Table Of ContentBailey & Love’s
ESSENTIAL
CLINICAL
ANATOMY
Bailey & Love’s
ESSENTIAL
CLINICAL
ANATOMY
Edited by
John SP Lumley
DSc (Hon) MS FRCS FMAA (Hon) FGA
Foundation Dean, University of Bolton School of Medicine, Bolton, UK
Emeritus Professor of Vascular Surgery, University of London, London, UK
Past Council Member and Chairman of the Primary Fellowship Examiners,
Royal College of Surgeons of England, London, UK
John L Craven
MD FRCS
Formerly Consultant Surgeon, York District Hospital, York, UK
Past Chairman of the Primary Examiners, Royal College of Surgeons of England, London, UK
Peter H Abrahams
MB BS FRCS(Ed) FRCR DO(Hon)
Professor of Clinical Anatomy, Warwick Medical School, University of Warwick, UK
Director or Anatomy, West Midlands Surgical Training Centre, UHCW NHS Trust, Coventry, UK
Extraordinary Professor, Department of Anatomy, University of Pretoria, South Africa
Fellow, Girton College, Cambridge, UK
Professor of Clinical Anatomy, St George’s University, Grenada, West Indies
Examiner to the Royal College of Surgeons, London, UK
Family Practitioner, Brent, London, UK
Richard G Tunstall
BMedSci PhD PGCLTHE FHEA
Professor and Head of Clinical Anatomy and Imaging, Warwick Medical School, University of Warwick, UK
MBChB Admissions Lead, Warwick Medical School, University of Warwick, UK
Director of Clinical Anatomy, West Midlands Surgical Training Centre, UHCW NHS Trust, Coventry, UK
Examiner to the Royal College of Surgeons, London, UK
& Love · Essential Clinical Anatomy · Bailey & Love · Essential Clinical Anatomy
· Bailey & Love · Essential Clinical Anatomy · Bailey & Love
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Contents
Preface vii PART 4: THE UPPER LIMB
Acknowledgements viii
12 The shoulder region 186
INTRODUCTION 13 The elbow and forearm 209
14 The wrist and hand 227
The structure of the body – the systems
and organs 2
PART 5: THE LOWER LIMB
PART 1: THE THORAX
15 The hip and thigh 242
1 The thoracic wall and diaphragm 22 16 The knee, leg and dorsum of the foot 266
2 The thoracic cavity 35 17 The foot 288
3 The mediastinal structures 54
4 The pleura and lungs 63 PART 5: THE HEAD AND NECK
18 The skull, scalp and face 302
PART 2: THE ABDOMEN
19 The orbit, nose and mouth 315
5 The abdominal wall and peritoneum 80
20 The temporomandibular joint, pharynx and
6 The abdominal alimentary tract 94 larynx 339
7 The liver, spleen and pancreas 113 21 The ear, intracranial region and cranial nerves 355
8 The kidneys and posterior abdominal wall 123 22 The neck 371
9 The pelvis 136 23 Vessels, nerves and lymphatic drainage 387
10 The perineum 153 24 Neuroanatomy 400
25 The ventricular system, the meninges and
blood supply of the cranial cavity 429
PART 3: THE BACK
11 The vertebral column and spinal cord 172 Index 443
Bailey & Love · Essential Clinical Anatomy · Bailey & Love · Essential Clinical Anatomy
Essential Clinical Anatomy · Bailey & Love · Essential Clinical Anatomy · Bailey & Love
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Foreword
It goes without saying that anatomical knowledge is the bed- Essential Clinical Anatomy covers the modern curricula
rock of clinical surgery and indeed all of medicine. Not only required by most regulatory medical bodies worldwide and
do surgeons in particular need to be fully cognisant of their hence provides all that is required for relevant examina-
own specialty requirements but they need to have more far tions. A constant feature of Bailey and Love’s Short Practice
reaching knowledge so as to make thorough clinical examina- of Surgery throughout all its editions has been an emphasis
tions, to interpret all modalities of imaging and to deal with on high-quality illustrations and clinical photographs and we
trauma and malignancy, which by their very nature know no are delighted to see this tradition is very much at the fore in
anatomical barriers. It is therefore a delight to welcome Essen- this companion volume. The authors are to be congratulated
tial Clinical Anatomy as the first publication into the fold of on assembling the information in a most readable and visual
what we envisage will constitute a Bailey and Love compen- format, which will be considerably enhanced by a variety of
dium of associated titles. As editors of Bailey and Love’s Short anatomical teaching videos that can be viewed via the Bailey
Practice of Surgery we see this anatomy book as very much a and Love website.
companion to the main tome. Although there are snippets While we are confident that Essential Clinical Anatomy
of relevant anatomical knowledge in the parent volume, will provide the foundation for all those pursuing a surgical
we readily accept that it lacks the detail that is invariably career, we also believe it will be of tremendous benefit for all
required for a complete understanding of various disease pro- undergraduate and postgraduate students no matter which
cesses and the concomitant therapeutic procedures required branch of medicine they wish to pursue, and we warmly com-
to treat them. Essential Clinical Anatomy fulfils this need and mend this book to you.
all undergraduate and postgraduates who are unsure of the rel-
evant anatomy when reading Short Practice of Surgery will not Norman S. Williams
put a foot wrong if they keep the former close when perusing Ronan O’Connell
the pages of the latter. Andrew McCaskie
Bailey & Love · Essential Clinical Anatomy · Bailey & Love · Essential Clinical Anatomy
Essential Clinical Anatomy · Bailey & Love · Essential Clinical Anatomy · Bailey & Love
Bailey & Love · Essential Clinical Anatomy · Bailey & Love · Essential Clinical Anatomy
Preface
The expansion and integration of disciplines within the med- as muscle attachments, is tabulated and clinical information
ical curriculum has reduced time for anatomy teaching, par- is highlighted.
