympani 65 N. ACUSTICUS 66 Radix vestibularis 67 Radix cochlearis 68 Fila anastomotica 69 N. vestibuli 70 Ganglion vestibulare [67] 206 SYSTEMATIC ANATOMY 1 N. utricularis 2 N. ampullaris superior 3 N. ampullaris lateralis 4 N. ampullaris inferior 5 N. cochleae 6 Ganglion spirale 7 N. saccularis 37 Rami cardiaci inferiores 38 Rami tracheales 39 Rami oesophagei 40 N. laryngeus inferior 41 Ramus anterior 42 Ramus posterior 43 Rami bronchiales anteriores 44 Rami bronchiales posteriores 45 Plexus pulmonalis anterior 46 Plexus pulmonalis posterior 47 Rami oesophagei 48 Plexus oesophageus anterior 49 Plexus oesophageus posterior 50 Rami gastrici 51 Plexus gastricus anterior 52 Plexus gastricus posterior 53 Rami hepatici 54 Rami coeliaci 55 Rami lienales 56 Rami renales 8 N. GLOSSOPHARYNGEUS 9 Ganglion superius 10 Ganglion petrosum 11 N. tympanicus 12 Intumescentia tympanica 13 Plexus tympanicus [Jacobsoni] 14 N. caroticotympanicus superior 15 N. caroticotympanicus inferior 16 Ramus tubae 17 R. anastomoticus cum ramo auriculari n. vagi 18 Rami pharyngei 19 Ramus stylopharyngeus 20 Rami tonsillares 21 Rami linguales 57 N. ACCESSORIUS 58 Ramus internus 59 Ramus externus 22 N. VAGUS 60 N. HYPOGLOSSUS 23 Ganglion jugulare 24 Ganglion nodosum 25 Ramus meningeus 26 Ramus auricularis 27 R. anastomoticus cum n. glossopharyngeo 28 Rami pharyngei 29 Plexus pharyngeus 30 N. laryngeus superior 31 Ramus externus 32 Ramus internus 33 Ramus anastomoticus cum n. laryngeo inferiore 34 Rami cardiaci superiores 35 (N. depressor) 36 N. recurrens 61 Ramus descendens 62 Ansa hypoglossi 63 Ramus thyreohyoideus 64 Rami linguales 65 N. SPINALES 66 Fila radicularia 67 Radix anterior 68 Radix posterior 69 Ganglion spinale 70 Ramus anterior 71 Ramus posterior 72 Ramus communicans 73 Ramus meningeus 74 Cauda equina 75 Ansae [68] NEUROLOGY 207 2 Rami posteriores 3 Ramus medialis 4 Ramus lateralis 5 N. suboccipitalis 6 N. occipitalis major 7 (N. occipitalis tertius) 8 Rami anteriores 9 Plexus cervicalis 10 N. occipitalis minor 11 N. auricularis magnus 12 Ramus posterior 13 Ramus anterior 14 N. cutaneus colli 15 Rami superiores 16 Rami inferiores 17 Nn. supraclaviculares 18 Nn. supraclaviculares ante- riores 19 Nn. supraclaviculares medii 20 Nn. supraclaviculares poste- 21 N. phrenicus [riores 22 Ramus pericardiacus 23 Rami phrenicoabdominales 1 NN. CERVICALES 43 N. cutaneus antibrachii 44 N. cutaneus brachii medialis 45 N. cutaneus antibrachii medialis 46 Ramus volaris 47 Ramus ulnaris 48 N. MEDIANUS 49 Rami musculares 50 N. interosseus [antibrachii] volaris 51 Ramus palmaris n. mediani 52 Ramus anastomoticus cum n. ulnari 53 Nn. digitales volares communes 54 Nn. digitales volares proprii 56 Ramus cutaneus palmaris 57 Ramus dorsalis manus 58 Nn. digitales dorsales 59 Ramus volaris manus 60 Ramus superficialis 61 Nn. digitales volares communes 62 Nn. digitales volares proprii 63 Ramus profundus 64 Rami musculares 55 N. ULNARIS 25 Pars supraclavicul- ar i s 26 Nn. thoracales posteriores 27 N. dorsalis scapulae 28 N. thoracalis longus 29 Nn. thoracales anteriores 30 Nn. subclavius 31 N. suprascapularis 32 Nn. subscapulares 33 N. thoracodorsalis 34 N. axillaris 35 Rami musculares 36 N. cutaneus