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[Half-Title to Come] 10752-01 Ch01redo.Qxd 9/24/07 3:07 PM Page 2 10752-01_CH01redo.qxd 9/24/07 3:07 PM Page 1 [Half-Title to come] 10752-01_CH01redo.qxd 9/24/07 3:07 PM Page 2 Lippincott Williams & Wilkins atlas of ANATOMY THE BACK CHAPTER 1 Plate 1-01 Palpable Structures of the Back . 5 Plate 1-02 Vertebral Column, Lateral View . 6 Plate 1-03 Cervical Vertebrae . 7 Plate 1-04 Articulated Cervical Vertebrae . 8 Plate 1-05 Thoracic and Lumbar Vertebrae . 9 Plate 1-06 Articulated Thoracic Vertebrae . 10 Plate 1-07 Articulated Lumbar Vertebrae . 11 Plate 1-08 Sacrum and Coccyx . 12 Plate 1-09 Ligaments of the Cervical Vertebrae . 13 Plate 1-10 Ligaments of the Thoracic Vertebrae . 14 Plate 1-11 Ligaments of the Lumbar Vertebrae and Sacrum . 15 Plate 1-12 Cutaneous Innervation of the Back . 16 Plate 1-13 Superficial Muscles of the Back . 17 Plate 1-14 Deep Back Muscles, Superficial Dissection . 18 Plate 1-15 Deep Back Muscles, Deeper Dissection . 19 Plate 1-16 Suboccipital Region. 20 Plate 1-17 Pattern of a Typical Spinal Nerve . 21 Plate 1-18 Spinal Cord, Posterior View . 22 Plate 1-19 Superior Portion of the Spinal Cord . 23 Plate 1-20 Inferior Portion of the Spinal Cord . 24 Plate 1-21 Blood Supply of the Spinal Cord, Anterior View. 25 Plate 1-22 Venous Drainage of the Vertebral Column and Spinal Cord . 26 Plate 1-23 Dermatomes . 27 10752-01_CH01redo.qxd 9/24/07 3:07 PM Page 4 Palpable Structures of the Back PLATE 1-01 Palpable bony structures Superior nuchal line External occipital protuberance Superior border of trapezius muscle Vertebra prominens (C7) Clavicle Acromioclavicular Acromion of scapula joint Spine of scapula Greater tubercle Posterior axillary of humerus fold Inferior angle of scapula Spinous processes of vertebrae in vertebral furrow Rib Bulge of erector spinae muscles Iliac crest Hip bone Posterior superior iliac spine Sacrum Coccyx Greater trochanter of femur Ischial tuberosity Chapter 1 Lippincott Williams & Wilkins Atlas of Anatomy PAGE 5 10752-01_CH01redo.qxd 9/24/07 3:07 PM Page 6 PLATE 1-02 Vertebral Column, Lateral View Cervical Vertebrae PLATE 1-03 Vertebral Column, Lateral View A. Atlas (C1), superior view B. Atlas (C1), inferior view Posterior Anterior arch Anterior tubercle tubercle rch Vertebral PosteriorAnterior archa Articular facet foramen Transverse for dens process Transverse process Atlas (C1) Axis (C2) Transverse foramen Vertebral Transverse Cervical curvature foramen foramen Superior articular Posterior arch Inferior articular facet for occipital facet for axis Articular facet C7 condyle Posterior for dens T1 tubercle Anterior arch Groove for vertebral artery Anterior and C1 ventral ramus tubercle C. Axis (C2), superior view Anterior articular facet Anterior archDens for arch of atlas Thoracic curvature Superior articular facet Transverse process Inferior articular process T12 Lamina Posterior articular facet for L1 transverse ligament of atlas Spinous process Lumbar curvature D. Cervical vertebra (C4), superior view E. Cervical vertebra (C4), lateral view Body Transverse process: Uncinate Superior articular Uncinate L5 process process facet and process Anterior tubercle Pedicle Transverse foramen Transverse process: Sacral curvature Anterior Sacrum Posterior tubercle tubercle Transverse Superior foramen articular Posterior facet tubercle Vertebral Spinous Inferior Body foramen process articular process Lamina Spinous process Coccyx Chapter 1 Chapter 1 PAGE 6 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott Williams & Wilkins Atlas of Anatomy PAGE 7 10752-01_CH01redo.qxd 9/24/07 3:07 PM Page 8 PLATE 1-04 Articulated Cervical Vertebrae Thoracic and Lumbar Vertebrae PLATE 1-05 A. Lateral view B. Radiograph of cervical vertebrae, lateral view A. Thoracic vertebra (T6), superior view B. Thoracic vertebra (T6), lateral view Body Superior Superior articular vertebral Occipital bone facet and process Vertebral notch Superior foramen costal facet Body Anterior arch Pedicle of atlas (C1) Superior C1 C1 Superior costal facet Transverse Posterior arch vertebral costal facet of atlas (C1) notch Pedicle C2 C2 Transverse Transverse process Intervertebral disc costal facet C3 C3 Inferior articular C4 Lamina process Inferior C4 Superior Inferior Zygapophyseal joint Transverse articular vertebral costal facet process facet notch Spinous Spinous C5 C5 process process Intervertebral foramen Spinous process of C6 C6 C6 C. Intervertebral disc, superior view Transverse process Anulus C7 C7 fibrosus T1 Nucleus pulposus C. Posterior view D. Radiograph of cervical vertebrae, posterior view D. Lumbar vertebra (L3), superior view Mandible E. Lumbar vertebra (L3), lateral view C1 Body Superior C2 articular Superior process vertebral notch Pedicle C3 C3 Transverse process Transverse C4 C4 process of C4 Pedicle Spinous processes C5 