ticularly for human dissection, but has not reduced its vital The extensive number of illustrations include surface anat-
importance. While surgeons need to know the detailed anat- omy, coloured labelled diagrams, dissections, a wide range of
omy in their operating field, knowledge of the anatomy that radiological, laparoscopic and endoscopic images, and clinical
underlies every clinical examination and every radiological/ pictures of common diseases. A comprehensive index facili-
medical image is an essential component of everyday clinical tates rapid location of the desired passages. Self-assessment
practice. material is included at the end of each chapter; these multiple
This text provides a comprehensive cover of most normal choice questions (MCQs), single best answer (SBA) ques-
and abnormal living anatomy, essential for students across tions (used in the USA and also now more widely), extended
the world. It addresses the knowledge and skills laid down matching questions (EMQs) and applied questions reflect
by the General Medical Council (GMC) and the Ameri- styles of examination around the world. The answers and
can Association of Clinical Anatomists (AACA; ‘A clini- explanations can be found in the text, but additional material
cal anatomy curriculum for the medical student of the 21st is included where appropriate.
century: gross anatomy’, Clinical Anatomy 1996;9:71–99; see The authors bring a combined experience of over 150
also Smith et al., ‘The Anatomical Society core regional anat- years of anatomy teaching at all levels, and present this large
omy syllabus for undergraduate medicine’, Journal of Anatomy volume of information in a palatable, interesting and under-
2016;228:15–23). standable form, emphasizing its relevance to disease and clin-
The regional approach followed corresponds to a typical ical practice.
clinical examination. The nervous system is included, rather
John Lumley
than being covered in an additional text; also included is
John Craven
embryology in sufficient detail to explain many common con-
Peter Abrahams
genital abnormalities. Wherever possible, information, such
Richard Tunstall
Bailey & Love · Essential Clinical Anatomy · Bailey & Love · Essential Clinical Anatomy
Essential Clinical Anatomy · Bailey & Love · Essential Clinical Anatomy · Bailey & Love
Bailey & Love · Essential Clinical Anatomy · Bailey & Love · Essential Clinical Anatomy
Acknowledgements
We would like to thank Matthew Boissaud-Cooke BMed- ophthalmoscopy views. Dr Alan Hunter for a bronchoscopic
Sc(Hons), MBChB, MRCS, Speciality Trainee in Neurosur- view. Professor J Weir and team for images from Imaging
gery, University Hospital Plymouth NHS Trust, Plymouth, for Atlas of Human Anatomy, 4th edition, Elsevier, 2010. Mr T
contributing the text for Chapter 24. Welch for tropical pathology. University of Warwick and the
The authors and publisher also thank the following West Midlands Surgical Training Centre (UK) for images of
individuals and institutions for kindly supplying figures for their plastinated prosection collection, funded by the West
this book. Dr Tania Abrahams for tropical pathology. Dr Midlands Strategic Health Authority and produced in Guben
Rosalind Ambrose for tropical radiology. Dr Ray Armstrong (Germany) by von Hagens Plastinations. Professor T Wright
and ARC for musculoskeletal cases. Professor JM Boon for for auriscopic views.
dissections from ‘The Virtual Procedures Clinic’ CD-ROM The following figures are reproduced with kind permission
(www.primalpictures.com 2003). Section of Clinical of Bart’s Medical Illustration Collection, previously published
Anatomy University of Pretoria, Dr L Van Heerden and the in Hamilton Bailey’s: Demonstrations of Physical Signs in Clinical
following students: Van Jaarsveld M; Joubert AT; Van Schoor Surgery, 19th edition. (eds. JSP Lumley, AK D’Cruz, JJ Hob-
AN; Phetla MV; Mbandlwa L; Mahlomoje ID; Deetlefs MEC; allah, CEH Scott-Conner) CRC Press, 2016:
Schoonraad B; Van Blerk EM; Gichangi C; Smith AB; Van
der Colff FJ; Connell A; Sitholimela SC for their beautiful 1.3, 1.6a, 1.12, 1.18, 1.20a, 2.20, 4.3a, 4.3b, 4.18, 5.8, 5.12,
dissections 2002/3. Mr S Dexter for laparoscopic shots. 5.14, 5.15, 6.8, 6.14, 7.8, 10.6, 12.5a, 12.5c, 12.5d, 12.6,
Professor R Ger for photos from Essentials of Clinical Anatomy, 12.19a, 12.21, 14.4b, 14.8. 14.11, 15.6c, 15.7, 15.12c, 15.12d,
Parthenon, 1986. R Hutchings, freelance photographer. 15.12e, 15.13, 15.18, 15.26a, 15.26b, 15.32b, 16.3a, 16.3b,
Professor Kubrick for lymphatic dissections. Dr Lahiri and the 16.3c, 16.3d, 16.11a, 16.11b, 16.11c, 16.12, 17.6a, 17.6b,
Wellington Hospital Cardiac Imaging and Research Centre 17.6c, 17.6d, 17.10, 17.16, 19.6, 19.7b, 19.11, 19.26, 20.8,
for EBCT scans of one of the authors. Miss Gilli Vafidis for 20.17, 21.3, 22.12.
Bailey & Love · Essential Clinical Anatomy
Essential Clinical Anatomy · Bailey & Love
Bailey & Love · Essential Clinical Anatomy
Introduction
The structure of the body – the systems and organs 2