brachii lateralis 37 Pars infraclavicu- lar i s 38 Fasciculus lateralis 39 Fasciculus medialis 40 Fasciculus posterior 41 N. musculocutaneus 42 Rami musculares lateralis 24 Plexus brachialis 66 N. cutaneus brachii posterior 67 Rami musculares 68 N. cutaneus antibrachii dorsalis 69 Ramus profundus 70 N. interosseus [antibrachii] dorsalis 71 Ramus superficialis 72 Ramus anastomoticus ulnaris 73 Nn. digitales dorsales 65 N. RADIALIS 75 Rami posteriores 76 Ramus cutaneus lateralis 77 Ramus cutaneus medialis 74 NN. THORACALES [69] 208 SYSTEMATIC ANATOMY 1 Rami anteriores [Nn. inter- costales] 36 2 Rami musculares 3 Ramus cutaneus lateralis [pectoralis et abdominalis] 3g 4 Ramus posterior 5 Ramus anterior 40 6 Rami mammarii laterales 7 Nn. intercostobrachiales 42 8 Ramus cutaneus anterior 43 [pectoralis et abdominalis] 44 9 Rami mammarii mediales N. CUTANEUS FEMORIS LATERALIS 37 N. OBTURATORJUS Ramus anterior 39 Ramus cutaneus Ramus posterior 41 N. FEMORALIS Rami cutanei anteriores Rami musculares N. saphenus 45 Ramus infrapatellaris 46 Rami cutanei cruris mediales 10 NN. LUMBALES, SACRALES, COCCYGEUS 11 Nn. lumbales 12 Rami posteriores 13 Ramus medialis 14 Ramus lateralis 15 Nn. clunium superiores 16 Rami anteriores 17 Nn. sacrales et coccygeus: 18 Rami posteriores 19 Ramus medialis 20 Ramus lateralis 21 Nn. clunium medii 47 Plexus sacralis 48 Truncus lumbosacralis 49 N. glutaeus superior 50 N. glutaeus inferior 51 N. cutaneus femoris posterior 52 Nn. clunium inferiores 53 Rami perineales 54 n. ischiadicus 55 Rami musculares 56 N. peronaeus communis 57 Rami musculares 58 N. cutaneus surae lateralis 59 Ramus anastomoticus peron- aeus 60 N. peronaeus superficialis 61 Rami musculares 62 N. cutaneus dorsalis med- ialis 63 N. cutaneus dorsalis intermedins 64 Nn. digitales dorsales pedis 65 N. peronaeus profundus 66 Rami musculares 67 Nn. digitales dorsales hallucis lateralis et digiti secundi medialis 68 N. tibialis 69 Rami musculares 22 Plexus l u m b o - SACRALIS 24 Rami musculares 23 Plexus lumbalis 25 N. ILIOHYPOGAS- TRICUS 26 Rami musculares 27 Ramus cutaneus lateralis 28 Ramus cutaneus anterior 30 Rami musculares 31 Nn. scrotales anteriores 32 Nn. labiales anteriores 29 N. ILIOINGUINALIS 34 N. lumboinguinalis 35 N. spermaticus externus 33 N. GENITOFEMORALIS [70] NEUROLOGY 209 1 N. interosseus cruris 2 N. cutaneus surae medialis 3 N. sural is 4 Rami calcanei laterales 5 N. cutaneus dorsalis lateralis 6 Rami calcanei mediales 7 N. plantaris medialis 8 Nn. digitales plantares communes 9 Nn. digitales plantares proprii 10 N. plantaris lateralis 11 Ramus superficialis 12 Nn. digitales plan- tares communes 13 Nn. digitales plantares proprii 14 Ramus profundus 15 Plexus pudendus 16 N. haemorrhoidales medii 17 Nn. vesicales inferiores 18 Nn. vaginales 19 N. pudendus 20 Nn. haemorrhoidales inferiores 21 N. perinei 22 Nn. scrotales posteriores 23 Nn. labiales posteriores 24 N. dorsalis penis 25 N. dorsalis clitoridis 27 Plexus coccygeus 28 Nn. anococcygei 26 N. COCCYGEUS 29 S Y S T E M A NERVORUM SYMPATHICUM 30 Truncus sympathicus 31 Ganglia trunci sympathici 32 Plexus sympathici 33 Ganglia plexuum sympathi- corum 48 Plexus lingualis 49 Plexus maxillaris externus 50 Radix