11071-01_CH01.qxd 3/28/08 10:05 AM Page 1 Lippincott Williams & Wilkins atlas of ANATOMY Latin Edition 11071-01_CH01.qxd 3/28/08 10:05 AM Page 2 Lippincott Williams & Wilkins atlas of ANATOMY THE BACK CHAPTER 1 Plate 1-01 Palpable Features 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 11071-01_CH01.qxd 3/28/08 10:05 AM Page 4 Palpable Features of the Back PLATE 1-01 Palpable bony structures Linea nuchalis superior Protuberantia occipitalis externa Margo superior musculi trapezius Vertebra prominens (C7) Clavicula Articulatio Acromion acromioclaviculare Spina scapulae Tuberculum majus Plica axillaris posterior Angulus inferior Processus spinosus Costa Musculus erector spinae Crista iliaca Os coxae Spina iliaca posterior superior Os sacrum Trochanter major Os coccygis Tuber ischiadicum Chapter 1 Lippincott Williams & Wilkins Atlas of Anatomy PAGE 5 11071-01_CH01.qxd 3/31/08 1:43 PM Page 6 PLATE 1-02 Vertebral Column, Lateral View Cervical Vertebrae PLATE 1-03 A. Atlas (C1), superior view B. Atlas (C1), inferior view Tuberculum Arcus anterior atlantis Tuberculum anterius posterius Arcus posterior Foramen atlantis vertebrale Processus Fovea dentis transversus Processus transversus Atlas (C1) Axis (C2) Foramen transversarium Foramen Foramen Curvatura cervicalis vertebrale transversarium Facies articularis Arcus posterior Facies articularis superior atlantis inferior C7 Fovea dentis T1 Tuberculum posterius Arcus anterior Sulcus arteriae vertebralis atlantis Tuberculum anterius C. Axis (C2), superior view Facies articularis Dens axis anterior Curvatura thoracica Facies articularis superior Processus transversus Processus articularis inferior T12 Facies articularis posterior L1 Lamina arcus vertebrae Processus spinosus Curvatura lumbalis D. Cervical vertebra (C4), superior view E. Cervical vertebra (C4), lateral view Corpus vertebrae Processus transversus: Processus Processus Processus et facies L5 Tuberculum uncinatus uncinatus anterius articularis superior Foramen Pediculus transversarium arcus vertebrae Processus transversus: Curvatura sacralis Tuberculum Tuberculum Os sacrum posterius anterius Foramen transversarium Facies Tuberculum articularis posterius superior Foramen Processus Processus Corpus vertebrale spinosus articularis inferior vertebrae Lamina arcus vertebrae Processus spinosus Os coccygis Chapter 1 Chapter 1 PAGE 6 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott Williams & Wilkins Atlas of Anatomy PAGE 7 11071-01_CH01.qxd 3/28/08 10:05 AM 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 Corpus vertebrae Incisura Facies et processus vertebralis superior Os occipitale articularis superior Foramen Fovea Corpus vertebrale Fovea costalis superior Pediculus arcus costalis vertebrae Arcus anterior vertebrae superior atlantis C1 C1 Incisura Pediculus arcus Fovea costalis processus Arcus posterior vertebralis vertebrae superior transversus atlantis (C1) Fovea costalis C2 C2 processus transversus Processus Discus transversus C3 intervertebralis C3 Processus articularis C4 Facies Lamina arcus inferior Incisura C4 Fovea costalis Articulatio Processus articularis vertebrae vertebralis inferior zygapophysialis superior inferior transversus Processus Processus C5 C5 spinosus spinosus Foramen intervertebrale Processus spinosus (C6) C6 C6 C. Intervertebral disc, superior view Processus transversus Anulus C7 C7 fibrosus T1 Nucleus pulposus C. Posterior view D. Radiograph of cervical vertebrae, posterior view D. Lumbar vertebra (L3), superior view E. Lumbar vertebra (L3), lateral view Mandibula C1 Corpus vertebrae Processus articularis C2 superior Incisura vertebralis superior Pediculus arcus C3 vertebrae C3 Processus transversus Processus C4 Pediculus arcus C4 transversus (C4) vertebrae Processus Processus spinosus C5 Foramen C5 Processus vertebrale spinosus transversus C6 C6 Lamina arcus vertebrae (C6) Incisura Processus vertebralis et facies C7 C7 inferior Corpus articularis Processus vertebrae Processus superior Lamina arcus articularis Processus vertebrae Facies spinosus (C7) inferior T1 mammillaris articularis Processus inferior spinosus Chapter 1 Chapter 1 PAGE 8 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott