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Clemente's Anatomy Dissector LWBK529-FM_i-xiv.qxd 3/9/10 2:19 PM Page i Aptara Clemente’s Anatomy Dissector LWBK529-FM_i-xiv.qxd 3/9/10 2:19 PM Page ii Aptara LWBK529-FM_i-xiv.qxd 3/9/10 2:19 PM Page iii Aptara Clemente’s Anatomy Dissector Guides to Individual Dissections in Human Anatomy with Brief Relevant Clinical Notes (Applicable for Most Curricula) Carmine D. Clemente, PhD, DHL Emeritus Professor of Anatomy and Neurobiology (Recalled) UCLA School of Medicine Professor of Surgical Anatomy Charles R. Drew University of Medicine and Science Los Angeles, California THIRD EDITION LWBK529-FM_i-xiv.qxd 3/9/10 2:19 PM Page iv Aptara Acquisitions Editor: Crystal Taylor Product Manager: Julie Montalbano Designer: Terry Mallon Compositor: Aptara, Inc. 3rd Edition Copyright © 2011, 2007, 2002 Lippincott Williams & Wilkins, a Wolters Kluwer business. 351 West Camden Street Baltimore, MD 21201 Two Commerce Square 2001 Market Street Philadelphia, PA 19103 Printed in China. All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Com- merce Square, 2001 Market Street, Philadelphia, PA 19103, via e-mail at [email protected], or via Web site at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging-in-Publication Data Clemente, Carmine D. Clemente’s anatomy dissector : guides to individual dissections in human anatomy with brief relevant clinical notes (applicable for most curricula) / Carmine D. Clemente.–3rd ed. p. ; cm. Other title: Anatomy dissector Includes bibliographical references and index. ISBN 978-1-60831-384-6 (alk. paper) 1. Human dissection–Laboratory manuals. I. Title. II. Title: Anatomy dissector. [DNLM: 1. Anatomy–methods–Laboratory Manuals. 2. Dissection–methods–Laboratory Manuals. QS 25 C626c 2010] QM34.C545 2010 611.0078–dc22 2010002548 DISCLAIMER Care has been taken to confirm the accuracy of the information present and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from applica- tion of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of this information in a particular situation remains the professional re- sponsibility of the practitioner; the clinical treatments described and recommended may not be considered absolute and univer- sal recommendations. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accordance with the current recommendations and practice at the time of publication. However, in view of ongoing re- search, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug. Some drugs and medical devices presented in this publication have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care providers to ascertain the FDA status of each drug or device planned for use in their clinical practice. To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300. Visit Lippincott Williams & Wilkins on the Internet: http://www.lww.com. Lippincott Williams & Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST. LWBK529-FM_i-xiv.qxd 3/9/10 2:19 PM Page v Aptara Preface Preface to the First Edition In this book, significant attention is paid to surface anatomy in virtually every relevant dissection. This aspect of anatomy is One of my objectives in writing this book was to combine a of prime importance for its clinical implications. home study exercise with a laboratory dissection experience. Because the dissections are described in separate chapters, Each chapter is a separate dissection and lesson. Indexed to the study guide can be used in virtually any of the varied curric- Clemente’s Anatomy, A Regional Atlas of the Human Body (4th ula and course sequences in our health science schools. The se- Edition) with references to three other popular atlases (Grant’s quence of dissection chapters follows from the pectoral region to Atlas, 11th Edition; Netter’s Atlas, 3rd Edition; and Rohen’s Atlas, the upper limb, thorax, abdomen, pelvis and perineum, lower 5th Edition), the student learns the step-by-step dissection pro- limb, back, neck, and head. Additionally, the separate dissection cedure for the laboratory along with relevant text information chapters and their subheadings can readily be selected to meet that enhances the laboratory work. At home, the learning the needs of a systems curriculum or to a classical regional se- process can be repeated by reading the text of each chapter and, quence that commences in parts of the body other than the pec- following the dissection procedure, by simultaneously viewing toral and upper limb regions. the line drawings of this book and the relevant pages or plates in Many of the line drawings in this book were done by the one of the referenced atlases. artist Ms. Jill Penkhus in Los Angeles. Many others were pro- The dissection directions are detailed beyond those of other duced under the direction of Professor Gene Colborn several currently used laboratory manuals, allowing students the oppor- years ago at the Medical College of Georgia for the Urban & tunity to dissect on their own if they wish to do so, yet the text is Schwarzenberg Publishing Company. Still others were drawn by brief and stresses essentials. Usually, each dissection will require Ms. Patricia Vetter. I am most grateful to Ms. Penkhus, Ms. Vetter, one laboratory period of 2.5 to 3 hours. Exceptions to this may and especially to Professor Colborn for their contributions. My be the dissections of the pelvis and perineum, which may require appreciation is also extended to Mr. Timothy Satterfield and Ms. some more time. The descriptions for these latter two dissections Susan Katz at Lippincott Williams & Wilkins for their patience are similar in format. They include sections to be dissected sim- as well as Ms. Ulita Lushycky for her most effective managing ilarly in both sexes and then special instructions required for in- of the manuscript. Finally, but by no means least, I am most dividual dissections in male and female cadavers. grateful to Julie, my wife, who has spent many hours at the com- One need not defend again the value of dissecting the hu- puter during the development and eventual completion of the man body in schools of medicine and the other health profes- manuscript. sions. Experience through the centuries has proved its value in introducing the student to the study of medicine and its allied Los Angeles, 2002 professions. Some have claimed that often “irrelevant” infor- mation was stressed in anatomy dissection courses. I have tried to select a dissection method that exposed essential structures in Preface to the Second and Third Edition the most straightforward manner. No part of the body is sum- marily excluded, allowing the book to be of value for various My appreciation goes to the many faculty and students who have types of curricula. used this dissector. Its wide acceptance not only in the United One departure from other dissection guides introduced in this States but in foreign countries as well has been most gratifying. book and suggested by my colleague, the late Professor David Several significant changes have been made. One is that in the Maxwell, is the dissection of the posterior triangle of the neck im- first edition, dissection of the posterior triangle of the neck mediately following that of the axilla but before the remainder of (which contains the neurovascular structures for the upper limb) the upper limb. This allows the student to see the source of the was introduced just prior to dissections on the pectoral girdle and neurovascular structures that supply the shoulder, arm, forearm, upper limb. In subsequent editions, the posterior triangle of the and hand. This was changed in 2nd and subsequent edition. neck was shifted to the section on neck and head dissections v LWBK529-FM_i-xiv.qxd 3/9/10 2:19 PM Page vi Aptara vi PREFACE (29) just prior to the anterior triangle dissection. This change was body or, perhaps, even certain dissections within specific body made only because most courses use this latter dissection regions. sequence and not because it especially makes better anatomic I have also attempted to edit some descriptive material in the sense. various dissections and have added paragraphs on clinical rele- Since publication of the first edition of this dissector, new vance. My appreciation again goes to Professor Gene Colborn editions of the Grant’s, Netter’s, and Rohen atlases have ap- for several drawings in this book, along with artists Jill Penkhus peared. Thus, the 3rd edition is now cross-referenced with the and Patricia Vetter.
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