sympathica ganglii submaxillaris 51 Plexus occipitalis 52 Plexus auricularis posterior 53 Plexus temporalis superficialis 54 Plexus maxillaris internus 55 Plexus meningeus 56 Plexus caroticus communis 57 Rami laryngopharyngei 58 Plexus pharyngeus ascendens 59 N. cardiacus superior 60 Ganglion cervicale medium 61 N. cardiacus medius 62 Ganglion cervicale inferius 63 Ansa subclavia [Vieussenii] 64 N. cardiacus inferior 65 Plexus subclavius 66 Plexus mammarius interus 67 Plexus thyreoideus inferior 68 Plexus vertebralis 34 Pars cephalica et cervi- CALIS S. SYMPATHICI 35 Ganglion cervicale superius 36 N. jugularis 37 N. caroticus internus 38 Plexus caroticus internus 39 Plexus cavernosus 40 Plexus arteriae cerebri anterioris 41 Plexus arteriae cerebri mediae 42 Plexus arteriae chorioideae 43 Plexus opthalmicus 44 Radices sympathicae ganglii ciliaris 45 Nn. carotici externi 46 Plexus caroticus externus 47 Plexus thyreoideus superior [71] 210 SYSTEMATIC ANATOMY 1 Pars thoracalis s. SYMPATHICI 27 Plexus gastricus inferior 28 Plexus suprarenalis 29 Plexus renalis 30 Plexus spermaticus 31 Plexus arteriae ovaricae 32 Plexus mesentericus superior 33 Plexus myentericus 34 Plexus submucosus 35 Plexus mesentericus inferior 36 Nn. haemorrhoidales superiores 37 Plexus iliacus 38 Plexus iliacus 39 Plexus hypogastricus 40 Plexus haemorrhoidalis medius 41 Plexus prostaticus 42 Plexus deferentialis 43 Plexus uterovaginalis 44 Plexus vesicalis 45 Nn. vesicales superiores 46 Nn. vesicales inferiores 47 Plexus cavernosus penis 48 N. cavernosus penis major 49 Nn. cavernosi penis minores 50 Plexus cavernosus clitoridis 51 N. cavernosus clitoridis maj or 52 Nn. cavernosi clitoridus minores 53 Plexus femoralis 54 Plexus popliteus 2 Ganglia thoracalia 3 N. splanchnicus major 4 Ganglion splanchnicum 5 N. splanchnicus minor 6 Ramus renalis 7 (N. splanchnicus imus) 8 Plexus aorticus thoracalis 9 Plexus cardiacus 10 Plexus coronarius cordis anterior 11 Ganglion cardiacum [Wrisbergi] 12 Plexus coronarius posterior 13 Rami pulmonales 14 Plexus pulmonalis 15 Pars abdominalis et pelvina S. SYMPATHICI 16 Ganglia lumbalia 17 Ganglia sacralia 18 Plexus aorticus abdominalis 19 Plexus coeliacus 20 Ganglia coeliaca 21 Ganglion mesentericum superius 22 Plexus phrenicus 23 Ganglia phrenica 24 Plexus phrenicus 25 Plexus lienalis 26 Plexus gastricus superior [72] SENSE ORGANS AND COMMON INTEGUMENT 211 1 ORGANA SENSUUM ET INTEGUMENTUM COMMUNE 2 ORGANON VISUS 31 Facies anterior 32 Facies posterior 33 Epithelium corneae 34 Lamina elastica anterior [Bowmani] 35 Substantia propria 36 Lamina elastica posterior [Demoursi, Descemeti] 37 Endothelium camerae anterioris 3 Oculus 4 Opticus 5 Vaginae n. optici 6 Spatia intervaginalia 8 Polus anterior 9 Polus posterior 10 Aequator 11 Meridiani 12 Axis oculi externa 13 Axis oculi interna 14 Axis optica 15 [Linea visus] 16 Vesicula ophthalmica* 17 Caliculus ophthalmicus* 7 Bulbus oculi 38 Tunica Vasculosa Oculi 40 Lamina suprachorioidea 41 Spatium perichorioideale 42 Lamina vasculosa 43 Lamina choriocapillaris 44 Lamina basalis 45 (Raphe chorioideae) 39 CHORIOIDEA 46 CORPUS CILIARE 18 Tunica fibrosa oculi 47 Corona ciliaris 48 Processus ciliares 49 Plicae ciliares 