Vertebral Spinous C5 Transverse foramen process process C6 C6 Lamina of C6 Inferior Superior vertebral articular Body C7 C7 Inferior notch process articular Spinous process and facet Lamina process Inferior of C7 Mammillary T1 process articular Spinous facet process Chapter 1 Chapter 1 PAGE 8 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott Williams & Wilkins Atlas of Anatomy PAGE 9 10752-01_CH01redo.qxd 9/24/07 3:07 PM Page 10 PLATE 1-06 Articulated Thoracic Vertebrae Articulated Lumbar Vertebrae PLATE 1-07 A. Lateral view B. Radiograph of lumbar vertebrae, lateral view A. Lateral view B. Posterior view Inferior articular T12 T12 process Superior articular C7 process L1 Pedicle T1 L1 Intervertebral disc Spinous processes L2 L2 Spinous process Inferior vertebral notch Intervertebral foramina L3 L3 Transverse costal facets Intervertebral foramen L4 Superior vertebral notch L4 Transverse Inferior costal facets process of L4 Laminae L5 Body L5 Sacrum Superior costal facets Transverse processes C. Posterior view D. Radiograph of lumbar vertebrae, posterior view T12 T12 Pedicles Transverse process L1 L1 Zygapophyseal joint L2 Inferior articular process Intervertebral discs L2 Superior articular process Pedicle L3 L3 Spinous process L4 L4 Lamina T12 L5 L5 L1 Sacrum Chapter 1 Chapter 1 PAGE 10 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott Williams & Wilkins Atlas of Anatomy PAGE 11 10752-01_CH01redo.qxd 9/24/07 3:07 PM Page 12 PLATE 1-08 Sacrum and Coccyx Ligaments of the Cervical Vertebrae PLATE 1-09 Base of sacrum A. Lateral view A. Anterior view Anterior atlanto-occipital membrane Capsule of atlanto-occipital joint Posterior atlanto-occipital membrane Ala (lateral part) Anterior arch of atlas (C1) Superior articular process Body of axis (C2) Lumbosacral articular surface Promontory Vertebral artery Capsules of zygapophyseal joints Anterior (pelvic) Ligamenta flava (C3–C4 and C4–C5) sacral foramina Transverse ridges Anterior longitudinal ligament Ligamentum nuchae Apex of sacrum Interspinous ligament Intervertebral discs (C4–C5 and C6–C7) Coccyx Spinous process of C7 vertebra (vertebra prominens) T1 B. Posterior view B. Posterior view Occipital bone Capsule of atlanto-occipital joint Posterior atlanto-occipital membrane Superior articular facet Transverse process of atlas (C1) Capsule of lateral atlantoaxial joint Atlas (C1) Auricular surface Axis (C2) Median sacral crest Ligamenta flava Posterior sacral Ligamentum nuchae Lateral sacral crest foramina Vertebral artery Capsules of zygapophyseal joints Sacral hiatus Coccyx T1 Supraspinous ligament Chapter 1 Chapter 1 PAGE 12 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott Williams & Wilkins Atlas of Anatomy PAGE 13 10752-01_CH01redo.qxd 9/24/07 3:07 PM Page 14 PLATE 1-10 Ligaments of the Thoracic Vertebrae Ligaments of the Lumbar Vertebrae and Sacrum PLATE 1-11 A. Lateral view Body of T12 Ligamenta Body of L1 flava Posterior longitudinal ligament A. Lateral view Anulus fibrosus Nucleus pulposus Intervertebral Supraspinous Tip of conus medullaris (cut) foramen surrounded by nerve roots ligament C7 Interspinous T1 L2 spinal nerve ligament Zygapophyseal joint capsules Anterior longitudinal ligament Intervertebral foramen Posterior longitudinal B. Posterior view Supraspinous ligament ligament Intertransverse Intervertebral disc ligaments Anterior longitudinal C7 ligament Interspinous ligament Pedicle Superior costotransverse T1 Spinous ligaments Transverse process process Dorsal rami: Ventral rami: Radiate L4 L4 ligaments L5 L5 Ribs B. Posterior view Superior costotransverse ligament Ribs Supraspinous Lamina ligament Sacrum Lateral Intervertebral costotransverse discs ligament Intertransverse Posterior Pedicle ligament longitudinal (cut) ligament Spinous process Anterior Lamina longitudinal ligament T12 Transverse process Lamina Ligamenta flava L1 Intertransverse ligament Zygopophyseal joint capsule Iliolumbar ligament Supraspinous ligament T12 Posterior sacroiliac L1 ligament Chapter 1 Chapter 1 PAGE 14 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott Williams & Wilkins Atlas of Anatomy PAGE 15 10752-01_CH01redo.qxd 9/24/07 3:07 PM Page 16 PLATE 1-12 Cutaneous Innervation of the Back Superficial Muscles of the Back PLATE 1-13 Superior nuchal line Greater occipital nerve Sternocleidomastoid muscle (dorsal ramus of C2) Splenius capitis muscle Accessory nerve (CN XI) Third occipital nerve Spinous process of C7 (dorsal ramus of C3) Splenius cervicis muscle Transverse cervical artery Trapezius muscle Levator scapulae muscle Trapezius muscle Skin Rhomboid minor muscle Spine of scapula Rhomboid major muscle Posterior cutaneous branches (dorsal rami of C4–T6) Trapezius muscle Deltoid muscle Deltoid muscle Infraspinatus fascia Infraspinatus Teres major muscle fascia Thoracodorsal
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