Williams & Wilkins Atlas of Anatomy PAGE 9 11071-01_CH01.qxd 3/28/08 10:05 AM Page 10 PLATE 1-06 Articulated Thoracic Vertebrae Articulated Lumbar Vertebrae PLATE 1-07 A. Lateral view B. Posterior view A. Lateral view B. Radiograph of lumbar vertebrae, lateral view Processus articularis T12 inferior T12 Processus articularis C7 superior Pediculus arcus L1 T1 L1 vertebrae Discus intervertebralis Processes spinoses L2 L2 Processus spinosus Incisura vertebralis Foramina intervertebrales inferior Fovea costalis L3 L3 processus Foramen transversus intervertebrale L4 Incisura vertebralis superior L4 Foveae costales inferior Processus transversus (L4) Laminae arcus vertebrae L5 Corpus vertebrae L5 Os sacrum Foveae costales superior Processus transversus C. Posterior view D. Radiograph of lumbar vertebrae, posterior view T12 T12 Pediculi arci vertebrae Processus transversus L1 L1 Articulationes zygapophysiales L2 Discus intervertebralis Processus articularis L2 inferior Processus articularis superior L3 Pediculus arcus L3 vertebrae Processus spinosus L4 L4 T12 Lamina arcus vertebrae L1 L5 L5 Os sacrum Chapter 1 Chapter 1 PAGE 10 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott Williams & Wilkins Atlas of Anatomy PAGE 11 11071-01_CH01.qxd 3/28/08 10:05 AM Page 12 PLATE 1-08 Sacrum and Coccyx Ligaments of the Cervical Vertebrae PLATE 1-09 Basis ossis sacri A. Anterior view A. Lateral view Membrana atlantooccipitalis anterior Capsula articulatio atlantooccipitalis Ala ossis sacri Membrana atlantooccipitalis posterior (pars lateralis) Processus articularis superior Arcus anterior atlantis (C1) Facies articularis Corpus vertebrae axis (C2) superior Promontorium Arteria vertebralis Foramina sacralia Capsulae articulationibus anteriora Ligamenta flava zygapophysiales Lineae transversae Ligamentum longitudinale anterius Ligamentum nuchae Apex ossis sacralis Ligamenta interspinalia Disci intervertebrales (C4–C5, C6–C7) Os coccygis Vertebra prominens (C7) T1 B. Posterior view B. Posterior view Os occipitale Processus articularis Capsula articulationis Membrana atlantooccipitalis posterior superior atlantooccipitalis lateralis Processus transversus Capsula articulationis Facies auricularis atlantoaxialis lateralis Atlas (C1) Axis (C2) Crista sacralis mediana Foramina sacralis Ligamenta flava Crista sacralis lateralis posteriora Ligamentum nuchae Arteria vertebralis Capsula articulationis Hiatus sacralis zygapophysialis Os coccygis T1 Ligamentum supraspinale Chapter 1 Chapter 1 PAGE 12 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott Williams & Wilkins Atlas of Anatomy PAGE 13 11071-01_CH01.qxd 3/28/08 10:05 AM Page 14 PLATE 1-10 Ligaments of the Thoracic Vertebrae Ligaments of the Lumbar Vertebrae and Sacrum PLATE 1-11 A. Lateral view Corpus vertebrae (T12) Ligamenta Corpus vertebrae (L1) flava Ligamentum longitudinale posterius A. Lateral view Anulus fibrosus Nucleus pulposus Foramen Ligamentum Tip of conus medullaris intervertebrale surrounded by radiculi nervi supraspinale C7 Ligamenta Nervus spinalis (L2) interspinalia T1 Articulationes zygapophysiales Foramen Ligamentum longitudinale intervertebrale Ligamentum anterius Ligamentum longitudinale B. Posterior view supraspinale posterius Ligamenta Discus intervertebralis intertransversaria Ligamentum C7 Ligamentum longitudinale interspinalis anterius Pediculus arcus vertebrae Ligamentum costotransversarium T1 Processus superius Processus spinosus transversus Rami dorsales: Ligamenta Rami ventrales: L4 L4 capitis costae L5 radiatum L5 Costae B. Posterior view Ligamentum costotransversarium superius Lamina Costae Ligamentum arcus vertebrae supraspinale Sacrum Ligamentum Disci costotransversarium intervertebrales laterale Pediculus Ligamenta Ligamentum arcus intertransversaria longitudinale vertebrae posterius Processus spinosus Lamina arcus vertebrae T12 Processus transversus Lamina arcus vertebrae Ligamenta intertransversaria Ligamenta flava L1 Capsula articulationis zygapophysiales Ligamentum iliolumbale Ligamentum supraspinale T12 Ligamentum sacroiliacum posterius L1 Chapter 1 Chapter 1 PAGE 14 Lippincott Williams & Wilkins Atlas of Anatomy Lippincott