50 Orbiculus ciliaris 51 M. ciliaris 52 Fibrae meridionales [Brueckei] 53 Fibrae circulares [Muelleri] 54 Plexus gangliosus ciliaris 19 SCLERA 20 Sulcus sclerae 21 Rima cornealis 22 Sinus venosus sclerae [Canalis Schlemmi, Lauthi] 23 Lamina fusca 24 Lamina cribrosa sclerae 25 (Raphe sclerae) 26 (Funiculus sclerae) 55 iris 28 Annulus conjunctivae 29 Vertex corneae 30 Limbus cornae 27 CORNEA 56 Margo pupillaris 57 Margo ciliaris 58 Facies anterior [73] 212 SYSTEMATIC ANATOMY 1 Facies posterior 2 Annulus iridis major 3 Annulus iridis minor 4 Plicae iridis 5 Pupilia 6 M. sphincter pupillae 7 Stroma iridis 8 M. dilatator pupillae 9 Lig. pectinatum iridis 10 Spatia anguli iridis [Fontanae] 11 Circulus arteriosus major 12 Circulus arteriosus minor 13 Membrana pupillaris* 35 Camera oculi anterior 36 Angulus iridis 37 Camera oculi posterior 39 A. hyaloidea* 40 Canalis hyaloidea 41 Fossa hyaloidea 42 Membrana hyaloidea 43 Stroma vitreum 44 Humor vitreus 38 Corpus vitreum 14 Stratum pigmenti 45 Lens crystallina 15 Stratum pigmenti retinae 16 Stratum pigmenti corporis ciliaris 17 Stratum pigmenti iridis 46 Substantia lentis 47 Substantia corticalis 48 Nucleus lentis 49 Fibrae lentis 50 Epithelium lentis 51 Capsula lentis 52 Polus anterior lentis 53 Polus posterior lentis 54 Facies anterior lentis 55 Facies posterior lentis 56 Axis lentis 57 Aequator lentis 58 Radii lentis 19 Pars optica retinae 20 Ora serrata 21 Pars ciliaris retinae 22 Papilla n. optici 23 Excavatio papillae n. optici 24 Macula lutea 25 Fovea centralis 26 Vasa sanguinea retinae 27 Circulus vasculosus n. optici [Halleri] 28 Arteriola [Venula] temporalis retinae superior 29 Arteriola [Venula] temporalis retinae inferior 30 Arteriola [Venula] nasalis retinae superior 31 Arteriola [Venula] nasalis retinae inferior 32 Arteriola [Venula] macularis superior 33 Arteriola [Venula] macularis inferior 34 Arteriola [Venula] retinae medialis 18 Retina 59 Zonula ciliaris [Zinni] 60 Fibrae zonulares 61 Spatia zonularia 62 Organa oculi accessoria 63 MUSCULI OCULI, FASCIAE ORBITALES 64 M. orbitalis 65 M. rectus superior 66 M. rectus inferior 67 M. rectus medialis 68 M. rectus lateralis 69 Lacertus musculi recti lateralis 70 Annulus tendineus communis [Zinni] 71 M. obliquus superior [74J SENSE OEGANS AND COMMON INTEGUMENT 213 2 M. obliquus inferior 3 M. levator palpebrae superioris 4 Periorbita 5 Septum orbitale 6 Fasciae musculares 7 Fascia bulbi [Tenoni] 8 Spatium interfasciale [Tenoni] 9 Corpus adiposum orbitae 1 Trochlea 42 Glandula lacrimalis superior 43 Glandula lacrimalis inferior 44 (Gl. lacrimales accessoriae) 45 Ductili excretorii [gl. lacrimalis] 46 Rivus lacrimalis 47 Lacus lacrimalis 48 Puncta lacrimalia 49 Ductus lacrimales 50 Papillae lacrimales 51 Ampulla ductus lacrimalis 52 Saccus lacrimalis 53 Fornix sacci lacrimalis 54 Ductus nasolacrimalis 55 Plica lacrimalis [Hasneri] 56 Lacrimae 41 Apparatus lacrimalis 10 SUPERCILIUM 11 PALPEBRAE 12 Palpebra superior 13 Palpebra superior 14 Facies anterior palpebrarum 15 Facies posterior palpebrarum 16 Rima palpebrarum 17 Commissura palpebrarum lateralis 18 Commissura palpebrarum medialis 19 Angulus oculi lateralis 20 Angulus oculi medialis 21 Limbi palpebrales anteriores 22 Limbi palpebrales posteriores 23 Tarsus superior 24 Tarsus inferior 25 Lig. palpebrale mediale 26 Raphe palpebralis lateralis 27 Glandulae tarsales [Meibomi] 28 Sebum palpebrale 29 M. tarsalis superior 30 M. tarsalis inferior 57 ORGANON AUDITUS 58 AURIS INTERNA 59 Labyrinthus membrana- ceus 60 Ductus endolymphaticus 61 Saccus endolymphaticus 62 Ductus utriculosaccularis 63 Utriculus 64 Ductus semicirculares 65 Ductus semicircularis superior 66 Ductus semicircularis posterior 67 Ductus semicircularis lateralis 68 Ampullae membranaceae 69 Sulcus ampullaris 70 Crista ampullaris 71 Ampulla membranacea superior 72 Ampulla membranacea posterior 73 Ampulla membranacea lateralis 74 Sacculus 75 Ductus reunions [Henseni] 76 Maculae acusticae 77 Macula acustica utriculi 78 Macula acustica sacculi 31 Conjunctiva 32 Plica semilunaris conjunctivae 33 Caruncula lacrimalis 34 Tunica conjunctiva bulbi 35 Tunica conjunctiva palpebra- rum 36 Fornix conjunctivae superior 37 Fornix conjunctivae palpebra- rum 38 Gl. mucosae [Krausei] 39 Noduli lymphatici con- junctivales 40 (Pinguecula) [75] 214 SYSTEMATIC ANATOMY 1 Otoconia 2 Endolympha 3 Perilympha 4 Spatium perilymphaticum 5 Ductus perilymphatici 6 Ductus cochlearis 7 Caecum cupulare 8 Caecum vestibulare 9 Lamina basilaris 10 Membrana vestibularis [Reissneri] 11 Lig. spirale cochleae 12 Prominentia spiralis 13 Stria vascularis 14 Sulcus spiralis 15 Labium tympanicum 16 Foramina nervosa 17 Labium vertibulare 18 Ganglion spirale cochleae 19 Organon spirale [Cortii] 20 Vasa auris i n t e r n a e 21 A. auclitiva interna 22 Rami vestibulares 23 Ramus cochleae 24 Glomeruli arteriosi cochleae 25 Vv. auditivae internae 26 V. spiralis modioli 27 Vas prominens 28 Vv. vestibulares 29 V. aquaeductus vestibuli 30 V. canaliculi cochleae 42 Canales semicirculares ossei 43 Canalis semicircularis superior 44 Canalis semicircularis posterior 45 Canalis semicircularis lateralis 46 Ampullae osseae 47 Ampulla ossea superior 48 Ampulla ossea posterior 49 Ampulla ossea lateralis 50 Crura ampullaria 51 Crus commune 52 Crus simplex 54 Cupula 55 Basis cochleae 56 Canalis spiralis cochleae 57 Modiolus 58 Basis modioli 59 Lamina modioli 60 Lamina spiralis ossea 61 Hamulus laminae spiralis 62 Scala vestibuli 63 Scala tympani 64 Helicotrema 65 Lamina spiralis secundaria 66 Canalis spiralis modioli 67 Canales longitudinales modioli 53 COCHLEA 68 MEATUS ACUSTICUS IN- TERNES 31 Labyrinthus osseus 69 Porus acusticus interims 70 Fundus meatus acustici interni 71 Crista transversa 72 Area n. facialis 73 Area cochleae 74 Tractus spiralis foramin- osus 75 Area vestibularis superior 76 Area vestibularis inferior 77 Foramen singulare 33 Recessus sphaericus 34 Recessus ellipticus 35 Crista vestibuli 36 Pyramis vestibuli 37 Recessus cochlearis 38 Maculae cribrosae 39 Macula cribrosa superior 40 Macula cribrosa media 41 Macula cribrosa inferior 32 VESTIBULUM 78 Cavum tympani 79 Paries tegmentalis [76] SENSE ORGANS AND COMMON INTEGUMENT 215 1 Recessus epitympanicus 2 Pars cupularis 3 Paries j u g u 1 a r i s 4 Prominentia styloidea 5Paries labyrinthica 6 Fenestra vestibuli 7 Fossula fenestrae vestibuli 8 Promontorium 9 Sulcus promontorii 10 Subiculum promontorii 11 Sinus tympani 12 Fenestra cochleae 13 Fossula fenestrae cochleae 14 Crista fenestrae cochleae 15 Processus cochleariformis 16 Paries mastoidea 17 Antrum tympanicum 18 Prominentia canalis semicircularis lateralis 19 Prominentia canalis facialis 20 Eminentia pyramidalis 21 Fossa incudis 22 Sinus posterior 23 Apertura [tympanica] canaliculi chordae 24 Cellulae mastoideae 25 Cellulae tympanicae 26 Paries carotica 27 Paries membranacea 39 Stratum radiatum 40 Stratum circulare 41 Stratum mucosum 42 OSSICULA AUDITUS 43 Stapes 44 Capitulum stapedis 45 Crus anterius 46 Crus posterius 47 Basis stapedis 48 Incus 49 Corpus incudis 50 Crus longum 51 Processus lenticularis 52 Crus breve 53 Malleus 54 Manubrium mallei 55 Capitulum mallei 56 Collum mallei 57 Processus lateralis 58 Processus anterior [Folii] 59 ARTICULATIONES OSSICULORUM AUDITUS 60 Articulatio incudomalleolaris 61 Articulatio incudostapedia 62 Syndesmosis tympanostapedia 63 LIGG. OSSICULORUM AUDITUS 64 Lig. mallei anterius 65 Lig. mallei superius 66 Lig. mallei laterale 67 Lig. incudis superius 68 Lig. incudis posterius 69 Membran a obturatoria [stapedis] 70 Lig. annulare baseos stapedis 71 [M. fixator baseos stapedis] 29 Pars flaccida 30 Pars tensa 31 Limbus membranae tympani 32 Plica malleolaris anterior 33 Plica malleolaris posterior 34 Prominentia malleolaris 35 Stria malleolaris 36 Umbo membranae tympani 37 Stratum cutaneum 38 Annulus fibrocartilaginous 28 MEMBRANA TYMPANI 72 MUSCULI OSSICULORUM AUDITUS 73 M. tensor tympani 74 M. stapedius [77] 216 SYSTEMATIC ANATOMY 2 (Gl. tympanicae) 3 Plica malleolaris posterior 4 Plica malleolaris anterior 5 Recessus membranae tympani anterior 6 Recessus tympani membranae superior 7 Recessus membranae tympani posterior 8 Plica incudis 9 Plica stapedis 10 Membrana tympani secundaria 11 Tuba auditiva [Eustachii] 12 Ostium tympanicum tubae auditivae 13 Pars ossea tubae auditivae 14 Isthmus tubae auditivae 15 Cellulae pneumaticae tubariae 16 Pars cartilaginae tubae auditivae 17 Cartilage tubae auditivae 18 Lamina [cartilaginis] medialis 19 Lamina [cartilaginis] lateralis 20 Lamina membranacea 21 Tunica mucosa 22 Gl. mucosae 23 Moduli lymphatici tubarii 24 Ostium pharyngeum tubae auditivae 1 TUNICA MUCOSA TYMPANICA 33 Lobulus auriculae 34 Cartilago auriculae 35 Helix 36 Crus helicis 37 Spina helicis 38 Cauda helicis 39 Anthelix 40 Fossa triangularis [auriculae] 41 Crura anthelicis 42 Scapha 43 Concha auriculae 44 Cymba conchae 45 Cavum conchae 46 Antitragus 47 Tragus 48 Incisura anterior [auris] 49 Incisura intertragica 50 (Tuberculum auriculae [Darwini]) 51 (Apex auriculae [Darwini)] 52 Sulcus auriculae posterior 53 (Tuberculum supratragicum) 54 Isthmus cartilaginis auris 55 Incisura terminalis auris 56 Fissura antitragohelicina 57 Sulcus anthelicis transversus 58 Sulcus cruris helicis 59 Fossa anthelicis 60 Eminentia conchae 61 Eminentia scaphae 62 Eminentia fossae triangularis 63 Ligg. auricularia [Valsalvae] 64 Lig. auriculare anterius 65 Lig. auriculare superius 66 Lig. auriculare posterius 67 M. helicis major 68 M. helicis minor 69 M. tragicus 70 (M. pyramidalis auriculae [Jungi]) 71 M. Antitragicus 72 M. transversus auriculae 73 M. obliquus auriculae 74 (M. incisurae helicis [Santorini]) 32 Auriculae 25 Meatus acusticus externus 26 Porus acusticus externus 27 Incisura tympanica [Rivini] 28 Meatus acusticus externus cartilaginous 29 Cartilago meatus acustici 30 Incisurae cartilaginis meatus acustici externi [Santorini] 31 Lamina tragi [78] SENSE ORGANS AND COMMON INTEGUMENT 217 32 Barba 33 Tragi 34 Vibrissae 35 Hirci 36 Pubes 37 Folliculus pili 38 Fundus folliculi pili 39 Collum folliculi pili 40 Papilla pili 41 Scapus pili 42 Radix pili 43 Bulbus pili 44 Mm. arrectores pilorum 45 Flumina pilorum 46 Vortices pilorum 47 (Vortex coccygeus) 1 Organon olfactus 3 Calyculi gustatorii 2 Organon gustus 4 Integumentum commune 5 Cutis 6 Sulci cutis 7 Cristae cutis 8 Retinacula cutis 9 Toruli tactiles 10 Foveola coccygea 11 Lig. caudale 13 Stratum corneum 14 Stratum germinativum [Mal- pighii]' 15 CORIUM 16 Tunica propria 17 Corpus papillare 18 Papillae 12 EPIDERMIS 48 Ungues 49 Matrix unguis 50 Cristae matricis unguis 51 Sulcus matri cis unguis 52 Vallum unguis 53 Corpus unguis 54 Radix unguis 55 Lunula 56 Margo occultus 57 Margo liber 58 Margo lateralis 59 Stratum corneum unguis 60 Stratum germinativum unguis 20 Panniculus adiposus 19 TELA SUB CUTANEA 21 CORPUSCULA NERVORUM TERMINALIA 22 Corpuscula bulboidea [Krausii] 23 Corpuscula lamellosa [Vateri, Pacini] 24 Corpuscula tactus [Meissneri] 25 Corpuscula nervorum genitalia 26 Corpuscula nervorum articularia 61 Glandulae Cutis 62 GL. GLOMIFORMES 63 Gl. sudoriferae 64 Corpus gl. sudoriferae 65 Ductus sudoriferus 66 Porus sudoriferus 67 Sudor 68 Gl. ciliares [Molli] 69 Gl. circumanales 27 Pili 28 Lanugo 29 Capilli 30 Supetcilia 31 Cilia [79] 218 SYSTEMATIC ANATOMY 1 Gl. ceruminosae 2 Cerumen 10 Ductus lactiferi 11 Sinus lactiferi 12 Lac femininum 13 Colostrum 14 Areola mammae 15 Gl. sebaceae 16 Gl. areolares [Montgomerii] 17 Mamma virilis 18 (Mammae accessoriae [muliebres et viriles]) 3 GLANDULAE SEBACEAE 4 Sebum cutaneum 5 MAMMA 6 Papilla mammae 7 Corpus mammae 8 Lobi mammae 9 Lobuli mammae [80] REGIONS OF THE EVUAN BODY 219 1 REGIONES CORPORIS HUMANI auctoribus Merkel, Rudinger, Toldt 2 Linea mediana anterior 3 Linea mediana posterior 4 Linea sternalis 5 Linea parasternalis 6 Linea mamillaris 7 Linea axillaris 8 Linea scapularis Fig. 1. Regions of the head, and neck. [81] 220 SYSTEMATIC ANATOMY 1 Regiones capitis 2 Regio frontalis 3 Regio supraorbitalis 4 Regio parietalis 5 Regio occipitalis 6 Regio temporalis 7 Regio auricularis 8 Regio mastoidea 9 Regiones faciei 10 Regio nasalis 21 Regio parotideomasseterica 22 Fossa retromandibularis 23 R e g i o n e s colli 24 Regio colli anterior 25 Regio submentalis 26 Regio hyoidea 27 Regio subhyoidea 28 Regio laryngea 29 Regio thyreoidea 30 Regio suprasternalis Fig. 2. Perineal regions. Male perineum. 11 Regio oralis 12 Regio labialis superior 13 Regio labialis inferior 14 Regio mentalis 15 Regio orbitalis 16 Regio palpebralis superior 17 Regio palpebralis inferior 18 Regio infraorbitalis 19 Regio buccalis 20 Regio zygomatica 31 Fossa jugularis 32 Regio submaxillaris 33 Fossa carotica 34 Regio sternocleidomastoidea 35 Fossa supraclivicularis minor 36 Regio colli lateralis 37 Fossa supraclavicularis major 38 Trigonum omoclaviculare 39 Regio colli posterior 40 Regio nuchae [82] REGIONS OF THE HOMAN BODY 221 24 Regio mediana dorsi 25 Regio interscapularis 26 Regio scapularis 27 Regio suprascapularis 28 Regio infrascapularis 29 Regio lumbalis 30 Regio coxae 30 Regio sacralis 32 Regio glutaea 33 Regio perinealis 34 Regio analis 35 Regio urogenitalis 1 Fovea nuchae 2Regiones pectoris 3 Regio pectoris anterior 4 Regio sternalis. 5 Regio clavicularis 6 Regio infraclavicularis 7 Trigonum deltoideo- pectorale 8 Regio mammalis 9 Regio inframammalis 10 Regio pectoris lateralis 11 Regio axillaris 12 Fossa axillaris Fig. 3. Perineal regions. Female perineum 13 Regio costalis lateralis 14 R e g i o n e s abdominis 15 Regio epigastrica 16 Regio hypochondriaca 17 Regio mesogastrica 18 Regio umbilicalis 19 Regio abdominalis lateralis 20 Regio hypogastrica 21 Regio pubica 22 Regio inguinalis 23 R e g i o n e s dorsi 36 Regio pudendalis 37 R e g i o n e s e x t r e mj - t a t i s superioris 38 Regio acromialis 39 Regio deltoidea 40 Regio brachii lateralis 41 Regio brachii medialis 42 Regio brachii anterior 43 Regio brachii posterior 44 Regio cubiti anterior 45 Fossa cubitalis [83] 222 SYSTEMATIC ANATOMY 1 Regio cubiti posterior 2 Regio olecrani 3 Regio cubiti lateralis 4 Regio cubiti jnedialis 5 Regio antibrachii volaris 6 Regio antibrachii dorsalis 7 Regio antibrachii radialis 8 Regio antibrachii ulnaris 9 Regio dorsalis manus 10 Regio volaris manus 11 Regiones digitales [manus] 12 Regiones dorsales digitorum 13 Regiones unguiculares 14 Regiones volares digitorum 15 Regions of the in- ferior extremity 16 Regio femoris anterior 17 Fossa subinguinalis 18 Regio femoris lateralis 19 Regio trochanterica 20 Regio femoris posterior 21 Regio femoris medialis 22 Regio genu anterior 23 Regio patellaris 24 Regio genu posterior 25 Fossa poplitea 26 Regio cruris anterior 27 Regio cruris posterior 28 Regio suralis 29 Regio cruris lateralis 30 Regio cruris medialis 31 Regio malleolaris lateralis 32 Regio malleolaris medialis 33 Regio retromalleolaris lateralis 34 Regio retromalleolaris medialis 35 Regio calcanea 36 Regio dorsalis pedis 37 Regio plantaris pedis 38 Regiones digitales pedis ' 39 Regiones dorsales digitorum pedis 40 Regiones unguiculares 41 Regiones plantares digitorum pedis [84] 224 Plate XI Regions of the human body. Anterior aspect. [86] [ EMMEL] B N A PLATE XI Regiones digitales voLares f R. frontalis R. TLasalis R. oralis R. orbiialis -R. mentalis R.acrcmt. / R. ' mcunmalis R. vicanuicdis Regio inguinalis R.trdchcmiericcc \jt.-rnaUeolaris ' -niedialis 'Tosscl retromaLi leolaris-mediaUs I R. calcanea^ 'Rdigitarwrd -pedis donf, ' sales I// 226 Plate XII Regions of the human body. Posterior aspect. [88] [ E M M E L ] B N A PLATE XII R. temporalis Rdigitciles darsales'- f ^3- ocdpitaiis ■iR. temporalis ) _ JR mastoidea --R.auricularis Fovea nuduLe Racronualis RaicrarniaHs R.. olecrarci R. cubiti lateralis glulaea. F. glulaea. 1-2?. trochanterica. R. digitales ■volares " I jemoris I posterior Tty' ' ferrioris \ posterior .Fossa retromaUeola* . ris lateralis IXJL malleolaris \ 'Lateralis Fossa retramaUe otaris latera. tie '• FretramaUeolaris lateralis - -/ Fossa retro = maHeolcois me. ctialis